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Abstract：
BACKGROUND: Adolescent mental health issues are emerging as a significant public health concern across many low- and middle-income countries, particularly in Africa. This study aims to evaluate the aggregated prevalence and contributing risk factors of mental health distress among adolescents in Africa.
METHODS: A comprehensive search of PubMed, PsycINFO, Web of Science, Google Scholar, and HINARI databases was conducted to identify relevant articles on the prevalence and risk factors associated with mental health distress among African adolescents, published up to December 2023. The quality of the selected studies was assessed using the Newcastle-Ottawa Quality Assessment Scale. Heterogeneity among the studies was evaluated using the I² statistical test. Potential publication bias was assessed through a funnel plot and Egger\'s statistical test. This systematic review was registered with PROSPERO under reference number CRD42023494665.
RESULTS: Eighteen studies encompassing data from 37,016 adolescents were included in the analysis. The overall prevalence of mental health distress among adolescents in Africa was found to be 27.34% (95% CI: 23.18-31.50). The occurrence of mental health distress is observed in older adolescents at a prevalence of 29.44% (95% CI: 23.26-35.66) and in younger adolescents at 24.73% (95% CI: 11.96-37.51). Significant risk factors identified included bullying victimization, with an odds ratio (POR) of 1.30 (95% CI: 1.16, 1.46), and experiencing hunger, with an odds ratio (POR) of 2.10 (95% CI: 1.13, 3.91).
CONCLUSIONS: The findings indicate a high prevalence of mental health distress among adolescents in Africa, highlighting the widespread impact on this demographic. These results underscore the urgent need for targeted interventions to prevent and address mental health distress among adolescents. Further research on a global scale is essential to develop effective prevention and treatment strategies tailored to this age group.
METHODS: A comprehensive search of PubMed, PsycINFO, Web of Science, Google Scholar, and HINARI databases was conducted to identify relevant articles on the prevalence and risk factors associated with mental health distress among African adolescents, published up to December 2023. The quality of the selected studies was assessed using the Newcastle-Ottawa Quality Assessment Scale. Heterogeneity among the studies was evaluated using the I² statistical test. Potential publication bias was assessed through a funnel plot and Egger\'s statistical test. This systematic review was registered with PROSPERO under reference number CRD42023494665.
RESULTS: Eighteen studies encompassing data from 37,016 adolescents were included in the analysis. The overall prevalence of mental health distress among adolescents in Africa was found to be 27.34% (95% CI: 23.18-31.50). The occurrence of mental health distress is observed in older adolescents at a prevalence of 29.44% (95% CI: 23.26-35.66) and in younger adolescents at 24.73% (95% CI: 11.96-37.51). Significant risk factors identified included bullying victimization, with an odds ratio (POR) of 1.30 (95% CI: 1.16, 1.46), and experiencing hunger, with an odds ratio (POR) of 2.10 (95% CI: 1.13, 3.91).
CONCLUSIONS: The findings indicate a high prevalence of mental health distress among adolescents in Africa, highlighting the widespread impact on this demographic. These results underscore the urgent need for targeted interventions to prevent and address mental health distress among adolescents. Further research on a global scale is essential to develop effective prevention and treatment strategies tailored to this age group.
摘要：
背景：青少年心理健康问题正在成为许多低收入和中等收入国家的重大公共卫生问题，尤其是在非洲。这项研究旨在评估非洲青少年心理健康困扰的总体患病率和影响因素。
方法：对PubMed的全面搜索，PsycINFO,WebofScience,谷歌学者，和HINARI数据库进行了研究，以确定有关非洲青少年心理健康困扰的患病率和危险因素的相关文章，直到2023年12月。使用纽卡斯尔-渥太华质量评估量表评估所选研究的质量。使用I²统计检验评估研究之间的异质性。通过漏斗图和Egger的统计检验评估潜在的发表偏倚。该系统评价在PROSPERO注册，参考号为CRD42023494665。
结果：分析中纳入了18项研究，包括来自37,016名青少年的数据。非洲青少年心理健康困扰的总体患病率为27.34％（95％CI：23.18-31.50）。在年龄较大的青少年中，心理健康困扰的发生率为29.44％（95％CI：23.26-35.66），在年轻的青少年中为24.73％（95％CI：11.96-37.51）。确定的重要风险因素包括欺凌受害，比值比（POR）为1.30（95%CI：1.16，1.46），经历饥饿，比值比（POR）为2.10（95%CI：1.13，3.91）。
结论：研究结果表明，非洲青少年的心理健康困扰患病率很高，突出了对这一人口的广泛影响。这些结果强调了迫切需要有针对性的干预措施来预防和解决青少年的心理健康困扰。全球范围内的进一步研究对于制定针对该年龄组的有效预防和治疗策略至关重要。
方法：对PubMed的全面搜索，PsycINFO,WebofScience,谷歌学者，和HINARI数据库进行了研究，以确定有关非洲青少年心理健康困扰的患病率和危险因素的相关文章，直到2023年12月。使用纽卡斯尔-渥太华质量评估量表评估所选研究的质量。使用I²统计检验评估研究之间的异质性。通过漏斗图和Egger的统计检验评估潜在的发表偏倚。该系统评价在PROSPERO注册，参考号为CRD42023494665。
结果：分析中纳入了18项研究，包括来自37,016名青少年的数据。非洲青少年心理健康困扰的总体患病率为27.34％（95％CI：23.18-31.50）。在年龄较大的青少年中，心理健康困扰的发生率为29.44％（95％CI：23.26-35.66），在年轻的青少年中为24.73％（95％CI：11.96-37.51）。确定的重要风险因素包括欺凌受害，比值比（POR）为1.30（95%CI：1.16，1.46），经历饥饿，比值比（POR）为2.10（95%CI：1.13，3.91）。
结论：研究结果表明，非洲青少年的心理健康困扰患病率很高，突出了对这一人口的广泛影响。这些结果强调了迫切需要有针对性的干预措施来预防和解决青少年的心理健康困扰。全球范围内的进一步研究对于制定针对该年龄组的有效预防和治疗策略至关重要。
