Abstract
This project investigates the longitudinal relationship between social determinants and depressive symptoms among South African youth aged 13-24 years. Leveraging the Africa Health Research Institute (AHRI) Health and Demographic Surveillance System (HDSS), the study creates the CO-LUMINATE dataset by linking longitudinal data for adolescents and young adults. The project employs a co-creation model that engages a group of Youth Co-Creators (YCC) to provide meaningful thought leadership to refine, guide, and contextualise the proposed research. Through co-creation processes and secondary data analysis, the study aims to generate transformative insights into the longitudinal associations between key social determinants of mental health and depressive symptoms among South African young people.
The UZIMA harmonised adolescent mental health data, derived from five HIV prevention studies, were merged with longitudinal HDSS household and individual-level data to create the CO-LUMINATE dataset. The dataset contains longitudinal household-level data (including parental information) and individual-level data for 6,207 participants aged 13-24 years. Household variables collected through repeated surveys conducted between 2000 and 2023 include socioeconomic status and the number of children aged 0-4 or 0-15 years. Parental information includes level of education and whether a participant lived with their mother or father during the survey year. Individual-level data collected in the five cohort studies from 2012 to 2022 include sociodemographic characteristics, behaviours, and general health indicators, including HIV status and mental health.
Together, these linked data provides a rich longitudinal framework for examining how social and household contexts shape mental health trajectories across adolescence and young adulthood. The CO-LUMINATE dataset is intended to support youth-centred, policy-relevant research that informs interventions and programmes aimed at improving mental health outcomes for young people in South Africa.