Nilsson Sverker, Spak Fredrik, Marklund Bertil, Baigi Amir, Allebeck Peter
Department of Primary Health Care, Varberg, Sweden.
Subst Use Misuse. 2005;40(1):1-12. doi: 10.1081/ja-200030485.
The aim of this study was to investigate attitudes towards androgenic anabolic steroids among male adolescents who have used anabolics compared to those who have not.
A cross-sectional survey was performed in the year 2000 in all secondary schools in the county of Halland on the west coast of Sweden.
An anonymous multiple-choice questionnaire was distributed to all classes with 14-, 16-, and 18-year-old male adolescents. The response rate was 92.7% (n=4049).
Those who admitted having used androgenic anabolic steroids differed in several ways from those who had not. Fewer believed androgenic anabolic steroids to be harmful [odds ratio (OR) = 0.15, 95% CI 0.08-0.30] and more believed that girls preferred boys with large muscles (OR = 6.1, 95% CI 3.4-11.0). They trained more often at gyms (OR = 5.6, 95% CI 3.0-10.6), drank more alcohol (OR = 4.2, 95% CI 2.0-9.1), and had used narcotic drugs more often (OR = 15.3, 95% CI 8.5-27.5) than the other male adolescents. More immigrants than native-born adolescents had used anabolics (OR = 4.2, 95% CI 2.2-7.9).
Attitudes towards anabolics differ between users and nonusers. These aspects may be beneficial to focus on as one part of a more complex intervention program in order to change these attitudes and decrease the misuse of androgenic anabolic steroids.
本研究旨在调查使用合成代谢类固醇的男性青少年与未使用合成代谢类固醇的男性青少年对雄激素合成代谢类固醇的态度。
2000年在瑞典西海岸哈兰郡的所有中学进行了一项横断面调查。
向所有有14岁、16岁和18岁男性青少年的班级发放了一份匿名多项选择题问卷。回复率为92.7%（n = 4049）。
承认使用过雄激素合成代谢类固醇的青少年在几个方面与未使用者不同。更少人认为雄激素合成代谢类固醇有害[比值比（OR）= 0.15，95%置信区间0.08 - 0.30]，更多人认为女孩更喜欢肌肉发达的男孩（OR = 6.1，95%置信区间3.4 - 11.0）。他们比其他男性青少年更经常在健身房锻炼（OR = 5.6，95%置信区间3.0 - 10.6），饮酒更多（OR = 4.2，95%置信区间2.0 - 9.1），并且更经常使用麻醉药品（OR = 15.3，95%置信区间8.5 - 27.5）。使用合成代谢类固醇的移民比本土青少年更多（OR = 4.2，95%置信区间2.2 - 7.9）。
使用者和非使用者对合成代谢类固醇的态度不同。作为更复杂干预计划的一部分，关注这些方面可能有助于改变这些态度并减少雄激素合成代谢类固醇的滥用。
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