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Prevalence of androgenicanabolic steroid use in adolescents in two regions of South Africa


Michael I Lambert
Steven D Titlestad
Martin P Schwellnus

Abstract

Objective. To determine the prevalence of androgenicanabolic steroid (AAS) use  among schoolchildren in two geographically separate regions of South Africa.
Design. Self-reported questionnaire.
Population. Standard 10 schoolchildren (16 - 18 years) were selected, 1 136 from region A and 1 411 from region B.
Results. The prevalence of AAS use in the overall populationwas 14.4/1 000. There were significant diHerences in prevalence of AAS use between the two regions (5.9/1 000 v. '22.7/1 000; P < 0.0005). There was significantly higher use in males (28.2/1 000) compared with females (0.7/1 000) (p < 0.005). Gymnasia were the most common source of AAS. Although there were regional diHerences in general knowledge about AAS, general knowledge scores were low across all the groups. Male sports participants who used AAS experienced significantly higher  pressure to perform than their non-user counterparts in both regions.
Conclusions. Regional differences in AAS use and general knowledge about AAS need to be considered before a meaningful programme can be implemented to reduce the use of AAS by South African schoolchildren.

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eISSN: 2078-5135
print ISSN: 0256-9574