{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T12:35:46Z","timestamp":1783427746750,"version":"3.54.6"},"reference-count":62,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2025,9,29]],"date-time":"2025-09-29T00:00:00Z","timestamp":1759104000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Drug and Alcohol Review"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Research on anabolic\u2013androgenic steroid (AAS) use has addressed health outcomes, social dynamics, service access and risk management strategies. Yet little work has examined how these domains converge in injection practices, where community\u2010led knowledge and structural barriers shape harm reduction. This study aimed to explore people's experiences of injecting AAS, focusing on practices, challenges and sources of harm reduction knowledge, and examined how consumers develop safer injection methods through lived\u2010living expertise.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Data were drawn from semi\u2010structured interviews with Australian AAS consumers (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u200925), including follow\u2010ups with 15 participants, resulting in 40 research interactions. These interactions examined safer injecting, harm reduction strategies and structural barriers. Analysis employed iterative categorisation, integrating lived\u2010living experience and a lens of prefigurative politics to develop knowledge into three theme\u2010categories.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Participants articulated that injecting, when done correctly, was perceived as a safer usage pathway. However, many participants lacked access to clear, evidence\u2010based injection guidance and acquired information through informal sources including online forums and peer networks. Some AAS consumers experienced bacterial infections and abscesses, highlighting the ongoing risks associated with injecting. Experienced consumers had developed practices, through experimentation, on site rotation, injection volume and hygiene to mitigate harms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion and Conclusions<\/jats:title>\n                    <jats:p>AAS consumers prefigure harm reduction through their community, yet informal learning is inconsistent. Peer\u2010led interventions which partner with trusted allies, including clinicians and health workers, can work toward reducing injecting\u2010related harms in the community; thus, moving the alcohol and other drug sector toward sustainable, collective care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dar.70044","type":"journal-article","created":{"date-parts":[[2025,9,30]],"date-time":"2025-09-30T06:05:04Z","timestamp":1759212304000},"page":"1940-1950","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Creating Safer Injecting Practices Through Community\u2010Led Harm Reduction: Lessons From People Who Use Steroids for the Alcohol and Other Drug Sector"],"prefix":"10.1111","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6177-0266","authenticated-orcid":false,"given":"Timothy","family":"Piatkowski","sequence":"first","affiliation":[{"name":"School of Applied Psychology and Griffith 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