European Journal of Epidemiology

, Volume 21, Issue 4, pp 307–313 | Cite as

Doping Use among Tertiary Education Students in Six Developed Countries

  • Fotios C Papadopoulos
  • Ilias Skalkidis
  • Jari Parkkari
  • Eleni PetridouEmail author
  • “Sports Injuries” European Union Group
Risk Factors


Data on doping among young non-professional athletes are scarce. In order to estimate the prevalence and predictors of doping use, a standardized, anonymous questionnaire was self-administered by 2650 tertiary education students from five European Union countries (Finland, France, Germany, Greece, Italy) and Israel. The reported usage rate of a doping agent (at least once) was 2.6%, with no significant variation in the frequency of doping reporting among the participating countries. Doping was, however, less common among students of biomedical schools (OR: 0.49, 95% CI: 0.27–0.89) and was higher among males (OR: 2.16, 95% CI: 1.25–3.74). Students, who use to drink coffee or recall frequent occasions of involvement in drunkenness episodes, were more likely (twice and three times, respectively) to report doping, and students using nutritional supplements or having participated in a major athletic event were more likely (four times and twice, respectively) to report doping in comparison with students who do not. Of note is the high odds ratio for reporting individual doping when having a friend who uses doping (OR: 8.61, 95% CI: 4.49–16.53). Given the large size of the physically active young individuals in the population and the small number of professional athletes, doping in the general population may be, in absolute terms, as sizeable problem as it is among the professional athletes. There was evidence that high-risk behaviour and supplement use increased the risk of doping.


Amateur athletes Behaviour Doping Drugs Physical activity Young adults 



body mass index


confidence intervals


Centre for Research and Prevention of Injuries


odds ratios


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  1. 1.
    American Academy of Pediatrics.2000Committee on sports medicine and fitness. intensive training and sports specialization in young athletesPediatrics106154157CrossRefGoogle Scholar
  2. 2.
    Felter, RA, Fitzgibbon, J 1989Drug-related emergencies in athletesClin Sports Med8129138PubMedGoogle Scholar
  3. 3.
    Mechelen, W, Hlobil, H, Kemper, HC 1992Incidence, severity, aetiology and prevention of sports injuries. A review of conceptsSports Med148299PubMedGoogle Scholar
  4. 4.
    Bostrom, L, Nilsson, B 2001A review of serious injuries and deaths from bicycle accidents in Sweden from 1987 to 1994J Trauma50900907PubMedGoogle Scholar
  5. 5.
    Burt, CW, Overpeck, MD 2001Emergency visits for sports-related injuriesAnn Emerg Med37301308CrossRefPubMedGoogle Scholar
  6. 6.
    World Anti-doping Agency. World anti-doping code. Retrieved November 13,2005.
  7. 7.
    Thiblin, I, Petersson, A 2005Pharmacoepidemiology of anabolic androgenic steroids: A reviewFundam Clin Pharmacol12744CrossRefGoogle Scholar
  8. 8.
    Hartgens, F, Kuipers, H 2004Effects of androgenic-anabolic steroids in athletesSports Med34513554CrossRefPubMedGoogle Scholar
  9. 9.
    Jenkins, P 2002Doping in sportThe Lancet36099100CrossRefGoogle Scholar
  10. 10.
    Appleby, M, Fisher, M, Martin, M 1994Myocardial infarction, hyperkalaemia and ventricular tachycardia in a young male body-builderInt J Cardiol44171174CrossRefPubMedGoogle Scholar
  11. 11.
    Hartung, R, Gerth, J, Funfstuck, R, Grone, HJ, Stein, G 2001End-stage renal disease in a bodybuilder: A multifactorial process or simply doping?Nephrol Dial Transplant16163165CrossRefPubMedGoogle Scholar
  12. 12.
    Braseth, NR, Allison, EJ,Jr, Gough, JE 2001Exertional rhabdomyolysis in a body builder abusing anabolic androgenic steroidsEur J Emerg Med8155157CrossRefPubMedGoogle Scholar
  13. 13.
    Rich, JD, Dickinson, BP, Feller, A, Pugatch, D, Mylonakis, E 1999The infectious complications of anabolic-androgenic steroid injectionInt J Sports Med20563566CrossRefPubMedGoogle Scholar
  14. 14.
    Freeman, BJ, Rooker, GD 1995Spontaneous rupture of the anterior cruciate ligament after anabolic steroidsBr J Sports Med29274275PubMedCrossRefGoogle Scholar
  15. 15.
    Deyssig, R, Weissel, M 1993Ingestion of androgenic-anabolic steroids induces mild thyroidal impairment in male body buildersJ Clin Endocrinol Metab7610691071CrossRefPubMedGoogle Scholar
  16. 16.
    Turek, PJ, Williams, RH, Gilbaugh, JH,3rd, Lipshultz, LI 1995The reversibility of anabolic steroid-induced azoospermiaJ Urol15316281630CrossRefPubMedGoogle Scholar
  17. 17.
    Pope, HG,Jr, Katz, DL 1994Psychiatric and medical effects of anabolic-androgenic steroid use. A controlled study␣of 160 athletesArch Gen Psychiatry51375382PubMedGoogle Scholar
  18. 18.
    Parssinen, M, Kujala, U, Vartiainen, E, Sarna, S, Seppala, T 2000Increased premature mortality of competitive powerlifters suspected to have used anabolic agentsInt J Sports Med21225227CrossRefPubMedGoogle Scholar
  19. 19.
    Prendergast, HM, Bannen, T, Erickson, TB, Honore, KR 2003The toxic torch of the modern Olympic GamesVet Hum Toxicol4597102PubMedGoogle Scholar
  20. 20.
    Puffer, JC 1986The use of drugs in swimmingClin Sports Med57789PubMedGoogle Scholar
  21. 21.
    Laure, P 2000Doping: Epidemiological studiesPresse Med2913651372PubMedGoogle Scholar
  22. 22.
    Laure, P, Lecerf, T, Friser, A, Binsinger, C 2004Drugs, recreational drug use and attitudes towards doping of high school athletesInt J Sports Med25133138CrossRefPubMedGoogle Scholar
  23. 23.
    Windsor, R, Dumitru, D 1989Prevalence of anabolic steroid use by male and female adolescentsMed Sci Sports Exerc21494497PubMedGoogle Scholar
  24. 24.
    Kindlundh, AM, Isacson, DG, Berglund, L, Nyberg, F 1998Doping among high school students in Uppsala, Sweden: A presentation of the attitudes, distribution, side effects, and extent of useScand J Soc Med267174PubMedGoogle Scholar
  25. 25.
    Durant, RH, Escobedo, LG, Heath, GW 1995Anabolic-steroid use, strength training, and multiple drug use among adolescents in the United StatesPediatrics962328PubMedGoogle Scholar
  26. 26.
    Kindlundh, AM, Isacson, DG, Berglund, L, Nyberg, F 1999Factors associated with adolescent use of doping agents: Anabolic-androgenic steroidsAddiction94543553CrossRefPubMedGoogle Scholar
  27. 27.
    Center for Substance Abuse Prevention. Prevention Primer: An Encyclopedia of Alcohol, Tobacco and other Drug Prevention Terms. Rockville (MD): National Clearinghouse for Alcohol and Drug Information, 1993Google Scholar
  28. 28.
    Petridou, E, Zavitsanos, X, Dessypris, N,  et al. 1997Adolescents in high-risk trajectory: Clustering of risky behavior and the origins of socioeconomic health differentialsPrev Med26215219CrossRefPubMedGoogle Scholar
  29. 29.
    The 2006 prohibited list. International Standard. The World Anti-Doping Agency, 2006.
  30. 30.
    SAS/STAT User’s Guide. Version 6, 4th edn. SAS Institute Inc, 1990Google Scholar
  31. 31.
    Melia, P, Pipe, A, Greenberg, L 1996The use of anabolic-androgenic steroids by Canadian studentsClin J Sport Med6914PubMedGoogle Scholar
  32. 32.
    Baylis, A, Cameron-Smith, D, Burke, LM 2001Inadvertent doping through supplement use by athletes: Assessment and management of the risk in AustraliaInt J Sport Nutr Exerc Metab11365383PubMedGoogle Scholar
  33. 33.
    Pipe, A, Ayotte, C 2002Nutritional supplements and dopingClin J Sport Med12245249CrossRefPubMedGoogle Scholar
  34. 34.
    Halsted, CH 2003Dietary supplements and functional foods: 2 sides of a coin?Am J Clin Nutr771001S1007SPubMedGoogle Scholar
  35. 35.
    Kamber, M, Baume, N, Saugy, M, Rivier, L 2001Nutritional supplements as a source for positive doping cases?Int J Sport Nutr Exerc Metab11258263PubMedGoogle Scholar
  36. 36.
    Maughan, RJ 2005Contamination of dietary supplements and positive drug tests in sportJ Sports Sci23883889CrossRefPubMedGoogle Scholar
  37. 37.
    Tricker, R, Connolly, D 1996Drug education and the college athlete: Evaluation of a decision-making modelJ Drug Educ26159181PubMedGoogle Scholar

Copyright information

© Springer 2006

Authors and Affiliations

  • Fotios C Papadopoulos
    • 1
    • 2
  • Ilias Skalkidis
    • 1
  • Jari Parkkari
    • 3
  • Eleni Petridou
    • 1
    • 4
    Email author
  • “Sports Injuries” European Union Group
  1. 1.Department of Hygiene and EpidemiologyAthens University Medical SchoolGoudi, AthensGreece
  2. 2.Department of Neuroscience, PsychiatryUppsala University HospitalUppsalaSweden
  3. 3.Medical SchoolUniversity of TampereTampereFinland
  4. 4.Department of EpidemiologyHarvard School of Public HealthBostonUSA

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