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. 2018 Jan 28:2018:7375831.
doi: 10.1155/2018/7375831. eCollection 2018.

Health Risk Behaviour among Adolescents Living with HIV in Sub-Saharan Africa: A Systematic Review and Meta-Analysis

Derrick Ssewanyana  1   2 , Patrick N Mwangala  1 , Anneloes van Baar  2 , Charles R Newton  1   3 , Amina Abubakar  1   3   4
Affiliations

Health Risk Behaviour among Adolescents Living with HIV in Sub-Saharan Africa: A Systematic Review and Meta-Analysis

Derrick Ssewanyana et al. Biomed Res Int. .

Abstract

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.

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Figures

Figure 1
Figure 1
A flow diagram for the literature review.
Figure 2
Figure 2
Prevalence of current condom nonuse behaviour among ALWHIV and HIV uninfected adolescents.
Figure 3
Figure 3
Prevalence of risky sexual partnerships among ALWHIV and HIV uninfected adolescents.
Figure 4
Figure 4
Prevalence of transactional sex among ALWHIV and HIV uninfected adolescents.
Figure 5
Figure 5
Prevalence of sexual violence behaviour among ALWHIV and HIV uninfected adolescents.
See this image and copyright information in PMC

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