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Council on Scientific Affairs

JAMA. 1990;264(22):2923-2927.

Abstract
Recent trends in the use, abuse, and diversion of steroids for nonmedical purposes illustrate a growing problem that not only imposes health risks but presents ethical dilemmas as well. Concern over the known adverse effects, the limited research into the long-term effects, and the ethics of engineering body size and performance through anabolic-androgenic steroid use has led to legislative, legal, and education responses. Increased penalties for distribution to minors and stricter controls in prescribing practices have been enacted through state legislation and federal initiatives. Government, some health professional organizations, and some sports groups have denounced the nonmedical use of anabolic-androgenic steroids and have developed materials to educate their members, other professionals, athletes, educators, and the public at large.

(JAMA. 1990;264:2923-2927)

Author Affiliations
From the Council on Scientific Affairs, American Medical Association, Chicago, Ill.

Footnotes
This report is in response to Resolution 152 (A-89), which called on the American Medical Association to review the trends in steroid use, identify current prevention activities, urge the development of steroid treatment programs, and support stricter laws and legislation to limit use. This report of the Council on Scientific Affairs was adopted by the House of Delegates in December 1989.

This report is not intended to be construed or to serve as a standard of medical care. Standards of medical care are determined on the basis of all the facts and circumstances involved in an individual case and are subject to change as scientific knowledge and technology advance and patterns of practice evolve. This report reflects the views of scientific literature as of February 1989.

Reprint requests to Department of Toxicology, American Medical Association, 515 N State St, Chicago, IL 60610 (J. J. Ambre, MD, Director).

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