Department of Social Work, Faculty of Arts, University of Zululand, Private Bag X1001, KwaDlangezwa, 3886, South Africa.
Discipline of Public Health Medicine, School of Nursing and Public Health, University of KwaZulu-Natal, Durban, 4001, South Africa.
Syst Rev. 2021 Feb 5;10(1):50. doi: 10.1186/s13643-021-01604-w.
BACKGROUND: Depression is one of the most prevalent mental disorders among an estimated 25.6 million people living with HIV (PLHIV) in sub-Saharan Africa (SSA). The depression rate is higher in HIV-seropositive men who have sex with men (MSM) regardless of their sexual orientation, identity or romantic attraction. This is due to various types of stigma including HIV-related stigma, social stigma, self-stigma and mental health stigma. Opportunistic infections, unemployment, poverty and food insecurity also predispose HIV-seropositive MSM to depression. Moreover, depression in heterosexual and sexual minority groups challenges and additionally burdens SSA health care systems due to inadequate economic developments, lack of mental health professionals who specialise in the treatment of depression, few MSM-centred facilities, inadequate mental health infrastructure (hospitals and clinics) and complimentary resources. Although studies have highlighted links between mental health disorder, an HIV diagnosis and sexual minority groups, there is limited research that focusses on depression and its causal factors in MSM living with HIV in SSA. Hence, the relevance of conducting this scoping review. METHODS: A scoping review guided by Arksey and O'Malley's framework, the enhancements and recommendations of Levac, Colquhoun and O'Brien, Daudt and associates and the 2015 Johanna Briggs Institute's guidelines will be conducted. Systematic electronic searches of databases and search engines such as Google, Google Scholar, CINAHL (EBSCOhost), MEDLINE (Ovid), and PsycInfo (Ovid) will be conducted to attain published peer-reviewed articles of all study designs. Grey literature will be sourced from media and conference abstracts and reports, governmental reports and unpublished dissertations and theses. Additionally, websites of humanitarian organisations and other relevant departmental websites will also be searched. Literature published between 2010 and 2020 that meets the review's inclusion criteria, research question and sub-question will be included in this review. All the retrieved literature will be exported to an Endnote X9.2 library after duplicates have been removed. DISCUSSION: We anticipate mapping relevant literature on depression and the causal factors in HIV-seropositive MSM living in SSA. Once analysed and summarised, the data will be useful in identifying literature gaps, informing systematic reviews and future research. The findings could also assist in depression and sexuality dialogues, and awareness campaigns that address mental health issues, stigma and discrimination among this key population living in SSA.
背景:在撒哈拉以南非洲(SSA),估计有 2560 万艾滋病毒(HIV)感染者(PLHIV)中,抑郁症是最常见的精神障碍之一。HIV 阳性男男性行为者(MSM)的抑郁症发病率更高,无论他们的性取向、身份或浪漫吸引力如何。这是由于各种类型的污名,包括与 HIV 相关的污名、社会污名、自我污名和精神健康污名。机会性感染、失业、贫困和粮食不安全也使 HIV 阳性 MSM 易患抑郁症。此外,异性恋和性少数群体的抑郁症给 SSA 医疗保健系统带来了挑战,并增加了负担,这是由于经济发展不足、缺乏专门治疗抑郁症的精神卫生专业人员、以 MSM 为中心的设施较少、精神卫生基础设施(医院和诊所)不足以及补充资源不足。尽管研究强调了精神健康障碍、HIV 诊断和性少数群体之间的联系,但很少有研究关注 SSA 中 HIV 感染者的抑郁症及其因果因素。因此,进行这项范围界定审查具有重要意义。
方法:本研究将采用 Arksey 和 O'Malley 的框架、Levac、Colquhoun 和 O'Brien、Daudt 和同事以及 2015 年 Johanna Briggs 研究所指南的增强和建议进行范围界定审查。将对数据库和搜索引擎(如 Google、Google Scholar、CINAHL(EBSCOhost)、MEDLINE(Ovid)和 PsycInfo(Ovid))进行系统的电子检索,以获取所有研究设计的已发表同行评议文章。灰色文献将来自媒体和会议摘要和报告、政府报告、未发表的论文和论文以及人道主义组织和其他相关部门网站。2010 年至 2020 年期间发表的符合审查纳入标准、研究问题和子问题的文献将包括在本综述中。所有检索到的文献将在删除重复项后导出到 Endnote X9.2 库中。
讨论:我们预计将绘制关于 SSA 中 HIV 阳性 MSM 中抑郁症及其因果因素的相关文献。分析和总结后,数据将有助于确定文献差距,为系统评价和未来研究提供信息。调查结果还可以帮助解决这一关键人群的心理健康问题、污名和歧视问题,以及与抑郁症和性问题有关的对话和宣传活动。
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