{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T06:16:20Z","timestamp":1791872180311,"version":"4.3.4"},"reference-count":26,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2022,4,1]],"date-time":"2022-04-01T00:00:00Z","timestamp":1648771200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["AIDS Patient Care and STDs"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:p>Adolescent mental health (MH) is a significant global health concern, which is extremely relevant when referring to adolescents and youth living with HIV (AYHIV). In Mozambique, \u223c52% of the population is &lt;18 years and the country has the world's eighth highest HIV prevalence (insert citation). We performed an observational study to evaluate anxiety, depression, post-traumatic stress disorder (PTSD) and alcohol\u2013drug abuse in adolescents and youth assessing health services in Sofala Province, Mozambique. From November 20, 2019, to November 20, 2021, all adolescents and youth (10\u201324 years) accessing one of the psychological services offered at 8 Servicios Amigos dos Adolescentes (SAAJ) of the Sofala Province were screened by a psychologist using the following standardized tools: Generalized Anxiety Disorder-7 (GAD-7) for anxiety, Patient Health Questionnaire-9 (PHQ-9) for depression, Primary Care PTSD Screen for DSM-5 (PC-PTSD-5) for PTSD, and Cut down, Annoyed, Guilty, and Eye-opener Adapted to Include Drugs (CAGE-AID) for alcohol\u2013drug abuse. Overall, 2108 adolescents and youth were included in the study (63% female, median age: 19 years). Of them, 1096 (52%) were HIV positive. AYHIV had higher scores at the four tools tested and for concomitant MH disorders (GAD-7, PHQ-9, PTSD-5, and CAGE). The multivariable logistic regressions showed a greater probability to be GAD-7\u2009&gt;\u200910 for women, [adjusting odds ratio (AOR): 1.46, 95% confidence interval (CI): 1.01\u20132.10], for workers (AOR: 2.18, 95% CI: 1.12\u20134.23) and people living with HIV (AOR: 1.78, 95% CI: 1.25\u20132.54). Higher values of CAGE (\u22652) and PTSD (\u22653) seemed to be associated only with HIV-positive status (AOR: 4.87, 95% CI: 3.72\u20136.38 and AOR: 1.73, 95% CI: 1.28\u2013237). These data further reinforce the urgent need for a global health policy action with focused intervention on MH in AYHIV patients.<\/jats:p>","DOI":"10.1089\/apc.2022.0007","type":"journal-article","created":{"date-parts":[[2022,4,19]],"date-time":"2022-04-19T11:47:41Z","timestamp":1650368861000},"page":"123-129","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":33,"title":["High Prevalence of Mental Health Disorders in Adolescents and Youth Living with HIV: An Observational Study from Eight Health Services in Sofala Province, Mozambique"],"prefix":"10.1177","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3453-5647","authenticated-orcid":false,"given":"Francesco","family":"Di Gennaro","sequence":"first","affiliation":[{"name":"Doctors with Africa CUAMM, Beira, Mozambique."},{"name":"Department of Biomedical Sciences and Human Oncology, Clinic of Infectious Diseases, University of Bari, Bari, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4199-9060","authenticated-orcid":false,"given":"Claudia","family":"Marotta","sequence":"additional","affiliation":[{"name":"Doctors with Africa CUAMM, Beira, Mozambique."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucy","family":"Ramirez","sequence":"additional","affiliation":[{"name":"Doctors with Africa CUAMM, Beira, Mozambique."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hamilton","family":"Cardoso","sequence":"additional","affiliation":[{"name":"Doctors with Africa CUAMM, Beira, Mozambique."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chivite","family":"Alamo","sequence":"additional","affiliation":[{"name":"Doctors with Africa CUAMM, Beira, Mozambique."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vasco","family":"Cinturao","sequence":"additional","affiliation":[{"name":"Doctors with Africa CUAMM, Beira, Mozambique."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Davide Fiore","family":"Bavaro","sequence":"additional","affiliation":[{"name":"Department of Biomedical Sciences and Human Oncology, Clinic of Infectious Diseases, University of Bari, Bari, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dezi Cornelia","family":"Mahotas","sequence":"additional","affiliation":[{"name":"UNICEF Mozambique, Maputo, Mozambique."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marzia","family":"Lazzari","sequence":"additional","affiliation":[{"name":"Doctors with Africa CUAMM, Beira, Mozambique."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chenene","family":"Fernando","sequence":"additional","affiliation":[{"name":"Doctors with Africa CUAMM, Beira, Mozambique."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natalia","family":"Chimundi","sequence":"additional","affiliation":[{"name":"Doctors with Africa CUAMM, Beira, Mozambique."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Atzori","sequence":"additional","affiliation":[{"name":"Doctors with Africa CUAMM, Beira, Mozambique."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Izilda","family":"Chaguruca","sequence":"additional","affiliation":[{"name":"Doctors with Africa CUAMM, Beira, Mozambique."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesca","family":"Tognon","sequence":"additional","affiliation":[{"name":"Operational Research Unit, Doctors with Africa CUAMM, Padua, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helga","family":"Guambe Dos Anjos","sequence":"additional","affiliation":[{"name":"UNICEF Mozambique, Maputo, Mozambique."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanna","family":"De Meneghi","sequence":"additional","affiliation":[{"name":"Doctors with Africa CUAMM, Beira, Mozambique."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mireille","family":"Tribie","sequence":"additional","affiliation":[{"name":"UNICEF Mozambique, Maputo, Mozambique."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabrizia","family":"Del Greco","sequence":"additional","affiliation":[{"name":"Doctors with Africa CUAMM, Beira, Mozambique."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edson","family":"Namarime","sequence":"additional","affiliation":[{"name":"Doctors with Africa CUAMM, Beira, Mozambique."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edoardo","family":"Occa","sequence":"additional","affiliation":[{"name":"Doctors with Africa CUAMM, Beira, Mozambique."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanni","family":"Putoto","sequence":"additional","affiliation":[{"name":"Operational Research Unit, Doctors with Africa CUAMM, Padua, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anton","family":"Pozniak","sequence":"additional","affiliation":[{"name":"Department of HIV Medicine, Chelsea and Westminster Hospital NHS Foundation Trust, London, United Kingdom."},{"name":"Department Clinical Research, London School of Hygiene and Tropical Medicine, London, United Kingdom."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annalisa","family":"Saracino","sequence":"additional","affiliation":[{"name":"Doctors with Africa CUAMM, Beira, Mozambique."},{"name":"Department of Biomedical Sciences and Human Oncology, Clinic of Infectious Diseases, University of Bari, Bari, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,4,14]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/jia2.25556"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12981-021-00351-1"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1192\/bjo.2020.67"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1080\/09540121.2016.1139043"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(15)00291-6"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.7448\/IAS.20.4.21497"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-015-1080-4"},{"key":"e_1_3_5_9_2","unstructured":"Minist\u00c8rio da Sa\u00fade-MISAU Instituto Nacional de Estat\u00ccstica-INE and ICF Inqu\u00c8rito de Indicadores de Imuniza\u00c1\u201eo Mal\u00b7ria e HIV\/SIDA em Mo\u00c1ambique (IMASIDA) 2015. 2018 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