Evidence map›Paper›PMID 29789804›Full record

SynthesisBioMed research international2018

Health Risk Behaviour among Adolescents Living with HIV in Sub-Saharan Africa: A Systematic Review and Meta-Analysis.

Derrick Ssewanyana, Patrick N Mwangala, Anneloes van Baar, Charles R Newton, Amina Abubakar

Abstract readSystematic Review
In one paragraph

Synthesis in BioMed research international, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
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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

31 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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.

Derrick SsewanyanaCentre for Geographic Medicine Research Coast, Kenya Medical Research Institute (KEMRI), P.O. Box 230, Kilifi, Kenya.ORCID 0000-0002-7848-7643
Patrick N MwangalaCentre for Geographic Medicine Research Coast, Kenya Medical Research Institute (KEMRI), P.O. Box 230, Kilifi, Kenya.
Anneloes van BaarUtrecht Centre for Child and Adolescent Studies, Utrecht University, P.O. Box 80140, 3508 TC Utrecht, Netherlands.
Charles R NewtonCentre for Geographic Medicine Research Coast, Kenya Medical Research Institute (KEMRI), P.O. Box 230, Kilifi, Kenya.ORCID 0000-0002-6999-5507
Amina AbubakarCentre for Geographic Medicine Research Coast, Kenya Medical Research Institute (KEMRI), P.O. Box 230, Kilifi, Kenya.ORCID 0000-0002-3686-7904

Funding

Medical Research Council MC_PC_MR/R019606/1Medical Research Council MR/M025454/1Wellcome Trust
6 · The paper itself

Abstract

The burden of health risk behaviour (HRB) among adolescents living with HIV (ALWHIV) in sub-Saharan Africa (SSA) is currently unknown. A systematic search for publications on HRB among ALWHIV in SSA was conducted in PubMed, Embase, PsycINFO, and Applied Social Sciences Index and Abstracts databases. Results were summarized following PRISMA guidelines for systematic reviews and meta-analyses. Heterogeneity was assessed by the DerSimonian and Laird method and the pooled estimates were computed. Prevalence of current condom nonuse behaviour was at 59.8% (95% CI: 47.9-71.3%), risky sexual partnerships at 32.9% (95% CI: 15.4-53.2%), transactional sex at 20.1% (95% CI: 9.2-33.8%), and the experience of sexual violence at 21.4% (95% CI: 16.3-27.0%) among ALWHIV. From this meta-analysis, we did not find statistically significant differences in pooled estimates of HRB prevalence between ALWHIV and HIV uninfected adolescents. However, there was mixed evidence on the occurrence of alcohol and drug use behaviour. Overall, we found that research on HRB among ALWHIV tends to focus on behaviour specific to sexual risk. With such a high burden of HRB for the individuals as well as society, these findings highlight an unmet need for age-appropriate interventions to address the behavioural needs of these adolescents.

Indexed as

Health Risk BehaviorsAdolescentAfrica South of the SaharaFemaleHIV InfectionsHumansMalePrevalenceSexual BehaviorViolence

Identifiers

PMID29789804
PMCPMC5896333

What OpenQuestion holds

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Registered trials

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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.