2022 Yes https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-022-12894-7 Troy, David Australia Europe North America Experimental Students Elementary (K-5) Middle/Jr High (6-8) High School (9-12) Stress/Anxiety Mental health School environment Systematic review Review of 62 studies found school structures, culture, and interventions can affect youth mental health; evidence supports physical activity and peer support; equity impacts remain underexamined.