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The material practices and social dimensions of community care among people who use, produce, and supply image and performance enhancing drugs

Timothy Piatkowski, Luke Cox Orcid Logo, Katinka van de Ven, Jim McVeigh

Addiction Research & Theory, Pages: 1 - 8

Swansea University Author: Luke Cox Orcid Logo

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DOI (Published version): 10.1080/16066359.2025.2471803

Abstract

Background: People who use image and performance-enhancing drugs (IPEDs) face intersecting challenges, including legal constraints, stigma, and inadequate healthcare support, which perpetuate health risks. Peer-led harm reduction practices emerge as vital alternatives, fostering trust, sharing ethno...

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Published in: Addiction Research & Theory
ISSN: 1606-6359 1476-7392
Published: Informa UK Limited 2025
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URI: https://cronfa.swan.ac.uk/Record/cronfa69083
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last_indexed 2025-04-03T06:16:58Z
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spelling 2025-04-02T13:26:08.2654014 v2 69083 2025-03-12 The material practices and social dimensions of community care among people who use, produce, and supply image and performance enhancing drugs 9811ac84cad867903c385bf7086dfd2d 0000-0001-7625-4603 Luke Cox Luke Cox true false 2025-03-12 EAAS Background: People who use image and performance-enhancing drugs (IPEDs) face intersecting challenges, including legal constraints, stigma, and inadequate healthcare support, which perpetuate health risks. Peer-led harm reduction practices emerge as vital alternatives, fostering trust, sharing ethnopharmacological knowledge, and addressing gaps left by formal systems. This study explored how care and connoisseurship are enacted within IPED communities, emphasizing peer roles in navigating risks, enhancing safety, and reshaping care practices through collective expertise. Methods: Semi-structured interviews with four men explored IPED manufacture, supply, and harm reduction practices. Using a Science and Technology Studies-informed case approach, analysis foregrounded relational and socio-material dynamics, challenging deficit-based narratives and offering insights into how community care is enacted through peer-led harm reduction and what this could mean for policy development. Results: People who use IPEDs transition from consumption to production and supply as a response to inadequate mainstream healthcare and systemic barriers. Participants highlighted tensions with socio-legal and medical frameworks, navigating these barriers through collective connoisseurship. By fostering relational practices of community care, they ensured quality, safety, and informed use, challenging traditional harm discourses and emphasizing the social and material interplay shaping safer-use strategies. Conclusions: The community collectively demonstrate a commitment to community-driven care, contrasting sharply with their experiences of formal healthcare. Our analysis directs more careful consideration to the potential for rethinking health interventions to align with community-led approaches that emphasize autonomy, peer support, and relational care. Journal Article Addiction Research & Theory 0 1 8 Informa UK Limited 1606-6359 1476-7392 Anabolic-androgenic steroids, community care, healthcare, image and performance enhancing drugs, Science and Technology Studies 3 3 2025 2025-03-03 10.1080/16066359.2025.2471803 COLLEGE NANME Engineering and Applied Sciences School COLLEGE CODE EAAS Swansea University Another institution paid the OA fee 2025-04-02T13:26:08.2654014 2025-03-12T12:38:38.5748202 Faculty of Science and Engineering School of Engineering and Applied Sciences - Sport and Exercise Sciences Timothy Piatkowski 1 Luke Cox 0000-0001-7625-4603 2 Katinka van de Ven 3 Jim McVeigh 4 69083__33795__31ace11172f54acd954faaf62c04fa5a.pdf 69083.VOR.pdf 2025-03-12T12:43:33.3368420 Output 965962 application/pdf Version of Record true © 2025 The Author(s). This is an Open Access article distributed under the terms of the Creative Commons Attribution License (CC BY). true eng http://creativecommons.org/licenses/by/4.0/
title The material practices and social dimensions of community care among people who use, produce, and supply image and performance enhancing drugs
spellingShingle The material practices and social dimensions of community care among people who use, produce, and supply image and performance enhancing drugs
Luke Cox
title_short The material practices and social dimensions of community care among people who use, produce, and supply image and performance enhancing drugs
title_full The material practices and social dimensions of community care among people who use, produce, and supply image and performance enhancing drugs
title_fullStr The material practices and social dimensions of community care among people who use, produce, and supply image and performance enhancing drugs
title_full_unstemmed The material practices and social dimensions of community care among people who use, produce, and supply image and performance enhancing drugs
title_sort The material practices and social dimensions of community care among people who use, produce, and supply image and performance enhancing drugs
author_id_str_mv 9811ac84cad867903c385bf7086dfd2d
author_id_fullname_str_mv 9811ac84cad867903c385bf7086dfd2d_***_Luke Cox
author Luke Cox
author2 Timothy Piatkowski
Luke Cox
Katinka van de Ven
Jim McVeigh
format Journal article
container_title Addiction Research & Theory
container_volume 0
container_start_page 1
publishDate 2025
institution Swansea University
issn 1606-6359
1476-7392
doi_str_mv 10.1080/16066359.2025.2471803
publisher Informa UK Limited
college_str Faculty of Science and Engineering
hierarchytype
hierarchy_top_id facultyofscienceandengineering
hierarchy_top_title Faculty of Science and Engineering
hierarchy_parent_id facultyofscienceandengineering
hierarchy_parent_title Faculty of Science and Engineering
department_str School of Engineering and Applied Sciences - Sport and Exercise Sciences{{{_:::_}}}Faculty of Science and Engineering{{{_:::_}}}School of Engineering and Applied Sciences - Sport and Exercise Sciences
document_store_str 1
active_str 0
description Background: People who use image and performance-enhancing drugs (IPEDs) face intersecting challenges, including legal constraints, stigma, and inadequate healthcare support, which perpetuate health risks. Peer-led harm reduction practices emerge as vital alternatives, fostering trust, sharing ethnopharmacological knowledge, and addressing gaps left by formal systems. This study explored how care and connoisseurship are enacted within IPED communities, emphasizing peer roles in navigating risks, enhancing safety, and reshaping care practices through collective expertise. Methods: Semi-structured interviews with four men explored IPED manufacture, supply, and harm reduction practices. Using a Science and Technology Studies-informed case approach, analysis foregrounded relational and socio-material dynamics, challenging deficit-based narratives and offering insights into how community care is enacted through peer-led harm reduction and what this could mean for policy development. Results: People who use IPEDs transition from consumption to production and supply as a response to inadequate mainstream healthcare and systemic barriers. Participants highlighted tensions with socio-legal and medical frameworks, navigating these barriers through collective connoisseurship. By fostering relational practices of community care, they ensured quality, safety, and informed use, challenging traditional harm discourses and emphasizing the social and material interplay shaping safer-use strategies. Conclusions: The community collectively demonstrate a commitment to community-driven care, contrasting sharply with their experiences of formal healthcare. Our analysis directs more careful consideration to the potential for rethinking health interventions to align with community-led approaches that emphasize autonomy, peer support, and relational care.
published_date 2025-03-03T08:41:04Z
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