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Are Steroids Only Used by Athletes?

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The use of anabolic steroids is dangerous and is more widespread than most people may believe. Athletes are not the only demographic that abuses steroids.

Due to media attention regarding anabolic steroid use, there are many assumptions regarding who uses steroids. People may automatically associateathletes and steroids. However, anabolic steroids are commonly misused by other groups of people looking to capitalize on the desirable, body-enhancing effects of anabolic steroids.

Although the exact prevalence of anabolic steroid use is largely unknown, survey data indicates thatapproximately 1,000,000Americans used anabolic steroids at least once in their lives. The National Institute of Health reports that themajority of peoplewho misuse steroids are male, non-athlete weightlifters in their twenties and thirties. Other groups identified as at-risk for steroid abuse includefemale weightlifters and teenagers.

There are many serious risks associated with the abuse of anabolic steroids. Anabolic steroids are chemicals produced tomimic the effectsof the naturally occurring male hormone testosterone. Steroid use can affect many body systems in both males and females and canresult inheart disease and dysfunction, liver damage, reproductive disorders and increased risk of bloodborne illnesses such as HIV and hepatitis from the use of unsanitary needles. There isno safe levelof drug use when it comes to anabolic steroids.

Understanding that steroid use is common among many groups, not just with athletes, is very important for being able to recognize the signs of anabolic steroid use and providing appropriate support and guidance to anyone who may be abusing them.

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Article at a Glance:

  • It is easy to automatically associateathletes and steroids, but anabolic steroids are commonly misused by other groups of people looking to capitalize on the desirable, body-enhancing effects of anabolic steroids
  • Although the exact prevalence of anabolic steroid use is largely unknown, survey data indicates thatapproximately 1,000,000 Americanshave used anabolic steroids at least once in their lives
  • There are many similarities amongpeople who use steroids,including psychological disorders regarding body perception, low self-esteem or self-confidence and the desire to surpass natural physical limitations of strength, endurance and recovery time
  • Some groups that are especially susceptible to steroid use include athletes, law enforcement, people with physically demanding jobs and people who have been sexually assaulted
  • Treatment for anabolic steroid abuse is available andgenerally involveseducation, counseling and management of the effects of steroid use

Similarities in People Who Use Steroids

Anabolic steroids are thought of as “body-shaping” drugs that can increase lean muscle mass when usedin conjunction withweight training. Even though there is a wide range of people who are at risk for steroid abuse, there are many similarities amongpeople who use steroids. Regardless of the professional occupation or the hobbies of the personwho uses steroids, typically the goal of use is to improve physical performance or physical appearance.

People who use steroids may suffer from certain psychological conditions and do not accept the natural limitations of their physical performance or appearance. Some of the people who use steroids include:

  • Individuals with body dysmorphic disorder. Steroid use isoften associated withan obsession or preoccupation of the perceived inadequacy of muscles. Body dysmorphic disorder is commonly associated with males, butdata showsthat anabolic steroid use in women is frequently co-occurring with extreme dissatisfaction of self-image. Anabolic steroid use can be addictive and difficult to stop due to thepsychological dependencethat many users develop while using steroids. Appropriate treatment must include counseling with trained professionals to properly manage these psychological disorders.
  • Individuals with low self-confidence and self-esteem. Some steroid usersreported that they lose confidencewhen faced with the natural limitations of their body and how this affects their ability to achieve their ideal body type. The physically enhancing properties of anabolic steroidswere reportedto increase confidence in these users.
  • Individuals who want increased endurance and strength. Steroidsare believed tomake it possible for people to train longer and harder, thereby, improving endurance and strength.
  • Individuals who want enhanced muscle recovery. Steroid usersreportthat their muscles have an increased ability to recover faster from intense strain and muscle injury while using anabolic steroids. This effect may be more of a “placebo effect” asresearch has not shownany consistent truth to this belief.

Who Uses Steroids the Most?

Despite the numerous health risks possible with steroid use, the popularity of performance-enhancing drugs remains high. The most common age group to use steroids is the18- to 34-year-old age group. When consideringhow many people take steroids, it is important to be aware of how diverse and widespread steroid abuse is.

Although there is a strong association between athletes and steroids, athletes are not the only group of people who abuse steroids. Some groups that are especially susceptible to steroid use include:

  • High school athletes –The use of steroids in teenagers is concerning because of the many long-term effects that are possible from steroid use during the developmental stages of the teenage years. The 2017 Youth Risk Behavior Surveillance Report from the CDC states that2.9%of students have used steroids illicitly. Even though that percentage may seem small, it equates to approximately 1 in every 34 teenagers. Male studentsare more likelyto abuse steroids compared to female students. The most alarming statistic regardinghigh school athletes and steroidsis that, according to the National Federation of State High School Associations, about1 in 4 males, ages 18 to 25, believe that performance-enhancing drugs are critical to enhancing athletic performance. Also, 3 in 4 of those males surveyedindicated thatthe use of performance-enhancing drugs in professional sports puts pressure on young athletes to use them as well.
  • Professional and college athletes –The use of steroids in professional and college athletics is frequently highlighted by the media. There is much debate surrounding the appropriate use of drug screenings in college and professional athletics. While the NCAA has clear written rules regarding the use ofsteroids and college athletes,there is still room for improvement considering thatnearly 1%of NCAA male athletes have self-reported steroid use.
  • Law enforcement –Illegal steroid usecontinues to growin the law enforcement communitydespite the illegality of the use of steroids without a prescription and the known dangers ofillegal anabolic steroids. Individuals in law enforcement are enticed to use anabolic steroids because of the increased physical requirements of their career.Other professionsin which anabolic steroid use is common in order to help individuals keep up with the necessary physical expectations and requirements include bodyguards, construction workers, and members of the military.
  • Sexually abused individuals –Male steroid users weresignificantly more likelyto have been a victim of sexual assault. Similar findings aretrue for females also. The traumatic event of a sexual assault may leave the victim with the desire to become bigger and stronger in the hopes that it would prevent future attacks.

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Sources

The American College of Obstetricians and Gynecologists. “Performance Enhancing Anabolic Steroid Abuse in Women.” 2018. Accessed July 23, 2019.

Centers for Disease Control and Prevention. “Youth Risk Behavior Surveillance- United States, 2017.” June 15, 2018. Accessed July 23, 2019.

Drug Enforcement Administration. “A Guide for Understanding Steroids and Related Substances.” March 2004. Accessed July 24, 2019.

The National Institute on Drug Abuse. “Steroids and Other Appearance and Performance Enhancing Drugs (APEDs): Who uses anabolic steroids?” February 2018. Accessed July 23, 2019.

The National Institute on Drug Abuse. “Steroids and Other Appearance and Performance Enhancing Drugs (APEDs): Why are anabolic steroids misused?” February 2018. Accessed July 23, 2019.

Otterson, Jane. “Infographic: Steroid Abuse in High School and College Athletes.” The National Federation of State High School Associations, July 31, 2017. Accessed July 24, 2019.

Medical Disclaimer

The Recovery Village aims to improve the quality of life for people struggling with substance use or mental health disorder with fact-based content about the nature of behavioral health conditions, treatment options and their related outcomes. We publish material that is researched, cited, edited and reviewed by licensed medical professionals. The information we provide is not intended to be a substitute for professional medical advice, diagnosis or treatment. It should not be used in place of the advice of your physician or other qualified healthcare providers.

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