Use of Anabolic Steroids in Adolescent GirlsAnabolic steroids are an artificial synthetic substance that is used to promote the growth of skeletal muscles. The use of anabolic steroids is very common among bodybuilders and athletes. Over the past decade, adolescent steroid use has become extremely prominent in our communities. By identifying and assessing Wilkinson and Marmot's social determinants of health, social support and stress were the two determinants successfully identified in adolescent steroid use. Anabolic steroids were first developed in 1930 when scientists attempted and successfully created a synthetic form of testosterone. This synthetic product was created with the aim of helping men who are unable to generate a sufficient amount of testosterone for safe and balanced growth (Anabolic Steroids, 2013). Steroids simply work by converting protein into muscle at an accelerated rate, which is the main influence for users. In recent years, there has been a dramatic increase in the number of adolescents experimenting with steroids with little or no awareness of the side effects. According to the journal article “Adolescents at Risk for Performance Enhancer Use,” 76% of adolescents who responded to the survey could not identify any negative side effects of steroids (Schneider.M, 2004) . Another Sydney Morning Herald study titled "Steroid Use Soars Among Young Men", the 2013 investigation into the needle syringe program, carried out by the Kirby Institute at the University of New South Wales, found that 74 % of people in NSW had started injecting illicit substances in the past. for three years they were looking for performance and image enhancing drugs, compared to just 27 percent in 2003. This increase in steroid use may... middle of paper ......ia, this which suggests that if they are overweight, muscle dysmorphia gives the illusion that one does not have enough muscles (Lee.I, 2014). Another contributing factor to anabolic steroid use is social isolation. Social isolation leaves affected individuals associating rapid muscle gain with social acceptance. A large majority of young people today suffer from this type of stress and are therefore consumed by the idea of ​​“getting torn apart.” Clinical psychologist Dr Vivienne Lewis from the University of Canberra says: “They take their body image concerns to the extreme and engage in extreme behaviors…” (EleanorReader, 2014). This obsession with being physically larger than average has many psychological and physical side effects, as many steroid users become steroid abusers due to high insecurity, low self-esteem and social isolation..