Evidence map›Paper›PMID 27473040›Full record

ArticleBMC public health2016

Primary school students' mental health in Uganda and its association with school violence, connectedness, and school characteristics: a cross-sectional study.

Barbara F Thumann, Ula Nur, Dipak Naker, Karen M Devries

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC public health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01678846 (The Good Schools Study), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
3.3field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01678846 nacompletednot on this map

The Good Schools Study: Cluster Randomised Controlled Trial of a Program to Prevent Violence Against Children in Schools

TypeinterventionalSponsorLondon School of Hygiene and Tropical MedicineRan2012 to 2014Enrolled3,820ConditionsPhysical Violence, Educational Achievement, Mental Health, Sexual ViolenceArmsGood School Toolkit
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 31 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 2 countries.

Barbara F ThumannDepartment of Epidemiological Methods and Etiological Research, Leibniz Institute for Prevention Research and Epidemiology - BIPS, Achterstrasse 30, 28359, Bremen, Germany.
Ula NurDepartment of Non-Communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine, Keppel Street, London, WC1E 7HT, UK.
Dipak NakerRaising Voices, 16 Tufnell Drive, Kamwokya, P. O. Box 6770, Kampala, Uganda.
Karen M DevriesDepartment of Global Health and Development, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London, WC1H 9SH, UK. karen.devries@lshtm.ac.uk.
Leibniz Institute for Prevention Research and Epidemiology - BIPS · DELondon School of Hygiene & Tropical Medicine · GBUniversity of London · GB

Funding

Medical Research Council MR/L004321/1Wellcome Trust
6 · The paper itself

Abstract

backgroundFew studies have explored risk factors for poor mental health in Ugandan primary schools. This study investigated whether individual- and contextual-level school-related factors including violence from school staff and other students, connectedness to school and peers, as well as school size and urban/rural location, were associated with mental health difficulties in Ugandan children. We also examined whether associations between violence exposure at school and mental health were mediated by connectedness as well as whether associations were different for boys and girls.

methodsThe analytic sample consisted of 3,565 students from 42 primary schools participating in the Good Schools Study. Data were collected through individual interviews conducted in June and July 2012. Mental health was measured using the Strengths and Difficulties Questionnaire. Multilevel logistic regression was applied to investigate factors associated with mental health difficulties.

resultsExperiences of violence from school staff and other students in the past week were strongly associated with mental health difficulties (OR = 1.58, 95 % CI 1.31 to 1.90 and 1.81, 1.47 to 2.23, respectively). Children with a low school connectedness had 1.43 times (1.11 to 1.83) the odds of mental health difficulties compared to those with a high school connectedness. The OR comparing children never feeling close to other students at their school with those always feeling close was 1.86 (1.18 to 2.93). The effect of violence on mental health was not mediated through the connectedness variables. School size was not related to mental health difficulties, but attending an urban school increased the odds of mental health difficulties after accounting for other factors. We did not find evidence that the effect of one or more of the exposures on the outcome differed between boys and girls.

conclusionsThese findings suggest that violence in school and low connectedness to school and peers are independently associated with mental health difficulties and interventions should address both concurrently. Extra support may be needed for students in urban schools.

trial registrationClinicaltrials.gov NCT01678846 . Registered 24 August 2012.

Indexed as

AdolescentChildChild Health ServicesCross-Sectional StudiesFemaleHumansLogistic ModelsMaleMental DisordersPeer GroupSchool Health ServicesSchoolsStudentsSurveys and QuestionnairesUgandaViolenceAdolescentsChildrenMental healthSchoolUgandaViolence

Identifiers

PMID27473040
PMCPMC4966714
OpenAlexW2490309855

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.