Understanding the economic, social and health impacts of COVID-19 using lifetime data: evidence from 5 nationally representative UK cohorts

我们迫切需要了解COVID-19危机对经济、社会和健康的影响，它在多大程度上扩大或缩小了不平等，以及塑造脆弱性和对其影响的恢复力的终身因素。我们建议在英国独特的五个国家纵向队列研究系列中收集调查数据和新颖的联系，这些研究收集了详细的社会、经济、发展、行为、从出生以来，对大规模代表性样本的态度和身心健康数据。该队列涵盖青春期后期（19/20）、成年早期（30/31）、中年（50）和老年（62和74）的关键生命阶段。我们建议在2020年8月和11月再进行两次网络调查，以了解研究参与者在多个生活领域（包括健康、工作和社交生活）的不断变化的情况。这将与已经在这些人群中收集的丰富的社会和生物医学生命历程数据相结合，以确定危机的短期，中期和长期影响的不平等，并了解不同的生命轨迹如何减轻或加剧其影响。来自COVID症状跟踪应用程序的新数据，以及包括绿色空间和空气污染在内的一系列地理环境指标也将被联系起来。后者被假设为改变危机对身心健康的影响。收集的数据将通过英国数据服务迅速提供给研究人员，并将编写一系列政策简报和学术论文。

There is an urgent need to understand the economic, social and health impacts of the COVID-19 crisis, the extent to which it is widening or narrowing inequalities, and the lifelong factors which shape vulnerability and resilience to its effects.We propose survey data collection and novel linkages in the UK's unique series of five national longitudinal cohort studies which have captured detailed social, economic, developmental, behavioural, attitudinal, and physical and mental health data on large representative samplessince birth. The cohorts cover key life stages from late adolescence (19/20), early adulthood (30/31), mid-life (50) and older age (62, and 74).A rapid first COVID web-survey was successfully issued in-house in all five cohorts in May 2020 (n=18,148). We propose two further web surveys in August and November 2020, to capture the evolving circumstances of study participants across multiple life domains, including in health, work, and social life. This will be combined with the rich social and biomedical life course data already collected within these cohorts, to identify inequalities in the short, medium and long-term effects of the crisis, and to understand how different lifetime trajectories either mitigate or exacerbate its effects.Novel data from a COVID symptoms tracking app, and a range of geo-environmental indicators including green space and air pollution will also be linked. The latter are hypothesised to modify the mental and physical health effects of the crisis. The data collected will be made rapidly available to researchers via UK Data Service, and a series of policy briefings, and academic papers will be produced.