Managing risks and harms associated with the use of anabolic steroids: a qualitative study

Abstract Background People using anabolic steroids adopt different strategies to manage risks and harms associated with the use of these substances. We investigated how users learn, develop and incorporate risk-management strategies, as well as the events triggering changes in their health-related b...

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Main Authors: J. M. X. Amaral, A. Kimergård, P. Deluca
Format: Article
Language:English
Published: BMC 2025-07-01
Series:Harm Reduction Journal
Subjects:
Online Access:https://doi.org/10.1186/s12954-025-01269-x
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author J. M. X. Amaral
A. Kimergård
P. Deluca
author_facet J. M. X. Amaral
A. Kimergård
P. Deluca
author_sort J. M. X. Amaral
collection DOAJ
description Abstract Background People using anabolic steroids adopt different strategies to manage risks and harms associated with the use of these substances. We investigated how users learn, develop and incorporate risk-management strategies, as well as the events triggering changes in their health-related behaviour. Methods Twenty semi-structured interviews were conducted with anabolic steroid users living in the UK to discuss their risk-management strategies (19 males, 1 female; median age = 35.5 years; median time of anabolic steroid use = 9 years). Online interviews were transcribed verbatim and qualitative data was analysed via iterative categorisation. Results The use of risk-management strategies was characterised as a continuous cycle of identification, prevention and control of risks and harms. Preventative strategies were more commonly adopted after many years of anabolic steroid use. Changes in life circumstances and adverse health conditions were described as common triggers for changes in behaviour, including the cessation of anabolic steroid use. Conclusion Our findings can inform interventions aimed at increasing awareness and promoting healthier behaviours among people who use anabolic steroids. Further research is needed to evaluate the effectiveness and safety of the risk-management strategies employed by this population.
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spelling doaj-art-0d4c749402744d75b7c7ffb065a0dbe22025-08-20T03:42:25ZengBMCHarm Reduction Journal1477-75172025-07-0122111410.1186/s12954-025-01269-xManaging risks and harms associated with the use of anabolic steroids: a qualitative studyJ. M. X. Amaral0A. Kimergård1P. Deluca2Institute of Psychiatry, Psychology & Neuroscience (IoPPN), Addictions Department, King’s College LondonInstitute of Psychiatry, Psychology & Neuroscience (IoPPN), Addictions Department, King’s College LondonInstitute of Psychiatry, Psychology & Neuroscience (IoPPN), Addictions Department, King’s College LondonAbstract Background People using anabolic steroids adopt different strategies to manage risks and harms associated with the use of these substances. We investigated how users learn, develop and incorporate risk-management strategies, as well as the events triggering changes in their health-related behaviour. Methods Twenty semi-structured interviews were conducted with anabolic steroid users living in the UK to discuss their risk-management strategies (19 males, 1 female; median age = 35.5 years; median time of anabolic steroid use = 9 years). Online interviews were transcribed verbatim and qualitative data was analysed via iterative categorisation. Results The use of risk-management strategies was characterised as a continuous cycle of identification, prevention and control of risks and harms. Preventative strategies were more commonly adopted after many years of anabolic steroid use. Changes in life circumstances and adverse health conditions were described as common triggers for changes in behaviour, including the cessation of anabolic steroid use. Conclusion Our findings can inform interventions aimed at increasing awareness and promoting healthier behaviours among people who use anabolic steroids. Further research is needed to evaluate the effectiveness and safety of the risk-management strategies employed by this population.https://doi.org/10.1186/s12954-025-01269-xAnabolic steroidsHuman-enhancement drugsHarm-reduction
spellingShingle J. M. X. Amaral
A. Kimergård
P. Deluca
Managing risks and harms associated with the use of anabolic steroids: a qualitative study
Harm Reduction Journal
Anabolic steroids
Human-enhancement drugs
Harm-reduction
title Managing risks and harms associated with the use of anabolic steroids: a qualitative study
title_full Managing risks and harms associated with the use of anabolic steroids: a qualitative study
title_fullStr Managing risks and harms associated with the use of anabolic steroids: a qualitative study
title_full_unstemmed Managing risks and harms associated with the use of anabolic steroids: a qualitative study
title_short Managing risks and harms associated with the use of anabolic steroids: a qualitative study
title_sort managing risks and harms associated with the use of anabolic steroids a qualitative study
topic Anabolic steroids
Human-enhancement drugs
Harm-reduction
url https://doi.org/10.1186/s12954-025-01269-x
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