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Growth stimulation: Anabolic steroids were used heavily by pediatric endocrinologists for children with growth failure from the 1960s through the 1980s. Their use resulted in an epidemic of pediatric endocrinology cases in the United States. The U.S. Centers for Disease Control estimates that more than one million American children are treated for growth problems every year.
Steroid use can be traced back to at least the early 1900s. In 1904, Dr. John Snow wrote an article in the Journal of American Medical Association titled “The Dangers of Adolescents for Use in Drugs.” The article highlighted the dangers of amphetamines for teens aged between 15 and 18.
Steroids came to dominate American children’s health care during the 1900s. Their rapid spread made physicians feel more comfortable prescribing them to adult patients, which resulted in their use being normalized.
In 1914, the U.S. Department of Education issued its first sex education curriculum. This curriculum focused on the potential hazards of drug use and prescribed that students be wary of these substances. In response, a group of pharmacologists formed the Adolescent Health Board. The Board’s main concern was the dangers of stimulants from the time it was created until this date. The board had a variety of policies and guidelines to promote drug education.
Some of these goals included: “The use of drugs for children should be discouraged; they should be treated as the cause of most disease.”
Despite this policy, the use of “steroids” only increased. As early as 1912, the Federal Office of Narcotics reported that “an increased use of amphetamines and other stimulants and hallucinogens has become common in our country.”
The U.S. Supreme Court’s 1942 ruling in Morrison v. Olson reaffirmed this new approach. These decisions established legal norms regarding drug use. They were not to be disregarded because of government pressure. In a 1942 decision, the court stated: “We are aware of the difficulties involved in the way and manner in which the administration is directed to use the drug in children and they are very much to be regretted.”
In the United States, stimulants still account for between 15% and 20% of the nation’s estimated drug intake.
The drug abuse epidemic, however, continued to escalate. In 1971, the U.S. National Institute on Drug Abuse’s first report on heroin abuse listed the effects of stimulants on young people. At that time, heroin had become “the most common drug abused by adolescent males.”
As the numbers increased, the National Institute on Drug Abuse became the prime research agency for
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