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

IF 2.9 Q2 HOSPITALITY, LEISURE, SPORT & TOURISM Performance enhancement and health Pub Date : 2024-10-01 DOI:10.1016/j.peh.2024.100288
Diederik L. Smit , Tijs Verdegaal , Peter Bond , Willem de Ronde
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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.
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引导非医疗使用雄性激素:走向减少伤害模式
非医用雄性激素的使用呈上升趋势,其短期副作用有据可查,而长期后果仍不为人所知,但很可能导致心血管疾病和永久性内分泌紊乱。目前的教育措施不足以遏制这一显著增长,这表明需要采取不同的方法。在这种情况下,减少危害成为一种很有前途的二级预防策略。本文概述的减少危害方法的主要原则强调对个人进行有关副作用的教育、限制雄激素的使用以及密切监测健康状况。这一策略的成功实施取决于医疗服务提供者是否具备该领域的专业知识,是否建立了不带偏见的人际关系,以及是否获得了运动员的合作。HARNAS 试验将对这一策略的效果进行严格评估,并将其结果与历史对照组的结果进行比较。预计该试验的结果将在未来几年内公布,从而揭示这一开创性方法的有效性。
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来源期刊
Performance enhancement and health
Performance enhancement and health Social Sciences-Health (social science)
CiteScore
4.70
自引率
0.00%
发文量
27
审稿时长
57 days
期刊最新文献
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