Evidence map›Paper›PMID 33489245›Full record

ReviewGlobal mental health (Cambridge, England)2020

The prevalence of mental health problems in sub-Saharan adolescents living with HIV: a systematic review.

A S Dessauvagie, A Jörns-Presentati, A-K Napp, D J Stein, D Jonker, E Breet, W Charles, R L Swart, M Lahti, S Suliman and 4 more

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Global mental health (Cambridge, England), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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

68 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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8 more citing papers are in PubMed but not listed here.

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

14 authors.

A S DessauvagieDepartment of Social Work, Faculty of Business and Social Sciences, Hamburg University of Applied Sciences, Germany.
A Jörns-PresentatiDepartment of Social Work, Faculty of Business and Social Sciences, Hamburg University of Applied Sciences, Germany.
A-K NappDepartment of Social Work, Faculty of Business and Social Sciences, Hamburg University of Applied Sciences, Germany.
D J SteinSAMRC Unit on Risk & Resilience in Mental Disorders, Department of Psychiatry and Neuroscience Institute, University of Cape Town, South Africa.
D JonkerDepartment of Psychiatry and Mental Health, University of Cape Town, South Africa.
E BreetDepartment of Psychiatry and Mental Health, University of Cape Town, South Africa.
W CharlesDepartment of Psychiatry and Mental Health, University of Cape Town, South Africa.
R L SwartDepartment of Psychiatry and Mental Health, University of Cape Town, South Africa.
M LahtiFaculty of Health and Well-being, Turku University of Applied Sciences, Finland.
S SulimanDepartment of Psychiatry, Faculty of Medicine and Health Sciences, Stellenbosch University, South Africa.
R JansenSchool of Nursing, University of the Free State, South Africa.
L L van den HeuvelDepartment of Psychiatry, Faculty of Medicine and Health Sciences, Stellenbosch University, South Africa.
S SeedatDepartment of Psychiatry, Faculty of Medicine and Health Sciences, Stellenbosch University, South Africa.
G GroenDepartment of Social Work, Faculty of Business and Social Sciences, Hamburg University of Applied Sciences, Germany.ORCID https://orcid.org/0000-0001-9947-8722

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite the progress made in HIV treatment and prevention, HIV remains a major cause of adolescent morbidity and mortality in sub-Saharan Africa. As perinatally infected children increasingly survive into adulthood, the quality of life and mental health of this population has increased in importance. This review provides a synthesis of the prevalence of mental health problems in this population and explores associated factors. A systematic database search (Medline, PsycINFO, Scopus) with an additional hand search was conducted. Peer-reviewed studies on adolescents (aged 10-19), published between 2008 and 2019, assessing mental health symptoms or psychiatric disorders, either by standardized questionnaires or by diagnostic interviews, were included. The search identified 1461 articles, of which 301 were eligible for full-text analysis. Fourteen of these, concerning HIV-positive adolescents, met the inclusion criteria and were critically appraised. Mental health problems were highly prevalent among this group, with around 25% scoring positive for any psychiatric disorder and 30-50% showing emotional or behavioral difficulties or significant psychological distress. Associated factors found by regression analysis were older age, not being in school, impaired family functioning, HIV-related stigma and bullying, and poverty. Social support and parental competence were protective factors. Mental health problems among HIV-positive adolescents are highly prevalent and should be addressed as part of regular HIV care.

Indexed as

AdolescentsepidemiologyHIV/AIDSMental healthsub-Saharan Africa

Identifiers

PMID33489245
PMCPMC7786273

What OpenQuestion holds

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LicenceCC BY
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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.