Laure P
Centre de Sociopharmacologie-BP 87, Saint-Max.
Sante Publique. 1997 Jun;9(2):145-56.
Most campaigns of prevention from doping (use of certain substances by athlete that could have an effect like an artificial improvement of his (or her) physical and/or mental conditions) have been relied on the physicians considered as main actors in this field. However do the physicians have the necessary knowledge and attitudes and do they simply wish to take part pertinently in actions of doping prevention? This study has been conducted in order to examine their knowledge and attitudes in front of doping, to evaluate their role in the prevention campaign. So 280 french physicians have randomly been selected and interviewed by telephone. The response rate was about 62%. The selected population was made up of 173 physicians in which were 122 males and 51 females, the average age was 44.5 +/- 6.5 years. The questioned physicians seemed to have a few knowledge about doping, in particular through the eight families of prohibited substances in which they only mentioned anabolic steroids and amphetamines. Only 50% of them think doping can also concern children, therefore 33.6% had have to face this problem in the latest 12 months. For 86.5% of the questioned physicians, doping is a serious public health problem and 60% of them consider it as a kind of drug addiction. According to 60.9% of them, campaigns of prevention from doping are inefficient; and 92.5% would like to take part in it but 83.3% of them do not feel themselves prepared enough. The results are always similar with or without sports medicine diploma. Three different families of the physicians' attitudes are described. The physicians' involvement in doping prevention claims an action in two parts: to change their behaviours facing to doping they have to consider as any health issue, to provide them with prevention efficient "tools" for their sports patients. At last, considering doping as a public health issue and not only as a marginal practice restricted to the athletic elite is really essential.
大多数反兴奋剂运动（运动员使用某些物质，这些物质可能会像人为改善其身体和/或精神状况一样产生效果）都依赖于被视为该领域主要参与者的医生。然而，医生是否具备必要的知识和态度，他们是否仅仅希望切实参与到反兴奋剂行动中呢？开展这项研究是为了考察他们在兴奋剂问题上的知识和态度，评估他们在预防运动中的作用。于是，随机挑选了280名法国医生并通过电话进行访谈。回复率约为62%。选定的人群由173名医生组成，其中男性122名，女性51名，平均年龄为44.5±6.5岁。接受询问的医生似乎对兴奋剂了解甚少，尤其是在八类违禁物质方面，他们只提到了合成代谢类固醇和安非他明。只有50%的人认为兴奋剂问题也可能涉及儿童，因此33.6%的人在过去12个月里不得不面对这个问题。对于86.5%接受询问的医生来说，兴奋剂是一个严重的公共卫生问题，60%的人将其视为一种药物成瘾。据60.9%的人说，反兴奋剂运动效率低下；92.5%的人愿意参与其中，但83.3%的人觉得自己准备不足。无论有无运动医学文凭，结果都大致相似。描述了医生态度的三个不同类别。医生参与反兴奋剂工作需要两方面的行动：改变他们面对兴奋剂时的行为，将其视为任何健康问题来对待，为他们的运动患者提供有效的预防“工具”。最后，将兴奋剂视为一个公共卫生问题，而不仅仅是局限于体育精英的边缘行为，这一点至关重要。
