The study authors did not ask about transgender identity. Researchers analyzed information gathered from 17,250 adolescent boys who came from 14 jurisdictions around the United States. Of these participants, 635 were classified as "sexual minorities" based on their answers to questions about sexual identity, attraction and behavior.
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Serious health problems may ensue from chronic use of anabolic-androgenic steroids. Adolescent use of these steroids has been associated with cardiovascular, endocrine and psychiatric complications, in addition to other negative health outcomes, the study said.
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"We know steroid use among boys usually is more driven by appearance-related motives as opposed to performance enhancement, as we see with pro athletes," Blashill said. Nearly 25% of adult men who misuse these steroids say they first started during adolescence. However, this is the first study to examine the issue as it pertains to sexual orientation in boys, and to find a significant difference in sexual minorities compared to heterosexuals. These substances are most commonly used to enhance strength, performance or muscularity, according to the study. Testosterone and synthetic derivatives of it are forms of anabolic-androgenic steroids. "It really highlights that this is clearly an at-risk group," Blashill said.
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 It is not common to find such a strong disparity in psychological research. Researchers Aaron Blashill and Steven Safren, both affiliated with Massachusetts General Hospital and Harvard Medical School, were "shocked" at how much more steroid use affects sexual minorities, Blashill said. Everyone has heard about steroid abuse in the context of professional athletics, but its misuse among adolescent boys has gotten a lot less attention.Ī new study suggests that gay and bisexual adolescent boys are more than five times more likely to use anabolic-androgenic steroids - which increase the development of secondary male sex characteristics - than heterosexual adolescent boys. The study appeared Monday in the journal Pediatrics.