Lambert M I, Titlestad S D, Schwellnus M P
MRC/UCT Bioenergetics of Exercise Research Unit, Department of Physiology, University of Cape Town.
S Afr Med J. 1998 Jul;88(7):876-80.
To determine the prevalence of androgenic-anabolic steroid (AAS) use among schoolchildren in two geographically separate regions of South Africa.
Self-reported questionnaire.
Standard 10 schoolchildren (16-18 years) were selected, 1,136 from region A and 1,411 from region B.
The prevalence of AAS use in the overall population was 14.4/1,000. There were significant differences in prevalence of AAS use between the two regions (5.9/1,000 v. 22.7/1,000; P < 0.0005). There was significantly higher use in males (28.2/1,000) compared with females (0.7/1,000) (P < 0.005). Gymnasia were the most common source of AAS. Although there were regional differences in general knowledge about AAS, general knowledge scores were low across all the groups. Male sports participants who used AAS experienced significantly higher pressure to perform than their non-user counterparts in both regions.
Regional differences in AAS use and general knowledge about AAS need to be considered before a meaningful programme can be implemented to reduce the use of AAS by South African schoolchildren.
确定南非两个地理区域的学童中使用雄激素同化类固醇（AAS）的流行情况。
自我报告问卷。
选取标准10年级学童（16 - 18岁），A地区1136名，B地区1411名。
总体人群中AAS的使用率为14.4/1000。两个地区之间AAS的使用率存在显著差异（5.9/1000对22.7/1000；P < 0.0005）。男性的使用率（28.2/1000）显著高于女性（0.7/1000）（P < 0.005）。健身房是AAS最常见的来源。虽然在AAS的一般知识方面存在地区差异，但所有组的一般知识得分都很低。在两个地区，使用AAS的男性体育参与者比未使用者感受到的表现压力显著更高。
在实施有意义的计划以减少南非学童使用AAS之前，需要考虑AAS使用情况和AAS一般知识的地区差异。
