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Androgenic anabolic steroid users have an increased risk of dying and significantly more hospital admissions than their nonuser peers. Side effects of AAS and their metabolites were highly prevalent. Given the high rate of androgenic anabolic steroid abuse, these side effects are of public health concern.

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Lifetime AAS use is common among inmates and may be an indicator of more severe substance use problems. McKay

Matthew Dunn

Background: Screening for previous and present AAS use at incarceration and increased staff awareness are needed to tailor treatment approaches appropriately.

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  Seventy-seven percent of participants had used AAS in the past and 97% of them had experienced side effects. One hundred and eleven men were seen for a baseline visit. After exclusion, 100 men comprised the cohort for follow-up. Nineteen percent had competed in bodybuilding competitions. Recent illicit drug use was reported by 56%. The AAS cycle performed had a median duration of 13 weeks (range 2-52) and the average dose of AAS equivalents was 901 mg per week (range 250-3.382). Forty-eight percent self-reported to being addicted to AAS. Subjects used other performance and image enhancing drugs (PIEDs) such as growth hormone (21%). In total 272 AAS samples were analyzed and 47% contained the AAS indicated on the label. The principal reason for AAS use was gain of muscle mass (44%).

  Anabolic-androgenic steroid (AAS) use is associated with health problems and substance use. Substance use is common among inmates. This study aims to estimate lifetime and prison use of AAS and other substances, compare characteristics of groups of inmates, and describe factors associated with AAS use in a national prison population.

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