Cited by 112HIV/AIDS Research and InterventionsHIV/AIDS Impact and ResponsesMental Health Treatment and Access

HIV/AIDS and mental health research in sub-Saharan Africa: a systematic review

Breuer, Erica, Myer, Landon, Struthers, Helen, Joska, John A·2011·African Journal of AIDS Research

Abstract

The relationship between mental illness and HIV/AIDS is complex and bidirectional. A significant amount of research has been performed in high-income countries but less is known about HIV and mental health in sub-Saharan Africa. The objectives of the review were to search the literature for quantitative studies conducted in sub-Saharan Africa on mental health and HIV and to critically evaluate and collate the studies in order to identify research needs and priorities. The databases Ovid, MEDLINE, PsycINFO and the Social Sciences Citation Index (SSCI) were searched for variations of search terms related to HIV/AIDS and mental health and studies limited to the populations of African countries. In addition, we hand-searched indexes of key journals and the databases of academic theses. We included 104 papers or research publications. The majority of these were published after 2005. The major topics covered were: mental-health-related HIV-risk behaviour, HIV in psychiatric populations, and mental illness in HIV-positive populations. The reported prevalence levels of mental illness among people living with HIV or AIDS (PLHIV) was high, with all but one study noting a prevalence of 19% or higher. Neurocognitive changes in adults with HIV were also prevalent, with reported deficits of up to 99% in symptomatic PLHIV and 33% in non-symptomatic PLHIV. Research on HIV in relation to mental health is increasing; however, there is a need for good-quality prospective studies to investigate the bidirectional effects of mental illness and HIV on each other.

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Crossref · 10.2989/16085906.2011.593373

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Authors
Breuer, E., Myer, L., Struthers, H., & Joska, J. A.
Affiliations
  • University of Cape Town (ZA)
  • Anova Health Institute (ZA)
  • Groote Schuur Hospital (ZA)
Venue
African Journal of AIDS Research
Published
2011-06
Volume
10
Issue
2
Pages
101-122
ISSN
  • 1608-5906 (ISSN-L)
  • 1727-9445
OpenAlex
W2094957198
Cited by
112
References
166
Citations by year
2026: 3 · 2025: 2 · 2024: 2 · 2023: 11 · 2022: 10 · 2021: 5 · 2020: 15 · 2019: 11 · 2018: 6 · 2017: 8 · 2016: 10 · 2015: 10 · 2014: 13 · 2013: 4 · 2012: 2
FWCI
0.76
Type
journal article
Language
en
Open access
closed
Locations
  • African Journal of AIDS Research (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • United States Agency for International Development
  • U.S. President’s Emergency Plan for AIDS Relief
  • Anova Health Institute
Topics
  • Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
  • Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › HIV/AIDS Impact and Responses
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
Keywords
HIV/AIDS, mental health, sub-Saharan Africa, people living with HIV, prevalence of mental disorders, HIV risk behavior, psychiatric populations, neurocognitive impairment, research priorities

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