Laure Patrick
Direction régionale et départementale de la jeunesse, des sports et de la cohésion sociale (DRDJSCS) Grand Est, antenne de Nancy, Nancy, France.
Rev Prat. 2020 Feb;70(2):207-209.
Young athletes and doping in sports. Prevalence of doping among young athletes (whether children or adolescents) reaches 3 to 5%. In France, this result means that, on average, 240.000 people could be involved. This percentage, which is greater in boys, rises with age and especially with sports involvement (number of hours of sport per week, practicing competitions or at high levels). Looking for performance constitutes the very main determinant of this behaviour. Physicians may contribute to doping prevention through systematic early identification. Some clues, but not pathognomonic, may help, such as low self-esteem, displayed anxiety, easily influenced by peer pressure, strong expectations for results, fear of failure, intention to try expressed by the youth, use of other substances (tobacco, alcohol, cannabis).
年轻运动员与体育界的兴奋剂问题。年轻运动员（无论是儿童还是青少年）中使用兴奋剂的比例达到3%至5%。在法国，这一结果意味着平均可能有24万人涉及其中。这一比例在男孩中更高，且随年龄增长而上升，尤其是随着体育活动参与度（每周运动小时数、参加比赛或高水平训练）的提高而上升。追求成绩是这种行为的主要决定因素。医生可通过系统的早期识别来助力预防兴奋剂问题。一些线索（但并非具有确诊意义）可能有所帮助，比如自卑、表现出焦虑、易受同伴压力影响、对成绩有强烈期望、害怕失败、年轻人表达的尝试意图、使用其他物质（烟草、酒精、大麻）。
