The Role of Body Image Dissatisfaction and Depression on HAART Adherence in HIV Positive Men: Tests of Mediation Models

Blashill, Aaron J.; Wal, Jillon S. Vander

doi:10.1007/s10461-009-9630-2

Cited by 27 publications

(30 citation statements)

References 46 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…There has been much less research conducted on body image and depression among sexual minority men. However, limited cross-sectional data have revealed that elevated body dissatisfaction is significantly associated with increased depressive symptoms among HIV-uninfected (e.g., Brennan, Craig, & Thompson, 2012) and HIV-infected sexual minority men (Blashill, Goshe, Robbins, Mayer, & Safren, 2014; Blashill & Vander Wal, 2010). For instance, Blashill (2010) found significant moderate-sized bivariate associations between higher body fat dissatisfaction/muscle dissatisfaction and elevated depressive symptoms among an Internet-based sample of gay and bisexual men, providing preliminary evidence that body dissatisfaction may serve as a risk factor for increased depression among sexual minority men.…”

Section: Introductionmentioning

confidence: 99%

Body Dissatisfaction Among Sexual Minority Men: Psychological and Sexual Health Outcomes

et al. 2016

Self Cite

View full text Add to dashboard Cite

Body dissatisfaction is common among sexual minority (i.e., gay and bisexual) men; however, few studies have investigated the relationship between body dissatisfaction and psychosexual health variables among this population. The data that do exist are exclusively cross-sectional, casting uncertainty regarding temporal associations. Thus, the aims of the current study were to assess the prospective relationship between body dissatisfaction and psychological and sexual health outcomes. Participants were 131 gay and bisexual men who completed a battery of self-report measures across two time points (baseline and 3-month follow-up), including assessment of body dissatisfaction, depressive symptoms, and sexual health variables (sexual self-efficacy and sexual anxiety). Generalized linear modeling was employed to assess the prospective relationship between body dissatisfaction and outcomes variables, accounting for non-normal distributions. Body dissatisfaction significantly predicted elevated depressive symptoms (B = .21, p = .01), lower sexual self-efficacy (B = −.22, p = .04), and elevated sexual anxiety (B = .05, p = .03). Elevated body dissatisfaction is prospectively associated with negative psychological and sexual health outcomes. Given the high prevalence of body image concerns in sexual minority men, depression and/or HIV/STI prevention programs may benefit from routinely assessing for body dissatisfaction among this population, and addressing those who report concerns.

show abstract

Section: Introductionmentioning

confidence: 99%

Body Dissatisfaction Among Sexual Minority Men: Psychological and Sexual Health Outcomes

et al. 2016

Self Cite

View full text Add to dashboard Cite

show abstract

“…Blashill and Vander Wal (2010) noted that the pressure to appear in shape and to project physical masculinity could facilitate HAART non-compliance. Galvan, Bogart, Wagner, and Klein (2012) found that, among 208 HIV+ Latino MSM, men endorsing traditional machismo (i.e., a cultural conceptualization of masculinity) were half as likely as others to report 100% adherence to medication.…”

Section: Resultsmentioning

confidence: 99%

Assessing the Role of Masculinity in the Transmission of HIV: A Systematic Review to Inform HIV Risk Reduction Counseling Interventions for Men Who Have Sex with Men

Zeglin

2015

Arch Sex Behav

View full text Add to dashboard Cite

HIV affects over 1.2 million people in the United States; a substantial number are men who have sex with men (MSM). Despite an abundance of literature evaluating numerous social/structural and individual risk factors associated with HIV for this population, relatively little is known regarding the individual-level role of masculinity in community-level HIV transmission risk. To address this gap, the current analysis systematically reviewed the masculinity and HIV literature for MSM. The findings of 31 sources were included. Seven themes were identified: 1) Number of partners, 2) Attitudes toward condoms, 3) Drug use, 4) Sexual positioning, 5) Condom decision-making, 6) Attitudes toward testing, and 7) Treatment compliance. These factors, representing the enactment of masculine norms, potentiate the spread of HIV. The current article aligns these factors into a Masculinity Model of Community HIV Transmission. Opportunities for counseling interventions include identifying how masculinity informs a client’s cognitions, emotions, and behaviors as well as adapting gender transformative interventions to help create new conceptualizations of masculinity for MSM clients. This approach could reduce community-level HIV incidence.

show abstract

“…Mais recentemente, foi descrito em homens infectados pelo HIV que a depressão é um importante mediador da relação entre a insatisfação com a imagem corporal e a má adesão à terapia antirretroviral 26 .…”

Section: I S C U S S ã Ounclassified

Insatisfação com imagem corporal e adesão à terapia antirretroviral entre indivíduos com HIV/AIDS

2011

View full text Add to dashboard Cite

Este estudo teve como objetivo avaliar a associação entre insatisfação com a imagem corporal e adesão à terapia antirretroviral. MétodosParticiparam do estudo 80 indivíduos infectados com o vírus da imunodeficiência humana/síndrome da imunodeficiência adquirida. Foi administrado questionário de autopreenchimento para avaliar o nível de adesão à medicação, com metodologia de escalas de silhuetas para avaliar a satisfação com a imagem corporal. As aná-lises incluíram estatística descritiva, teste t de Student, Qui-quadrado e estimativa de Odds ratio. ResultadosOs resultados mostraram elevada insatisfação com a imagem corporal tanto entre os homens quanto entre as mulheres (75,0%). A insatisfação corporal foi mais prevalente no grupo com sobrepeso (40,0% vs 15,0%; p=0,041) e entre os indivíduos com queixas de depressão, mas tais diferenças não foram significativas (28,3% vs. 15,0%; p=0,233). No grupo de insatisfeitos com a imagem corporal, 62,0% das mulheres tinham sobrepeso e 58,0% dos homens eram eutróficos. A adesão irregular aos antirretrovirais foi mais prevalente entre as mulheres, em comparação aos homens (77,8% vs 47,7; p=0,006). Existiu uma associação positiva e significativa entre insatisfação com a imagem corporal e baixos níveis de adesão (OR=4,69 IC:1,792; p=0,003). ConclusãoEste estudo mostrou associação entre insatisfação com a imagem corporal, sobrepeso e baixa adesão à terapia antirretroviral. Intervenções que objetivem reduzir a insatisfação com a imagem corporal são recomendadas

show abstract

The Role of Body Image Dissatisfaction and Depression on HAART Adherence in HIV Positive Men: Tests of Mediation Models

Cited by 27 publications

References 46 publications

Body Dissatisfaction Among Sexual Minority Men: Psychological and Sexual Health Outcomes

Body Dissatisfaction Among Sexual Minority Men: Psychological and Sexual Health Outcomes

Assessing the Role of Masculinity in the Transmission of HIV: A Systematic Review to Inform HIV Risk Reduction Counseling Interventions for Men Who Have Sex with Men

Insatisfação com imagem corporal e adesão à terapia antirretroviral entre indivíduos com HIV/AIDS

Contact Info

Product

Resources

About