Timothy Piatkowski
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View article: Making ‘safer injecting’ matter for people who inject image and performance enhancing drugs
Making ‘safer injecting’ matter for people who inject image and performance enhancing drugs Open
Image and performance-enhancing drugs (IPEDs) are primarily injected intramuscularly or subcutaneously, yet traditional harm reduction strategies, focused on blood-borne virus prevention, often overlook the specific health enhancement goal…
View article: Associations between anabolic-androgenic steroid testing, healthcare access and undesirable effects among international consumers
Associations between anabolic-androgenic steroid testing, healthcare access and undesirable effects among international consumers Open
View article: “The new DNP”: Discussion of the experimental ‘fat burner’ BAM15 on bodybuilding forums and YouTube
“The new DNP”: Discussion of the experimental ‘fat burner’ BAM15 on bodybuilding forums and YouTube Open
View article: Eat clen? The normalisation of harmful clenbuterol use within digital fitness cultures
Eat clen? The normalisation of harmful clenbuterol use within digital fitness cultures Open
View article: Self-treatment of psychiatric conditions using ketamine: Patterns, characteristics, and retrospective insights
Self-treatment of psychiatric conditions using ketamine: Patterns, characteristics, and retrospective insights Open
Background: While research on novel therapeutic applications of ketamine is expanding, particularly in controlled settings, there is limited exploration of its consumption related to self-treatment of psychiatric conditions. This study inv…
View article: Design and evaluation of a co-produced social media campaign to promote aquatic safety in Queensland national parks
Design and evaluation of a co-produced social media campaign to promote aquatic safety in Queensland national parks Open
Social media increasingly shapes how visitors engage with aquatic locations in national parks, where risky behaviours contribute to drowning and injury risk. Selfies and photography with mobile phones have been implicated in fatal and non-…
View article: Fit for Whom? Gendered Impacts of the Fit Ideal on Body Image and Behavior
Fit for Whom? Gendered Impacts of the Fit Ideal on Body Image and Behavior Open
Societal body ideals are shifting from thinness for women and muscularity for men to a unified “fit ideal” that emphasizes both leanness and muscle mass across genders. This study tested a revised tripartite influence model, and employed t…
View article: Looking for the Best Way to Come Off Steroids Safely? Exploring Post‐Cycle Therapy, Cessation, and Recovery Discourse and Practice in Australian Steroid Consumer Forums
Looking for the Best Way to Come Off Steroids Safely? Exploring Post‐Cycle Therapy, Cessation, and Recovery Discourse and Practice in Australian Steroid Consumer Forums Open
Introduction Anabolic‐androgenic steroid (AAS) use is rising in Australia; however, discontinuation poses challenges due to withdrawal symptoms and a lack of clinical guidance. Therefore, the aim of this study was to explore online discour…
View article: Creating Safer Injecting Practices Through Community‐Led Harm Reduction: Lessons From People Who Use Steroids for the Alcohol and Other Drug Sector
Creating Safer Injecting Practices Through Community‐Led Harm Reduction: Lessons From People Who Use Steroids for the Alcohol and Other Drug Sector Open
Introduction Research on anabolic–androgenic steroid (AAS) use has addressed health outcomes, social dynamics, service access and risk management strategies. Yet little work has examined how these domains converge in injection practices, w…
View article: The Overdose Risk Environment for People Who Inject Drugs Transitioning From Prison to Community in Australia
The Overdose Risk Environment for People Who Inject Drugs Transitioning From Prison to Community in Australia Open
People who inject drugs (PWID) face disproportionately high rates of drug overdose in the first few weeks post-release from prison, which may be exacerbated by lack of access to healthcare and harm reduction resources. However, little is k…
View article: Clenbuterol and the cost of cutting: A brief report comparing self-reported side effects of clenbuterol consumption to anabolic-androgenic steroid compounds
Clenbuterol and the cost of cutting: A brief report comparing self-reported side effects of clenbuterol consumption to anabolic-androgenic steroid compounds Open
View article: Exploring the potential of virtual reality (VR) in mental healthcare: a systematic literature review
Exploring the potential of virtual reality (VR) in mental healthcare: a systematic literature review Open
Virtual reality (VR) technologies offer transformative possibilities for mental healthcare, particularly following rapid technological advances and increased demand for remote therapeutic interventions during and now post COVID-19 pandemic…
View article: “Injecting yourself there is stigma around it; taking a few tablets is not too bad, is it?”: understanding perceptions and preferences of anabolic-androgenic steroid route of administration
“Injecting yourself there is stigma around it; taking a few tablets is not too bad, is it?”: understanding perceptions and preferences of anabolic-androgenic steroid route of administration Open
View article: Lead Astray? The Hidden Contaminants in Australian Anabolic–Androgenic Steroid Market and Their Potential Health Impact
Lead Astray? The Hidden Contaminants in Australian Anabolic–Androgenic Steroid Market and Their Potential Health Impact Open
Introduction Unregulated anabolic–androgenic steroid (AAS) markets are a global phenomenon with significant variability in product composition and purity. This study aimed to determine the chemical composition of AAS sold in Australia. Met…
View article: Anabolic-androgenic steroid testing as a tool for consumer engagement and harm reduction: a sequential explanatory mixed-method study
Anabolic-androgenic steroid testing as a tool for consumer engagement and harm reduction: a sequential explanatory mixed-method study Open
View article: Anabolic-androgenic steroid testing as a tool for consumer engagement and harm reduction: a sequential explanatory mixed-method study
Anabolic-androgenic steroid testing as a tool for consumer engagement and harm reduction: a sequential explanatory mixed-method study Open
Introduction Anabolic-androgenic steroid (AAS) use is widespread, yet regulation remains limited, exposing consumers to misidentified and contaminated products. This study expands AAS testing by enhancing purity analysis, identifying brand…
View article: Social network exposure and sociodemographic factors associated with intentions to use anabolic-androgenic steroids
Social network exposure and sociodemographic factors associated with intentions to use anabolic-androgenic steroids Open
View article: Understanding the Experiences of People who use Drugs Participating in a New Drug Diversion Program in Queensland, Australia
Understanding the Experiences of People who use Drugs Participating in a New Drug Diversion Program in Queensland, Australia Open
The criminalisation of drug use and stigma create barriers to healthcare and harm reduction, limiting access due to fear of legal consequences and mistrust of health services. Queensland’s Drug Diversion Program (DDP) aims to address these…
View article: It is the way you treat yourself, but also the way you allow other people to start treating you as well: perceptions of overdose risk among women who inject drug
It is the way you treat yourself, but also the way you allow other people to start treating you as well: perceptions of overdose risk among women who inject drug Open
Purpose Women who inject drugs face risks of blood-borne virus transmission and violence in heterosexual partnerships. While recognising these harms is vital, focusing solely on victimhood reinforces stereotypes. Building on sociological w…
View article: Tracing the Impact of Media, Cultural Narratives, and Social Perceptions on Australia's Anabolic-Androgenic Steroid Communities
Tracing the Impact of Media, Cultural Narratives, and Social Perceptions on Australia's Anabolic-Androgenic Steroid Communities Open
Anabolic-androgenic steroids (AAS) are used for performance and image enhancement, yet their non-medical use in Australia is heavily criminalized and framed by sociocultural narratives that emphasize risk, deviance and harm. This study aim…
View article: <i>If you find me on the floor, stick some sugar in my mouth</i> : The social production (and protection) of insulin risk among IPED communities
<i>If you find me on the floor, stick some sugar in my mouth</i> : The social production (and protection) of insulin risk among IPED communities Open
View article: Psychological and socio-structural determinants of intentions to use drug checking services
Psychological and socio-structural determinants of intentions to use drug checking services Open
This study explored the determinants of intentions to use drug checking services among Australian undergraduate students ( N = 324, M age = 22.32 years, SD = 7.21) using an integrated theoretical model that includes social cognition constr…
View article: The material practices and social dimensions of community care among people who use, produce, and supply image and performance enhancing drugs
The material practices and social dimensions of community care among people who use, produce, and supply image and performance enhancing drugs Open
View article: Anything but androgens: How image and performance enhancing drug consumers manage body composition and health through off-label use of medicines
Anything but androgens: How image and performance enhancing drug consumers manage body composition and health through off-label use of medicines Open
View article: Development, dissemination and community response towards the first community notice regarding misrepresented illicit anabolic‐androgenic steroids in circulation in Australia
Development, dissemination and community response towards the first community notice regarding misrepresented illicit anabolic‐androgenic steroids in circulation in Australia Open
Introduction Drug alerts aimed at both people who use drugs and health workers help to prevent acute harms from unpredictable illicit drug markets and by equipping health workers to handle unusual drug events and share vital information wi…
View article: Barriers to the use of no and low alcohol products in high‐risk drinkers
Barriers to the use of no and low alcohol products in high‐risk drinkers Open
Introduction Consuming no or low (NoLo) alcohol products in place of regular strength alcohol products could reduce alcohol‐related harms in high risk drinkers. This study provides a new perspective by exploring beliefs about NoLo products…
View article: The world's first anabolic‐androgenic steroid testing trial: A two‐phase pilot combining chemical analysis, results dissemination and community feedback
The world's first anabolic‐androgenic steroid testing trial: A two‐phase pilot combining chemical analysis, results dissemination and community feedback Open
Background and Aims The clandestine production and distribution of anabolic‐androgenic steroids (AAS) poses health risks due to the uncertainty of their contents. This study aimed to test the chemical content of AAS samples and provide agg…
View article: Mapping the risk environment for peers with lived-living experience working in the alcohol and other drugs sector in Queensland
Mapping the risk environment for peers with lived-living experience working in the alcohol and other drugs sector in Queensland Open
Findings highlight the need for advocacy towards legal reform and the creation of inclusive organisational cultures. Recognising and valuing the LLE of peer workers is essential for enhancing harm reduction initiatives and promoting the we…
View article: Community pharmacy’s role in dispensing androgens and supporting harm reduction amid current policy dilemmas
Community pharmacy’s role in dispensing androgens and supporting harm reduction amid current policy dilemmas Open
Background Legitimate androgen use, such as testosterone replacement therapy, requires a legal prescription. Off-label use for reasons like wellness and aesthetics continues to grow. Recent regulatory changes in Australia aim to curb non-p…
View article: ‘Martial Arts Crossed Over Into the Rest of My Life’: A Qualitative Exploration of Australian Practitioners' Experiences of Martial Arts and Combat Sports on Wellbeing
‘Martial Arts Crossed Over Into the Rest of My Life’: A Qualitative Exploration of Australian Practitioners' Experiences of Martial Arts and Combat Sports on Wellbeing Open
Martial arts and combat sports (MA&CS) have emerged as a promising avenue for enhancing health and wellbeing amidst growing concerns about noncommunicable diseases and mental health issues. This study explored the lived experiences of prac…