Relationship between social support and psychological resilience and post-traumatic stress disorder in college students

Objective To investigate the characteristics of post-traumatic stress disorder (PTSD) in college students during the outbreak of COVID-19, and to explore the mediating role of psychological resilience between social support and PTSD. Methods By using direct selection method, 572 college students in Anhui and Shanghai were selected and administered with General Characteristics Questionnaire, the PTSD Checklist-Civilian Version(PCL-C), Psychological Resilience Scale(PRS) and Social Support Rating Scale(SSRS). Results Among the participants, 25.0% had moderate PTSD symptoms, 11.7% had obvious PTSD symptoms, and the positive rate of PTSD was 36.7%. The prevalence of PTSD in college students was higher in males than in females (X2=4.31, P < 0.05). The junior students were higher than other students (X2=16.81, P < 0.01). The scores of social support, psychological resilience and PTSD were (33.79+or-4.83), (92.17+or-13.39) and (35.50+or-11.39), respectively. The correlations of all variables were statistically significant(r=-0.49-0.76, P < 0.05);The mediation test showed that social support could not only negatively predict PTSD directly(direct effect was -0.35), but also indirectly affect PTSD through psychological resilience(indirect effect was -0.32). Conclusion More than one third of college students have PTSD symptoms, and psychological resilience plays a partial mediating role in the relationship between social support and PTSD, social support can both directly and negatively predict PTSD and indirectly affect PTSD by increasing an individual's psychological resilience.

The impact of COVID-19 on women and children in the UK who were victims of domestic abuse: a practitioner perspective

PurposeThis study aims to explore the impact of COVID-19 on women and children in the UK who were victims of domestic abuse.Design/methodology/approachThe authors draw from their experiences of working in the domestic abuse sector to reflect on the impact of lockdown restrictions on women and children, focussing on the impact of government restrictions that created an environment in which abusers could control the movement of victims.FindingsThe impact of the pandemic was significant as victims were locked into the abuse, unable to escape for fear of breaching lockdown rules. The lockdown affected victims of different forms of violence against women and girls in the UK including forced marriage and female genital mutilation, which highlighted the ramifications of intersectional inequalities for abuse victims.Originality/valueThis paper articulates the devastating impact of the pandemic on vulnerable women, and their fair and just access to the family courts. This paper concludes that women were failed by the government and that there was not nearly enough support from support agencies, which has left many at risk and suffering significant harm.

Meeting the challenge of gender inequality through gender transformative research: lessons from research in Africa, Asia, and Latin America

While the global development agenda has prioritized gender equality, many challenges remain, and the COVID-19 crisis has exacerbated inequalities. Gender transformative approaches to social change have the potential to address the underlying causes of inequality. This paper draws insights from studies funded by Canada's International Development Research Centre to understand how integrating gender transformative approaches to research can support social change. The findings suggest that gender transformative research is most successful in supporting change when it analyzes and addresses the multiple causes of inequality, takes an intersectional and structural approach, embeds the research in local contexts, and engages power holders and perpetrators of inequality.Alternate :RÉSUMÉSi les objectifs de développement mondial ont donné la priorité à l'égalité des genres, il y a encore de nombreux défis à relever dans ce domaine et la crise de la COVID-19 a exacerbé les inégalités. Les approches transformatrices du genre nous permettent de faire face aux causes sous-jacentes de ces inégalités. Cet article base son analyse sur des études financées par le Centre de recherches pour le développement international, au Canada, et vise à mieux comprendre comment l'adoption d'approches transformatrices du genre dans le contexte de la recherche peut appuyer le changement social. Nos résultats suggèrent que la recherche se basant sur une approche transformatrice du genre a de meilleurs chances d'inciter des changements sociaux lorsqu'elle analyse et répond aux différentes causes des inégalités, lorsqu'elle adopte une approche intersectionnelle et structurelle, lorsqu'elle intègre la recherche dans des contextes locaux et lorsqu'elle confronte les détenteurs du pouvoir et les responsables des inégalités.

Black women and girls: Racism and intersectional oppression

The duel systemic societal harms of the COVID-19 pandemic and violent racial injustice have reexposed centuries-long oppression and violence that affects Black people in the United States. These systemic harms, however, are not unilaterally distributed across racial lines, as Black women and girls endure intersectional oppression, including the unique amalgamation of racism and sexism. It is within these interlocking oppressions that sexual abuse flourishes. This chapter opens with critical visioning regarding how we understand inequality in social justice movements. It introduces scholarship on anti-Black racism, intersectional oppression, and Crenshaw's (1991) theories of intersectionality to frame the contextually oppressive experiences of Black women and girls. The chapter provides an application for examining intersectionality within the field of psychology. It details what such intersectional oppression can actually look like in the lives of Black women and girls. Finally, the chapter closes with summary bullet points of the main takeaway messages. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Pathological internet use levels and psychiatric diagnoses in adolescents admitted to a child psychiatry outpatient clinic after face-to-face education restriction due to the pandemic

Introduction: During the period of social restrictions against the pandemic, the screen time of individuals increased significantly, and youths' mental health was adversely affected due to the restriction of peer interactions and physical activities. The aim of this study was to evaluate the levels of internet overuse and psychiatric disorders in adolescents who applied to the child psychiatry outpatient clinic after the distance education period. Materials and Methods: A semi-structured tool, "Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version" (K-SADS-PL) was used to assess psychiatric diagnoses and Young Internet Addiction Test (IAT) to determine excessive internet usage. A total of 141 adolescents aged 11-18 years were recruited for this study. Results: The average score for IAT was statistically significantly higher in the youths with social anxiety disorder compared to those without (p=0.001) even after controlling for socioeconomic status (SES) (p=0.007). According to the hierarchical regression analyses, the girl gender (B=-6.899, p=0.029), younger age (B=-1.526, p=0.032) and co-morbidity of OCD (B=5.292, p=0.042) have statistically significantly predicted higher IAT scores in adolescents diagnosed with anxiety disorders. Conclusion: Identifying the common psychiatric diagnoses related to pathological internet use in adolescents, who started face-to-face education after a long break would enable mental health professionals to plan appropriate interventions for problematic areas particularly in vulnerable population more quickly when similar outbreaks recur.

Assessment and treatment of eating disorders in adolescents

Pediatric health care providers understand that eating disorders are not lifestyle choices but lifethreatening mental health conditions Among patients of all ages, anorexia nervosa (AN) has the second-highest mortality rate of all mental health conditions, after substance abuse.1 Both suicide and the physical effects of nutritional deficit are implicated. Prevalence Analyses of prevalence vary widely in their findings.2 One meta-analysis found lifetime prevalence of AN from 1.7% to 3.6% for female patients and 0.1% for male patients;lifetime prevalence of BN for female patients was about 2.1%.3 BED, with reported prevalence rates of approximately 2% to 4%, is almost as common among male as female patients.2 4 Among adolescents aged 13 to 18 years, one study found prevalence rates of 0.3% for AN, 0.9% for BN, and 1.6% for BED.5 Long characterized as affecting primarily affluent White adolescent girls, eating disorders now affect people from lower socioeconomic groups, members of non-White ethnic groups, preteen children, and boys.2 LGBTQIA+ young people may be at particular risk.6 During the early months of the COVID-19 pandemic, hospitalizations for eating disorders doubled,7 and patients reported significant increases in unhealthy behaviors.8 Screening Caregiver reports about a child's weight or eating habits or clinical observation of unexpected weight changes are likely to alert the pediatrician to the possibility of an eating disorder. Presence of any one of the following symptoms indicates the need for immediate medical hospitalization for refeeding2'14: O Heart rate less than 50 beats per minute (bpm) while awake;less than 45 bpm while asleep O Systolic pressure less than 90/45 mm Hg O Orthostatic changes: decrease in blood pressure of more than 20 mm Hg systolic or 10 mm Hg diastolic;heart rate increase of more than 20 bpm O ECG abnormalities: Prolonged corrected QT interval or other arrhythmia O Syncope O Temperature less than 96 °F (35.6 °C) O Electrolyte abnormalities O Uncontrollable binge eating and purging Dehydration Suicide risk O Less than 75% of expected body weight O Failed outpatient management O Acute weight loss and food refusal Communication Today's young people typically know what anorexia and bulimia are.

Exploring the factors contributing to low vaccination uptake for nationally recommended routine childhood and adolescent vaccines in Kenya.

BACKGROUND: Vaccination remains the most effective means of reducing the burden of infectious disease among children. It is estimated to prevent between two to three million child deaths annually. However, despite being a successful intervention, basic vaccination coverage remains below the target. About 20 million infants are either under or not fully vaccinated, most of whom are in Sub-Saharan Africa region. In Kenya, the coverage is even lower at 83% than the global average of 86%. The objective of this study is to explore the factors that contribute to low demand or vaccine hesitancy for childhood and adolescent vaccines in Kenya. METHODS: The study used qualitative research design. Key Informant Interviews (KII) was used to obtain information from national and county-level key stakeholders. In-depth Interviews (IDI) was done to collect opinions of caregivers of children 0-23 months and adolescent girls eligible for immunization, and Human papillomavirus (HPV) vaccine respectively. The data was collected at the national level and counties such as Kilifi, Turkana, Nairobi and Kitui. The data was analyzed using thematic content approach. A total of 41 national and county-level immunization officials and caregivers formed the sample. RESULTS: Insufficient knowledge about vaccines, vaccine supply issues, frequent healthcare worker's industrial action, poverty, religious beliefs, inadequate vaccination campaigns, distance to vaccination centers, were identified as factors driving low demand or vaccine hesitancy against routine childhood immunization. While factors driving low uptake of the newly introduced HPV vaccine were reported to include misinformation about the vaccine, rumors that the vaccine is a form of female contraception, the suspicion that the vaccine is free and available only to girls, poor knowledge of cervical cancer and benefits of HPV vaccine. CONCLUSIONS: Rural community sensitization on both routine childhood immunization and HPV vaccine should be key activities post COVID-19 pandemic. Likewise, the use of mainstream and social media outreaches, and vaccine champions could help reduce vaccine hesitancy. The findings are invaluable for informing design of context-specific interventions by national and county-level immunization stakeholders. Further studies on the relationship between attitude towards new vaccines and connection to vaccine hesitancy is necessary.

Cervical Cancer Prevention: The Role of the Nurse and Medical Care in Primary and Secondary Cancer Prevention

Objective: Although these days the priority is to fight the Covid-19 pandemic, the importance of human papillomavirus (HPV) infection is not to be neglected. Mechanism: Cervical cancer is caused mainly by a chronic infection with one or more of the high-risk subtypes of HPV -most commonly a sexually transmitted disease acquired early in life. Most HPV infections go away on their own, but some can lead to a precancerous state that, if left untreated, can undergo complete neoplastic transformation. Findings in Brief: There is a hope that in the future the combination of screening tests with vaccinations against oncogenic strains of HPV will allow reductions in the percentage of those contracting cervical cancer. Conclusion(s): The importance of educational activities should be emphasized in developmental gynecology in the context of oncological prevention. The roles of both doctors and nurses are important here. During the Covid-19 Pandemic, these kinds of activities are not to be abandoned. In addition, efforts should be made to develop more practical and workable HPV and cervical screening strategies for use during a pandemic.Copyright © 2022 The Author(s). Published by IMR Press.

Use of social networks in children and adolescents in Mexico

The use of the internet and in particular social networks have altered social interaction, even increased with COVID-19. In the case of children and adolescents, considered early users, they have remained exposed to negative virtual environments. The purpose of this study is to identify the knowledge that children and adolescents have about the implications in the use of social networks to reduce the risk of sexual harassment online, in the face of the pedophilic deception known as grooming. A survey was applied to 251 boys, girls and adolescents between the ages of 10 and 14, who are in the fifth and sixth year of primary school in four public educational centers in the municipality of Zapopan, Jalisco-Mexico. It is evident that the students are unaware of the term grooming;however, 8.76% have been exposed to a situation of online sexual harassment;boys 10.86%, while girls 6.19%. Girls show greater vigilance in the use of the Internet and social networks (26.79%), compared to boys with 15.94%. It is concluded that the prevalence of risk in the school zone analyzed is strictly linked to the plans of the educational centers and in the training of teachers, parents and the community © 2023, Revista de Ciencias Sociales.All Rights Reserved.

The effect of a physical exercise package on the motor proficiency of students with down syndrome

Objectives: The purpose of this study was to evaluate the feasibility and potential effect of a physical exercise package on the motor proficiency of children and adolescents with Down syndrome. Methods: In this research, an experimental design was conducted in two special schools to evaluate the effectiveness of this package and identify its strengths and weaknesses. Forty students with Down syndrome were selected and randomly divided into intervention and control groups. A total of 36 (22 male and 14 female) students out of 50 at two special schools for children with special needs between October 2020 and March 2021 were recruited for the study. Participants were aged 12.888 +or- 2.375 (12.954 +or- 2.609 for boys and 12.785 +or- 2.044 for girls) years. The 18 students in the intervention group participated in the exercise sessions, 2 or 3 sessions per week for 12 weeks. Pre- and post-tests were performed on both groups. The Physical Exercise Package included the principles of exercise, the preferred exercise methods, and the details of exercise planning for Down syndrome individuals (FITT-VP) based on the etiology of Down syndrome and the characteristics of people with this syndrome. Motor proficiency was measured using the Bruininks Oseretsky Test of Motor Proficiency (BOT-2). Results: The results of the study showed that the designed exercise package was adhered to with all the participants attending 93.2% of the sessions, and participants significantly improved their total motor proficiency score, manual dexterity, upper-limb coordination, strength, balance, upper-limb coordination, running speed and agility and fine motor Integration (P < 0.05). However, the exercises did not significantly change the bilateral coordination and fine motor precision (P > 0.05). Conclusions: the current study result shows that developing and implementing the individualized exercise package and observing the principles set out in the program could have significant positive impacts on the motor proficiency of students with Down syndrome.

State of mind in adolescents in Barcelona province (Spain): evolution, associated factors and impact of the pandemic

BACKGROUND: To analyse the evolution of state of mind in adolescents in the province of Barcelona for the last six years and the specific impact of the pandemic and its experience. Likewise, analyse the associated factors both in pre-pandemic period and during. METHODS: Since 2015/2016 a Questionnaire on health related habits was carried out among 4th year high school students to which a COVID-19 chapter was added in the 2020/2021 academic year. There was a representative provincial pre-pandemic sample (N=15,118) and a sample during the pandemic (N=4,966). The dichotomous aggregate variable of positive/negative state of mind was constructed with six specific items to which the bivariate analyses and a multivariate generalized mixed linear model were carried out for both periods. Analysis performed with SAS. RESULTS: The pandemic significantly intensified the trend of worsening the state of mind adolescents, and widened the gender gap. Boys went from 17.9% (pre-pandemic) to 25.7% (during pandemic) with a negative mood, while girls from 31.9% to 52.9%. In modelling during pandemic, socioeconomic and family factors appeared relevant and significant. Sex, perceived poor health, being victim of harassment, self-perception of weight, excessive use of the internet and a poor perception of the residential environment remained significant as in the pre-pandemic model. CONCLUSIONS: The specific negative impact of the pandemic on adolescents' mental well-being is perceived, but it is too early to tell whether it is reversible or not and to assess the effectiveness of interventions to tackle it.

Universal newborn hearing screening in Guantanamo province, 2020-2021

Introduction: universal neonatal hearing screening is a test that enables to identify or suspect hearing loss, performed via habilitation or rehabilitation plan. Background: determine the coverage of universal hearing screening in the epidemiological context of COVID-19 in Guantanamo province, during the period of march 2020 to march 2021. Method: a descriptive, retrospective cross-sectional study was carried out. A total of 5 999 newborns (as Universe) were involved in the study. Variables used were as follow: sex, newborns with or without risk factors, and otoacoustic emissions, which outcomes allowed for the evaluation of universal hearing screening coverage. The standard indicator (95%) and the time at which the first otoacoustic emissions were made were defined. The percentage of newborns detected before one month of life was established as indicator. Results: the 51.1% of the 5 999 newborns were male and 48.3% were female. The 100% of newborns (5 838) without risk factors underwent to the first examination, meanwhile, among those with risk factors (151 newborns) 0.2% (10) could not be tested. Screening of newborns without factors occurred between 1 and 3 days after birth. Screening was never performed after 30 days of birth in those who presented risk factors. Coverage was 99.8% and the reference rate was 0.2%. Conclusions: Universal Hearing Screening Program application in the context of COVID-19 pandemic in Guantanamo province shows a fulfillment in the coverage indicator.

Covid-19 and education in Africa: challenges, possibilities, and opportunities

With comprehensive examples from researchers across East Africa, West Africa, and Southern Africa, the book examines how primary, secondary, and tertiary education was affected by the pandemic and how its effects are shaping the future of education in Africa. This book addresses diverse issues relating to COVID-19 and education, including the gendered-, classed-, and disability-related effects of the pandemic;African educators' and students' experiences with different remote learning technologies;and the outcomes of government interventions in education, such as prolonged school closures. The chapters and case studies highlighted in the volume represent the voices of African educators, students, and parents as they share their experiences of the pandemic and their perspectives on how learning should be optimised to better manage future disruptions to education. This book is the first of its kind to comprehensively examine the effects of COVID-19 on education in Africa, and will be essential reading for researchers, academics, and scholars of African education, international and comparative education, and education policy

Relationship between Psychological Well-being and Academic Achievement of Adolescents during COVID-19

This study looked at how adolescents' psychological health related to their academic performance during COVID-19. The sample for the study included 500 adolescents in the age range of 16 to 18 who were enrolled in classes +1 and+1 in "Government Senior Secondary" schools in rural and urban parts of the Punjabi districts of Ludhiana and Moga. Psychological Well- Being Scale by Sisodia and Chaudhary (2012) was used for assessing the psychological well- being of adolescents. "The results revealed that. more percentage of girls had better psychological well-being than boys. Significant positive correlation was found between overall psychological well-being with academic achievement of girls. The results brought forward that positive mental health is key to good academic success.

Reporting on the shadow pandemic in Nigeria: An analysis of five media organizations' coverage of gender-based violence during the COVID-19 pandemic

This study fills a gap in research by examining how the COVID-19 pandemic laid bare structural and systemic gender inequities in Nigeria. In particular, women and girls are at increased risk of gender-based violence (GBV). We analysed a corpus of 361 articles on GBV published between 1 January 2019 and 31 December 2020 by Daily Trust, The Guardian, Leadership, The Punch and Vanguard, to determine how effectively Nigerian media reported on GBV during the pandemic. Analysis centred on five phases of reporting during those 24 months: (1) pre-lock-down;(2) early lockdown period, 29 March–26 May;(3) response to a rise in GBV, 26 May–30 July;(4) easing of lockdown and (5) sixteen days of activism against GBV, 25 November–10 December 2020. Key themes emerging in the media coverage include the shadow pandemic of GBV in Nigeria, response to the rise in GBV, NGOs combating GBV and calls for improved legislation. © 2023 Intellect Ltd.

Impact of COVID-19 public health responses on income, food security and health services among key and vulnerable women in South Africa

AJOL : Globally, COVID-19 has impacted lives and livelihoods. Women living with HIV and/or at high risk of acquiring HIV are socially and economically vulnerable. Less is known of the impact of COVID-19 public health responses on women from key and vulnerable populations. The purpose of this cross-sectional survey conducted in four South African provinces with a high burden of HIV and COVID-19 from September to November 2021 was to advance understanding of the socio-economic and health care access impact of COVID-19 on women living with HIV or at high risk of acquiring HIV. A total of 2 812 women >15 years old completed the survey. Approximately 31% reported a decrease in income since the start of the pandemic, and 43% an increase in food insecurity. Among those accessing health services, 37% and 36% reported that COVID-19 had impacted their access to HIV and family planning services respectively. Economic and service disruptions were enhanced by living in informal housing, urbanisation and being in the Western Cape. Food insecurity was increased by being a migrant, having fewer people contributing to the household, having children and experience of gender-based violence. Family planning service disruptions were greater for sex workers and having fewer people contributing to the household. These differentiated impacts on income, food security, access to HIV and family planning services were mediated by age, housing, social cohesion, employment and household income, highlighting the need for improved structural and systemic interventions to reduce the vulnerability of women living with HIV or at high risk of acquiring HIV

Black Women, Black Girls, and the Covid-19 Pandemic: An Autoethnography of a Health Disparity

This is an autoethnographic essay that explores how the Covid-19 pandemic affect(ed) Black women and girls. Through storytelling and narrative and performative writing, it paints a clearer picture of the lives lost due to the coronavirus by highlighting specific tragedies that occurred, and by examining the larger societal context that allowed such tragedies to unfold. In addition, it offers an intimate look at the emotional processes that occur when one is diagnosed with the virus.

Impact of COVID-19 Pandemic on Women's Rights and Wellbeing: Analysis of the Ugandan Response to the Global Virus.

The COVID-19 pandemic caused dilemmas for the most vulnerable populations around the world. This article describes the gendered effects of the pandemic on Ugandan women's rights and wellbeing and provides suggestions for local and international practice. Mandatory lockdowns and movement restrictions created negative implications for women's attainment of economic, social, cultural, political and civil rights and intensified pre-existing gender inequalities between women and men. The findings of intensified gender inequities, gender-based violence, sexual abuse, scanty access to reproductive health services and social justice, and barriers to participation in education, employment and politics indicate that response measures were not aligned with the government's legal and policy framework for addressing gender inequities. This research indicates that governments, civil society organisations and the international community must undertake proper gender analysis in designing response measures and guidelines not only for COVID-19 but also in other emergencies. All response measures during emergencies must be coordinated, monitored and evaluated to ensure efficient and effective protection of the vulnerable and conformity to human rights standards.

Pregnancy trends and associated factors among Kenyan adolescent girls and young women pre- and post-COVID-19 lockdown

Globally, COVID-19 has had a negative impact on health systems and health outcomes, with evidence of differential gender impacts emerging. The COVID-19 timeline of events spanning from closures and restrictions to phased reopenings is well-documented in Kenya. This unique COVID-19 situation offered us the opportunity to study a natural experiment on pregnancy trends and outcomes in a cohort of Kenyan adolescent girls and young women (AGYW), enrolled in the KENya Single-dose HPV-vaccine Efficacy (KEN SHE) Study. The KEN SHE Study enrolled sexually active AGYW aged 15–20 years from central and western Kenya. Pregnancy testing was performed at enrollment and every 3 months. We determined pregnancy incidence trends pre- and post-COVID-19 lockdown, pregnancy outcomes (delivery, spontaneous, or induced abortion), and postabortion and postpartum contraceptive uptake. Kaplan–Meier survival estimates of incidence rates were used to estimate the cumulative probability of pregnancy during the study period. Cox regression was used to investigate factors associated with pregnancy incidence. Of the 2,223 AGYW included in the analysis, median age was 18.6 IQR (17.6–20.3), >90% had at least secondary school education, 95% were single at the time of enrollment, and 82% had a steady/primary sexual partner. Pregnancy incidence peaked at 2.27 (95% CI [1.84, 2.81])/100 women-years of observation at the end of the first quarter of 2020, a period coinciding with the government-imposed lockdown. AGYW had 60% increased risk of being pregnant during the lockdown when compared to prelockdown period (HR = 1.60, 95% CI [1.25, 2.05]). Among the 514 pregnancies reported, 127 (25%) ended in abortion, of which 66 (52%) were induced abortions. Our findings demonstrate the adverse sexual and reproductive health (SRH) consequences of the COVID-19 pandemic and the lockdown measures among AGYW. As services continue to be disrupted by the pandemic, there is an urgent need to strengthen and prioritize AGYW-centered SRH services, including contraception and safe abortion.

Learning loss and student dropouts during the COVID-19 pandemic: a review of the evidence two years after schools shut down

Following the outbreak and spread of COVID-19 in 2020, schools around the world closed for significant periods of time. Many scholars provided projections of the likely impacts on educational outcomes, with potentially dire impacts on learning loss and-especially in low-income contexts-dropout rates. Now, two years after schools began shutting down, we identify 40 empirical studies directly estimating student learning loss (29 studies) or dropout rates (15 studies) for students in pre-primary, primary, or secondary school in countries at any income level. Most estimates of average learning loss are negative, although-especially in low- and middle-income countries-this is not always the case, and average losses are not as significant as some models predicted. Furthermore, learning loss was consistently much higher among students with lower socioeconomic status in high-, middle-, and low-income countries, even in contexts with little or no average learning loss. In other words, the pandemic consistently boosted learning inequality. Dropout rates ranged dramatically, from under 1 percent to more than 35 percent, with much higher rates for older students, suggesting that pandemic school closures-together with other pandemic-related shocks-may have curtailed many adolescents' schooling careers. In some countries (e.g., Kenya and Nigeria), girls are at higher risk of dropping out. The vast majority of studies report results for students of primary school age (83 percent of studies), with fewer reporting results for students of secondary school age (45 percent) and even fewer studies (8 percent) for younger students.