Byatt Dominic, Bussey Kay, Croft Tim, Trompeter Nora, Mitchison Deborah
Body Image and Eating Network, Discipline of Clinical Psychology, Graduate School of Health, Faculty of Health, University of Technology Sydney, P.O. Box 123, Broadway, NSW 2007, Australia.
Lifespan Health and Wellbeing Research Centre, School of Psychological Sciences, Macquarie University, Sydney, 2109, Australia.
Nutrients. 2025 Mar 11;17(6):980. doi: 10.3390/nu17060980.
Within recent years, there has been a notable lack of research examining the factors associated with adolescent use of anabolic-androgenic steroids (AASs) in Australia, meaning information regarding risk factors of Australian adolescent AAS use is outdated and potentially inaccurate.
To address this omission, the present study examined the prevalence and correlates of adolescent (aged 11 to 19 years) AAS use within the EveryBODY study, a large-scale representative survey of adolescents' disordered eating behaviours and body image concerns, involving 5071 adolescents across thirteen schools within the Sydney and Newcastle/Hunter region of New South Wales, Australia.
A total of 1.1% of adolescents reported lifetime use of AAS to increase muscularity. In univariate analyses, increased prevalence of AAS use was associated with male sex ( = 5.67), identifying as Aboriginal or Torres Strait Islander ( = 3.80), identifying as same-sex or questioning sexual attraction ( = 3.17), higher drive for muscularity ( = 2.19) and weight/shape concerns in the past month ( = 1.28), and higher frequency of purging ( = 1.11) and binge eating ( = 1.09) in the past month. In multivariate analysis, only drive for muscularity ( = 2.44) and purging behaviours ( = 1.10) remained as significant correlates. Finally, adolescents who reported lifetime AAS use also reported feeling significantly higher levels of distress and physical and psychosocial impairment compared to adolescents who reported never having used AAS to increase muscularity.
Positive correlations between disordered eating and weight and shape concerns with AAS use suggests that adolescent AAS use may be conceptualised within the spectra of disordered eating among youth. These findings provide clinicians, carers, and educators with prototypical factors that should assist in the screening of adolescent AAS use to facilitate early intervention.
近年来，澳大利亚在研究与青少年使用合成代谢雄激素类固醇（AAS）相关的因素方面明显不足，这意味着有关澳大利亚青少年使用AAS的风险因素的信息已过时且可能不准确。
为了填补这一空白，本研究在“每个人”研究中调查了青少年（11至19岁）使用AAS的流行情况及其相关因素。“每个人”研究是一项关于青少年饮食失调行为和身体形象问题的大规模代表性调查，涉及澳大利亚新南威尔士州悉尼和纽卡斯尔/亨特地区13所学校的5071名青少年。
共有1.1%的青少年报告曾使用AAS来增加肌肉量。在单因素分析中，AAS使用流行率的增加与男性（比值比=5.67）、认定为原住民或托雷斯海峡岛民（比值比=3.80）、认定为同性或对性取向存疑（比值比=3.17）、更高的增加肌肉量的欲望（比值比=2.19）、过去一个月对体重/体型的关注（比值比=1.28）以及过去一个月更高的催吐频率（比值比=1.11）和暴饮暴食频率（比值比=1.09）相关。在多因素分析中，只有增加肌肉量的欲望（比值比=2.44）和催吐行为（比值比=1.10）仍然是显著的相关因素。最后，与报告从未使用AAS来增加肌肉量的青少年相比，报告曾使用AAS的青少年还报告感到明显更高程度的痛苦以及身体和心理社会功能受损。
饮食失调以及对体重和体型的关注与AAS使用之间的正相关表明，青少年使用AAS可能可被纳入青少年饮食失调的范畴。这些发现为临床医生、护理人员和教育工作者提供了典型因素，应有助于筛查青少年使用AAS的情况以促进早期干预。
