Table 2 Description of studies in the quantitative synthesis that examined correlates of wellbeing or mental health among YPLHIV in SSA (N = 10)
Author year | World Bank Income Classification | Country | Setting | Study design | Data collection period | Type of participants | Recruited from | Outcome measured (scales used) | Total participated (N) | Mean age (SD) | Female n (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|
(Abebe et al., 2019) | Low income (Eastern) | Ethiopia | Addis Ababa (Urban) | Cross-sectional | May-Jun 2016 (Scaled-up ART) | YPLHIV (15–24 yrs.) | Public hospitals | Depressive symptoms (BDI-II) | 507 | 18.6 (3.02) | 272 (69) |
(Kim et al., 2015) | Low income (Southern) | Malawi | Zomba, Lilongwe (Urban) | Cross-sectional | 2012 (Scaled-up ART) | YPLHIV (12–18 yrs.) | Paediatric HIV clinic, ART clinic in hospital | Depressive symptoms (BDI II, CDRS-R) | 562 | 14.5 (2.0) | 315 (56) |
(Mbalinda et al., 2015) | Low income (Eastern) | Uganda | Eastern, western and northern regions-(Mixed) | Cross-sectional | Sept 2013-Mar 2014 (Scaled-up ART) | YPLHIV (10–19 yrs.), peri-natally HIV-infected | Public and non-profit private healthcare facilities (n = 4) | Health-related quality of life (MOS-HIV) | 614 | 16.2 (2.1) | 361 (58.8) |
(Mutumba et al., 2017) | Low income (Eastern) | Uganda | Kampala (Urban) | Cross-sectional | May- Sept 2013 (Scaled-up ART) | YPLHIV (12–19 yrs.), aware of HIV status, no clinically documented cognitive limitations | NPO ARV Clinic- Joint Clinical Research Centre | Psychological distress (Psychological distress measure) | 464 | 15.6 (2.21) | 249 (53) |
(Dow et al., 2016) | Low income (Eastern) | Tanzania | Moshi (Urban) | Cross-sectional | Dec 2013-May 2014 (Scaled-up ART) | YPLHIV (12–24 yrs.), aware of HIV status, living with family and attending a HIV- youth programme | HIV youth clinic | Depressive symptoms (PHQ-9), mental health difficulties (SDQ) | 182 | 17.2 (2.9) | 99 (54) |
(Gaitho et al., 2018) | Lower middle income (Eastern) | Kenya | Nairobi (Urban) | Cross-sectional | Aug-Dec 2016 (Scaled-up ART) | YPLHIV (10–19 yrs.) | Comprehensive Care Clinic in Hospital | Depressive symptoms (PHQ-9) | 270 | 14.75 (2.6) | 125 (47.3) |
(Okawa et al., 2018) | Lower middle income (Southern) | Zambia | Lusaka (Urban) | Cross-sectional (Mixed-methods) | Apr-Jul 2014 (Scaled-up ART) | YPLHIV (15–19 yrs.), aware of HIV status, registered as clients at the HIV centres | Paediatric and AdultHIV Centres of Excellence -University Teaching Hospital | Depressive symptoms (CES-D) | 190 | 16 (NR) | 110 (57.9) |
(Gentz et al., 2017) | Upper middle income (Southern) | Namibia | Katutura, Windhoek (Peri-urban) | Cross-sectional | July 2013-Mar 2014 (Scaled-up ART) | YPLHIV (12–18 yrs.), aware of HIV status | Paediatric ARV clinic in hospital | Mental health difficulties (SDQ) | 99 | 14.3 (1.8) | 52 (52.5) |
(Earnshaw et al., 2018) | Upper middle income (Southern) | South Africa | Johannesburg (Peri-urban) | Cross-sectional | Nov 2015-Jul 2016 (Scaled-up ART) | YPLHIV (13–24 yrs.), aware of HIV status, peri-natal HIV-infection | Paediatric Wellness Clinic- in hospital | Depressive symptoms (BDI-II) | 250 | 16.34 (2.67) | 103 (41) |
(Woollett et al., 2017) | Upper middle income (Southern) | South Africa | Johannesburg (Urban) | Cross-sectional | Aug 2013-April 2014 (Scaled-up ART) | YPLHIV (13–19 yrs.) | Paediatric clinics- hospital (n = 3), community healthcare centre (n = 1); primary healthcare clinic (n = 1) | Depressive symptoms (CDI-S), anxiety symptoms (RCMAS-2) | 343 | 16* (IQR 12–19) | 181 (52) |