{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T05:36:27Z","timestamp":1788759387896,"version":"build-2803163510"},"reference-count":44,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,11,27]],"date-time":"2025-11-27T00:00:00Z","timestamp":1764201600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,11,27]],"date-time":"2025-11-27T00:00:00Z","timestamp":1764201600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Drug and Alcohol Review"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Anabolic\u2010androgenic steroid (AAS) use presents a growing global public health issue. Despite evidence of significant physical, psychological and social harms, responses to non\u2010medical AAS use remain fragmented, under\u2010resourced and lacking in coordinated clinical and policy frameworks. This commentary synthesises emerging evidence and outlines priorities for developing a comprehensive harm reduction approach. Recent innovations in Australia and Switzerland have introduced steroid checking programs, where people who use AAS can anonymously submit products for chemical analysis. Findings from both countries indicate widespread product misrepresentation and consumer engagement with results. Peer involvement was critical to the success of these programs, suggesting that trusted, community\u2010led harm reduction models are both feasible and effective. To address AAS\u2010related harms, we outline four priorities: expanding AAS inclusion in drug checking programs; embedding peer\u2010led education in service design; developing clinical pathways that reflect the complexities of AAS use; and building international consensus on harm reduction and treatment. These steps are essential to creating a coordinated global response that prioritises equity, evidence and lived\u2010living experience.<\/jats:p>","DOI":"10.1111\/dar.70075","type":"journal-article","created":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T00:24:37Z","timestamp":1764289477000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Toward a Coordinated Global Response to Anabolic\u2010Androgenic Steroid Consumption: Lessons From the World's Current Steroid Checking Initiatives"],"prefix":"10.1111","volume":"45","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 Centre for Mental Health Griffith University  Brisbane Australia"},{"name":"Centre for Health Services Research The University of Queensland  Brisbane Australia"},{"name":"Queensland 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