Journal article

To what extent is the association between disability and mental health in adolescents mediated by bullying? A causal mediation analysis

T King, Z Aitken, A Milner, E Emerson, N Priest, A Karahalios, A Kavanagh, T Blakely

International Journal of Epidemiology | OXFORD UNIV PRESS | Published : 2018

Abstract

Background: Disability among adolescents is associated with both poorer mental health (MH) and higher levels of bullying-victimization. Bullying, therefore, conceivably mediates the association between disability and MH. Quantifying this pathway is challenging as the exposure (disability), mediator (bullying) and outcome (MH) are subjective, and subject to dependent measurement error if the same respondent reports on two or more variables. Methods: Utilizing the counterfactual and potential outcomes approaches to causal mediation, we decomposed the total effect of disability on MH into natural indirect effects (through bullying) and natural direct effects (not through bullying) using a sampl..

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