Cross-sectional study of female students reporting anabolic steroid use

Diane Elliot, Jeewon Cheong, Esther Moe, Linn Goldberg

Research output: Contribution to journalArticle

36 Citations (Scopus)

Abstract

Objective: To determine the characteristics of female US high school students reporting anabolic steroid use. Design: Cross-sectional assessment using the 2003 Centers for Disease Control and Prevention national school-based Youth Risk Behavior Survey database. Setting: Nationally representative sample of US high schools. Participants: Female students in grades 9 through 12 (n=7544). Main Outcome Measures: Participants' self-reported anabolic steroid use was compared with other health-related behaviors and with sports participation. Results: Prior or ongoing anabolic steroid use was reported by 5.3% of female high school students. Those adolescent girls had a marked increase in other health-compromising behaviors, including past 30-day use of alcohol (odds ratio [OR], 8.83; 95% confidence interval [CI], 5.49-14.20]), cigarettes (OR, 5.14; 95% CI, 3.14-8.42), marijuana (OR, 7.91; 95% CI, 5.20-12.04), cocaine (OR, 10.78; 95% CI, 6.18-18.81), and diet pills (OR, 4.86; 95% CI, 2.98-7.93). They were more likely to carry a weapon (OR, 7.54; 95% CI, 4.83-11.76), have had sexual intercourse before age 13 years (OR, 2.90; 95% CI, 1.58-5.33), and have had feelings of sadness or hopelessness almost every day for at least 2 consecutive weeks (OR, 4.13; 95% CI, 2.57-7.22). They were less likely to play school-sponsored team sports (OR, 0.52; 95% CI 0.34-0.80). Steroid users participating in sports shared the same problem behaviors as steroid users not participating in team athletics. Conclusion: Self-reported anabolic steroid use is not confined to adolescent girls in competitive athletics and is an indicator of adolescent girls with a marked increase in a cluster of other health-harming behaviors.

Original languageEnglish (US)
Pages (from-to)572-577
Number of pages6
JournalArchives of Pediatrics and Adolescent Medicine
Volume161
Issue number6
DOIs
StatePublished - Jun 2007

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Testosterone Congeners
Cross-Sectional Studies
Odds Ratio
Confidence Intervals
Students
Sports
Health
Steroids
Weapons
Coitus
Cannabis
Centers for Disease Control and Prevention (U.S.)
Risk-Taking
Cocaine
Tobacco Products
Emotions
Alcohols
Outcome Assessment (Health Care)
Databases

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Cross-sectional study of female students reporting anabolic steroid use. / Elliot, Diane; Cheong, Jeewon; Moe, Esther; Goldberg, Linn.

In: Archives of Pediatrics and Adolescent Medicine, Vol. 161, No. 6, 06.2007, p. 572-577.

Research output: Contribution to journalArticle

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abstract = "Objective: To determine the characteristics of female US high school students reporting anabolic steroid use. Design: Cross-sectional assessment using the 2003 Centers for Disease Control and Prevention national school-based Youth Risk Behavior Survey database. Setting: Nationally representative sample of US high schools. Participants: Female students in grades 9 through 12 (n=7544). Main Outcome Measures: Participants' self-reported anabolic steroid use was compared with other health-related behaviors and with sports participation. Results: Prior or ongoing anabolic steroid use was reported by 5.3{\%} of female high school students. Those adolescent girls had a marked increase in other health-compromising behaviors, including past 30-day use of alcohol (odds ratio [OR], 8.83; 95{\%} confidence interval [CI], 5.49-14.20]), cigarettes (OR, 5.14; 95{\%} CI, 3.14-8.42), marijuana (OR, 7.91; 95{\%} CI, 5.20-12.04), cocaine (OR, 10.78; 95{\%} CI, 6.18-18.81), and diet pills (OR, 4.86; 95{\%} CI, 2.98-7.93). They were more likely to carry a weapon (OR, 7.54; 95{\%} CI, 4.83-11.76), have had sexual intercourse before age 13 years (OR, 2.90; 95{\%} CI, 1.58-5.33), and have had feelings of sadness or hopelessness almost every day for at least 2 consecutive weeks (OR, 4.13; 95{\%} CI, 2.57-7.22). They were less likely to play school-sponsored team sports (OR, 0.52; 95{\%} CI 0.34-0.80). Steroid users participating in sports shared the same problem behaviors as steroid users not participating in team athletics. Conclusion: Self-reported anabolic steroid use is not confined to adolescent girls in competitive athletics and is an indicator of adolescent girls with a marked increase in a cluster of other health-harming behaviors.",
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