JAMA. 1990 Dec 12;264(22):2923-7.
Recent trends in the use, abuse, and diversion of steroids for nonmedical purposes illustrate a growing problem that not only imposes health risks but presents ethical dilemmas as well. Concern over the known adverse effects, the limited research into the long-term effects, and the ethics of engineering body size and performance through anabolic-androgenic steroid use has led to legislative, legal, and education responses. Increased penalties for distribution to minors and stricter controls in prescribing practices have been enacted through state legislation and federal initiatives. Government, some health professional organizations, and some sports groups have denounced the nonmedical use of anabolic-androgenic steroids and have developed materials to educate their members, other professionals, athletes, educators, and the public at large.
近期，非医疗目的使用、滥用和转移类固醇的趋势表明，这一问题日益严重，不仅带来健康风险，还引发了伦理困境。由于对已知不良反应的担忧、对长期影响的研究有限，以及通过使用合成代谢雄激素类固醇来改变体型和提高成绩的伦理问题，人们采取了立法、法律和教育等应对措施。通过州立法和联邦举措，加大了对向未成年人分销类固醇的处罚力度，并对处方行为实施了更严格的管控。政府、一些健康专业组织和一些体育团体谴责了合成代谢雄激素类固醇的非医疗使用，并制定了相关材料来教育其成员、其他专业人士、运动员、教育工作者和广大公众。
