Cohort for research into Living EnVironments and hEalth in childRen: CLEVER

这个项目是关于什么的？我们正在建立一个新的数据资源，名为Clear(研究儿童生活环境和健康的队列：Clear)，让研究人员能够研究学校和家庭内及周围环境与儿童健康和教育之间的联系。我们为什么要做这个项目？儿童比成年人更容易受到家中和学校内和周围环境对健康有害的影响。英格兰的许多儿童也无法在他们生活和上学的地方获得服务和基础设施。儿童时期暴露在室外空气污染、过度拥挤、家中发霉、学校附近的快餐广告或无法进入绿地等环境中，会导致长期的疾病，如哮喘、心理健康不良、肥胖和教育程度下降。政府正在采取一系列措施来改善环境和使住房更安全。我们需要更好的数据来了解当地环境如何影响儿童的健康和教育，并决定政府推出的环境政策是否正在改善儿童的福祉和学业成绩。我们要怎么做呢？我们将建立一个包含学校、医院和社区药房的数据的国家数据库，其中包含2006年以后在英格兰出生的所有儿童的健康和教育历史数据，大约有1100万名儿童。孩子的数据将与他们母亲怀孕期间的健康信息联系起来。我们将把健康和教育数据与儿童家庭和学校内和周围的当地环境数据结合起来。这将使研究人员能够研究居住在繁忙道路附近、在人满为患的房子里长大、或者能够进入公园和当地服务等因素如何影响儿童从出生到十几岁的健康和学校教育。为了展示如何使用智能数据，我们将开展一项研究，看看居住或上学附近的绿地(如公园或花园)是否有助于青少年的心理健康，以及居住在托儿设施良好的地区是否与儿童在学校的表现有关。所有数据都将保存在安全的服务器上，并使用保护母亲和儿童身份的方法进行链接。最终，基于聪明数据的研究将向政府部门和地方议会以及广大公众通报他们的住房、环境和规划政策在改善儿童生活方面的成效。

What is this project about?We are setting up a new data resource called CLEVER (Cohort for research into Living EnVironments and hEalth in childRen: CLEVER) to allow researchers to study the link between environments in and around schools and homes, and children's health and education. Why are we doing this project?Children are much more vulnerable to health-damaging features of the environment in and around their homes and schools than adults. Many children in England also lack access to services and infrastructure where they live and go to school. Being exposed to such things as outdoor air pollution, overcrowding, mould in the home, fast food advertising near schools, or having no access to greenspace during childhood is associated with the development of long-term conditions such as asthma, poor mental health, obesity and worse educational attainment. The Government is introducing a number of measures to improve environments and make housing safer. We need better data to understand how the local environment influences the health and education of children, and decide whether environmental policies introduced by the Government are improving children's wellbeing and school results. How are we going to do it? We will establish CLEVER, a national database containing data from schools, hospitals and community pharmacies on health and education histories for all children born in England from 2006 onwards, around 11 million children. Data for children will be linked to information about their mothers' health during pregnancy. We will combine the health and education data in CLEVER with data on local environments in and around children's homes and schools. This will allow researchers to carry out studies of how factors such as living near busy roads, growing up in an overcrowded house, or having access to parks and local services influence children's health and schooling from birth to teen age. To show how CLEVER data can be used, we will carry out a study to look at whether living or going to school near greenspace (such as public parks or gardens) helps teenagers' mental health, and whether living in areas with good childcare provision is related to how well children do at school. All data will be kept on secure servers and linked using methods that protect the identities of mothers and children. Ultimately, research based on CLEVER data will inform government departments and local councils, as well as the public at large, about how well their housing, environmental and planning policies are working to improve children's lives.