Pope Harrison G, Kanayama Gen, Ionescu-Pioggia Martin, Hudson James I
Biological Psychiatry Laboratory, McLean Hospital/Harvard Medical School, Belmont, MA 02478, USA.
Addiction. 2004 Sep;99(9):1189-94. doi: 10.1111/j.1360-0443.2004.00781.x.
To assess anabolic-androgenic steroid (AAS) users' trust in the knowledge and advice of physicians.
Interviews of AAS users and non-users.
Research offices.
Eighty weight-lifters (43 AAS users, 37 non-users) recruited by advertisement in Massachusetts and Florida, USA.
Personal interviews and questionnaire responses, including subjects' ratings of physicians' knowledge regarding various health- and drug-related topics. AAS users also rated their level of trust in various sources of information about AAS.
Both groups of subjects gave physicians high ratings on knowledge about general health, cigarette smoking, alcohol, and conventional illicit drugs, but gave physicians markedly and significantly lower ratings on knowledge about AAS. When rating sources of information on AAS, users scored physicians as no more reliable than their friends, Internet sites, or the person(s) who sold them the steroids. Forty percent of users trusted information on AAS from their drug dealers at least as much as information from any physician that they had seen, and 56% had never revealed their AAS use to any physician.
AAS users show little trust in physicians' knowledge about AAS, and often do not disclose their AAS use to physicians. These attitudes compromise physicians' ability to educate or treat AAS users. Physicians can respond to these problems by learning more about AAS and by maintaining a high index of suspicion when evaluating athletic male patients.
评估合成代谢雄激素类固醇（AAS）使用者对医生知识和建议的信任度。
对AAS使用者和非使用者进行访谈。
研究办公室。
通过在美国马萨诸塞州和佛罗里达州刊登广告招募的80名举重运动员（43名AAS使用者，37名非使用者）。
个人访谈和问卷调查，包括受试者对医生在各种健康和药物相关主题方面知识的评分。AAS使用者还对他们对AAS各种信息来源的信任程度进行了评分。
两组受试者对医生在一般健康、吸烟、饮酒和传统非法药物方面的知识给予了高度评价，但对医生在AAS方面的知识给予了明显较低的评价。在对AAS信息来源进行评分时，使用者认为医生并不比他们的朋友、互联网网站或卖给他们类固醇的人更可靠。40%的使用者对来自毒贩的AAS信息的信任程度至少与他们看过的任何医生提供的信息相同，56%的使用者从未向任何医生透露过他们使用AAS的情况。
AAS使用者对医生在AAS方面的知识几乎没有信任，并且经常不向医生透露他们使用AAS的情况。这些态度损害了医生教育或治疗AAS使用者的能力。医生可以通过更多地了解AAS并在评估男性运动员患者时保持高度的怀疑态度来应对这些问题。
