“…Similar to Howat (2005, 2007), social connectivity and shared norms for IPED use, fitness training and nutrition, with dealers acting as supply mechanism and mentor for novice users were described. Given the reporting of mutual gym injecting and sharing of vials, users entrenched in peer support networks but avoiding social sanctions and stigma from others, may create risk for potential harms (Boardley, Grix, & Dewar, 2014). Perceptions of low health risk support the emergent need for the targeting of specific harm reduction education, outreach and development of culturally appropriate services (Fernandez, 2002;Shams Uddin, Bhugra, & Johnson, 2008;Whitfield et al, 2014).…”