2020
DOI: 10.1016/j.peh.2019.100152
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Inside a steroid ‘brewing’ and supply operation in South-West England: An ‘ethnographic narrative case study’

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Cited by 15 publications
(8 citation statements)
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“…Anabolic compounds used in the manufacture of AAS are distributed from countries that have been heavily impacted by the COVID-19 pandemic, including China and India ( 34 , 35 ), meaning that disruption in the AAS supply chain is therefore highly likely. In turn, disruptions in AAS supply may alter AAS procurement and patterns of use, forcing some athletes to prematurely terminate AAS use, potentially increasing the likelihood of developing mental health issues associated with AAS withdrawal [e.g., depressive mood, fatigue, sleep disturbances, and loss of libido ( 22 , 36 )].…”
Section: Introductionmentioning
confidence: 99%
“…Anabolic compounds used in the manufacture of AAS are distributed from countries that have been heavily impacted by the COVID-19 pandemic, including China and India ( 34 , 35 ), meaning that disruption in the AAS supply chain is therefore highly likely. In turn, disruptions in AAS supply may alter AAS procurement and patterns of use, forcing some athletes to prematurely terminate AAS use, potentially increasing the likelihood of developing mental health issues associated with AAS withdrawal [e.g., depressive mood, fatigue, sleep disturbances, and loss of libido ( 22 , 36 )].…”
Section: Introductionmentioning
confidence: 99%
“…The most potent means of achieving this is to employ ‘independent’ sponsored athletes to market on behalf of the lab on social media. This arrangement echoes the licit phenomena of the social media influencer (Marwick 2015 ; Lawrence 2022 ) wherein prominent users are selected as brand ambassadors, promoting certain brands in exchange for ‘freebies’ (Turnock 2020 ). It should be noted here that sponsored athletes are distinct from UGL representatives as, whilst both of these actors operate on behalf of their underground labs, brand ambassadors are not involved in the actual sale of illicit products and instead function to offer advice, guidance, and promotion.…”
Section: Underground Laboratory Marketing Strategiesmentioning
confidence: 79%
“…Before presenting an overview of the supply-side of the market however, it is worth considering the production of IPEDs. According to Turnock ( 2020 ), most anabolics steroids in the UK are produced in domestic ‘underground labs’ (UGLs) (Coomber et al 2015 ), with raw powders imported from ‘producer’ countries like China, Egypt, Greece, Thailand, Turkey, and India (Antonopoulos and Hall 2016 ; Brennan et al 2018 ; Llewellyn and Tober 2010; Denham 2019 ). Underground labs can be defined as illicit operations where IPEDs, most commonly anabolics androgenic steroids, are produced from these imported powders outside of registered pharmaceutical manufacture.…”
Section: Introductionmentioning
confidence: 99%
“…One paper focused specifically onthose solely taking oral AAS and associated drugs [ 66 ], two papers examined the relationshipbetween supplements IPED use [ 67 , 68 ], whilethe role of concomitant psychoactive drugs was emphasised as a cause for concern in one paper [ 7 ]. Six outputs provided accounts of the ease of availability and affordability of drugs within a dynamic IPED market [ 56 , 69 73 ], with the internet playing an important role with a significant market crossover with other drug using populations [ 74 – 77 ].…”
Section: Resultsmentioning
confidence: 99%
“…This is especially pertinent in relation BBV services [ 28 , 31 , 119 , 126 , 131 , 132 ] and sexual health services [ 31 ], including men who have sex with men and women who have sex with women [ 101 ]. We also need to gain a better understanding of the supply and distribution of IPED, the role of the internet, potential for a more regulated market and the harms caused by the illicit market [ 6 , 7 , 15 , 63 , 69 , 73 75 ]. The overarching them in relation to identified research gaps and recommended focus of attention is the evaluation of interventions to identify cost-effective demand reduction and harm reduction solutions [ 104 , 105 , 107 , 111 , 128 ].…”
Section: Discussionmentioning
confidence: 99%