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. 2021 Dec;60(12):1467–1478. doi: 10.1016/j.jaac.2021.02.016

Table 3.

Results From Multilevel Models With Random Intercepts Showing Grouped Associations Between Different Types of School Factors and Pupils’ Mental Health

School factors Psychopathology (SDQ)
Depression (CES-D Scale)
Well-being (WEMWBS)
Unadjusted models
Adjusted models for pupil’s age, gender, and ethnicity
Unadjusted models
Adjusted models for pupil’s age, gender, and ethnicity
Unadjusted models
Adjusted models for pupil’s age, gender, and ethnicity
Coefficient (95% CI) p Coefficient (95% CI) p Coefficient (95% CI) p Coefficient (95% CI) p Coefficient (95% CI) p Coefficient (95% CI) p
Broader school context
 Urban vs rural 0.36 (−0.29 to 1.01) .29 0.49 (−0.12 to 1.10) .12 0.90 (0.05 to 1.74) .040 0.89 (0.09 to 1.69) .032 −0.65 (−1.44 to 0.14) .11 −0.73 (−1.51 to 0.05) .07
 Area-level deprivation −0.07 (−0.15 to 0.02) .13 −0.08 (−0.16 to 0.00) .055 −0.06 (−0.17 to 0.05) .30 −0.06 (−0.17 to 0.04) .26 −0.01 (−0.11 to 0.10) .87 0.00 (−0.10 to 0.10) .99
Characteristics of school community
 Pupils eligible for free school meals (%) 0.06 (0.03 to 0.09) < .001 0.06 (0.03 to 0.09) < .001 0.04 (0.00 to 0.09) .05 0.05 (0.01 to 0.09) .011 −0.03 (−0.06 to 0.01) .17 −0.04 (−0.07 to 0.00) .041
 SEND support (%) −0.01 (−0.06 to 0.04) .70 0.00 (−0.05 to 0.04) .89 −0.04 (−0.11 to 0.03) .26 −0.03 (−0.09 to 0.03) .36 0.01 (−0.05 to 0.07) .63 0.01 (−0.05 to 0.06) .86
 Ethnicity of pupils (%): White 0.02 (0.01 to 0.03) < .001 0.01 (0.00 to 0.02) .054 0.01 (−0.01 to 0.02) .33 0.01 (0.00 to 0.02) .10 −0.02 (−0.03 to −0.01) .001 −0.02 (−0.03 to −0.01) .005
Operational features of the school
 Mixed or single-sex school −0.01 (−0.77 to 0.75) .98 0.00 −0.73 to 0.73) .99 0.80 (−0.22 to 1.82) .13 −0.16 (−1.16 to 0.84) .76 0.01 (−0.95 to 0.97) .99 0.69 (−0.25 to 1.63) .15
 School quality −0.13 (−0.66 to 0.40) .62 −0.04 (−0.53 to 0.45) .87 0.02 (−0.69 to 0.72) .97 0.09 (−0.60 to 0.77) .80 0.40 (−0.27 to 1.06) .24 0.27 (−0.35 to 0.90) .40
 School size (per 100 pupils) −0.06 (−0.14 to 0.02) .15 −0.06 (−0.13 to 0.02) .16 −0.11 (−0.22 to 0.01) .07 −0.10 (−0.22 to 0.02) .08 0.03 (−0.06 to 0.13) .53 0.03 (−0.07 to 0.13) .60
 Pupil-to-teacher ratio −0.06 (−0.19 to 0.08) .44 −0.06 (−0.19 to 0.08) .40 −0.05 (−0.25 to 0.14) .58 −0.08 (−0.28 to 0.12) .40 0.00 (−0.18 to 0.17) .98 0.04 (−0.14 to 0.21) .69
 SEL provision 0.00 (−0.10 to 0.09) .92 −0.01 (−0.09 to 0.07) .83 −0.02 (−0.14 to 0.09) .71 −0.02 (−0.13 to 0.10) .81 −0.05 (−0.17 to 0.07) .41 −0.04 (−0.16 to 0.08) .49
 Teacher-rated SCCS −1.11 (−2.19 to −0.03) .046 −1.22 (−2.22 to −0.22) .020 −1.19 (−2.64 to 0.26) .11 −1.20 (−2.61 to 0.21) .10 0.58 (−0.77 to 1.94) .40 0.69 (−0.60 to 1.99) .30

Note: Estimates are based on complete case analyses; total sample (N = 85 schools; N = 26,885 pupils), but N varies owing to missing data. CES-D = Center for Epidemiologic Studies-Depression; SCCS = School Climate and Connectedness Survey; SDQ = Strengths and Difficulties Questionnaire; SEL = social and emotional learning; SEND = special educational needs and disability; WEMWBS = Warwick-Edinburgh Mental Well-Being Scale.