Impact of school closures on the health and well-being of primary school children in Wales UK; a routine data linkage study using the HAPPEN survey (2018-2020)
Impact of school closures on the health and well-being of primary school children in Wales UK; a routine data linkage study using the HAPPEN survey (2018-2020)
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学校停课对英国威尔士小学生健康和福祉的影响；
DOI：
10.1101/2021.02.04.21251155
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发表时间：
2021
期刊：
影响因子：
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通讯作者：
James M
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文献类型：
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作者：
James M
目标本研究旨在通过比较通过 HAPPEN（小学教育网络中学生的健康和成绩）收集的学校停课期间（2020 年 4 月至 6 月）收集的健康和福祉结果与通过 HAPPEN 调查 2019 年和 2018 年同期的数据，探讨学校停课初期与儿童健康之间的关系。 设置这项研究是在威尔士参与“HAPPEN At Home”的 161 所小学在线进行的调查.参与者数据 是通过“HAPPEN At Home”调查收集的，该调查记录了威尔士 1333 名参与者 8 至 11 岁儿童的典型健康行为。这些数据与 2018 年和 2019 年 4 月至 6 月期间收集的数据进行了比较，这些数据来自 HAPPEN（2019 年（n = 1150）和 2018 年（n = 475））。主要和次要结果指标主要结果包括体力活动、屏幕时间、饮食和牙齿健康以及幸福感、能力和自主权的经过验证的指标。免费校餐（FSM）状况被用作社会经济剥夺的代表。 FSM 重复进行了分层分析。结果比较 2020 年 4 月至 6 月（n=1068）、2019 年（n=1150）和 2018 年（n=475）的反应，学校停课期间儿童的体力活动水平、睡眠时间、幸福感和总体幸福感与往年相比有所改善。然而，与 2019 年相比，接受 FSM 的孩子吃的水果和蔬菜较少（五份或以上水果和蔬菜的摄入量减少了 21%（95% CI：5.7% 至 37%）），并且自我评估的学校能力较低。与未接受 FSM 的孩子相比，他们花在体力活动上的时间也更少（13.03%，95% CI：3.3% 至 21.7%），并且消耗更多的外卖。 （16.3%， 学校停课期间（95% CI：2% 至 30%）。结论这项研究表明，学校对于减少身体健康方面的不平等非常重要。符合 FSM 资格的儿童的身体健康（例如身体活动和饮食）可能会受到学校长期停课的影响。
ObjectivesThis study aimed to explore the relationship between initial school closures and children’s health by comparing health and well-being outcomes collected during school closures (April–June 2020) via HAPPEN (the Health and Attainment of Pupils in a Primary Education Network) with data from the same period in 2019 and 2018 via the HAPPEN Survey.SettingThe study was conducted online with 161 primary schools across Wales involved in the ‘HAPPEN At Home’ Survey.ParticipantsData were collected via the ‘HAPPEN At Home’ Survey capturing the typical health behaviours of children aged 8–11 years from 1333 participants across Wales. These data were compared with data in 2018 and 2019 also collected between April and June, from HAPPEN (2019 (n=1150) and 2018 (n=475)).Primary and secondary outcome measuresPrimary outcomes included validated measures of physical activity, screen time, diet and dental health, as well as well-being, competency and autonomy. Free school meal (FSM) status was used as a proxy for socioeconomic deprivation. Analyses were repeated stratifying by FSM.ResultsComparing responses between April–June in 2020 (n=1068), 2019 (n=1150) and 2018 (n=475), there were improvements in physical activity levels, sleep time, happiness and general well-being for children during school closures compared with previous years. However, children on FSM ate fewer fruits and vegetables (21% less at five or more portions of fruits and vegetables (95% CI: 5.7% to 37%)) and had lower self-assessed school competence compared with 2019. Compared with those not on FSM, they also spent less time doing physical activity (13.03%, 95% CI: 3.3% to 21.7%) and consumed more takeaways (16.3%, 95% CI: 2% to 30%) during school closures.ConclusionsThis study suggests that schools are important in reducing inequalities in physical health. The physical health (eg, physical activity and diet) of children eligible for FSM may be affected by prolonged school closures.