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51 Contemp. Drug Probs. 142 (2024)
Performance and Image Enhancing Drug Use among Australian Women: The Role of Interpersonal Relationships in Facilitating Use

handle is hein.journals/condp51 and id is 138 raw text is: 





Article


                                                                     Contemporary Drug Problems
                                                                         2024, Vol. 5 1(2) 142-159
Performance and Image                                                     © The Author(s) 2024
                    Articlemeuseegudelines
Enhancing           Drug       Use     Am    ong                   sagepub.com/journals-permissins
                                                                  DOI: 10.1177/00914509241256002
Australian          W   om    en: The         Role     of            journals.sagepub.com/home/cdx

Interpersonal Relationships in                                                S  Sage

Facilitating Use




Timothy Piatkowski'         , Bianca   Whiteside2'3,   Jonathan Robertson4,
Severine   Lamons, and Matthew Dunn2,3




Abstract
Background: Women comprise a minority of performance and image-enhancing drug (PIED) consum-
ers, with use linked to undesirable side effects. Preliminary work suggests that many women have little
knowledge of what substances they are using, with males close to them involved in their use. This
study aimed to explore women's motivations for PIED use; to examine the negative health experi-
ences related to use; and to understand how interpersonal relationships facilitate their use. Method:
Women   who had used PIEDs were invited to participate in an online survey (N= 28) and/or interview
(N=  10). Open-text survey and interview data were analyzed using content and thematic analyses,
respectively. Results: There were three key areas (motivations, health experience, role of third parties)
within which I 2 theme categories were developed from the survey data. There were three overarch-
ing themes developed from interviews that expanded on these data: socializing women's use, facilitat-
ing women's use, and PIEDs exacerbating existing issues. Conclusion: The findings substantiate the
nuanced gender dynamics of women's PIED use, challenging stereotypes and revealing the complexity
of their motivations and experiences. While women's reasons for PIED use may share some sem-
blance with men's, there is a less comprehensive understanding of the physical and psychosocial
impacts of these drugs. To empower women and destigmatize PIED use, interventions focusing on
substance literacy and stigma management are crucial. Future research should explore these interven-
tions' effectiveness in promoting women's well-being and autonomy.



' School of Applied Psychology and Griffith Centre for Mental Health, Griffith University, Brisbane, Queensland
2School of Health and Social Development, Deakin University, Burwood, Australia
3Institute for Health Transformation, Deakin University, Geelong, Australia
4Centre for Sport Research, Deakin University, Burwood, Australia
sInstitute for Physical Activity and Nutrition, Deakin University, Burwood, Australia

Received April 26, 2023. Accepted for publication May 3, 2024.

Corresponding Author:
Timothy Piatkowski, School of Applied Psychology and Griffith Centre for Mental Health, Mount Gravatt Campus, Griffith
University, QLD 4122, Australia.
Email: t.piatkowski@griffith.edu.au

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