Work

Navigating non-medical androgen use: Towards a harm reduction paradigm

Year: 2024

Type: article

Abstract: Non-medical androgen use is on the rise, with short-term side effects being well-documented whereas long-term consequences remain less understood but are likely to entail cardiovascular illness and permanent endocrine disruptions. Current educational initiatives are falling short in curbing this significant increase, signaling the need for a different approach. In this context, harm reduction emerges as a promising secondary prevention strategy. The key principles of the harm reduction approach outlined in this article emphasize educating individuals about side effects, limiting androgen use, and monitoring health closely. Successful implementation of this strategy hinges upon healthcare providers possessing expertise in the field, fostering non-judgmental interpersonal relationships, and securing cooperation of the athlete. The efficacy of this strategy will be rigorously evaluated in the HARNAS trial, comparing its outcomes with those of a historical control group. The findings from this trial are anticipated to be published in the coming years, shedding light on the effectiveness of this pioneering approach.

Source: Performance Enhancement & Health

DOI: 10.1016/j.peh.2024.100288

Authors: Diederik L. Smit, Tijs Verdegaal, Peter Bond, Willem de Ronde

Institutions: Elisabeth-TweeSteden Ziekenhuis, Android Health Clinic, Spaarne Gasthuis

Language: English

Topic: Doping in Sports

Subfield: Sociology and Political Science

Field: Social Sciences

Domain: Social Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $3,610