Trial reportJournal of epidemiology and community health2019
Effects of school environments on student risk-behaviours: evidence from a longitudinal study of secondary schools in England.
Trial report in Journal of epidemiology and community health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
11 citing papers in PubMed, 29 citations in OpenAlex.
- Student- and School-Level Factors Associated With Mental Health and Well-Being in Early Adolescence.Journal of the American Academy of Child and Adolescent Psychiatry · 2024Trial
- Effects of a Whole-School Health Intervention on Clustered Adolescent Health Risks: Latent Transition Analysis of Data from the INCLUSIVE Trial.Prevention science : the official journal of the Society for Prevention Research · 2022Trial
- Timing of Sexual Initiation in Polish Adolescents: A Multilevel Study of Individual, Family, and Contextual Determinants.Archives of sexual behavior · 2026Article
- Scoping review: potential harm from school-based group mental health interventions.Child and adolescent mental health · 2025Article
- Positive and negative risk-taking behaviors in adolescents: Distinct characteristics, interrelationships, and influencing factors.World journal of psychiatry · 2025Review
- Exploring nursing interventions in family-based approaches for preventing bullying among children and adolescents: a scoping review.BMC nursing · 2025Article
- Qualitative study of the feasibility and acceptability of implementation, and potential mechanisms of Learning Together for Mental Health, a whole-school intervention aiming to promote mental health and wellbeing in secondary schools.Pilot and feasibility studies · 2024Article
- Role of contextual and compositional characteristics of schools for health inequalities in childhood and adolescence: a scoping review.BMJ open · 2022Article
- Is positive school climate associated with better adolescent mental health? Longitudinal study of young people in England.SSM. Mental health · 2021Article
- Making every school a health-promoting school.The Lancet. Child & adolescent health · 2021Article
- An evidence-based theory of change for reducing SARS-CoV-2 transmission in reopened schools.Health & place · 2020Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundThe theory of human functioning and school organisation proposes that schools with rigid 'boundaries' (weaker relationships), for example, between staff and students, or learning and broader development, engender weaker student school commitment and sense of belonging, particularly among disadvantaged students, leading to greater involvement in risk-behaviours. Existing studies provide some support but rely on a proxy exposure of 'value-added education' and have not explored effects by disadvantage.
methodsWe used longitudinal data from English secondary schools from the control arm of a trial, assessing school-level measures of rigid boundaries, and student commitment and belonging at age 11/12, and student risk-behaviours at age 14/15.
resultsOur direct measures were more strongly associated with risk-behaviours than was value-added education. School-level rigid boundaries were associated with increased alcohol use and bullying. Student belonging was more consistently associated with reduced risk-behaviours than was student commitment. Some school effects were greater for students from disadvantaged subgroups defined in terms of poverty, ethnicity and family structure.
conclusionOur results provide direct support for the theory of human functioning and school organisation and suggest a sense of belonging in school might be particularly protective factor among secondary school students. School effects on risk are generally stronger among disadvantaged students as theorised. TRIAL REGISTRATION NUMBER: ISRCTN10751359.
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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.