Adolescents' illicit use of steroids has been associated with other health risk factors, including needle sharing and HIV [13], lack of condom use [14], not wearing a seatbelt [4,14,15], carrying a weapon [8,[14][15][16], and suicide attempts [4,8,14,16] Adolescents' steroid use often co-occurs with other substance use, including injection drug use [17], alcohol, cocaine, and marijuana [18], Decreased academic performance has also been associated with steroid use [15,17].