Performance enhancement and health最新文献

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Boosting the human brain: The potential of neuroenhancement for health and human functioning 增强人类大脑:神经增强对健康和人类功能的潜力
IF 3.7
Performance enhancement and health Pub Date : 2025-09-12 DOI: 10.1016/j.peh.2025.100381
Armani Porter , Laura Y. Cabrera , Francisco Javier Lopez Frias
{"title":"Boosting the human brain: The potential of neuroenhancement for health and human functioning","authors":"Armani Porter , Laura Y. Cabrera , Francisco Javier Lopez Frias","doi":"10.1016/j.peh.2025.100381","DOIUrl":"10.1016/j.peh.2025.100381","url":null,"abstract":"","PeriodicalId":19886,"journal":{"name":"Performance enhancement and health","volume":"13 4","pages":"Article 100381"},"PeriodicalIF":3.7,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145044488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring variations in sports motivation across menstrual cycle phases: Insights from a longitudinal within-subjects study with active females 探索月经周期阶段运动动机的变化:来自活跃女性纵向研究的见解
IF 3.7
Performance enhancement and health Pub Date : 2025-09-05 DOI: 10.1016/j.peh.2025.100372
Laura Reusch , Beate Zunner , Susanne Tittlbach , Melinda Herfet
{"title":"Exploring variations in sports motivation across menstrual cycle phases: Insights from a longitudinal within-subjects study with active females","authors":"Laura Reusch ,&nbsp;Beate Zunner ,&nbsp;Susanne Tittlbach ,&nbsp;Melinda Herfet","doi":"10.1016/j.peh.2025.100372","DOIUrl":"10.1016/j.peh.2025.100372","url":null,"abstract":"<div><h3>Background</h3><div>Inactivity, as one of the leading risk factors for global mortality, highlights the need for a deeper understanding of how to foster sports motivation. Given the hormonal fluctuations during menstrual cycle phases, it has been suggested that sports motivation may vary as sex hormones impact other areas such as training, emotions, and perception. However, there are inconsistencies in previous studies attributed to varying methodologies in menstrual phase classification and verification. Hence, the main aim of this study was to explore variations in sports motivation across menstrual cycle phases using recommended methods.</div></div><div><h3>Methods</h3><div>This longitudinal within-subjects study investigated 17 healthy active females (mean age: 28.1 ± 5.3, body mass index: 22.5 ± 2.5 kg/m<sup>2</sup>) across three menstrual cycles. Using the mPath App, participants completed daily questionnaires that assessed their sports motivation, menstrual cycle day, and sports program. To determine menses and ovulation during the participant’s menstrual cycle, calendar-based counting and luteinizing hormone testing were employed.</div></div><div><h3>Results</h3><div>Motivation scores were highest during mid-follicular days and periovulatory days, although the overall differences between the menstrual cycle phases were insignificant. Positive correlations were found between periovulatory sports motivation and sport session frequency, and negative between periovulatory sport session intensity and frequency.</div></div><div><h3>Conclusion</h3><div>This study offers new insights for sports motivation and menstrual cycle research, suggesting that there are no significant differences in sports motivation across the hormonal events of the menstrual cycle. Additional factors like coaching, social support, and enjoyment of exercise may also exert influence and therefore warrant further investigation through mixed-method strategies to investigate these psychosocial factors alongside to the menstrual cycle. Future research should replicate these findings using more precise measurements of progesterone and estrogen to enhance methodological accuracy and reliability.</div></div>","PeriodicalId":19886,"journal":{"name":"Performance enhancement and health","volume":"13 4","pages":"Article 100372"},"PeriodicalIF":3.7,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144996878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Technologies of and for performance: A frame analysis of recreational runners' technology use 技术与性能:休闲跑步者技术使用的框架分析
IF 3.7
Performance enhancement and health Pub Date : 2025-09-05 DOI: 10.1016/j.peh.2025.100384
Lauri Palsa, Pekka Mertala
{"title":"Technologies of and for performance: A frame analysis of recreational runners' technology use","authors":"Lauri Palsa,&nbsp;Pekka Mertala","doi":"10.1016/j.peh.2025.100384","DOIUrl":"10.1016/j.peh.2025.100384","url":null,"abstract":"<div><div>This study explores recreational runners' use of digital technologies by applying Goffman's frame analysis. The research question is: from which frames recreational runners approach technology use. The objective is twofold: First, we aim to move beyond the dominant reductive approach of userism and provide a more comprehensive understanding of recreational runners' relationships with digital technologies. Second, by approaching the concept of digital technology inclusively, we seek to elaborate on scholarly knowledge related to technology convergence, that is, the spillover and blending of technologies, in recreational sports. The data consist of qualitative online survey responses from 1011 runners and were analyzed via abductive content analysis. As a result, we identified three dispositional frames (running for training, health and recreation, and sociality) and three technological frames (technology as verificator, motivator, and safeguard), the combinations of which highlight the often multifaceted, layered, and situational relationship people have with recreational running and technology use.</div></div>","PeriodicalId":19886,"journal":{"name":"Performance enhancement and health","volume":"13 4","pages":"Article 100384"},"PeriodicalIF":3.7,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144996670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
From supplements to steroids: Substance use and the discourse of self-management in dominant bodybuilding culture 从补充剂到类固醇:物质使用和自我管理的话语在主流健身文化
IF 3.7
Performance enhancement and health Pub Date : 2025-09-05 DOI: 10.1016/j.peh.2025.100365
Dimitrios Liokaftos
{"title":"From supplements to steroids: Substance use and the discourse of self-management in dominant bodybuilding culture","authors":"Dimitrios Liokaftos","doi":"10.1016/j.peh.2025.100365","DOIUrl":"10.1016/j.peh.2025.100365","url":null,"abstract":"<div><div>The vast array of methods promoted in a deeply commodified US bodybuilding and fitness culture includes the use of various substances. From nutritional supplements to anabolic steroids, the use of such substances has been shown to be primarily practiced not in the contained world of elite sport competition but amongst the general population. Ranging from gym-goers to clients of anti-ageing clinics, ordinary citizens have increasingly come to understand their use of such substances in terms of enhanced well-being, an indispensable technology for achieving higher standards of fitness, ability, and health. As a consequence, lobbying against State attempts to regulate such substances is put forth precisely as a defence of the right to self-govern one's own body, health, and life more generally. Focusing on the US context of the 1990s-2000s, the present paper looks at high-profile cases of regulation of such substances and the corresponding reactions inside bodybuilding culture. The latter I draw on in its capacity as an extreme yet symbolically crucial faction of the broader fitness culture that relentlessly emphasises individual responsibility and self-discipline. Ultimately, I will attempt to show how the very definition of health is not a static given but rather a core stake in these debates, as well as how the discourse of self-management is implicated in negotiating individual and group identities.</div></div>","PeriodicalId":19886,"journal":{"name":"Performance enhancement and health","volume":"13 4","pages":"Article 100365"},"PeriodicalIF":3.7,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144996884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
‘Much better than the rest of the world, but there is still a lot to do’: Promoting gender equality in Nordic esports “比世界其他地区好得多,但仍有很多工作要做”:促进北欧电子竞技中的性别平等
IF 3.7
Performance enhancement and health Pub Date : 2025-09-05 DOI: 10.1016/j.peh.2025.100378
Usva Friman, Matilda Ståhl
{"title":"‘Much better than the rest of the world, but there is still a lot to do’: Promoting gender equality in Nordic esports","authors":"Usva Friman,&nbsp;Matilda Ståhl","doi":"10.1016/j.peh.2025.100378","DOIUrl":"10.1016/j.peh.2025.100378","url":null,"abstract":"<div><div>In this study, we will approach gender equality in esports as an organisational question, focusing specifically on gender discrimination as an integrity and governance issue in (inter)national esports federations in a specific geographical and cultural context. We will explore how esports federations in the Nordic countries (Finland, Sweden, Norway, Denmark, and Iceland) aim to promote gender equality in their operations – and the tensions and challenges involved in this process. Our material consists of seven thematic semi-structured interviews with representatives of national esports federations in the Nordic countries.</div><div>Our analysis focuses on three research questions:</div><div>RQ1: How do representatives of the Nordic esports federations understand their current gender equality situation?</div><div>RQ2: What steps are these organisations taking to promote gender equality in Nordic esports?</div><div>RQ3: What kind of tensions and challenges relate to these conceptions and goals?</div><div>To answer these questions, we will explore our interview material reflected against the gendered structures in esports organisations and governance as well as the idea of gender equality as part of the ‘Nordic brand.’ Our findings will demonstrate that while gender equality is described as a central goal and value shared amongst the Nordic esports federations, there are also some tensions and challenges in the way of pursuing this goal, including a lack of clear value definitions, goals, and strategies, a limited and uncertain perspective of the target group of gender equality actions, the contested question of gender segregation as an inclusion tool, and financial constraints. Without specific strategies and matching tangible practices for improving gender equality, there is also a significant risk that the perceived shared goal to pursue gender equality will remain at the level of brand talk instead of creating real change.</div></div>","PeriodicalId":19886,"journal":{"name":"Performance enhancement and health","volume":"13 4","pages":"Article 100378"},"PeriodicalIF":3.7,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144996886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Investigating the interconnectedness of athletes’ performance beliefs, coping ability, and mental health, and the efficacy of a REBT-inspired mobile app intervention 调查运动员的表现信念、应对能力和心理健康之间的相互联系,以及受rebt启发的移动应用程序干预的效果
IF 3.7
Performance enhancement and health Pub Date : 2025-09-05 DOI: 10.1016/j.peh.2025.100369
Helen Ruud, Julius Jooste
{"title":"Investigating the interconnectedness of athletes’ performance beliefs, coping ability, and mental health, and the efficacy of a REBT-inspired mobile app intervention","authors":"Helen Ruud,&nbsp;Julius Jooste","doi":"10.1016/j.peh.2025.100369","DOIUrl":"10.1016/j.peh.2025.100369","url":null,"abstract":"<div><h3>Objective</h3><div>This study explored the interrelatedness between athletes’ performance beliefs, coping ability, and mental health, and evaluated a four-week Rational Emotive Behaviour Therapy (REBT) mobile app intervention targeting these factors</div></div><div><h3>Design and Methods</h3><div>A multiphase randomised comparative design was used where 155 athletes (<em>M</em>age = 26.93, <em>SD</em> = 11.32) completed an online survey. A subset of 23 athletes (<em>M</em>age = 33.70, <em>SD</em> = 14.15) participated in a four-week mobile-app intervention of which the experimental group received eight micro-learning sessions focused on REBT principles and self-help activities to challenge and replace irrational thinking in sport, while the control group received conventional psychological skills training</div></div><div><h3>Results</h3><div>Correlation analyses revealed significant associations between the factors. Further analyses using Hayes’ PROCESS macro revealed that both coping ability and irrational beliefs mediated the relationship between them and mental health, with coping ability showing a stronger mediation effect. Furthermore, independent samples <em>t</em>-tests analyses confirmed significant improvements in participants’ exhibition of irrational performance beliefs upon completion of the RBT-inspired mobile app intervention, with thematic analyses of qualitative feedback highlighting the mobile app’s utility as a tool for self-management of cognitions and emotions in sport</div></div><div><h3>Conclusion</h3><div>The incorporation of psychological skills training to enhance coping ability should remain integral to REBT approaches aimed at improving athletes’ mental health in sport. Additionally, mobile web-based interventions hold potential as a valuable and easily accessible tool to support athletes’ psychological needs.</div></div>","PeriodicalId":19886,"journal":{"name":"Performance enhancement and health","volume":"13 4","pages":"Article 100369"},"PeriodicalIF":3.7,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144996885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring the efficacy of a rational emotive behaviour therapy intervention on football referees: A single case study approach 探索理性情绪行为疗法对足球裁判干预的效果:单一案例研究方法
IF 3.7
Performance enhancement and health Pub Date : 2025-09-05 DOI: 10.1016/j.peh.2025.100379
Stuart C. Carrington , Martin J. Turner , Jamie S. North , Abbe Brady , Emily A. Martin
{"title":"Exploring the efficacy of a rational emotive behaviour therapy intervention on football referees: A single case study approach","authors":"Stuart C. Carrington ,&nbsp;Martin J. Turner ,&nbsp;Jamie S. North ,&nbsp;Abbe Brady ,&nbsp;Emily A. Martin","doi":"10.1016/j.peh.2025.100379","DOIUrl":"10.1016/j.peh.2025.100379","url":null,"abstract":"<div><div>This study presents a single case study that assessed the effectiveness of a rational-emotive behaviour therapy (REBT) intervention in reducing irrational beliefs, decreasing negative, unhealthy emotions, and improving performance with a sports official. Following initial assessment, a 43-year-old male football referee participated in a 5-week REBT intervention programme. Irrational beliefs and anxiety were measured using the Irrational Beliefs Scale for Sports Officials and the Sport Anxiety Scale respectively. Following the 5-week intervention, measures of irrational beliefs and anxiety were collected at three follow-up points, taken every 6-weeks, throughout the 2023/24 football season, and again eight weeks after the conclusion of the season. Performance was assessed using observer marks from Football Association Referee Observers, and Club Marks, collected from representatives of teams refereed by the participant. Results showed a medium (<em>d</em> = 2.34) decrease (-43.28 %) in irrational beliefs between pre- and post-intervention stages, and a small (<em>d</em> <em>=</em> 0.67) decrease (21.97 %) in irrational beliefs between the post-intervention and retention stages. A large (<em>d</em> = 5.36) decrease (-31.12 %) in anxiety was reported between pre- and post-intervention stages, and a small (<em>d</em> = 0.18) increase (2.19 %) in anxiety was also reported between the post-intervention and retention stage. Performance enhancement was seen via a small (<em>d</em> <em>=</em> 0.26) increase (1.18 %) in Club Marks, and a medium (<em>d</em> <em>=</em> 2.09) increase (1.05 %) in observer marks. Alongside social validation interviews held with the participant, referee coach and observer, the study provides evidence to inform applied practice and supports the potential value of REBT with sports officials.</div></div>","PeriodicalId":19886,"journal":{"name":"Performance enhancement and health","volume":"13 4","pages":"Article 100379"},"PeriodicalIF":3.7,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144996887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Commentary on “Protein powders, painkillers, and pleasure: Reasons for exercise and the use of dietary supplements and analgesics among recreational half-marathoners” 对“蛋白粉、止痛药和快乐:娱乐性半程马拉松运动员运动和使用膳食补充剂和止痛药的原因”的评论
IF 3.7
Performance enhancement and health Pub Date : 2025-09-04 DOI: 10.1016/j.peh.2025.100367
Parth Aphale, Shashank Dokania, Himanshu Shekhar
{"title":"Commentary on “Protein powders, painkillers, and pleasure: Reasons for exercise and the use of dietary supplements and analgesics among recreational half-marathoners”","authors":"Parth Aphale,&nbsp;Shashank Dokania,&nbsp;Himanshu Shekhar","doi":"10.1016/j.peh.2025.100367","DOIUrl":"10.1016/j.peh.2025.100367","url":null,"abstract":"<div><div>This commentary presents a scholarly critique of the article titled <em>“Protein powders, painkillers, and pleasure: Reasons for exercise and the use of dietary supplements and analgesics among recreational half-marathoners”</em> by Havermans et al. While the original study provides valuable insights into the motivations for supplement and analgesic use among recreational runners, several conceptual and methodological limitations merit further discussion. Key concerns include the reliance on self-reported data without biochemical validation, potential seasonal bias due to timing of data collection, and an oversimplified framework for understanding exercise motivation. Additionally, the underexplored role of peer influence and health literacy in shaping supplement and analgesic use behaviors is highlighted. This commentary advocates for more nuanced, multi-dimensional research designs incorporating psychosocial variables, risk perception, and longitudinal assessment to better capture the complex factors influencing health-related behaviors in recreational athletes.</div></div>","PeriodicalId":19886,"journal":{"name":"Performance enhancement and health","volume":"13 4","pages":"Article 100367"},"PeriodicalIF":3.7,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144988245","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Can the enhanced games be defended, and are they a good idea? 增强型游戏是否值得辩护?它们是个好主意吗?
IF 3.7
Performance enhancement and health Pub Date : 2025-09-04 DOI: 10.1016/j.peh.2025.100373
Verner Møller
{"title":"Can the enhanced games be defended, and are they a good idea?","authors":"Verner Møller","doi":"10.1016/j.peh.2025.100373","DOIUrl":"10.1016/j.peh.2025.100373","url":null,"abstract":"<div><div>In the wake of the 1998 Festina affair, which exposed widespread doping in professional cycling, sports organizations, led by the International Olympic Committee, established a global anti-doping program. This initiative aimed to combat doping, which was seen as a threat to both the integrity and economic viability of sports. The alternative approach—legalizing performance-enhancing drugs—was dismissed as unrealistic and unworthy of serious consideration. Its advocates, if not outright ignored, were criticized as irresponsible attention-seekers who would turn sports into a spectacle.</div><div>Today, a quarter of a century after the founding of the World Anti-Doping Agency, a group of wealthy investors has begun efforts to turn this once-dismissed idea into reality by organizing a competition where drug use is permitted. This paper critically examines the proposed Enhanced Games, evaluating whether a sporting event that allows performance-enhancing drugs can be ethically and practically justified. It explores arguments both in favor of and against this model, addressing issues related to technological and biomedical enhancement, fairness, athlete health, and regulatory feasibility. The objective is to assess whether such a competition can be defended within the broader ethical and institutional framework of sports and, ultimately, to determine if it makes sense at all.</div></div>","PeriodicalId":19886,"journal":{"name":"Performance enhancement and health","volume":"13 4","pages":"Article 100373"},"PeriodicalIF":3.7,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144988243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
“Big-blast, little-blast”: Risk neutralization strategies for sustaining masculinity by older men who use anabolic androgenic steroids (OMAAS) “大爆炸,小爆炸”:使用合成代谢雄激素类固醇(OMAAS)的老年男性维持男子气概的风险中和策略
IF 3.7
Performance enhancement and health Pub Date : 2025-09-04 DOI: 10.1016/j.peh.2025.100382
Evelyn Hearne , Amanda Atkinson , Jim McVeigh , Ian Boardley , Vivian D. Hope , Marie Claire Van Hout
{"title":"“Big-blast, little-blast”: Risk neutralization strategies for sustaining masculinity by older men who use anabolic androgenic steroids (OMAAS)","authors":"Evelyn Hearne ,&nbsp;Amanda Atkinson ,&nbsp;Jim McVeigh ,&nbsp;Ian Boardley ,&nbsp;Vivian D. Hope ,&nbsp;Marie Claire Van Hout","doi":"10.1016/j.peh.2025.100382","DOIUrl":"10.1016/j.peh.2025.100382","url":null,"abstract":"<div><div>UK research in the past decade has indicated the emergence of a cohort older men who use anabolic androgenic steroids (OMAAS), with studies suggesting OMAAS are motivated to use for aesthetics, performance enhancement, to combat the effects of ageing, and for perceived testosterone replacement therapy associated with wellbeing. Currently, there is a lack of information on the experiences and perspectives of harm reduction workers who support OMAAS at needle and syringe programmes in the UK. Semi-structured in-depth interviews (<em>N</em> = 13) with harm reduction workers were conducted to explore their experiences of engagement with OMAAS and how they view their healthcare and support needs.</div><div>The analysis generated four key themes with subthemes: 1) AAS Use Patterns of Older Men Accessing Healthcare Services; 2) Motivations for AAS Use; 3) Adverse Health Effects; 4) and Healthcare Responses to OMAAS. Two higher levels of abstraction centred on ‘<em>risk neutralization’</em> and <em>‘masculinity’</em> were identified above the theme level and were described by all harm reduction workers in distinct ways throughout the findings. They focused on scapegoating, self-confidence, and risk comparison as strategies to uphold masculine values and identity through AAS use.</div><div>The findings are useful in informing AAS specific training for harm reduction workers, medical and healthcare professionals, and age-appropriate healthcare and treatment pathways specific to the needs of OMAAS who engage in risk neutralization techniques to conform to traditional masculine norms. There is a need for accessible, adequate, non-judgemental AAS-specific treatment and care pathways for OMAAS. Needle and syringe programmes should be developed to implement and evaluate interventions such as blood testing, cardiac monitoring, substance testing, and rapid access and referral pathways for medical support. Medical professionals and harm reduction workers at needle and syringe programmes are urged to address issues with OMAAS’ perceptions of masculinity to help prevent and encourage safer use.</div></div>","PeriodicalId":19886,"journal":{"name":"Performance enhancement and health","volume":"13 4","pages":"Article 100382"},"PeriodicalIF":3.7,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144996668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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