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Table 3 GRADE evidence profile for family-level domains

From: Psychosocial factors associated with the mental health of indigenous children living in high income countries: a systematic review

Domain

Number of studies

Risk of bias

Inconsistency

Effect size

Quality

Comments

Family cohesion (positive)

12

No serious risk

No serious inconsistency

Small-large

Moderate

Rated up due to evidence of a dose-gradient effect

Low family SES

8

No serious risk

Serious inconsistency

Inconsistent

Very low

Rated down due to inconsistent findings

Atypical family structure

6

No serious risk

No serious inconsistency

Negligible-small

Moderate

Rated up due to control of confounding factors

Caregiver mental health/behaviour (negative)

8

No serious risk

No serious inconsistency

Small-large

Moderate

Rated up due to control of confounding factors

Family cohesion (negative)

6

No serious risk

No serious inconsistency

Medium-large

High

Rated up due to medium-large effect sizes and a dose-gradient effect

  1. GRADE Grades of Recommendation, Assessment, Development, and Evaluation; SES Socioeconomic Status