Nilsson Sverker, Allebeck Peter, Marklund Bertil, Baigi Amir, Fridlund Bengt
Department of Primary Health Care, Varberg, Sweden.
Health Promot Int. 2004 Mar;19(1):61-7. doi: 10.1093/heapro/dah108.
The aim of this study was to design an appearance programme in order to prevent the misuse of androgenic anabolic steroids among adolescents and to evaluate the adolescents' perception of this programme. The study was performed in all schools in a primary health care area on the south west coast of Sweden. The intervention targeted all 16- and 17-year-old males and females (n = 921). The intervention and evaluation were completed by 451 boys. The strategy of the appearance programme was to create awareness of and to discuss attitudes towards steroid hormones among these adolescents. Youth leaders and health workers, who discussed these subjects with adolescents over a period of 2 years, carried out the intervention programme. The perception of the programme was analysed anonymously using questionnaires. Effects on the total population of youths were assessed by two cross-sectional surveys. The intervention programme was well received by the adolescents. The misuse of androgenic anabolic steroids had a tendency to decrease after the appearance programme. We demonstrated a method for involving the community in an appearance programme to reduce misuse of anabolic steroids and showed that youth were sensitive to our discussions about appearance and attitudes. This study indicates that drug abuse among adolescents can be decreased by health promotion activities, such as group discussions. Controlled studies are needed before the results of this appearance programme can be generalized.
本研究的目的是设计一个形象塑造项目，以防止青少年滥用雄激素类合成代谢类固醇，并评估青少年对该项目的认知。该研究在瑞典西南海岸一个初级卫生保健区域内的所有学校开展。干预对象为所有16岁和17岁的男性及女性（n = 921）。451名男孩完成了干预和评估。形象塑造项目的策略是在这些青少年中提高对类固醇激素的认识并讨论对其的态度。青年领袖和卫生工作者在两年时间里与青少年讨论这些主题，实施了干预项目。使用问卷对该项目的认知进行匿名分析。通过两次横断面调查评估对青年总体人群的影响。干预项目受到青少年的好评。在形象塑造项目实施后，雄激素类合成代谢类固醇的滥用有减少的趋势。我们展示了一种让社区参与形象塑造项目以减少合成代谢类固醇滥用的方法，并表明青少年对我们关于形象和态度的讨论很敏感。本研究表明，通过诸如小组讨论等健康促进活动可以减少青少年中的药物滥用。在该形象塑造项目的结果能够推广之前，需要进行对照研究。
