The 2nd NACAC Under-25 Championships in Athletics were held in San Antonio, Texas, United States on August 9–11, 2002.

United States sprinter Crystal Cox, who initially was listed as winner of the women's 200m in 23.02s, was tested positive for ephedrine in the competition, a prohibited substance under the International Amateur Athletic Federation (IAAF) rules.

Therefore, she was issued a public warning by the United States Anti-Doping Agency and was disqualified from her first-place finish in the 200 meters.

[7] The incident is also reported on the USA Track & Field website[8] and considered in their published results list.

[5] In connection with investigations in the BALCO doping conspiracy, Crystal Cox has accepted a four-year suspension and disqualification of her athletic results, beginning on November 3, 2001, for using anabolic agents and hormones over a period from 2001 through 2004 in violation of the International Association of Athletics Federations Anti-Doping Rules.