Support for non-prescribed anabolic androgenic steroids users: a qualitative exploration of their needs

Abstract

Anabolic Androgenic Steroids (AAS) are used by the general population (particularly male gym users) for their anabolic effects (increased muscle mass). Few studies have sought AAS users’ views on what information and support they need. This study focuses on ideal support wanted by people who use AAS. Interviews were conducted with 23 self-declared adult AAS users. Using thematic analysis, six themes were identified aligned to support and information wanted by AAS users: (1) specific types of information wanted: managing risks, (2) mechanisms for communication of advice, (3) specific types of support wanted: medical and emotional, (4) stigmatisation of people who use AAS, (5) paying for support services, (6) legality of AAS use.

Integral to the support was that it should be considered within the context of use and identity. Support needs to be specific, targeted towards AAS users ensuring that balanced and evidenced-based advice is given. Sensitivity to AAS users’ perceptions of their drug-use and the stigma of being classified in the same sub-set as other illicit drug users is relevant to facilitating successful engagement. Furthermore, there is a need to consider the emotional issues surrounding AAS use and how to meet these needs.

Keywords:

• Anabolic androgenic steroids (AAS)
• Image and performance enhancing drugs (IPEDs)
• Support
• Harm minimisation
• Testosterone replacement therapy
• information

Acknowledgements

Thank you to the participants for taking part in this study. Thank you to the reviewers for their comments. Vincent Marmion for his support with the figures.

Disclosure statement

No potential conflict of interest was reported by the authors.