ArticleJournal of epidemiology and global health2025
How Social-Relational Context Impacts the Mental Health of Adolescent and Young Adults Living with and Without HIV in Mozambique: A Social Network Analysis Study.
Article in Journal of epidemiology and global health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Violence Victimisation and Mental Health Distress Among Adolescent Girls Living with HIV in Southern Africa: Does Social Protection Help?AIDS and behavior · 2026Article
- The burden of anxiety, depression, and substance use disorders attributable to childhood maltreatment among adolescents in Africa: insights from the global burden of disease study 2021.Annals of general psychiatry · 2025Article
- Exploring socio-ecological context and mental health of Ukrainian refugees in Italy through eco-map: a mixed-methods study.Journal of migration and health · 2025Article
- Neurofunctional correlates of emotional dysregulation in adolescent Crohn's disease: a resting-state fMRI preliminary investigation.Frontiers in neuroscience · 2025Article
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9 authors.
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Abstract
purposeThis study aims to describe the social-relational context of adolescents and young adults living with (AYALHIV) and without HIV (AYAHIV-) in the city of Beira (Mozambique) and to assess how it can impact their mental health.
methodsA cross-sectional study with three-level assessment was conducted between July and August 2023. Socio-economic factors were assessed through an ad-hoc questionnaire, mental health through symptom Checklist-90 (SCL-90), and social-relational networks using social network analysis (SNA). SNA parameters included were: average degree centrality, closeness centrality, betweenness centrality, eigenvector centrality and transitivity. Robust linear regression model was used to assess association between SNA parameters and SCL-90 scores.
resultsAYAs involved were 352 (F: 50.7%) and 341 (96.9%) completed both sociogram and SCL-90. Average degree centrality was 1.44 (SD 0.77) for supportive networks (supSN) and 0.49 (SD 0.39) for stressful ones (strSN). The average degree centrality was higher in AYAHIV- compared to AYALHIV (0.009). Supportive edges occurred more often between the individual and their mother (65.1%), while stressful edges between one (24.3%) or two (18.8%) neighbourhood people. The supSN betweenness was 0.27 (SD 0.24) in females and was significantly lower compared to males (0.33, SD 0.27, p = 0.017). The mean score at the SCL-90 was 1.1 (SD 0.5). An increase in 1 SD of the average degree centrality of the supSN was associated with a decrease of 0.14 SD at the SCL-90 (p = 0.014). The SCL-90 score was significantly lower in males (p = 0.045) and in AYAs from the high socio-economic group (p = 0.009).
conclusionTwo groups proved to be more vulnerable with regard to socio-relational networks, women and AYALHIV. Better interconnected social support networks were associated with better mental health (i.e. lower scores on the SCL-90). Improving support within the community is therefore important for achieving better mental well-being for all.
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