To the Editor. —
We were interested in the study by Buckley et al1 concerning the prevalence of anabolic steroid use among male high school seniors.We believe that, because questionnaires were administered by students' homeroom teachers, underreporting may have been present. Although the authors contend this is a normal testing environment, it is not an environment conducive to confidentiality regarding possible unethical or illegal activity. Secondly, we wonder if supplements sold in health food stores and through magazines as having anabolic properties were differentiated from true anabolic steroids.Why were high school seniors, identified as the "user group," were greater than 19 years old, as these college-age individuals are usually not still in high school?Lastly, we agree that educational interventions should begin as early in life as possible, but have concerns about the efficacy of such programs. With regard to other preventive measures, such as seat belt
Goldberg L, Elliot DL. Anabolic Steroid Use Among Male High School Seniors. JAMA. 1989;261(18):2640. doi:10.1001/jama.1989.03420180063031
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