Enhancing the utility of exploratory ‘factors associated with’ studies in global mental health: the importance of context in Sub-Saharan Africa - Takeaways - MDSpire
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Improving the Value of Exploratory 'Associated Factors' Research in Global Mental Health: Contextual Significance in Sub-Saharan Africa

  • By

  • Joan Abaatyo

  • Wilber Ssembajjwe

  • Emmanuel Kiiza Mwesiga

  • September 27, 2026

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  • 1

    Lewer et al. argue that exploratory 'factors associated with' studies are methodologically unsound and should generally be discontinued.

  • 2

    The critique of exploratory studies highlights issues like inappropriate adjustment, multiple testing, and post-hoc causal interpretation.

  • 3

    Exploratory association studies can yield essential insights in low-resource settings, particularly in Sub-Saharan Africa's mental health research.

  • 4

    Exploratory analyses have historically contributed to foundational discoveries in epidemiology, including links between smoking and lung cancer.

  • 5

    In Sub-Saharan Africa, exploratory studies help identify mental health patterns and inform the development of locally grounded hypotheses.

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