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Variability and dilemmas in harm reduction for anabolic steroid users in the UK: a multi-area interview study

Kimergård, A and McVeigh, J (2014) Variability and dilemmas in harm reduction for anabolic steroid users in the UK: a multi-area interview study. HARM REDUCTION JOURNAL, 11 (19). pp. 1-13. ISSN 1477-7517

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Abstract

Background: The UK continues to experience a rise in the number of anabolic steroid-using clients attending harm reduction services such as needle and syringe programmes.
Methods: The present study uses interviews conducted with harm reduction service providers as well as illicit users of anabolic steroids from different areas of England and Wales to explore harm reduction for this group of drug users, focussing on needle distribution policies and harm reduction interventions developed specifically for this population of drug users.
Results: The article addresses the complexity of harm reduction service delivery, highlighting different models of needle distribution, such as peer-led distribution networks, as well as interventions available in steroid clinics, including liver function testing of anabolic steroid users. Aside from providing insights into the function of interventions available to steroid users, along with principles adopted by service providers, the study found significant tensions and dilemmas in policy implementation due to differing perspectives between service providers and service users relating to practices, risks and effective interventions.
Conclusion: The overarching finding of the study was the tremendous variability across harm reduction delivery sites in terms of available measures and mode of operation. Further research into the effectiveness of different policies directed towards people who use anabolic steroids is critical to the development of harm reduction.
Keywords: Harm reduction, Needle and syringe programmes, Anabolic steroids

Item Type: Article
Uncontrolled Keywords: 1117 Public Health And Health Services
Subjects: R Medicine > RM Therapeutics. Pharmacology
R Medicine > RS Pharmacy and materia medica
Divisions: Public Health Institute
Publisher: BIOMED CENTRAL LTD
Related URLs:
Date Deposited: 02 Oct 2015 07:46
Last Modified: 02 Oct 2015 07:46
DOI or Identification number: 10.1186/1477-7517-11-19
URI: http://researchonline.ljmu.ac.uk/id/eprint/2113

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