, Volume 46, Issue 2, pp 131-132
Date: 25 Apr 2013

Towards Integrated Multiple Behavior Management for HIV and Chronic Conditions: a Comment on Blashill et al.

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Blashill and colleagues' [1] research in a large multi-site cohort of men who have sex with men infected with human immunodeficiency virus (HIV) followed clinically over 11–14 months examined longitudinal mediational relationships between physical inactivity, depression, antiviral medication nonadherence, and viral load, while controlling for age and CD-4 counts. Several aspects of this paper can serve as a model for behavioral medicine research and practice.

Improvements in antiretroviral adherence are allowing people with HIV to live longer and to experience increasing morbidity and mortality from many HIV-associated non-AIDS conditions [13], including aging. This literature supports vital interrelationships in people living with HIV between antiretroviral (ARV) adherence, depression management [35], and physical activity [6, 7]. Converging evidence strongly supports increased attention to multiple HIV management behavior changes, including those targeted in this study [1]. In spite