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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DOI：
10.1136/bmjopen-2021-051574
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发表时间：
2021-10-08
期刊：
影响因子：
2.9
通讯作者：
Brophy S
中科院分区：
文献类型：
--
作者：
James M;Marchant E;Defeyter MA;Woodside J;Brophy S
这项研究旨在通过比较学校关闭期间（2020年4月至6月）通过HAPPEN（小学生健康和成绩网络）收集的健康和福祉结果，与2019年和2018年同期通过HAPPEN调查收集的数据，探讨最初学校关闭与儿童健康之间的关系。该研究是在网上进行的，威尔士有161所小学参与了“家庭幸福”调查。数据是通过“家庭健康”调查收集的，该调查收集了威尔士1333名参与者的8-11岁儿童的典型健康行为。这些数据与2018年和2019年4月至6月期间从HAPPEN收集的数据（2019年（n=1150）和2018年（n=475））进行了比较。主要结果包括身体活动，屏幕时间，饮食和牙齿健康以及幸福感，能力和自主性的有效措施。免费校餐（FSM）的地位被用作社会经济剥夺的代理。通过FSM重复分层分析。比较2020年4月至6月（n=1068），2019年（n=1150）和2018年（n=475）的反应，与往年相比，学校关闭期间儿童的身体活动水平，睡眠时间，幸福感和总体幸福感有所改善。然而，与2019年相比，FSM的儿童吃的水果和蔬菜较少（五份或更多份水果和蔬菜减少21%（95% CI：5.7%至37%）），自我评估的学校能力较低。与未使用FSM的学生相比，他们在学校关闭期间进行体育活动的时间更少（13.03%，95%CI：3.3%至21.7%），并消耗更多的外卖（16.3%，95%CI：2%至30%）。这项研究表明，学校在减少身体健康方面的不平等方面非常重要。符合FSM资格的儿童的身体健康（例如，体育活动和饮食）可能会受到学校长期关闭的影响。
This 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. The study was conducted online with 161 primary schools across Wales involved in the ‘HAPPEN At Home’ Survey. Data 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 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. Comparing 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. This 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.
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影响因子：
3.5
作者：
Lyons RA;Jones KH;John G;Brooks CJ;Verplancke JP;Ford DV;Brown G;Leake K
通讯作者：
Leake K
影响因子：
1.7
作者：
Deighton, Jessica;Tymms, Peter;Wolpert, Miranda
通讯作者：
Wolpert, Miranda
影响因子：
4.4
作者：
Ogunleye, A. A.;Voss, C.;Sandercock, G. R.
通讯作者：
Sandercock, G. R.
DOI：
10.1073/pnas.2022376118
发表时间：
2021-04-27
影响因子：
11.1
作者：
Engzell P;Frey A;Verhagen MD
通讯作者：
Verhagen MD
影响因子：
2.3
作者：
Ilie, Sonia;Sutherland, Alex;Vignoles, Anna
通讯作者：
Vignoles, Anna