The epidemiology of anabolic–androgenic steroid use among Australian secondary school students


      There is evidence to suggest that the prevalence of anabolic–androgenic steroids (AAS) is higher among young people than the general population. The purpose of the current study was to examine the proportion of students who reported lifetime and past-year AAS use, explore other drug use among those who reported AAS use, and investigate demographic correlates of AAS use. Data was taken from a cross-sectional survey of a representative sample of Australian secondary students. A stratified two-stage probability sampling methodology was employed and schools were randomly sampled from each Australian State and Territory. A total of 376 schools participated in the survey. Lifetime AAS use was reported by 2.4% of 12–17-year-old students; use was more common among 12–15-year olds then 16–17-year olds. Regardless of age, being male, speaking a language other than English at home, not be at school on the previous school day, and rating own scholastic ability as below average were all associated with a greater likelihood of using AAS in their lifetime and in the past year. Those who reported AAS use also reported the use of a range of other substances, suggesting that AAS use may be part of a broader experimentation with substances. Interventions towards these groups regarding AAS may best be placed within a larger substance use intervention rather than being AAS-specific. In light of the low levels of AAS use among this group, more detailed research into AAS use among adolescent sporting groups may be warranted.


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        • Bahrke M.S.
        • Yesalis C.E.
        Abuse of anabolic–androgenic steroids and related substances in sport and exercise.
        Curr Opin Pharmacol. 2004; 4: 614-620
        • Chee R.
        • Kuan M.
        • Rynn C.
        • et al.
        Anabolic steroid usage in gyms.
        University of Western Sydney, Perth1994
        • Larance B.
        • Degenhardt L.
        • Copeland J.
        • et al.
        Rapid assessment of performance and image enhancing drugs (PIEDs) in New South Wales: feasibility study.
        National Drug and Alcohol Research Centre, University of New South Wales, Sydney2005
        • Monaghan L.F.
        • Regulating
        ‘Unruly’ bodies: work tasks, conflict and violence in Britain's night-time economy.
        Br J Sociol. 2002; 53: 403-429
        • Australian Institute of Health and Welfare
        2004 national drug strategy household survey: first results.
        Australian Institute of Health and Welfare, Canberra2005
        • Yesalis C.E.
        • Kennedy N.J.
        • Kopstein A.N.
        • et al.
        Anabolic–androgenic steroid use in the United States.
        JAMA. 1993; 270: 1217-1221
        • Handelsman D.J.
        • Gupta L.
        Prevalence and risk factors for anabolic-androgenic steroid abuse in Australian high school students.
        Int J Androl. 1997; 20: 159-164
        • Pallesen S.
        • Josendal O.
        • Johnsen B.-H.
        • et al.
        Anabolic steroid use in high school students.
        Subst Use Misuse. 2006; 41: 1705-1717
        • Nilsson S.
        • Spak F.
        • Marklund B.
        • et al.
        Attitudes and behaviour with regards to androgenic anabolic steroids among male adolescents in a county of Sweden.
        Subst Use Misuse. 2005; 40: 1-12
        • Miller K.E.
        • Hoffman J.H.
        • Barnes G.M.
        • et al.
        Adolescent anabolic steroid use, gender, physical activity, and other problem behaviors.
        Subst Use Misuse. 2005; 40: 1637-1657
        • Evans N.A.
        Current concepts in anabolic-androgenic steroids.
        Am J Sports Med. 2004; 32: 534-542
        • Fudala P.J.
        • Weinrieb R.M.
        • Calarco J.S.
        • et al.
        An evaluation of anabolic-androgenic steroid abusers over a period of 1 year: seven case studies.
        Ann Clin Psychiatry. 2003; 15: 121-130
        • Wu F.C.W.
        Endocrine aspects of anabolic steroids.
        Clin Chem. 1997; 43: 1289-1292
        • Backhouse S.
        • McKenna J.
        • Robinson S.
        • et al.
        Attitudes, behaviours, knowledge and education – drugs in sport: past present and future.
        World Anti-Doping Agency, Canada2007
        • Naylor A.H.
        • Gardner D.
        • Zaichkowsky L.D.
        Drug use patterns among high school athletes and nonathletes.
        Adolescence. 2001; 36: 627-639
        • StataCorp
        Stata statistical software: release 8.2.
        Stata Corporation, College Station, TX2005
        • Melia P.
        • Pipe A.
        • Greenberg L.
        The use of anabolic–androgenic steroids by Canadian students.
        Clin J Sports Med. 1996; 6: 9-14
      1. Dunn, M., Are anabolic-androgenic steroid users polysubstance users? J Sci Med Sport; in press.

        • Larance B.
        • Degenhardt L.
        • Copeland J.
        • et al.
        Injecting risk behaviour and related harm among men who use performance- and image-enhancing drugs.
        Drug Alcohol Rev. 2008; 27: 679-686
        • Monaghan L.F.
        Vocabularies of motive for illicit steroid use among bodybuilders.
        Soc Sci Med. 2002; 55: 695-708
        • Kindlundh A.M.S.
        • Isacson D.G.
        • Berglund L.
        • et al.
        Factors associated with adolescent use of dsoping agents: anabolic–androgenic steroids.
        Addiction. 1999; 94: 543-553
        • Nilsson S.
        • Spak F.
        • Marklund B.
        • et al.
        Attitudes and behaviors with regards to androgenic anabolic steroids among male adolescents in a county of Sweden.
        Subst Use Misuse. 2005; 40: 1-12
        • Goldberg L.
        • MacKinnon D.P.
        • Elliot D.
        • et al.
        The adolescents training and learning to avoid steroids program.
        Arch Pediatr Adolesc Med. 2000; 154: 332-338
        • Bahrke M.S.
        • Yesalis C.E.
        • Kopstein A.N.
        • et al.
        Risk factors associated with anabolic-androgenic steroid use among adolescents.
        Sports Med. 2000; 29: 397-405
        • Kanayama G.
        • Boynes M.
        • Hudson J.I.
        • et al.
        Anabolic steroid abuse among teenage girls: an illusory problem?.
        Drug Alcohol Depend. 2007; 88: 156-162
        • Brower K.J.
        • Blow F.C.
        • Hill E.M.
        Risk factors for anabolic–androgenic steroid use in men.
        J Psychiatr Res. 1994; 28: 369-380