RT Journal
A1 Buckley WE, Yesalis CE, III
T1 ANabolic steroid use among male high school seniors-reply
JF JAMA
JO JAMA
YR 1989
FD May 12
VO 261
IS 18
SP 2640
OP 2640
DO 10.1001/jama.1989.03420180063032
UL http://dx.doi.org/10.1001/jama.1989.03420180063032
AB In Reply. — 
    Amsel et al make several observations that further focus the public health implications of the nonmedical use of anabolic steroids. While the extent of needle sharing among anabolic steroid users is unknown, we agree that this behavior could increase the rate of human immunodeficiency virus infection. In fact, we mention this concern in an article that will appear in the Journal of Drug Education.1Drs Eriksen and Kondo criticize the generalizability of our findings to the entire population of adolescent males. In our study, we made every attempt to consider the characteristics of the sampling process as it relates to its representativeness as well as to the issues of overreporting and underreporting. We acknowledged in our article that the presence of a certified athletic trainer as a requisite for a high school to be in the study population introduces a potential bias. However, we contend that