A Multitheoretical Framework for Assessing Performance-Enhancing Drug Use: Examining the Utility of Self-Control, Social Learning, and Control Balance Theories

AuthorSaeed Kabiri,Seyyedeh Masoomeh (Shamila) Shadmanfaat,Dale W. Willits
DOI10.1177/0022042619839935
Published date01 July 2019
Date01 July 2019
Subject MatterArticles
https://doi.org/10.1177/0022042619839935
Journal of Drug Issues
2019, Vol. 49(3) 512 –530
© The Author(s) 2019
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DOI: 10.1177/0022042619839935
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Article
A Multitheoretical Framework for
Assessing Performance-Enhancing
Drug Use: Examining the Utility of
Self-Control, Social Learning, and
Control Balance Theories
Saeed Kabiri1, Dale W. Willits2,
and Seyyedeh Masoomeh (Shamila) Shadmanfaat3
Abstract
This research examines the efficacy of criminological theories for explaining variation in
doping behavior in professional athletes. Self-report data were collected from a sample of 732
professional athletes from Iran. Regression models were estimated using theoretically informed
measures to examine performance-enhancing drug (PED) usage. Results show that variables
representing self-control theory, social learning theory, and control balance theory were
statistically significant predictors of PED use and account for a sizable amount of variation in
PED use. Findings suggest that criminological theory can contribute to our understanding of PED
use by professional athletes, which suggests that sports regulators might benefit from examining
the criminological and criminal justice literatures as they consider how to combat the sports
doping crisis. The results also provide additional support for each of the theoretical traditions
considered, demonstrating that these theories can be useful for examining noncriminal behavior
(doping) and can be useful in non-Western contexts (Iran).
Keywords
doping, professional sports, criminological theory
Introduction
The use of performance-enhancing drugs (PEDs), also known as doping, is one of the most
important issues in the world of sports (Loland, 2018). Despite international efforts to reduce
doping in professional sports, recent research indicates that PED usage rates not only have not
diminished but in fact have increased in recent years (de Hon, Kuipers, & van Bottenburg, 2015).
The prevalence of doping in various sports fields has been recently reported as being between
10% (Barkoukis, Lazuras, Tsorbatzoudis, & Rodafinos, 2013) and 39% (Kegelaers, Wylleman,
De Brandt, Van Rossem, & Rosier, 2018). There is also nation-level variation in doping
1University of Mazandaran, Babolsar, Iran
2Washington State University, Pullman, USA
3University of Guilan, Rasht, Iran
Corresponding Author:
Dale W. Willits, Department of Criminal Justice and Criminology, Washington State University, Johnson Tower 723,
Pullman, WA 99164, USA.
Email: dale.willits@wsu.edu
839935JODXXX10.1177/0022042619839935Journal of Drug IssuesKabiri et al.
research-article2019
Kabiri et al. 513
prevalence rates. For example, studies conducted in Iran tend to show higher levels of PED use,
with recent estimates at 27% (Nakhaee, Pakravan, & Nakhaee, 2013), 32% (Bahrami, Yousefi,
Kaviani, & Ariapooran, 2014), and 52% (Kabiri et al., 2018; Kabiri et al., 2018) in individual and
group sports. Given the widespread use of PEDs in the face of strict rules and punishments
(Kegelaers et al., 2018), PED usage is recognized as a social problem internationally (Efverström,
Ahmadi, Hoff, & Bäckström, 2016). As such, there is great need to better understand the etiology
of PED usage as the current efforts to reduce doping have largely failed.
To date, there have been several self-report studies from a wide variety of perspectives exam-
ining PED usage in sports, covering athletes from a number of Western and non-Western coun-
tries. Research has examined factors like moral disengagement (Ring & Kavussanu, 2018),
attitudes toward PED use (Goulet, Valois, Buist, & Côté, 2010; Saati Asr, Bashirian, Heidari
Moghadam, Barati, & Moeini, 2018), pressure from others (Ijadunola et al., 2018; Kabiri et al.,
2018), and the role of perceived benefits and role models (Boardley, Grix, & Dewar, 2014). In
addition, some researchers have applied criminological concepts to explore PED use, including
low self-control (Chan et al., 2015; Kabiri et al., 2018), deterrence (Kabiri et al., 2018), and asso-
ciations with delinquent peers (Kabiri et al., 2018). Although there has been increased scholarly
attention on PED usage, many questions still exist regarding the etiology of PED use. The current
research contributes to the literature by examining PED use among a sample of Iranian profes-
sional athletes.
The current research is among the first to examine multiple criminological theories and their
efficacy for explaining PED usage in a single study. Specifically, the current study applies social
learning theory (Akers & Jensen, 2011), self-control theory (Gottfredson & Hirschi, 1990), and
control balance theory (Tittle, 1995) to explore doping at the professional level. One of the pri-
mary goals of this study is to determine the extent to which criminological theories are useful at
explaining doping behavior. If doping is driven by the same factors as crime and deviance, this
may imply that sports regulators should consider the insights of criminal justice and criminologi-
cal theory as they think about how to combat doping in sports.
This research is of particular importance from an Iranian perspective. Sports have become an
important part of Iranians’ social and cultural lifestyles, with both high sports participation rates
and a high degree of status afforded to professional athletes (Kabiri, 2010). Moreover, athletes
are viewed as one of the most trusted social groups in Iran (Rezaeipasha & Sharepour, 2014;
Shiani, Mousavi, & Zare, 2017), with some suggesting that sports participation and success in
national and international competitions enhances Iran’s social identity and national pride (Eydi
& Abbasi, 2014). Iran formally agreed to accept World Anti-Doping Agency (WADA) guidelines
in 2003, and as such, the use of substances banned by WADA can lead to heavy and sometimes
career-ended suspensions for Iranian athletes. Yet, given evidence that PED rates are high in Iran
(Bahrami et al., 2014; Kabiri et al., 2018; Nakhaee et al., 2013), PED use is a significant source
of concern in Iran. There is also broad concern regarding the cost of continuously monitoring and
testing athletes and that the relevant institutions combating doping are not able to efficiently and
comprehensively control this issue (Azizi, 2012; Haerinejad, Ostovar, Farzaneh, & Keshavarz,
2016; Kabiri, 2018; Sepehri, Fard, & Sepehri, 2009).
Doping in Professional Sports
The World Anti-Doping Agency (WADA) was founded in 1999 with “the aim of bringing consis-
tency to antidoping policies and regulations within sports organizations and governments across
the world” (WADA, 2018). Although WADA addresses doping from several perspectives, they
are perhaps best known for publishing and maintaining a list of banned substances. Since the
formation of WADA, there has been an increased focus on doping as a broader social problem,
although there is evidence that doping, though not illegal prior to the 20th century, has existed in

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