Evidence map›Paper›PMID 36564086›Full record

ArticleBMJ global health2022

Associations between mental health and HIV status among sexual minority and heterosexual adolescents in Nigeria.

Morenike Oluwatoyin Folayan, Olakunle Oginni, Olanrewaju Ibikunle Ibigbami, Uma Philip, Nserd Ntonoba Mfam, Chinedu Mbam, Amos Ganyam, Agada A Salem, Christopher Osuji, Cory Bradley and 2 more

Open access · goldAbstract read
In one paragraph

Article in BMJ global health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
1.0field-weighted citation impact, top 23% of its field
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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 11 citations in OpenAlex.

  1. 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

12 authors at 5 institutions in 4 countries.

Morenike Oluwatoyin FolayanDepartment of Child Dental Health, Obafemi Awolowo University, Ile-Ife, Nigeria toyinukpong@yahoo.co.uk.ORCID 0000-0002-9008-7730
Olakunle OginniDepartment of Mental Health, Obafemi Awolowo University, Ile-Ife, Nigeria.
Olanrewaju Ibikunle IbigbamiDepartment of Mental Health, Obafemi Awolowo University, Ile-Ife, Nigeria.ORCID 0000-0003-0234-4651
Uma PhilipTotal Health Empowerment and Development Initiative (THEDI), Makurdi, Nigeria.
Nserd Ntonoba MfamDepartment of Epidemiology and Community Medicine, Federal University of Lafia, Lafia, Nigeria.
Chinedu MbamTotal Health Empowerment and Development Initiative (THEDI), Makurdi, Nigeria.
Amos GanyamTotal Health Empowerment and Development Initiative (THEDI), Makurdi, Nigeria.
Agada A SalemTotal Health Empowerment and Development Initiative (THEDI), Makurdi, Nigeria.
Christopher OsujiTotal Health Empowerment and Development Initiative (THEDI), Makurdi, Nigeria.
Cory BradleyDepartment of Medicine, Washington University School of Medicine in St Louis, St Louis, Missouri, USA.
Joanne LusherRegent's University London, London, UK.
Nadia Adjoa Sam-AguduInternational Research Center of Excellence, Institute of Human Virology Nigeria, Abuja, Nigeria.
Obafemi Awolowo University · NGFederal University Lafia · NGRegent's University London · GBUniversity of Maryland, Baltimore · USWashington University in St. Louis · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe aimed to determine associations between the mental health status of adolescents by self-reported sexual identity; and to determine associations between the mental health status of sexual minority adolescents living with and without HIV.

methodsThis cross-sectional study collected data from Nigerians aged 13-19 years old using an online survey. We collected information on dependent (sexual identity) and independent (presence of depressive symptoms, generalised anxiety disorder, suicidal attempt/ideation, HIV status) study variables. A multivariate regression model determined associations between the dependent and independent variables. A second multivariate regression model was developed to establish associations between HIV status among sexual minority individuals and the dependent variables. All models were adjusted for age, sex assigned at birth and education level.

resultsAmong 1247 respondents living in Nigeria, 497 (39.9%) identified as sexual minority individuals. Compared with their heterosexual peers, sexual minority adolescents had significantly higher odds of reporting depressive symptoms (adjusted OR (AOR): 5.54; 95% CI: 4.10 to 7.47; p<0.001), high general anxiety (AOR: 3.56; 95% CI: 2.64 to 4.79; p<0.001) and history of suicidal attempt/ideation (AOR: 2.95; 95% CI: 2.20 to 3.94; p<0.001). Sexual minority adolescents living with HIV had significantly higher odds of high general anxiety (AOR: 2.42; 95% CI: 1.21 to 4.84; p=0.013), while those with unknown HIV status had significantly higher odds of depressive symptoms (AOR: 3.82, 95% CI: 2.78 to 5.27; p<0.001), high general anxiety (AOR: 3.09; 95% CI: 2.29 to 4.17; p<0.001) and suicidal attempt/ideation (AOR: 1.65; 95% CI: 1.22 to 2.24; p=0.001).

conclusionSexual minority adolescents reported poorer mental health status than heterosexual adolescents. Although there was no significant difference in the mental health status of sexual minority adolescents living and not living with HIV, sexual minority adolescents with unknown HIV status reported worse mental health than their HIV-negative peers. Sexual minority adolescents in Nigeria need comprehensive rights-based care that improves access to mental health services, and those with unknown HIV status may need both HIV and mental health screening and care.

Indexed as

HIV InfectionsSexual and Gender MinoritiesAdolescentAdultCross-Sectional StudiesFemaleHeterosexualityHumansMaleMental HealthNigeriaYoung Adultcommunity-based surveyHIVmental health & psychiatrypublic health

Identifiers

PMID36564086
PMCPMC9791420
OpenAlexW4312116447

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.