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

Table 4.

Unique Associations From Multilevel Models With Random Intercepts Between School Factors and Pupil’s 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
Urban vs rural 0.49 (−0.14 to 1.12) .13 0.64 (0.05 to 1.24) .037 1.02 (0.20 to 1.83) .017 1.01 (0.24 to 1.79) .012 −0.63 (−1.39 to 0.13) .11 −0.73 (−1.48 to 0.02) .06
Area-level deprivation −0.08 (−0.16 to 0.00) .06 −0.10 (−0.18 to −0.02) .018 −0.09 (−0.20 to 0.02) .11 −0.09 (−0.20 to 0.01) .09 0.01 (−0.09 to 0.12) .79 0.03 (−0.08 to 0.13) .62
Pupils eligible for free school meals (%) 0.03 (0.01 to 0.06) .016 0.03 (0.01 to 0.06) .010 0.02 (−0.02 to 0.05) .29 0.02 (−0.01 to 0.05) .26 0.00 (−0.03 to 0.03) .89 −0.01 (−0.04 to 0.02) .65
SEND support (%) 0.02 (−0.02 to 0.07) .32 0.02 (−0.02 to 0.07) .28 −0.01 (−0.07 to 0.05) .75 0.00 (−0.06 to 0.06) .94 −0.01 (−0.06 to 0.05) .83 −0.01 (−0.07 to 0.04) .65
Ethnicity of pupils (%): White 0.01 (0.00 to 0.02) .048 0.00 (−0.01 to 0.01) .63 0.00 (−0.01 to 0.01) .77 0.01 (−0.01 to 0.02) .42 −0.02 (−0.03 to −0.01) .004 −0.01 (−0.02 to 0.00) .032
Mixed or single sex school −0.31 (−0.99 to 0.37) .37 −0.19 (−0.85 to 0.47) .57 0.61 (−0.28 to 1.50) .18 −0.24 (−1.11 to 0.63) .59 0.38 (−0.44 to 1.20) .37 0.95 (0.14 to 1.75) .024
School quality −0.48 (−0.83 to −0.13) .009 −0.41 (−0.75 to −0.07) .019 −0.32 (−0.80 to 0.16) .20 −0.45 (−0.90 to −0.01) .06 0.55 (0.12 to 0.97) .014 0.61 (0.19 to 1.02) .005
School size (per 100 pupils) −0.06 (−0.13 to 0.00) .071 −0.06 (−0.13 to 0.00) .054 −0.10 (−0.19 to −0.01) .035 −0.09 (−0.18 to −0.01) .032 0.03 (−0.05 to 0.12) .43 0.03 (−0.05 to 0.11) .51
Pupil-to-teacher ratio −0.1 (−0.23 to 0.03) .14 −0.09 (−0.22 to 0.03) .16 −0.09 (−0.27 to 0.08) .31 −0.09 (−0.26 to 0.08) .29 0.04 (−0.12 to 0.20) .62 0.06 (−0.10 to 0.22) .46
SEL provision −0.02 (−0.11 to 0.07) .67 −0.02 (−0.10 to 0.07) .72 −0.01 (−0.13 to 0.11) .84 −0.02 (−0.13 to 0.10) .75 −0.04 (−0.15 to 0.07) .49 −0.03 (−0.13 to 0.08) .65
Teacher-rated SCCS −1.48 (−2.27 to −0.70) < .001 −1.35 (−2.10 to −0.59) < .001 −1.22 (−2.30 to −0.13) .030 −1.45 (−2.47 to −0.44) .006 1.31 (0.32 to 2.29) .011 1.50 (0.54 to 2.47) .003

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; SEL = social and emotional learning; SEND = special educational needs and disability; SDQ = Strengths and Difficulties Questionnaire; WEMWBS = Warwick-Edinburgh Mental Well-Being Scale.