COVID-19 mitigation measures in primary schools and association with infection and school staff wellbeing: An observational survey linked with routine data in Wales, UK.
COVID-19 mitigation measures in primary schools and association with infection and school staff wellbeing: An observational survey linked with routine data in Wales, UK.
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DOI：
10.1371/journal.pone.0264023
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发表时间：
2022
期刊：
影响因子：
3.7
通讯作者：
Brophy S
中科院分区：
文献类型：
--
作者：
Marchant E;Griffiths L;Crick T;Fry R;Hollinghurst J;James M;Cowley L;Abbasizanjani H;Torabi F;Thompson DA;Kennedy J;Akbari A;Gravenor MB;Lyons RA;Brophy S
以学校为基础的COVID-19缓解策略极大地影响了小学日（3-11岁儿童），包括：戴面罩、两米距离、禁止儿童混在一起、禁止早餐俱乐部或课外活动。这项研究探讨了这些缓解措施以及与2020年10月至12月期间英国威尔士COVID-19感染、呼吸道感染和学校员工健康的关系。一项学校员工调查收集了学校自我报告的COVID-19缓解措施、参与者的焦虑和抑郁，以及关于教学和实施措施的经验的公开文本回应。这些调查回应与全国范围的COVID-19检测结果数据相关联，以检查学校措施与学校出现COVID-19阳性（员工或学生）病例的可能性之间的关联（按学校进行聚类，并使用逻辑回归对学校规模和免费校餐进行调整）。通过SAIL（安全匿名信息链接）数据库进行链接。从22个地方当局中的15个当局的59所小学的353名参与者那里获得了答复。有更多的直接非家庭接触者与学校中COVID-19阳性病例的可能性更高相关（1-5次接触与无接触，OR 2.89（1.01，8.31）），并有更多自我报告的感冒症状的趋势。工作人员的面部覆盖与学校COVID-19病例的较低几率无关（口罩与无覆盖OR 2.82（1.11，7.14）），与自我报告的感冒症状较高相关。学校工作人员报告了戴面罩对教学的影响，包括不得不站得离学生更近，提高他们的声音。67.1%的学生不能与学生保持两米的社交距离。我们没有发现证据表明保持两米的距离与学校中较低的COVID-19发病率有关。在小学环境中实施、遵守和评估COVID-19缓解指南是一项挑战。我们的研究结果表明，减少非家庭直接接触可以降低感染率。没有证据表明面部覆盖物，两米社交距离或阻止儿童混合与学校中COVID-19或感冒感染率的较低几率有关。小学教职员发现在COVID-19限制期间教学具有挑战性，特别是对于年幼的学生和有额外学习需求的学生。
School-based COVID-19 mitigation strategies have greatly impacted the primary school day (children aged 3–11) including: wearing face coverings, two metre distancing, no mixing of children, and no breakfast clubs or extra-curricular activities. This study examines these mitigation measures and association with COVID-19 infection, respiratory infection, and school staff wellbeing between October to December 2020 in Wales, UK. A school staff survey captured self-reported COVID-19 mitigation measures in the school, participant anxiety and depression, and open-text responses regarding experiences of teaching and implementing measures. These survey responses were linked to national-scale COVID-19 test results data to examine association of measures in the school and the likelihood of a positive (staff or pupil) COVID-19 case in the school (clustered by school, adjusted for school size and free school meals using logistic regression). Linkage was conducted through the SAIL (Secure Anonymised Information Linkage) Databank. Responses were obtained from 353 participants from 59 primary schools within 15 of 22 local authorities. Having more direct non-household contacts was associated with a higher likelihood of COVID-19 positive case in the school (1–5 contacts compared to none, OR 2.89 (1.01, 8.31)) and a trend to more self-reported cold symptoms. Staff face covering was not associated with a lower odds of school COVID-19 cases (mask vs. no covering OR 2.82 (1.11, 7.14)) and was associated with higher self-reported cold symptoms. School staff reported the impacts of wearing face coverings on teaching, including having to stand closer to pupils and raise their voices to be heard. 67.1% were not able to implement two metre social distancing from pupils. We did not find evidence that maintaining a two metre distance was associated with lower rates of COVID-19 in the school. Implementing, adhering to and evaluating COVID-19 mitigation guidelines is challenging in primary school settings. Our findings suggest that reducing non-household direct contacts lowers infection rates. There was no evidence that face coverings, two metre social distancing or stopping children mixing was associated with lower odds of COVID-19 or cold infection rates in the school. Primary school staff found teaching challenging during COVID-19 restrictions, especially for younger learners and those with additional learning needs.
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