Evidence map›Paper›PMID 24977311›Full record

ArticleHealth psychology : official journal of the Division of Health Psychology, American Psychological Association2014

Body image disturbance and health behaviors among sexual minority men living with HIV.

Aaron J Blashill, Brett M Goshe, Gregory K Robbins, Kenneth H Mayer, Steven A Safren

Open access · greenAbstract read
In one paragraph

Article in Health psychology : official journal of the Division of Health Psychology, American Psychological Association, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.

  1. Pooled it
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  3. Cognitive behavioral therapy for body image and self-care (CBT-BISC) in sexual minority men living with HIV: A randomized controlled trial.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2017
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  18. Psychosocial Correlates of Body Image and Lipodystrophy in Women Aging With HIV.The Journal of the Association of Nurses in AIDS Care : JANAC
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Aaron J BlashillDepartment of Psychiatry, Massachusetts General Hospital.
Brett M GosheDepartment of Psychology, University of Connecticut.
Gregory K RobbinsDepartment of Medicine, Massachusetts General Hospital.
Kenneth H MayerDepartment of Medicine, Harvard Medical School.
Steven A SafrenDepartment of Psychiatry, Massachusetts General Hospital.
Massachusetts General Hospital · USHarvard University · USUniversity of Connecticut · US

Funding

The impact of HIV viral diversity and cellular immunity on HIV pathogenesisP30AI060354 · NIAID · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI ROBERT A. PARKER · 2004 to 2026
$94.4M
Addressing psychosocial comorbidities in HIV treatment and preventionK24MH094214 · NIMH · UNIVERSITY OF MIAMI CORAL GABLES · PI SAFREN, STEVEN A · 2011 to 2015
$858k
Body Image and Self-care in HIV-infected MSMK23MH096647 · NIMH · SAN DIEGO STATE UNIVERSITY · PI BLASHILL, AARON J · 2012 to 2016
$857k
NIAID NIH HHS 5P30 AI060354-08NIAID NIH HHS P30 AI060354NIMH NIH HHS K23 MH096647NIMH NIH HHS K23MH096647NIMH NIH HHS K24 MH094214NIMH NIH HHS K24MH094214
6 · The paper itself

Abstract

objectiveBody image disturbance is a common experience for sexual minority men living with HIV, and is associated with poor self-care behaviors. However, to date, no known cohesive theoretical model has been advanced to understand the possible antecedents and outcomes of body image disturbance in this population. Thus, the goal of the current study was to test a biopsychosocial model of body image and self-care behaviors among sexual minority men living with HIV.

methodParticipants were 106 gay and bisexual men living with HIV who completed a battery of self-report measures, including assessment of body image disturbance, depression, lipodystrophy, appearance orientation, condom use self-efficacy, antiretroviral therapy (ART) adherence, and HIV sexual transmission risk behaviors. Bayesian estimation was employed to assess model fit and direct and indirect pathways within the model.

resultsThe data fit the model well, with all theorized pathways being significant. Lipodystrophy severity and appearance orientation were associated with elevated body image disturbance. In turn, body image disturbance was related to poorer ART adherence and increased HIV sexual transmission risk behaviors, through the mechanisms of elevated depressive symptoms and poor condom use self-efficacy.

conclusionsElevated body image disturbance among sexual minority men living with HIV is associated with important biopsychosocial variables, which in turn are related to poorer ART adherence and increased HIV sexual transmission risk behaviors. Integrative psychosocial interventions addressing co-occurring body image disturbance, depression, and HIV self-care behaviors may be a fruitful area for future clinical practice and research.

Indexed as

Health BehaviorAdultAnti-HIV AgentsBayes TheoremBisexualityBody ImageCondomsDepressionDrug MonitoringHIV InfectionsHomosexuality, MaleHumansMaleMiddle AgedMinority GroupsModels, PsychologicalAnti-HIV Agents

Identifiers

PMID24977311
PMCPMC4094355
OpenAlexW2325303499

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.