Review Article

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

Table 1

Description of studies included in the systematic review and meta-analysis.

First authorCountryYear of studyPopulation descriptionALWHIV HIV uninfected adolescent participants Route of HIV transmissionForm of HRBQuality Assessment (QATSO score)

Aboki [29]Nigeria2007, 2012Adolescent participants in a national survey1,980 (in 2007)
3,992 (in 2012)
NANR(i) Sexual risk behaviour80% (Good)

Auvert [30]South Africa1999Sexually active youths living in a small mining town325857NR(i) Alcohol use behaviour
(ii) Sexual risk behaviour
(iii) Sexual violence
(iv) Hygiene practices
100% (Good)

Bakeera-Kitaka [6]Uganda2006ALWHIV from a pediatrics clinic75NA86% (perinatal)
2.6% (blood transfusion)
1.3% (Heterosexual)
9.3% (unknown)
(i) Sexual risk behaviour50% (Satisfactory)

Birungi [31]Uganda2007ALWHIV from various HIV/AIDS treatment programs732NAPerinatal(i) Sexual risk behaviour
(ii) Sexual violence
75% (Good)

Bunnell [32]Uganda2004-2005Adolescent participants from a household survey43NANR(i) Sexual risk behaviour100% (Good)

Gavin [11]Zimbabwe2001-2002Adolescent females from a household survey1921,615NR(i) Sexual risk behaviour
(ii) Alcohol use behaviour
(iii) Sexual violence
100% (Good)

Jaspan [12]South Africa2004-2005Adolescents participants from a house hold survey35296NR(i) Sexual risk behaviour
(ii) Sexual violence
80% (Good)

Jewkes [13]South Africa2002-2003Males from a rural setting261,252NR(i) Sexual risk behaviour
(ii) Alcohol use behaviour
(iii) Drug use behaviour
(iv) Sexual violence
60% (Satisfactory)

Jewkes [33]South Africa2002-2003Females from a rural setting1601,135NR(i) Alcohol use behaviour
(ii) Drug use behaviour
(iii) Sexual risk behaviour
(iv) Sexual violence
60% (Satisfactory)

Lane [34]South Africa2003Males who engage in heterosexual anal sex (data from household survey)NRNRNR(i) Sexual risk behaviour
(ii) Alcohol use behaviour
(iii) Drug use behaviour
60% (Satisfactory)

Mhalu [35]Tanzania2010ALWHIV receiving care110NANR(i) Sexual risk behaviour80% (Good)

Steffenson [36]South Africa2003Adolescent participants from a household survey1,0926,600NR(i) Sexual risk behaviour100% (Good)

Test [14]Rwanda2010Adolescents receiving medication from an ART clinic68NA61% (perinatal)
33% (Sexually)
5% (others)
(i) Sexual risk behaviour
(ii) Alcohol use behaviour
(iii) Sexual violence
80% (Good)

Konde-Lule [37]Uganda1990Adolescents from a household survey70499NR(i) Sexual risk behaviour100% (Good)

ALWHIV were adolescents (10–19 years) that were living with HIV in each of the eligible study; NR refers to “not reported”; NA refers to “not applicable.”