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Table 3 Youth Stigma in India: Risk of bias assessment (Y Yes, N No, NA Not applicable, NR Not reported)

From: Stigma associated with mental health problems among young people in India: a systematic review of magnitude, manifestations and recommendations

Studies (1–10) ➔

Abraham et al., 2014 [33]

Aggarwal et al., 2016 [34]

Ahuja et al., 2017 [35]

Bell et al., 2010 [36]

Bell et al., 2008 [37]

Bhise et al., 2016 [38]

Chawla et al., 2012 [39]

D’Sa et al., 2016 [40]

Etzersdorfer et al., 1998 [41]

Gulati et al., 2014 [42]

1. Was the research question or objective clearly stated?

Y

Y

Y

Y

Y

Y

Y

N

Y

Y

2. Was the study population clearly specified and defined?

Y

Y

N

Y

Y

Y

N

Y

Y

Y

3. Was the participation rate of eligible persons at least 50%?

NR

Y

NR

Y

Y

Y

NR

Y

Y

Y

4. Were all subjects selected or recruited from the same or similar populations?

N

Y

N

Y

Y

Y

Y

Y

N

Y

5. Was a sample size justification, power description, or variance and effect estimates provided?

N

N

N

N

N

N

N

Y

N

N

6. Were exposure(s) of interest measured prior to the outcome(s) being measured?

N

N

Y

N

Y

Y

Y

Y

Y

Y

7. Was the timeframe sufficient so that one could reasonably expect to see an association between exposure and outcome if it existed?

NR

NR

NR

NR

NA

NA

NR

NA

NR

NR

8. For exposures that can vary in amount or level, did the study examine different levels of the exposure as related to the outcome?

Y

Y

N

Y

Y

N

Y

NR

Y

Y

9. Were exposure measures clearly defined, valid, reliable, and implemented consistently across all participants?

Y

N

Y

N

N

N

N

NR

N

Y

10. Was the exposure(s) assessed more than once over time?

N

N

N

N

N

N

N

N

N

N

11. Were the outcome measures clearly defined, valid, reliable, and implemented consistently across all participants?

 

N

Y

Y

N

Y

N

N

Y

Y

12. Were outcome assessors blinded to the exposure status of participants?

Y

N

N

N

N

N

N

N

N

N

13. Was loss to follow-up after baseline 20% or less?

NA

NA

NA

NA

Y

Y

NA

Y

NA

NA

14. Were key potential confounding variables measured and adjusted statistically for their impact on the relationship between exposure(s) and outcome(s)?

Y

Y

N

N

N

N

N

N

N

N

Quality rating [Good (G); Fair (F); Poor (P)]

F

G

P

F

G

G

P

F

F

G

Studies (11–21)➔

Hiremath & Wale, 2017 [43]

Joshi et al., 2012 [44]

Kalra, 2012 [61]

Kodakandla et al., 2016 [45]

Madhan et al., 2012 [46]

Mahto et al., 2009 [47]

Mehrotra et al., 2013 [62]

Nebhinani et al., 201 [49]

Nebhinani et al., 2017 [48]

Poreddi et al., 2016 [50]

1. Was the research question or objective clearly stated?

Y

Y

Y

Y

Y

N

Y

Y

Y

Y

2. Was the study population clearly specified and defined?

Y

Y

Y

Y

Y

N

Y

Y

Y

Y

3. Was the participation rate of eligible persons at least 50%?

N

NR

Y

NR

NR

NR

Y

Y

NR

Y

4. Were all subjects selected or recruited from the same or similar populations?

Y

Y

Y

Y

Y

N

Y

Y

Y

Y

5. Was a sample size justification, power description, or variance and effect estimates provided?

N

N

N

N

N

N

N

N

N

N

6. Were exposure(s) of interest measured prior to the outcome(s) being measured?

Y

Y

N

Y

N

Y

N

N

N

N

7. Was the timeframe sufficient so that one could reasonably expect to see an association between exposure and outcome if it existed?

NR

NA

NA

NA

NR

NR

NR

N

NR

N

8. For exposures that can vary in amount or level, did the study examine different levels of the exposure as related to the outcome?

Y

NR

NR

Y

N

Y

N

N

Y

N

9. Were exposure measures clearly defined, valid, reliable, and implemented consistently across all participants?

N

N

N

Y

N

N

Y

N

N

N

10. Was the exposure(s) assessed more than once over time?

N

N

NA

N

N

N

N

N

N

N

11. Were the outcome measures clearly defined, valid, reliable, and implemented consistently across all participants?

N

N

N

Y

Y

Y

Y

Y

Y

Y

12. Were outcome assessors blinded to the exposure status of participants?

N

N

N

N

N

N

N

N

N

N

13. Was loss to follow-up after baseline 20% or less?

NA

NA

NA

NA

NA

NA

NA

NA

NA

NA

14. Were key potential confounding variables measured and adjusted statistically for their impact on the relationship between exposure(s) and outcome(s)?

N

N

N

N

N

N

N

N

N

N

Quality rating [Good (G); Fair (F); Poor (P)]

F

P

P

G

P

P

F

F

F

F

Studies (21–30)➔

Poreddi et al., 2017 [51]

Poreddi et al., 2015 [52]

Prasad & Theodore, 2016 [53]

Ram et al., 2017 [54]

Roy et al., 2017 [55]

Shanthi et al., 2015 [56]

Sureka et al., 2016 [57]

Thakur & Olive, 2016 [58]

Thomas et al., 2015 [59]

Vijayalakshmi et al., 2013 [60]

1. Was the research question or objective clearly stated?

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

2. Was the study population clearly specified and defined?

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

3. Was the participation rate of eligible persons at least 50%?

Y

Y

NR

NR

NR

NR

NR

NR

NR

NR

4. Were all subjects selected or recruited from the same or similar populations?

Y

Y

Y

NR

Y

Y

Y

N

N

Y

5. Was a sample size justification, power description, or variance and effect estimates provided?

N

N

N

N

N

N

N

N

N

N

6. Were exposure(s) of interest measured prior to the outcome(s) being measured?

Y

Y

Y

Y

N

N

N

Y

Y

N

7. Was the timeframe sufficient to reasonably expect an association between exposure and outcome, if it existed?

NR

NR

NR

NR

N

N

N

N

N

N

8. For exposures that can vary in amount or level, did the study examine different levels of the exposure as related to the outcome?

N

N

Y

Y

N

N

N

NR

Y

N

9. Were exposure measures clearly defined, valid, reliable, and implemented consistently across all participants?

Y

N

N

Y

N

N

N

NR

N

N

10. Was the exposure(s) assessed more than once over time?

N

N

N

N

N

N

N

N

N

N

11. Were outcome measures clearly defined, valid, reliable, and implemented consistently across all participants?

Y

Y

N

Y

N

NR

Y

N

N

Y

12.Were outcome assessors blinded to the exposure status of participants?

N

N

N

N

N

N

N

N

N

N

13. Was loss to follow-up after baseline 20% or less?

NA

NA

NA

NA

NA

NA

NA

NA

NA

NA

14. Were key potential confounding variables measured and adjusted statistically for their impact?

Y

Y

N

N

N

N

N

Y

N

N

Quality rating [Good (G); Fair (F); Poor (P)]

G

G

F

G

P

P

P

P

P

P