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February 2, 1994

Use of Anabolic-Androgenic Steroids: We Are Talking Prevalence Rates

Author Affiliations

McLean Hospital Belmont, Mass Harvard Medical School Boston, Mass

JAMA. 1994;271(5):347. doi:10.1001/jama.1994.03510290029026

To the Editor.  —We read with interest the recent article of Yesalis and colleagues1 that found, on the basis of household survey data, that more than 300 000 Americans had used anabolic-androgenic steroids (AASs) during the year prior to the survey. We used these figures to estimate the total amount of money spent illicitly on steroids in the United States on a yearly basis.We performed this calculation with data from a recent interview study of 88 AAS users that we conducted over the past 3 years.2 In the study, 64 of these 88 users reported at least some AAS use during the year prior to interview. We calculated the total amount of each AAS that these subjects reported they had purchased during the prior year, and then estimated current street prices of each AAS using "underground" steroid guides,3,4 updated with information on current street prices of

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