DDI.AHRI.Sesikhona.Mental.Health.Survey
Nompumelelo Mkwanazi
Sweetness H Dube
Africa Health Research Institute
Nesstar Publisher
AHRI.Sesikhona.Mental.Health.Survey
Prof. Frank Tanser(Principal Investigator)
Prof Adrian Dobra
Prof Till Barnighausen
Africa Health Research Institute
Nesstar Publisher
National Institute of Health
German Science Foundation
Academy of Medical Sciences Newton Fund
5R01HD084233
BA2064/14-1
NAF527791
v1.0.0
Human mobility, HIV, GPS technology, digital technology, mental health
GPS technology, smartphone-based GPS, human mobility, young adults, HIV, mobile health, digital technology, mental health
The Sesikhona study is the first of its kind study using smartphone-based GPS technology to record ultra-high resolution mobility patterns of over 200 young adults aged 20-30 years in rural KwaZulu Natal. The study seeks to identify distinct movement typologies within this highly mobile, HIV hyper-endemic population and to quantify travel in and out of known high-risk locations, with the long-term goal of developing a location-intelligent smartphone intervention that delivers real-time, precision messaging to individuals at heighten risk of HIV acquisition, transmission or treatment interruption. Conducted in three phases between 2021 and 2025, the study used the Avicenna Research Platform to collect GPS and survey data. Between 2023 and 2025, consenting individuals self-completed mental health surveys bi- weekly and monthly to explore the role of psychological well-being related to depression (PHQ-2: 22760), anxiety (GAD-2: 22761), stress (PSS-4: 22762), alcohol use (AUDIT-C: 22763) or trauma (PC-PTSD-5: 22764) and understand how mental health affects HIV risk and engagement with HIV care services
South Africa
Residents from uMkhanyakude in KwaZulu Natal but move anywhere in South Africa
Young adults aged 20-30 years old
A random sample of adults aged 20-30 years old who were resident in Southern PIPSA, participated in the 2019 HIV surveillance and consented to participate in Sesiskhona study and opted in for the mental health surveys
Survey data
Participants were randomly selected from the 2019 AHRI HIV surveillance program if they were aged 20-30 years old and had participated in the HIV survey in 2019 and were resident members in the southern PIP and owned a smartphone that supported the study app.
Mental health survey responses from Sesikhona participants via the Avicenna app
Access to the data requires accurate completion of the online data access application form accessible on the AHRI Data repository(<https://data.ahri.org/>). Data users are required to abide by the data use conditions stipulated on the application for access to the data. Failure to do so may result in their data access privileges being revoked by the Data Custodian. In order to recognise the effort and intellectual contributions of AHRI investigators in producing and curating the data, users of AHRI data must acknowledge the source of the data and abide by the terms and conditions under which the data is accessed and must cite the dataset in publication using the citation provided as part of this documentation. All analytical datasets published on the AHRI Data Repository are assigned digital object identifier (DOIs) and the DOIs can be found on the Data Repository under Study Description tab - Access policy. AHRI data users are required to always cite the dataset using the relevant DOI.
AHRI.Sesikhona.Mental.Health.AUDIT C.Survey.2025.v1.NSDstat
488
7
Nesstar 200801
AHRI.Sesikhona.Mental.Health.GAD.Survey.2025.v1.NSDstat
946
6
Nesstar 200801
AHRI.Sesikhona.Mental.Health.PC PTSD.Survey.2025.v1.NSDstat
88
10
Nesstar 200801
AHRI.Sesikhona.Mental.Health.PHQ.Survey.2025.v1.NSDstat
943
6
Nesstar 200801
AHRI.Sesikhona.Mental.Health.PSS.Survey.2025.v1.NSDstat
488
8
Nesstar 200801
Participant ID
488
0
39636
100921
52139.992
12099.164
Scheduled Time
488
2024-10-03
2025-03-03
How often do you have a drink containing alcohol?
488
0
0
Never
258
1
Monthly or less
123
2
2 - 4 times per month
71
3
2 - 3 times per week
27
4
4+ times per week
9
How many drinks containing alcohol do you have on a typical day when you are drin
487
1
0
1 - 2
365
1
3 - 4
75
2
5 - 6
30
3
7 - 9
6
4
10+
11
Sysmiss
1
How often do you have six or more drinks on one occasion?
487
1
0
Never
288
1
Less than monthly
115
2
Monthly
40
3
Weekly
35
4
Daily or almost daily
9
Sysmiss
1
Record Time 22763
488
2024-10-03
2025-04-01
Status 22763
488
0
0
Unknown
0
1
Completed
487
2
Canceled
1
3
Expired
0
4
Blocked
0
5
Invalid Criteria
0
6
In Progress
0
Participant ID
946
0
39636
95065
51842.798
11834.214
Scheduled Time
946
2024-09-26
2025-02-27
Feeling nervous, anxious, or on edge
946
0
0
Not at all
490
1
Several days
286
2
More than half the days
135
3
Nearly every day
35
Not being able to stop or control worrying
944
2
0
Not at all
432
1
Several days
291
2
More than half the days
160
3
Nearly every day
61
Sysmiss
2
Record Time 22761
946
2024-09-26
2025-03-12
Status 22761
946
0
0
Unknown
0
1
Completed
945
2
Canceled
1
3
Expired
0
4
Blocked
0
5
Invalid Criteria
0
6
In Progress
0
Participant ID
88
0
39636
95065
52087.08
11734.08
Scheduled Time
88
2024-10-04
2024-10-04
Have you ever experienced this kind of event?
88
0
1
Yes
32
2
No
56
Had nightmares about the event(s) or thought about the event(s) when you did not
32
56
1
Yes
20
2
No
12
Sysmiss
56
Tried hard not to think about the event(s) or went out of your way to avoid situa
32
56
1
Yes
24
2
No
8
Sysmiss
56
Been constantly on guard, watchful, or easily startled?
32
56
1
Yes
16
2
No
16
Sysmiss
56
Felt numb or detached from people, activities, or your surroundings?
32
56
1
Yes
18
2
No
14
Sysmiss
56
Felt guilty or unable to stop blaming yourself or others for the event(s) or any
32
56
1
Yes
15
2
No
17
Sysmiss
56
Record Time 22764
88
2024-10-04
2024-11-20
Status 22764
88
0
0
Unknown
0
1
Completed
88
2
Canceled
0
3
Expired
0
4
Blocked
0
5
Invalid Criteria
0
6
In Progress
0
Participant ID
943
0
39636
95065
51862.609
11852.343
Schedule Time
943
2024-09-25
2025-02-26
Little interest or pleasure in doing things
943
0
0
Not at all
475
1
Several days
303
2
More than half the days
120
3
Nearly every day
45
Feeling down, depressed, or hopeless
941
2
0
Not at all
394
1
Several days
319
2
More than half the days
164
3
Nearly every day
64
Sysmiss
2
Record Time 22760
943
2024-09-26
2025-03-09
Status 22760
943
0
0
Unknown
0
1
Completed
941
2
Canceled
1
3
Expired
1
4
Blocked
0
5
Invalid Criteria
0
6
In Progress
0
Participant ID
488
0
39636
95065
51949.959
11775.133
Scheduled Time
488
2024-10-02
2025-03-02
felt that you were unable to control the important things in your life?
488
0
0
Never
198
1
Almost Never
65
2
Sometimes
189
3
Fairly Often
19
4
Very Often
17
felt confident about your ability to handle your personal problems?
487
1
0
Never
138
1
Almost Never
61
2
Sometimes
193
3
Fairly Often
50
4
Very Often
45
Sysmiss
1
felt that things were going your way?
487
1
0
Never
120
1
Almost Never
58
2
Sometimes
226
3
Fairly Often
50
4
Very Often
33
Sysmiss
1
felt difficulties were piling up so high that you could not overcome them?
486
2
0
Never
147
1
Almost Never
84
2
Sometimes
189
3
Fairly Often
44
4
Very Often
22
Sysmiss
2
Record Time 22762
488
2024-10-02
2025-04-01
Status 22762
488
0
0
Unknown
0
1
Completed
486
2
Canceled
2
3
Expired
0
4
Blocked
0
5
Invalid Criteria
0
6
In Progress
0