Katie Stirling|John W. Toumbourou|Bosco Rowland
Community factors influencing child and adolescent depression: A systematic review and meta-analysis
Deakin University|Deakin University|Deakin University
depression identified priority disorder among children adolescents numerous reviews examined individual family factors contribute child adolescent depressive symptoms less known communitylevel risk protective factors aim study complete systematic review identify community risk protective factors depression schoolaged children 418 yearsthe review adopted procedures recommended cochrane nonrandomised studies methods working group preferred reporting items systematic reviews metaanalyses prisma guidelines comprehensive literature search conducted identify observational intervention study designs peerreviewed nonpeer reviewed publicationsa total 21 studies met inclusion criteria seventeen 18 community association studies 2 3 intervention studies reported one significant effects results indicated community safety community minority ethnicity discrimination act risk factors depressive symptoms schoolaged children community disadvantage failed achieve significance metaanalytic results findings suggest role disadvantage may influenced factors community connectedness also directly associated depressive symptomsthere evidence number potentially modifiable communitylevel risk protective factors influence child adolescent depressive symptoms suggesting importance continuing research intervention efforts communitylevel