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Screening Pure MDMA Molly for sale previous and present AAS use at incarceration and increased staff awareness are needed to tailor treatment approaches appropriately.

• Evelyn Frude
• Fiona H. McKay
• Matthew Dunn

Background: Lifetime AAS use is common among inmates and may be an indicator of more severe substance use problems.

Recent illicit drug use was reported by 56%. Seventy-seven percent of participants had used AAS in the past and 97% of them had experienced side effects. After exclusion, 100 men comprised the cohort for follow-up. Subjects used other performance and image enhancing drugs (PIEDs) such as growth hormone (21%). Nineteen percent had competed in bodybuilding competitions. The AAS cycle performed had a median duration of 13 weeks (range 2-52) and the average dose of AAS equivalents was 901 mg per week (range 250-3.382). One hundred and eleven men were seen for a baseline visit. In total 272 AAS samples were analyzed and 47% contained the AAS indicated on the label. Forty-eight percent self-reported to being addicted to AAS. The principal reason for AAS use was gain of muscle mass (44%).

More than half (58%) of all patients had not been asked about AAS use, and 42.4% of those who were asked, experienced that treatment providers lacked expertise about AAS. AAS users reported more severe substance use than non-AAS users. Lifetime AAS use was highest among men with stimulants (55.8%) as preferred substance, and lowest among men who preferred alcohol (14.6%). Initiation of AAS use due to getting thinner following substance use was reported by 44.5% of the AAS using men. Lifetime AAS use was reported by 156 (28.3%) SUD patients, thereof 35.6% of the men and 8.0% of the women.

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