Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/24366
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: Between medical treatment and performance enhancement: An investigation of how elite athletes experience Therapeutic Use Exemptions
Authors: Overbye, Marie
Wagner, Ulrik
Contact Email: marie.overbye@stir.ac.uk
Keywords: World Anti-Doping Code
Sports medicine
Doping
WADA
Athletes’ attitudes
Survey
Issue Date: Nov-2013
Publisher: Elsevier
Citation: Overbye M & Wagner U (2013) Between medical treatment and performance enhancement: An investigation of how elite athletes experience Therapeutic Use Exemptions, International Journal of Drug Policy, 24 (6), pp. 579-588.
Abstract: Background: have a medical condition. If so, a Therapeutic Use Exemption (TUE) is required. The boundaries between the use of pharmacological substances due to a medical need and doping are sometimes blurred. Although manipulating the system of TUE granting potentially represents an entry stage for doping, few studies examine how athletes perceive TUE management and relate this to current anti-doping policy.Athletes can be allowed to use substances from the prohibited list (the doping list) if they  Methods: questionnaire about their experience and perception of TUE (response rate: 43%).645 Danish elite athletes (mean age 22.12, SD = 5.82) representing 40 sports completed a webbased  Results: of the TUE system as necessary to compete on equal terms with other athletes. Administrative hurdles for TUE prevented 7% of athletes from applying. 53% of the athletes considered that being “allowed” to dope by means of a TUE was of importance for their (hypothetical) wish to try out doping. 51% believed that athletes in their sport received TUEs without a medical need. Athletes granted TUEs had more than twice as high odds to distrust the efficacy of the system than athletes never granted a TUE. The belief that TUEs were misused was especially common among endurance athletes, regardless of them having experience with TUEs or not. 4% believed it would be okay to receive a TUE without a medical need.19% of the respondents had been granted a TUE. 85% of athletes granted a TUE regarded their use  Conclusion: administration increases once an athlete has experience of TUEs represents a challenge for anti-doping policy. We suggest more critical research on TUEs be carried out in order to improve harmonization and increase transparency in the regulations.The results confirm that TUE is a problem in anti-doping policy. The fact that distrust in TUE
Type: Journal Article
URI: http://hdl.handle.net/1893/24366
DOI Link: http://dx.doi.org/10.1016/j.drugpo.2013.03.007
Rights: The publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.
Affiliation: Sport
University of Southern Denmark

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