Evidence map›Paper›PMID 34460837›Full record

SynthesisPloS one2021

Prevalence of burnout among university students in low- and middle-income countries: A systematic review and meta-analysis.

Mark Mohan Kaggwa, Jonathan Kajjimu, Jonathan Sserunkuma, Sarah Maria Najjuka, Letizia Maria Atim, Ronald Olum, Andrew Tagg, Felix Bongomin

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

42 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  14. Prevalence of burnout among chiropractic students in Malaysia.The Journal of chiropractic education · 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

8 authors.

Mark Mohan KaggwaDepartment of Psychiatry, Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda.ORCID 0000-0002-4733-154X
Jonathan KajjimuFaculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda.ORCID 0000-0001-7348-4868
Jonathan SserunkumaFaculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda.
Sarah Maria NajjukaCollege of Health Science, Makerere University, Kampala, Uganda.
Letizia Maria AtimDepartment of Psychiatry, Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda.
Ronald OlumCollege of Health Science, Makerere University, Kampala, Uganda.
Andrew TaggEmergency Department, Western Hospital-Footscray, Footscray, Victoria, Australia.
Felix BongominDepartment of Medical Microbiology and Immunology, Faculty of Medicine, Gulu University, Gulu, Uganda.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBurnout is common among university students and may adversely affect academic performance. Little is known about the true burden of this preventable malady among university students in low-and-middle-income countries (LMICs).

objectivesThis study aimed to systematically estimate the prevalence of burnout among university students in LMICs.

methodsWe searched PubMed, Google Scholar, CINAHL, Web of Science, African Journals Online, and Embase from the inception of each database until February 2021. Original studies were included. No study design or language restrictions were applied. A random-effects meta-analysis was performed using STATA version 16.0. Heterogeneity and publication bias were assessed using Q-statistics and funnel plots, respectively.

resultsFifty-five unique articles, including a total of 27,940 (Female: 16,215, 58.0%) university students from 24 LMICs were included. The Maslach Burnout Inventory (MBI) was used in 43 studies (78.2%). The pooled prevalence of burnout was 12.1% (95% Confidence Interval (CI) 11.9-12.3; I2 = 99.7%, Q = 21,464.1, p = < 0.001). The pooled prevalence of emotional exhaustion (feelings of energy depletion), cynicism (negativism), and reduced professional efficacy were, 27.8% (95% CI 27.4-28.3; I2 = 98.17%. p = <0.001), 32.6 (95% CI: 32.0-33.1; I2: 99.5%; p = < 0.001), and 29.9% (95% CI: 28.8-30.9; I2: 98.1%; p = < 0.001), respectively.

conclusionNearly one-third of university students in LMICs experience burnout. More studies are needed to understand the causes of burnout in this key population. There is a need to validate freely available tools for use in these countries.

Indexed as

Developing CountriesIncomeStudentsUniversitiesAcademic PerformanceAdolescentAdultBurnout, ProfessionalCOVID-19EmotionsFemaleHumansMalePrevalenceYoung Adult

Identifiers

PMID34460837
PMCPMC8405021

What OpenQuestion holds

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Registered trials

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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.