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Table 1 Qualitative studies presenting data on AAS use initiation

From: The aetiology and trajectory of anabolic-androgenic steroid use initiation: a systematic review and synthesis of qualitative research

First author, year, reference

Country/countries

Study type

AAS user(s)

Recruitment site(s)/mode

Annitto 1980 [19]

USA

Interview

17-year-old male bodybuilder

Clinic

Bardick 2006 [20]

Canada

Interview

8 male weightlifters aged 21 to 35 years

Gymnasium

Bilard 2011 [21]

France

Interview

203 bodybuilders

Voluntary

Boyadjiev 2000 [22]

Bulgaria

Case study

20-year-old male bodybuilder

Clinic

Copeland 2000 [23] and Peters 1997 [24]

Australia

Interview and questionnaire

100 persons (6 female) aged 18 to 50 years

Gymnasium, sports shops and associations, syringe exchange centre, radio interviews, advertisements

Cornford 2014 [9]

England

Interview and focus group

30 males aged 20 to 40 years

Syringe exchange centre

Fudala 2003 [25]

USA

Interview

7 males aged 22 to 33 years

Gymnasium and community

Grogan 2006 [26]

England

Interview

11 bodybuilders (6 female) aged 20 to 39 years

Gymnasium

Gruber 1999 [27]

USA

Interview

5 female bodybuilders

Gymnasium

Hegazy 2013 [28]

USA

Case study

28-year-old male

Clinic

Joubert 2014 [7]

England

Interview

6 males aged 26 to 42 years

Addiction charity

Katz 1990 [29]

USA

Case study

23-year-old male bodybuilder

Gymnasium

Khorrami 2002 [30]

USA

Interview

2 male weightlifters aged 24 and 29 years

Voluntary

Kimergård 2014 [6, 8]

England and Wales

Interview

24 males aged 21 to 61 years; mean age 34 years

Gymnasium, prison, steroid clinic and charity, syringe exchange centre

Klötz 2010 [31]

Sweden

Interview

33 male prisoners aged 21 to 52 years

Prison

Korkia 1993 [12]

England, Scotland, and Wales

Interview

110 persons (13 female) aged 16 to 63 years

Gymnasium, clinic, syringe exchange centre

Korkia 1996 [13]

England

Interview and questionnaire

15 females; mean age 28 years

Not specified

Kusserow 1990 [32]

USA

Interview

72 (6 female) persons (mostly adolescents); 14 to 25 years; mean age 20 years

Not specified

Malone 1995 [33]

USA

Interview

77 (6 female) powerlifters and bodybuilders

Gymnasium

Maycock 2005 [34], 2007 [35]

Australia

Interview

42 males

Gymnasium, night club, community

McKillop 1987 [36]

Scotland

Interview

8 male bodybuilders aged 17 to 32 years

Gymnasium

Midgley 1999 [37]

England

Interview and questionnaire

50 male bodybuilders and weight trainers aged 17 to 46 years

Gymnasium and syringe exchange centre

Nøkleby 2013 [38]

Norway

Interview

9 male drug users aged 22 to 35 years

Clinic

O’Sullivan 2000 [39]

Australia

Interview

41 males aged 16 to 36 years

Clinic

Olrich 1999 [40]

USA

Interview

10 male weightlifters; 9 aged 18 to 35 years, 1 aged 57 years

Gymnasium

Pappa 2012 [41]

England

Interview

9 athletes aged 19 to 26 years

Community via snowball sampling

Petrocelli 2008 [42]

USA

Interview

37 male gym users aged 19 to 43 years

Gymnasium

Pope 1990 [43]

USA

Interview

3 male arrested weightlifters aged 23, 24, and 32 years

Justice system

Pope 1993 [44]

USA

Interview

55 bodybuilders; mean age 28 years; 3 bodybuilders; 19 years, 26 years, 27 years

Gymnasium

Pope 1996 [45]

USA

Case study

16-year-old male

Clinic

Pope 1996 [45]

USA

Interview

9 male prisoners

Prison

Rashid 2000 [14]

USA

Case study

40-year-old male

Clinic

Schwingel 2012 [46]

Brazil

Interview

147 male power sportspeople aged 18 to 42 years

Exercise laboratory

Scull 2013 [47]

USA

Interview

7 male strippers

Strip club

Skårberg 2007 [48]

Sweden

Interview and questionnaire

18 male drug users; mean age 35 years

Clinic

Skårberg 2008 [49]

Sweden

Interview

6 drug users (2 female)

Clinic

Skårberg 2009 [50] and 2007 [48]

Sweden

Interview and questionnaire

32 male drug users 18 male drug users; mean age 35 years

Clinic

Tallon 2007 [11]

Scotland

Interview and questionnaire

30 males aged 18 to 43 years; mean age 27 years

Gymnasium

Todd 1987 [51]

USA

Interview

2 persons (27-year-old female weightlifter; 1 former male NFL player)

Not specified

Vassalo 2010 [52]

USA

Interview

39 male athletes aged 18 to 35 years

Acquaintances

Walker 2011 [10]

England

Interview and questionnaire

41 males; 20 to 30 years (majority)

Syringe exchange centre

Wilson-Fearon 1999 [53]

England

Case study

29-year-old bodybuilder

Not specified

  1. We relied on the qualitative results generated from the interview.