Skip to main content

Advertisement

Log in

Characterizing Body Image in Youth with HIV

  • Original Paper
  • Published:
AIDS and Behavior Aims and scope Submit manuscript

Abstract

Emerging research in adults with HIV suggests negative body image may be found at a higher rate in this group. To date, few studies have examined body image in adolescents living with HIV. This exploratory study aimed to characterize body image perceptions among youth living with HIV. Adolescents (n = 143; age range 16–24 years; 69 % male) completed an Audio Computer Assisted Self-Interview Questionnaire that assessed body image, psychosocial, medical and sociodemographic information. Medical history and physical functioning information were abstracted from medical records. Results showed normative global body image on the Multidimensional Body Self-Relations Questionnaire-Appearance Scales. Some subscale elevations were observed; including decreased interest in self-care and appearance, as well as concerns with individual body areas. Overall, youth reported preference for own body shape on the Figure Rating Scale; however, 41 % of youth classified as “overweight” per CDC body mass index reported contentment with current body size. Further, 47 % of youth classified as “normal” weight desired to have larger body size. Youth identified as men who have sex with men most often reported desiring larger body size. Implications for clinical care are discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. O’Brien KK, Bayoumi AM, Strike C, Young NL, King K, Davis AM. How do existing HIV-specific instruments measure up? Evaluating the ability of instruments to describe disability experienced by adults living with HIV. Health Qual Life Outcomes. 2010;8:88.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Plankey M, Bacchetti P, Jin C, et al. Self-perception of body fat changes and HAART adherence in the Women’s Interagency HIV Study. AIDS Behav. 2009;13(1):53–9.

    Article  PubMed  Google Scholar 

  3. Blashill AJ, Vander Wal JS. Components of body image in gay men with HIV/AIDS. Am J Mens Health. 2011;5(1):6–10.

    Article  PubMed  Google Scholar 

  4. Blashill AJ, Goshe BM, Robbins GK, Mayer KH, Safren SA. Body image disturbance and health behaviors among sexual minority men living with HIV. Health Psychol. 2014;33(7):677–80.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Mond J, van den Berg P, Boutelle K, Hannan P, Neumark-Sztainer D. Obesity, body dissatisfaction, and emotional well-being in early and late adolescence: findings from the project EAT study. J Adolesc Health. 2011;48(4):373–8.

    Article  PubMed  Google Scholar 

  6. CDC. Estimated HIV incidence in the United States, 2007–2010. HIV Surveillance Supplemental Report 2012;17(No. 4). Accessed 7 Dec 2015.

  7. Cash TF. Body image: past, present, and future. Body Image. 2004;1(1):1–5.

    Article  PubMed  Google Scholar 

  8. Jones LR, Fries E, Danish SJ. Gender and ethnic differences in body image and opposite sex figure preferences of rural adolescents. Body Image. 2007;4(1):103–8.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Martyn-Nemeth P, Penckofer S, Gulanick M, Velsor-Friedrich B, Bryant FB. The relationships among self-esteem, stress, coping, eating behavior, and depressive mood in adolescents. Res Nurs Health. 2009;32(1):96–109.

    Article  PubMed  Google Scholar 

  10. Furnham A, Alibhai N. Cross-cultural differences in the perception of female body shapes. Psychol Med. 1983;13(4):829–37.

    Article  CAS  PubMed  Google Scholar 

  11. Altabe M. Ethnicity and body image: quantitative and qualitative analysis. Int J Eat Disorder. 1998;23(2):153–9.

    Article  CAS  Google Scholar 

  12. Barroso CS, Peters RJ, Johnson RJ, Kelder SH, Jefferson T. Beliefs and perceived norms concerning body image among African-American and Latino teenagers. J Health Psychol. 2010;15(6):858–70.

    Article  PubMed  Google Scholar 

  13. Santos CP, Felipe YX, Braga PE, Ramos D, Lima RO, Segurado AC. Self-perception of body changes in persons living with HIV/AIDS: prevalence and associated factors. AIDS (London, England). 2005;19(Suppl 4):S14–21.

    Article  Google Scholar 

  14. Martinez SM, Kemper CA, Diamond C, Wagner G. California Collaborative Treatment Group. Body image in patients with HIV/AIDS: assessment of a new psychometric measure and its medical correlates. AIDS Patient Care STDs. 2005;19(3):150–6.

    Article  PubMed  Google Scholar 

  15. Martinez J, Lemos D, Hosek S. Stressors and sources of support: the perceptions and experiences of newly diagnosed Latino youth living with HIV. AIDS Patient Care STDs. 2012;26(5):281–90.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Williamson I, Hartley P. British research into the increased vulnerability of young gay men to eating disturbance and body dissatisfaction. Eur Eat Disorders Rev. 1998;6:160–70.

    Article  Google Scholar 

  17. Martins Y, Tiggemann M, Kirkbride A. Those speedos become them: the role of self-objectification in gay and heterosexual men’s body image. Pers Soc Psychol Bull. 2007;33(5):634–47.

    Article  PubMed  Google Scholar 

  18. Kelly JS, Langdon D, Serpell L. The phenomenology of body image in men living with HIV. AIDS Care. 2009;21(12):1560–7.

    Article  PubMed  Google Scholar 

  19. Tate H, George R. The effect of weight loss on body image in HIV-positive gay men. AIDS Care. 2001;13(2):163–9.

    Article  CAS  PubMed  Google Scholar 

  20. Pluhar E, McDonnell Holstad M, Yeager KA, et al. Implementation of audio computer-assisted interviewing software in HIV/AIDS research. J Assoc Nurses AIDS Care. 2007;18(4):51–63.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Cash TF, Pruzinsky T. Body images: development, deviance, and change. New York: The Guilford Press; 1990.

    Google Scholar 

  22. Stunkard AJ, Sorensen T, Schulsinger F. Use of the Danish adoption register for the study of obesity and thinness. In: Kety S, editor. The genetics of neurological and psychiatric disorders. New York: Raven; 1983. p. 115.

    Google Scholar 

  23. Pulvers KM, Lee RE, Kaur H, et al. Development of a culturally relevant body image instrument among urban African Americans. Obes Res. 2004;12(10):1641–51.

    Article  PubMed  Google Scholar 

  24. Centers for Disease Control and Prevention (CDC). About BMI for adults and teens. 2013; Available at: www.cdc.gov/healthyweight/assessing/bmi/. Accessed 12 August 2013.

  25. Inc SI. SAS v9.3. 9.3 ed. Cary, NC, USA: SAS Institute Inc; 2012.

  26. Yelland C, Tiggemann M. Muscularity and the gay ideal: body dissatisfaction and disordered eating in homosexual men. Eat Behav. 2003;4(2):107–16.

    Article  PubMed  Google Scholar 

  27. Carper TL, Negy C, Tantleff-Dunn S. Relations among media influence, body image, eating concerns, and sexual orientation in men: a preliminary investigation. Body Image. 2010;7(4):301–9.

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

The authors would like to acknowledge the contribution of clinical research assistant, Melissa Shenep, and psychology graduate student, Courtney Peasant, during the data collection phase of this project. We would also like to thank Kirk Knapp for his assistance with data abstraction from patient records.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Megan L. Wilkins.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Wilkins, M.L., Dallas, R.H., Porter, J.S. et al. Characterizing Body Image in Youth with HIV. AIDS Behav 20, 1585–1590 (2016). https://doi.org/10.1007/s10461-015-1271-z

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10461-015-1271-z

Keywords

Navigation