Mental Health Problems Across the HIV Care Continuum for Adolescents Living with HIV in Sub-Saharan Africa: A Scoping Review.

Journal: AIDS and behavior

Volume: 27

Issue: 8

Year of Publication: 2023

Affiliated Institutions:  Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. op@cumc.columbia.edu. Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. Johns Hopkins School of Nursing, Baltimore, MD, USA. Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.

Abstract summary 

Mental health problems (e.g., anxiety, depression) are frequently experienced by adolescents living with HIV (ALWH) and can worsen HIV-related outcomes. This scoping review synthesizes the existing research on ALWHs' mental health problems at multiple steps along the HIV care continuum in sub-Saharan Africa. Searching PubMed, CINAHL, EMBASE, and PsycINFO identified 34 peer-reviewed studies that met inclusion criteria. Most studies assessed ALWHs' mental health problems at the "Engaged or Retained in Care" continuum step, are cross-sectional, focus on depression and anxiety, and used measures developed in high-income countries. Studies identify mental health problems among ALWH as prevalent and barriers to care. Significant gaps remain in understanding how mental health problems and their relationships with HIV-related health outcomes shift across the continuum. Additional attention is needed, especially at the HIV testing and viral suppression steps, to generate a more comprehensive understanding of mental health needs and priority timepoints for intervention for ALWH.

Authors & Co-authors:  Poku Ohemaa B OB West Nora S NS Eschliman Evan L EL Dangerfield Derek T DT Bass Judith J Kennedy Caitlin E CE Murray Sarah M SM

Study Outcome 

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Statistics
Citations :  Parcesepe AM, Bernard C, Agler R, Ross J, Yotebieng M, Bass J, et al. Mental health and HIV: research priorities related to the implementation and scale up of ‘treat all’ in sub-Saharan Africa. J Virus Erad. 2018;4:16–25.
Authors :  7
Identifiers
Doi : 10.1007/s10461-023-03981-w
SSN : 1573-3254
Study Population
Male,Female
Mesh Terms
Humans
Other Terms
Adolescents;Care continuum;HIV/AIDS;Mental health problems;Sub-Saharan Africa
Study Design
Cross Sectional Study
Study Approach
Country of Study
Publication Country
United States