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Perspectives in Public Health
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Sport, health and drugs: a critical re-examination of some key issues and problems

Dag Vidar Hanstad

School of Sport Sciences, PO Box 4014 Ullevaal Stadion, 0806 Oslo, Norway, dag.vidar.hanstad@ nih.no

Ivan Waddington

Norwegian School of Sport Sciences, Oslo, University of Chester, UK

One of the major justifications for the ban on the use of performance-enhancing drugs in sport has been that relating to the protection of the health of athletes. This paper subjects this argument to critical analysis by putting it in the context of the broader relationship between sport and health. More particularly, the paper seeks to unravel some of the complexities of this relationship by an examination of: (i) some aspects of sports sponsorship, particularly with alcohol and tobacco companies; (ii) the health risks associated with elite level sport; and (iii) the widespread and legal use within the sporting context of drugs that can have dangerous side effects. The paper concludes with an examination of some aspects of anti-doping policies within sport and it is suggested that a more imaginative approach to athlete education is needed to prevent the misuse of drugs.

Key Words: drugs • health • sport • World Anti-Doping Agency

Perspectives in Public Health, Vol. 129, No. 4, 174-182 (2009)
DOI: 10.1177/1466424008094806


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