Maintaining the healthy body: Blood management and hepatitis C prevention among men who inject performance and image-enhancing drugs

Fomiatti, Renae; Lenton, Emily; Latham, J.R.; Fraser, Suzanne; Moore, David; Seear, Kate; Aitken, Campbell

doi:10.1016/j.drugpo.2019.10.016

Cited by 11 publications

(5 citation statements)

References 46 publications

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“…Curtin University's Human Research Ethics Committee approved the study (HRE2017-0372). More detail on this research project, and the background research that informs it, has been published elsewhere (Seear et al 2015;Fomiatti et al forthcoming).…”

Section: Methods and Participantsmentioning

confidence: 99%

Men’s Performance and Image-Enhancing Drug Use as Self-Transformation: Working Out in Makeover Culture

Latham

Fraser

Fomiatti

et al. 2019

Australian Feminist Studies

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This article investigates how men who inject performance and image-enhancing drugs (PIEDs) describe their experiences of embodiment and masculinity, locating that analysis in the context of contemporary 'makeover culture' (Jones 2008) and the imperatives of selftransformation (Heyes 2007). Drawing on qualitative data from interviews we conducted with 60 men who inject PIEDs in Australia, our analysis suggests there is a pragmatic logic associated with PIED use that challenges much research concerning this population, which tends to pathologise men who use PIEDs as disordered in their relationship to their bodies and cultural norms of masculinity. We unpack how the men interviewed describe everyday practices of doing gender in the context of illicit drug use, the implications in normative understandings of maleness and masculinity, and how PIED consumption practices encouraged particular attention to working on the self. Our findings suggest that druginjecting practices can be understood as forms of self-transformation in makeover culture that have the potential to make new, unexpected possibilities for being in the world, and can inform harm reduction measures, including the de-stigmatisation of drug use more broadly.

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Section: Methods and Participantsmentioning

confidence: 99%

Men’s Performance and Image-Enhancing Drug Use as Self-Transformation: Working Out in Makeover Culture

Latham

Fraser

Fomiatti

et al. 2019

Australian Feminist Studies

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“…Building on the above, a report prepared by Fomiatti et al [43 ▪▪ ] explored the various motivations behind performance and image-enhancing drug injecting to better assist health professionals with minimizing hepatitis C transmission. Although not drawing on interviews specifically investigating sexual minority men and their behaviours, the report is useful in providing healthcare professionals with a holistic understanding of the often plural motivations behind androgen use.…”

Section: Recent Research Findingsmentioning

confidence: 99%

Androgen abuse among gay and bisexual men

Griffiths

Jotanovic

Austen

2021

Current Opinion in Endocrinology, Diabetes &Amp; Obesity

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Purpose of review Androgen abuse is more prevalent among gay and bisexual (i.e. sexual minority) men than heterosexual men. We review recent research about androgen abuse in sexual minority men and provide relevant social, cultural, and historical contexts. Recent findings Androgen abuse among sexual minority men is shaped by the intersections of sexuality, desirability, masculinity, and race. Muscular male bodies are desired and – in erotic settings especially – prized as literal embodiments of masculinity. Racist stereotypes unjustly diminish the desirability and masculinity of sexual minority men who belong to racial minorities, especially those who are Asian or Black, and the higher rates of androgen abuse among these racial minorities may reflect a compensatory motivation for these diminishments. The historical context for sexual minority men – decades of subjugation alongside stereotypes of masculinity-compromising effeminacy – further complicate the intersections of sexuality with androgen abuse. Harm minimization efforts led by empathetic endocrinologists stand the best chance of achieving positive outcomes for sexual minority men who use androgens. Summary More dedicated research on androgen abuse among sexual minority men is needed as this population requires thoughtfully designed research that is incorporative – at a minimum – of the complexities of sexuality, desirability, masculinity, and race.

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“…In the past decade, concerning rates of HIV, hepatitis B and hepatitis C amongst users have been identified [17,18]. Alongside recent identification of the low rate of BBV testing uptake [9 ▪▪ ] and a lack of awareness and concern about risk of hepatitis C [19 ▪ ], this suggests that BBV-focused interventions are still required. The perceived role of sexual risks in the transmission of HIV and hepatitis B amongst this population [12,18] indicates that relevant harm reduction will include interventions such as condom provision and advice about sexual risks as well as access to injecting equipment and BBV testing.…”

Section: Recognizing Diversity In Needs and Practices Amongst The Use...mentioning

confidence: 99%

Harm reduction strategies for androgen users: providing appropriate support and improving engagement with healthcare

Bates

Shepherd

McVeigh

2021

Current Opinion in Endocrinology, Diabetes &Amp; Obesity

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Purpose of review: As evidence continues to emerge of the harms associated with nonmedical androgen use, this review explores the implications from recent studies for designing strategies to reduce harm and support good health amongst androgen users.Recent findings: Studies have predominantly come from researchers in the UK and Australia. Major themes include questioning the scope and content of harm reduction strategies and identifying approaches to improve engagement between the androgen using community and healthcare providers. Findings suggest that a broader range of interventions and forms of advice are needed than are commonly provided. This must be supported by efforts to increase opportunities to deliver harm reduction through new engagement approaches, better relationships with health professionals, and more guidance on identifying and managing associated adverse health impacts.Summary: A fully developed harm reduction-based response to nonmedical androgen use will be one that not only seeks to reduce risk of bloodborne virus transmission and injecting-related harms, but that considers the range of needs amongst the diverse community of androgen users and respects their decisions and rights. Co-producing interventions with members of this community will help develop effective and engaging approaches. Rigorous studies are needed to evaluate new harm reduction interventions as well as those already delivered.

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Maintaining the healthy body: Blood management and hepatitis C prevention among men who inject performance and image-enhancing drugs

Cited by 11 publications

References 46 publications

Men’s Performance and Image-Enhancing Drug Use as Self-Transformation: Working Out in Makeover Culture

Men’s Performance and Image-Enhancing Drug Use as Self-Transformation: Working Out in Makeover Culture

Androgen abuse among gay and bisexual men

Harm reduction strategies for androgen users: providing appropriate support and improving engagement with healthcare

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