Evidence map›Paper›PMID 33765965›Full record

ArticleBMC public health2021

Cross-sectional trend analysis of the NCHA II survey data on Canadian post-secondary student mental health and wellbeing from 2013 to 2019.

Brooke Linden, Randall Boyes, Heather Stuart

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
13.9field-weighted citation impact, top 1% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 74 citations in OpenAlex.

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  9. Frameworks Used to Engage Postsecondary Students in Campus Mental Health Research: A Scoping Review.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
  10. Resilience, Stress, and Mental Health Among University Students: A Test of the Resilience Portfolio Model.Stress and health : journal of the International Society for the Investigation of Stress · 2025
    Article
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  15. Acceptance of a mental health app (JoyPopFrontiers in digital health · 2025
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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

3 authors at 1 institution in 1 country.

Brooke LindenHealth Services and Policy Research Institute, Queen's University, Abramsky Hall, 21 Arch Street, Kingston, ON, K7L 3N6, Canada. brooke.linden@queensu.ca.ORCID 0000-0002-8664-176X
Randall BoyesDepartment of Public Health Sciences, Queen's University, Abramsky Hall, 21 Arch Street, Kingston, ON, K7L 3N6, Canada.
Heather StuartDepartment of Public Health Sciences, Queen's University, Abramsky Hall, 21 Arch Street, Kingston, ON, K7L 3N6, Canada.
Queen's University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCanadian post-secondary students are considered to be at risk for chronic stress and languishing mental health, but there has been no longitudinal analysis of the available population-level data. The purpose of this study was to examine trends in the overall and sex-specific prevalence of self-reported stress, distress, mental illness, and help seeking behaviours among Canadian post-secondary students over the past several years.

methodsUsing the 2013, 2016, and 2019 iterations of the National College Health Assessment II Canadian Reference data, we conducted a trend analysis for each variable of interest, stratified by sex. The significance and magnitude of the changes were modelled using cumulative linked ordinal regression models and log binomial regression models.

resultsWith few exceptions, we observed significant increases over time in the proportion of students reporting symptoms of psychological distress, mental illness diagnoses, and help seeking for mental health related challenges. Female students reported a higher level of stress than male students, with a statistically significant increase in the stress level reported by female students observed over time. In all cases, larger proportions of female students were observed compared to male students, with the proportion of female students who self-reported mental illness diagnoses nearly doubling that of males.

conclusionsOur analysis indicated that the proportion of students self-reporting mental health related challenges, including stress, psychological distress, and diagnosed mental illnesses increased between the 2013, 2016 and 2019 iterations of the NCHA II conducted among Canadian post-secondary students.

Indexed as

Mental HealthStress, PsychologicalCanadaCross-Sectional StudiesFemaleHumansMaleStudentsUniversitiesHelp seekingMental healthMental illnessPostsecondaryStress

Identifiers

PMID33765965
PMCPMC7992810
OpenAlexW3136143751

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.