Adolescent (10–19 years) mental health remains an overlooked global health issue. Rates of adolescent pregnancy within sub-Saharan Africa are some of the highest in the world and occur at the epicentre of the global HIV epidemic. Both experiencing adolescent pregnancy and living with HIV have been found to be associated with adverse mental health outcomes, when investigated separately. Poor mental health may have implications for both parent and child. The literature regarding mental health within groups experiencing both HIV and adolescent pregnancy is yet to be summarised. This systematic review sought to identify (1) the prevalence/occurrence of common mental disorder amongst adolescents who are living with HIV and have experienced pregnancy, (inclusive of adolescent fathers) in sub-Saharan Africa (2) risk and protective factors for common mental disorder among this group, and (3) interventions (prevention/treatment) for common mental disorder among this group. A systematic search of electronic databases using pre-defined search terms, supplemented by hand-searching, was undertaken in September 2020. One author and an independent researcher completed a title and abstract screening of results from the search. A full-text search of all seemingly relevant manuscripts (both quantitative and qualitative) was undertaken and data extracted using pre-determined criteria. A narrative synthesis of included studies is provided. Quality and risk of bias within included studies was assessed using the Newcastle-Ottawa scale. A systematic keyword search of databases and follow-up hand searching identified 2287 unique records. Of these, thirty-eight full-text quantitative records and seven full-text qualitative records were assessed for eligibility. No qualitative records met the eligibility criteria for inclusion within the review. One quantitative record was identified for inclusion. This study reported on depressive symptomology amongst 14 pregnant adolescents living with HIV in Kenya, identifying a prevalence of 92.9%. This included study did not meet the high methodological quality of this review. No studies were identified reporting on risk and protective factors for common mental disorder, and no studies were found identifying any specific interventions for common mental disorder for this group, either for prevention or for treatment. The limited data identified within this review provides no good quality evidence relating to the prevalence of common mental disorder among adolescents living with HIV who have experienced pregnancy in sub-Saharan Africa. No data was available relating to risk and protective factors or interventions for psychological distress amongst this group. This systematic review identifies a need for rigorous evidence regarding the mental health of pregnant and parenting adolescents living with HIV, and calls for granular interrogation of existing data to further our understanding of the needs of this group. The absence of research on this topic (both quantitative and qualitative) is a critical evidence gap, limiting evidence-based policy and programming responses, as well as regional development opportunities.

青少年（10-19 岁）心理健康仍然是一个被忽视的全球健康问题。撒哈拉以南非洲地区的青少年怀孕率是世界上最高的，并且是全球艾滋病毒流行的中心。当单独进行调查时，发现经历青少年怀孕和感染艾滋病毒都与不良心理健康结果相关。心理健康状况不佳可能会对父母和孩子产生影响。有关艾滋病毒和青少年怀孕人群心理健康的文献尚未总结。本系统综述旨在确定 (1) 撒哈拉以南非洲地区艾滋病毒感染者和怀孕过的青少年（包括青少年父亲）中常见精神障碍的患病率/发生率 (2) 常见精神障碍的风险和保护因素（3）针对该群体常见精神障碍的干预（预防/治疗）。2020 年 9 月，我们使用预定义的检索词对电子数据库进行了系统检索，并辅以手工检索。一位作者和一位独立研究人员完成了检索结果的标题和摘要筛选。对所有看似相关的手稿（定量和定性）进行了全文搜索，并使用预先确定的标准提取数据。提供了纳入研究的叙述性综合。使用纽卡斯尔-渥太华量表评估纳入研究的质量和偏倚风险。对数据库进行系统关键词搜索并进行后续手动搜索，确定了 2287 条独特记录。其中，对 38 条全文定量记录和 7 条全文定性记录进行了资格评估。没有定性记录符合纳入审查的资格标准。确定纳入一项定量记录。这项研究报告了肯尼亚 14 名感染艾滋病毒的怀孕青少年的抑郁症状，确定患病率为 92.9%。这项纳入的研究不符合本综述的高方法学质量。没有发现任何研究报告常见精神障碍的风险和保护因素，也没有发现任何研究确定针对该群体的常见精神障碍的任何具体干预措施，无论是预防还是治疗。本次审查中确定的有限数据没有提供有关撒哈拉以南非洲地区怀孕过的艾滋病毒感染青少年常见精神障碍患病率的高质量证据。没有关于该群体心理困扰的风险和保护因素或干预措施的数据。这项系统审查确定需要有关感染艾滋病毒的怀孕和养育青少年的心理健康的严格证据，并呼吁对现有数据进行细致的审查，以进一步了解该群体的需求。