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The first of two reports describes the adolescent users' perceptions of the patterns, trends, motivations for and effects of anabolic steroid use. Findings are based on detailed interviews of 72 current or former adolescent steroid users (average current age of 20). It was revealed that: (1) users believe more adolescents are using steroids; (2) users start young and continue using for a long time; (3) adolescent users combine steroids, take large doses and use more intensely over time; (4) adolescents use steroids to look better and to do better in sports; (5) steroids 'work' and encourage continued use; (6) users report psychological and physical changes after starting steroids, but most discount warnings about risks; (7) current users show signs of denial concerning the adverse effects of steroid use; some appear dependent; and (8) many users are 'mainstream' students.