Health risk behaviour among adolescents living with HIV in Sub-Saharan Africa: a systematic review and meta-analysis
The burden of health risk behaviour (HRB) among adolescents living with HIV (ALWHIV) in sub-Saharan Africa (SSA) is currently unknown. A systematic search for publications on HRB among ALWHIV in SSA was conducted in PubMed, Embase, PsycINFO, and Applied Social Sciences Index and Abstracts databases....
| Príomhchruthaitheoirí: | , , , , |
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| Formáid: | Journal article |
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Hindawi Publishing Corporation
2018
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| _version_ | 1826301933633142784 |
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| author | Ssewanyana, D Mwangala, P van Baar, A Newton, C Abubukar, A |
| author_facet | Ssewanyana, D Mwangala, P van Baar, A Newton, C Abubukar, A |
| author_sort | Ssewanyana, D |
| collection | OXFORD |
| description | The burden of health risk behaviour (HRB) among adolescents living with HIV (ALWHIV) in sub-Saharan Africa (SSA) is currently unknown. A systematic search for publications on HRB among ALWHIV in SSA was conducted in PubMed, Embase, PsycINFO, and Applied Social Sciences Index and Abstracts databases. Results were summarized following PRISMA guidelines for systematic reviews and meta-analyses. Heterogeneity was assessed by the DerSimonian and Laird method and the pooled estimates were computed. Prevalence of current condom nonuse behaviour was at 59.8% (95% CI: 47.9–71.3%), risky sexual partnerships at 32.9% (95% CI: 15.4–53.2%), transactional sex at 20.1% (95% CI: 9.2–33.8%), and the experience of sexual violence at 21.4% (95% CI: 16.3–27.0%) among ALWHIV. From this meta-analysis, we did not find statistically significant differences in pooled estimates of HRB prevalence between ALWHIV and HIV uninfected adolescents. However, there was mixed evidence on the occurrence of alcohol and drug use behaviour. Overall, we found that research on HRB among ALWHIV tends to focus on behaviour specific to sexual risk. With such a high burden of HRB for the individuals as well as society, these findings highlight an unmet need for age-appropriate interventions to address the behavioural needs of these adolescents. |
| first_indexed | 2024-03-07T05:39:52Z |
| format | Journal article |
| id | oxford-uuid:e5328c42-41e8-4dd3-ab1f-1c61506b8e47 |
| institution | University of Oxford |
| last_indexed | 2024-03-07T05:39:52Z |
| publishDate | 2018 |
| publisher | Hindawi Publishing Corporation |
| record_format | dspace |
| spelling | oxford-uuid:e5328c42-41e8-4dd3-ab1f-1c61506b8e472022-03-27T10:22:12ZHealth risk behaviour among adolescents living with HIV in Sub-Saharan Africa: a systematic review and meta-analysisJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:e5328c42-41e8-4dd3-ab1f-1c61506b8e47Symplectic Elements at OxfordHindawi Publishing Corporation2018Ssewanyana, DMwangala, Pvan Baar, ANewton, CAbubukar, AThe burden of health risk behaviour (HRB) among adolescents living with HIV (ALWHIV) in sub-Saharan Africa (SSA) is currently unknown. A systematic search for publications on HRB among ALWHIV in SSA was conducted in PubMed, Embase, PsycINFO, and Applied Social Sciences Index and Abstracts databases. Results were summarized following PRISMA guidelines for systematic reviews and meta-analyses. Heterogeneity was assessed by the DerSimonian and Laird method and the pooled estimates were computed. Prevalence of current condom nonuse behaviour was at 59.8% (95% CI: 47.9–71.3%), risky sexual partnerships at 32.9% (95% CI: 15.4–53.2%), transactional sex at 20.1% (95% CI: 9.2–33.8%), and the experience of sexual violence at 21.4% (95% CI: 16.3–27.0%) among ALWHIV. From this meta-analysis, we did not find statistically significant differences in pooled estimates of HRB prevalence between ALWHIV and HIV uninfected adolescents. However, there was mixed evidence on the occurrence of alcohol and drug use behaviour. Overall, we found that research on HRB among ALWHIV tends to focus on behaviour specific to sexual risk. With such a high burden of HRB for the individuals as well as society, these findings highlight an unmet need for age-appropriate interventions to address the behavioural needs of these adolescents. |
| spellingShingle | Ssewanyana, D Mwangala, P van Baar, A Newton, C Abubukar, A Health risk behaviour among adolescents living with HIV in Sub-Saharan Africa: a systematic review and meta-analysis |
| title | Health risk behaviour among adolescents living with HIV in Sub-Saharan Africa: a systematic review and meta-analysis |
| title_full | Health risk behaviour among adolescents living with HIV in Sub-Saharan Africa: a systematic review and meta-analysis |
| title_fullStr | Health risk behaviour among adolescents living with HIV in Sub-Saharan Africa: a systematic review and meta-analysis |
| title_full_unstemmed | Health risk behaviour among adolescents living with HIV in Sub-Saharan Africa: a systematic review and meta-analysis |
| title_short | Health risk behaviour among adolescents living with HIV in Sub-Saharan Africa: a systematic review and meta-analysis |
| title_sort | health risk behaviour among adolescents living with hiv in sub saharan africa a systematic review and meta analysis |
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