Anabolic steroid use among gay and bisexual men living in Australia and New Zealand: Associations with demographics, body dissatisfaction, eating disorder psychopathology, and quality of life
- PMID: 29055822
- DOI: 10.1016/j.drugalcdep.2017.10.003
Anabolic steroid use among gay and bisexual men living in Australia and New Zealand: Associations with demographics, body dissatisfaction, eating disorder psychopathology, and quality of life
Abstract
Background and aims: Gay and bisexual men may be at heightened risk for using anabolic androgenic steroids (AAS). Few studies, however, have examined AAS use among gay and bisexual men living in countries outside the United States. In addition, few studies have explored the potential associations of AAS use with body image concerns beyond muscularity, including height and genitals, or with eating disorder symptoms and quality of life. Thus, we examined the associations of AAS use, and of thoughts about using AAS, with body image, eating disorder symptoms, and quality of life among gay and bisexual men living in Australia and New Zealand.
Methods: A sample of 2733 gay and bisexual men completed an online survey promoted by paid nationwide advertisements to users of geosocial-networking smartphone applications.
Results: The prevalence of AAS use, and of thoughts about using AAS, were 5.2% (95% confidence interval [CI]: 4.4%, 6.1%) and 25.4% (95% CI: 23.8%, 27.1%), respectively. Multivariate analyses revealed that more frequent thoughts about using AAS were associated with being older, taller, and experiencing greater dissatisfaction with muscularity and height, less dissatisfaction with body fat, greater eating disorder symptoms, and lower subjective quality of life. Actual AAS users were more likely to be older, from a non-Australian/New Zealander cultural background, experiencing less dissatisfaction with body fat, and experiencing greater eating disorder symptoms.
Conclusions: Psychopathology related to body image and eating disorders are associated with AAS use among gay and bisexual men living in Australia and New Zealand.
Keywords: Anabolic steroids; Body image; Eating disorders; Gay and bisexual men; LGBTQ; Sexual orientation.
Copyright © 2017 Elsevier B.V. All rights reserved.
Similar articles
-
Pornography use in sexual minority males: Associations with body dissatisfaction, eating disorder symptoms, thoughts about using anabolic steroids and quality of life.Aust N Z J Psychiatry. 2018 Apr;52(4):339-348. doi: 10.1177/0004867417728807. Epub 2017 Sep 11. Aust N Z J Psychiatry. 2018. PMID: 28891676
-
The Contribution of Social Media to Body Dissatisfaction, Eating Disorder Symptoms, and Anabolic Steroid Use Among Sexual Minority Men.Cyberpsychol Behav Soc Netw. 2018 Mar;21(3):149-156. doi: 10.1089/cyber.2017.0375. Epub 2018 Jan 24. Cyberpsychol Behav Soc Netw. 2018. PMID: 29363993 Free PMC article.
-
The CASTRO study: Unsafe sexual behaviors and illicit drug use among gay and bisexual men who use anabolic steroids.Am J Addict. 2019 Feb;28(2):101-110. doi: 10.1111/ajad.12865. Epub 2019 Feb 6. Am J Addict. 2019. PMID: 30724428
-
Body Image and Eating Disorders Among Lesbian, Gay, Bisexual, and Transgender Youth.Pediatr Clin North Am. 2016 Dec;63(6):1079-1090. doi: 10.1016/j.pcl.2016.07.008. Epub 2016 Oct 12. Pediatr Clin North Am. 2016. PMID: 27865334 Free PMC article. Review.
-
Emerging trends in eating disorders among sexual and gender minorities.Curr Opin Psychiatry. 2020 Nov;33(6):562-567. doi: 10.1097/YCO.0000000000000645. Curr Opin Psychiatry. 2020. PMID: 32858597 Free PMC article. Review.
Cited by
-
Exploring Anabolic Androgenic Steroid Use Among Cisgender Gay, Bisexual, and Queer Men.JAMA Netw Open. 2024 May 1;7(5):e2411088. doi: 10.1001/jamanetworkopen.2024.11088. JAMA Netw Open. 2024. PMID: 38743422 Free PMC article.
-
Anabolic-Androgenic Steroid Use: Patterns of Use among a National Sample of Canadian Adolescents and Young Adults.Perform Enhanc Health. 2023 Feb;11(1):100241. doi: 10.1016/j.peh.2022.100241. Epub 2022 Nov 20. Perform Enhanc Health. 2023. PMID: 37841070 Free PMC article.
-
Investigating anabolic-androgenic steroid dependence and muscle dysmorphia with network analysis among male weightlifters.BMC Psychiatry. 2023 May 16;23(1):342. doi: 10.1186/s12888-023-04781-1. BMC Psychiatry. 2023. PMID: 37193971 Free PMC article.
-
Epidemiology of eating disorders: population, prevalence, disease burden and quality of life informing public policy in Australia-a rapid review.J Eat Disord. 2023 Feb 15;11(1):23. doi: 10.1186/s40337-023-00738-7. J Eat Disord. 2023. PMID: 36793104 Free PMC article. Review.
-
Eating disorders, disordered eating, and body image research in New Zealand: a scoping review.J Eat Disord. 2023 Jan 17;11(1):7. doi: 10.1186/s40337-022-00728-1. J Eat Disord. 2023. PMID: 36650575 Free PMC article.
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical