Evidence map›Paper›PMID 39910352›Full record

SynthesisPediatric research2025

Urbanisation and mental health in left-behind children: systematic review and meta-analysis using resilience framework.

Kelly Lin, Leona Mak, Jinxuan Cai, Stephen Jiang, Nawaal Fayyaz, Simon Broadley, Jing Sun

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Pediatric research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–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

11 citing papers in PubMed.

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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

7 authors.

Kelly LinRural Health Research Institute, Charles Sturt University, Sydney, NSW, Australia.
Leona MakSchool of Medicine and Dentistry, Griffith University, Brisbane, QLD, Australia.
Jinxuan CaiSchool of Medicine and Dentistry, Griffith University, Brisbane, QLD, Australia.
Stephen JiangSchool of Medicine and Dentistry, Griffith University, Brisbane, QLD, Australia.
Nawaal FayyazSchool of Medicine and Dentistry, Griffith University, Brisbane, QLD, Australia.
Simon BroadleySchool of Medicine and Dentistry, Griffith University, Brisbane, QLD, Australia.
Jing SunRural Health Research Institute, Charles Sturt University, Sydney, NSW, Australia. jinsun@csu.edu.au.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProlonged parental separation at young ages has significant adverse effects on development in left-behind-children (LBC). We aimed to compare mental health status, emotional and behavioural problems, and their association with socioemotional development between LBC and their counterparts.

methodsCross-sectional studies comparing LBC and non-LBC published from 2000 onwards were searched. Primary outcomes included depression, anxiety emotional and behavioural problems. Secondary outcomes included loneliness, self-harm, suicide, and risk-related behaviours. Quality of all included articles was assessed by Joanna Briggs Institute (JBI) critical appraisal. Data was analyzed by random model-based effect method.

results78 observational studies comprising of 394,308 children aged 2-18 were included. Compared to NLBC, LBC had significantly more depression, anxiety, emotional and behavioural problems, conduct problems, self-harm, loneliness, peer bullying, attempts of smoking and alcohol consumption. Subgroup analyses found that younger LBC between the ages of 6 to 12 were at greater risks of poor mental health, emotional and behavioural problems.

conclusionAbsent parental care prevents healthy socio-emotional development and hinder the formation of secure attachment. Poor social-emotional development leads to worse emotional resilience against psychological stressors, while LBC residing in rural areas also experience additional risk factors of low household income and poor access to mental health services. IMPACT STATEMENT: Prolonged parental separation negatively influences mental health, especially in younger children between the ages 6 to 12. Poor social-emotional development in left-behind children is associated with worse emotional resilience against psychological stressors. Additional risk factors including residing in rural areas, low household income, and poor access to mental health services predisposes left-behind children to high risks of mental illness. Timely support services targeted towards strengthening resilience factor such as learning better emotional and behavioural coping strategies and improving school and peer support to address increased risk of mental health problems are required for current left-behind children.

Indexed as

Family SeparationMental HealthResilience, PsychologicalUrbanizationAdolescentAnxietyChildChild, PreschoolCross-Sectional StudiesDepressionEmotionsFemaleHumansLonelinessMaleMental Disorders

Identifiers

PMID39910352
PMCPMC12507658

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.