Banda Lucas, Mokgatle Mathildah Mpata, Oladimeji Olanrewaju
Department of Social Sciences, Demography and Population Studies Unit, Walter Sisulu University, Mthatha, South Africa
Department of Epidemiology and Biostatistics, Sefako Makgatho Health Sciences University, Pretoria, South Africa.
BMJ Open. 2025 Feb 17;15(2):e089266. doi: 10.1136/bmjopen-2024-089266.
Mental health issues among women in Sub-Saharan Africa (SSA), especially those living with HIV, pose a major public health challenge. Despite the established connections between HIV status and mental health outcomes, there is a noticeable absence of targeted interventions for this group within the literature. Many studies tend to focus on broad mental health concerns without addressing the specific needs of women with HIV, or they neglect to incorporate mental health elements into current HIV-related programmes. This scoping review aims to gather and analyse the existing research on interventions designed to improve the mental health of women in SSA, both with and without HIV. It will identify barriers preventing this population from accessing mental healthcare, highlight important gaps in the current literature and suggest directions for future research.
To conduct this scoping review, the researcher will adhere to the methodological framework proposed by Arksey and O'Malley. The literature search will span several databases, including PubMed, MEDLINE, Web of Science and PsychInfo, to ensure a comprehensive collection of relevant studies. The selection process will involve two stages: two independent reviewers will initially screen titles for eligibility and a full-text review of the selected articles. A specially designed tool will be used for data extraction, focusing on minimising bias and accurately capturing study details. The final selection of studies will be analysed using a standardised tool to comprehensively assess all bibliographic information and study characteristics. The planned study dates for the review will be January to March 2025.
No ethical approval is required as the review will draw on publicly available publications and materials. The study's conclusions will be subject to peer review and published in a scientific journal, with the abstract shared at local and international conferences. Key findings will be disseminated to health ministries, community-based organisations focused on women's mental health and HIV, and policymakers to inform policy decisions regarding mental health interventions for women in SSA.
撒哈拉以南非洲(SSA)地区女性的心理健康问题,尤其是感染艾滋病毒的女性,构成了一项重大的公共卫生挑战。尽管艾滋病毒感染状况与心理健康结果之间的联系已得到证实,但文献中明显缺乏针对该群体的针对性干预措施。许多研究往往侧重于广泛的心理健康问题,而未解决感染艾滋病毒女性的具体需求,或者忽视将心理健康要素纳入当前与艾滋病毒相关的项目中。本范围综述旨在收集和分析现有关于旨在改善撒哈拉以南非洲地区感染和未感染艾滋病毒女性心理健康的干预措施的研究。它将确定阻碍该人群获得心理保健的障碍,突出当前文献中的重要差距,并为未来研究提出方向。
为进行本范围综述,研究人员将遵循阿克西和奥马利提出的方法框架。文献检索将涵盖多个数据库,包括PubMed、MEDLINE、科学引文索引和心理学文摘数据库,以确保全面收集相关研究。选择过程将包括两个阶段:两名独立评审员将首先筛选标题以确定其是否符合资格,然后对所选文章进行全文评审。将使用专门设计的工具进行数据提取,重点是尽量减少偏差并准确获取研究细节。将使用标准化工具对最终选定的研究进行分析,以全面评估所有书目信息和研究特征。本综述计划的研究日期为2025年1月至3月。
由于本综述将利用公开可用的出版物和材料,因此无需伦理批准。该研究的结论将接受同行评审并发表在科学期刊上,摘要将在地方和国际会议上分享。主要研究结果将传播给卫生部、专注于女性心理健康和艾滋病毒的社区组织以及政策制定者,以为撒哈拉以南非洲地区女性心理健康干预政策决策提供信息。