Evidence map›Paper›PMID 40604771›Full record

SynthesisBMC public health2025

Burden of perceived stress among university students in Africa: a systematic review and meta-analysis.

Setegn Fentahun, Gidey Rtbey, Girum Nakie, Fantahun Andualem, Techilo Tinsae, Getasew Kibralew, Getachew Tesfaw, Tigist Kifle, Mulualem Kelebie, Gebresilassie Tadesse

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
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

10 authors.

Setegn FentahunDepartment of Psychiatry, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia. setegnf21@gmail.com.
Gidey RtbeyDepartment of Psychiatry, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
Girum NakieDepartment of Psychiatry, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
Fantahun AndualemDepartment of Psychiatry, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
Techilo TinsaeDepartment of Psychiatry, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
Getasew KibralewDepartment of Psychiatry, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
Getachew TesfawDepartment of Psychiatry, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
Tigist KifleDepartment of Epidemiology and Biostatics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Mulualem KelebieDepartment of Psychiatry, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
Gebresilassie TadesseDepartment of Psychiatry, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPerceived stress is a significant public health problem among university students. It has wide-ranging effects on university students that can negatively influence their general mental health well-being and academic achievement. Therefore, the present systematic review and meta-analysis aimed to estimate the overall pooled magnitude of perceived stress and its contributing factors among university students.

methodsThe relevant primary studies were retrieved using numerous search databases, such as PubMed, Psychiatry Online, EMBASE, Google Scholar, PsycINFO, African Journal Online, and Science Direct. The Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines were used to write the report of the current study. We extracted and analyzed data using standardized data extraction checklists and STATA version 14 statistical software, respectively. The quality of the included primary articles was evaluated using the Joanna Briggs Institute (JBI) critical appraisal tool. To check the presence of statistical heterogeneity among the included papers, the I-squared statistics test was employed. Publication bias was checked using a funnel plot and the Egger test. The pooled prevalence of perceived stress and its determinants was estimated using a random-effects meta-analysis.

resultsA total of 26 primary articles with 7828 university students were included in the current systematic review and meta-analysis. The overall combined prevalence of perceived stress among university students in Africa was 64.72% (95% CI: 54.58, 74.87). The findings of this study revealed that sleep problems (OR = 2.29, 95% CI: 1.94, 2.71) and financial difficulties (OR = 1.58, 95% CI: 1.54, 2.52) were contributing factors significantly associated with perceived stress.

conclusionThe current meta-analysis showed that nearly two-thirds of university students in Africa experienced perceived stress. Therefore, the results of the present review recommend that educational institutions and policymakers should give more attention to this population by providing stress reduction and mental health promotion programs. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Stress, PsychologicalStudentsAfricaFemaleHumansMalePrevalenceUniversitiesYoung AdultAfricaMeta-analysisPerceived stressSystematic reviewUniversity students

Identifiers

PMID40604771
PMCPMC12220081

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.