Adherence in Adolescents with HIV: The Impact of Body Dissatisfaction

艾滋病毒青少年的依从性：身体不满意的影响

• 批准号: 7555689
• 负责人: Amanda Michelle Woods
• 金额: $ 2.99万
• 依托单位: GEORGIA STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-07-21 至 2009-07-20
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7555689
• 关键词: Accounting; Adherence; Adolescence; Adolescent; Adverse effects; Age; Anti-Retroviral Agents; Appointment; Area; Behavior; Binge Eating; Body Image; Body part; Centers for Disease Control and Prevention (U.S.); Child; Chronic Disease; Clinical; Collaborations; Data; Development; Diagnosis; Diet; Disease; Eating; Eating Behavior; Eating Disorders; Educational process of instructing; Exercise; Face; Fatty acid glycerol esters; Feeling; Future; Gender; Goals; HIV; Hand; Health; Human; Intervention; Knowledge; Lead; Lipoatrophy; Lipodystrophy; Localized; Medical; Medical Research; Mental Health; Mission; Nature; Neck; Numbers; Outcome; Pharmaceutical Preparations; Population; Positioning Attribute; Prevalence; Prevention program; Provider; Psychopathology; Psychosocial Factor; Public Health; Rate; Research; Role; Sexuality; Socioeconomic Status; Stigmata; Stomach; Training; Treatment Protocols; Treatment outcome; Virus Diseases; Wood material; Work; Youth; age group; body dissatisfaction; career; desire; disorder prevention; experience; improved; interest; medication compliance; pill; programs; psychologic; purge; satisfaction; social stigma

DESCRIPTION (provided by applicant): Given the rising prevalence of HIV in youth in addition to poor medication adherence in this population. The applicant desires to explore factors that are impacting this population negatively, by examining the relationship among body image, medication adherence, and disordered eating. Specifically, the applicant is interested in exploring if body dissatisfaction accounts for a significant amount of variance in medication adherence in a population of adolescents being treated with antiretroviral medications, and if the nature of this relation is moderated by age and/ or gender. Given the strong relation between body dissatisfaction and disordered eating, as a second aim, the applicant would like to examine if body dissatisfaction in adolescents with HIV who are being treated with medication is associated with disordered eating behavior (e.g., restrictive dieting, excessive exercise, compensatory behaviors) and if the relation between body dissatisfaction and disordered eating is moderated by age and/or gender. Additionally, the applicant wants to gain further understanding of the nature of body image within this population by determining if body dissatisfaction is localized to specific body parts that may be impacted by medication side effects. Given that the results of this study could provide valuable information on how body image may be impacting medication adherence and disordered eating, the findings could lead to future research in this understudied area and could also provide guidance for mental health and medical providers serving adolescents with HIV, and thus, is representative of NIH's mission to conduct research that improves health. PUBLIC HEALTH RELEVANCE: There is a great deal of research that has studied factors that are associated with adolescents taking their prescribed medications (e.g., social stigma, finances, and numerous pills); however, there is a dearth of studies looking at how one's feelings about their body or body image may be impacting this population. Other studies that have worked with adolescents with chronic illnesses have suggested that poor body image may be a factor that leads to poor treatment outcomes. Additionally, poor body image has been shown repeatedly to be predictive of eating disorders, which have many negative health outcomes. Therefore, this study will supply important information on how body image may be impacting treatment in adolescents with HIV. Body image in this population is severely understudied and this information will be valuable to future research and medical facilities that provide treatment to this population.

描述（由申请人提供）：鉴于青少年中艾滋病毒的流行率上升以及这一人群的药物依从性差。申请人希望通过检查身体形象、药物依从性和饮食失调之间的关系，探索影响这一人群的负面因素。具体来说，申请人有兴趣探索在接受抗逆转录病毒药物治疗的青少年群体中，身体不满意是否导致了药物依从性的显著差异，以及这种关系的性质是否受到年龄和/或性别的调节。鉴于身体不满意与饮食失调之间的密切关系，作为第二个目标，申请人想要检查正在接受药物治疗的艾滋病毒青少年的身体不满意是否与饮食失调行为（例如，限制性节食，过度运动，代偿行为）有关，以及身体不满意与饮食失调之间的关系是否受到年龄和/或性别的调节。此外，申请人希望通过确定身体不满是否局限于可能受到药物副作用影响的特定身体部位，进一步了解这一人群的身体形象本质。鉴于这项研究的结果可以为身体形象如何影响药物依从性和饮食失调提供有价值的信息，这些发现可能会导致这一研究不足的领域的未来研究，也可以为心理健康和为患有艾滋病毒的青少年提供医疗服务的提供者提供指导，因此，是NIH开展改善健康研究的使命的代表。