No Cover Image

Journal article 600 views 51 downloads

Pre-COVID-19 pandemic health-related behaviours in children (2018–2020) and association with being tested for SARS-CoV-2 and testing positive for SARS-CoV-2 (2020–2021): a retrospective cohort study using survey data linked with r...

Emily Marchant Orcid Logo, Emily Lowthian, Tom Crick Orcid Logo, Lucy Griffiths Orcid Logo, Rich Fry Orcid Logo, Kevin Dadaczynski Orcid Logo, Orkan Okan Orcid Logo, Michaela James Orcid Logo, Laura Cowley, Fatemeh Torabi Orcid Logo, Jonathan Kennedy, Ashley Akbari Orcid Logo, Ronan Lyons Orcid Logo, Sinead Brophy Orcid Logo

BMJ Open, Volume: 12, Issue: 9, Start page: e061344

Swansea University Authors: Emily Marchant Orcid Logo, Emily Lowthian, Tom Crick Orcid Logo, Lucy Griffiths Orcid Logo, Rich Fry Orcid Logo, Michaela James Orcid Logo, Laura Cowley, Fatemeh Torabi Orcid Logo, Jonathan Kennedy, Ashley Akbari Orcid Logo, Ronan Lyons Orcid Logo, Sinead Brophy Orcid Logo

  • 59234_VoR.pdf

    PDF | Version of Record

    This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license

    Download (695.24KB)

Check full text

DOI (Published version): 10.1136/bmjopen-2022-061344

Abstract

Objectives Examine if pre-COVID-19 pandemic (prior March 2020) health-related behaviours during primary school are associated with (1) being tested for SARS-CoV-2 and (2) testing positive between 1 March 2020 and 31 August 2021.Design Retrospective cohort study using an online cohort survey (January...

Full description

Published in: BMJ Open
ISSN: 2044-6055 2044-6055
Published: BMJ 2022
Online Access: Check full text

URI: https://cronfa.swan.ac.uk/Record/cronfa59234
Tags: Add Tag
No Tags, Be the first to tag this record!
first_indexed 2022-02-07T12:16:40Z
last_indexed 2023-01-11T14:40:22Z
id cronfa59234
recordtype SURis
fullrecord <?xml version="1.0"?><rfc1807><datestamp>2022-09-29T16:11:39.7844408</datestamp><bib-version>v2</bib-version><id>59234</id><entry>2022-01-25</entry><title>Pre-COVID-19 pandemic health-related behaviours in children (2018&#x2013;2020) and association with being tested for SARS-CoV-2 and testing positive for SARS-CoV-2 (2020&#x2013;2021): a retrospective cohort study using survey data linked with routine health data in Wales, UK</title><swanseaauthors><author><sid>d68adb6744707b3bd75e07bd334d0516</sid><ORCID>0000-0002-9701-5991</ORCID><firstname>Emily</firstname><surname>Marchant</surname><name>Emily Marchant</name><active>true</active><ethesisStudent>false</ethesisStudent></author><author><sid>db5bc529b8a9dfca2b4a268d14e03479</sid><firstname>Emily</firstname><surname>Lowthian</surname><name>Emily Lowthian</name><active>true</active><ethesisStudent>false</ethesisStudent></author><author><sid>200c66ef0fc55391f736f6e926fb4b99</sid><ORCID>0000-0001-5196-9389</ORCID><firstname>Tom</firstname><surname>Crick</surname><name>Tom Crick</name><active>true</active><ethesisStudent>false</ethesisStudent></author><author><sid>e35ea6ea4b429e812ef204b048131d93</sid><ORCID>0000-0001-9230-624X</ORCID><firstname>Lucy</firstname><surname>Griffiths</surname><name>Lucy Griffiths</name><active>true</active><ethesisStudent>false</ethesisStudent></author><author><sid>d499b898d447b62c81b2c122598870e0</sid><ORCID>0000-0002-7968-6679</ORCID><firstname>Rich</firstname><surname>Fry</surname><name>Rich Fry</name><active>true</active><ethesisStudent>false</ethesisStudent></author><author><sid>9a717d184fb8f768e462d95b91e63e23</sid><ORCID>0000-0001-7047-0049</ORCID><firstname>Michaela</firstname><surname>James</surname><name>Michaela James</name><active>true</active><ethesisStudent>false</ethesisStudent></author><author><sid>a80501f280e89fee276510b25fc68e77</sid><firstname>Laura</firstname><surname>Cowley</surname><name>Laura Cowley</name><active>true</active><ethesisStudent>false</ethesisStudent></author><author><sid>f569591e1bfb0e405b8091f99fec45d3</sid><ORCID>0000-0002-5853-4625</ORCID><firstname>Fatemeh</firstname><surname>Torabi</surname><name>Fatemeh Torabi</name><active>true</active><ethesisStudent>false</ethesisStudent></author><author><sid>08163d1f58d7fefcb1c695bcc2e0ef68</sid><ORCID/><firstname>Jonathan</firstname><surname>Kennedy</surname><name>Jonathan Kennedy</name><active>true</active><ethesisStudent>false</ethesisStudent></author><author><sid>aa1b025ec0243f708bb5eb0a93d6fb52</sid><ORCID>0000-0003-0814-0801</ORCID><firstname>Ashley</firstname><surname>Akbari</surname><name>Ashley Akbari</name><active>true</active><ethesisStudent>false</ethesisStudent></author><author><sid>83efcf2a9dfcf8b55586999d3d152ac6</sid><ORCID>0000-0001-5225-000X</ORCID><firstname>Ronan</firstname><surname>Lyons</surname><name>Ronan Lyons</name><active>true</active><ethesisStudent>false</ethesisStudent></author><author><sid>84f5661b35a729f55047f9e793d8798b</sid><ORCID>0000-0001-7417-2858</ORCID><firstname>Sinead</firstname><surname>Brophy</surname><name>Sinead Brophy</name><active>true</active><ethesisStudent>false</ethesisStudent></author></swanseaauthors><date>2022-01-25</date><deptcode>EDUC</deptcode><abstract>Objectives Examine if pre-COVID-19 pandemic (prior March 2020) health-related behaviours during primary school are associated with (1) being tested for SARS-CoV-2 and (2) testing positive between 1 March 2020 and 31 August 2021.Design Retrospective cohort study using an online cohort survey (January 2018 to February 2020) linked with routine PCR SARS-CoV-2 test results.Setting Children attending primary schools in Wales (2018&#x2013;2020), UK, who were part of the Health and Attainment of Pupils in a Primary Education Network (HAPPEN)_school network.Participants Complete linked records of eligible participants were obtained for n=7062 individuals. 39.1% (n=2764) were tested (age 10.6&#xB1;0.9; 48.9% girls) and 8.1% (n=569) tested positive for SARS-CoV-2 (age 10.6&#xB1;1.0; 54.5% girls).Main outcome measures Logistic regression of health-related behaviours and demographics were used to determine the ORs of factors associated with (1) being tested for SARS-CoV-2 and (2) testing positive for SARS-CoV-2.Results Consuming sugary snacks (1&#x2013;2&#x2009;days/week OR=1.24, 95% CI 1.04 to 1.49; 5&#x2013;6&#x2009;days/week OR=1.31, 95% CI 1.07 to 1.61; reference 0 days), can swim 25 m (OR=1.21, 95% CI 1.06 to 1.39) and age (OR=1.25, 95% CI 1.16 to 1.35) were associated with an increased likelihood of being tested for SARS-CoV-2. Eating breakfast (OR=1.52, 95% CI 1.01 to 2.27), weekly physical activity &#x2265;60 min (1&#x2013;2&#x2009;days OR=1.69, 95% CI 1.04 to 2.74; 3&#x2013;4&#x2009;days OR=1.76, 95% CI 1.10 to 2.82; reference 0 days), out-of-school club participation (OR=1.06, 95% CI 1.02 to 1.10), can ride a bike (OR=1.39, 95% CI 1.00 to 1.93), age (OR=1.16, 95% CI 1.05 to 1.28) and girls (OR=1.21, 95% CI 1.00 to 1.46) were associated with an increased likelihood of testing positive for SARS-CoV-2. Living in least deprived areas (quintile 4 OR=0.64, 95% CI 0.46 to 0.90; quintile 5 OR=0.64, 95% CI 0.46 to 0.89) compared with the most deprived (quintile 1) was associated with a decreased likelihood.Conclusions Associations may be related to parental health literacy and monitoring behaviours. Physically active behaviours may include coparticipation with others and exposure to SARS-CoV-2. A risk-versus-benefit approach must be considered in relation to promoting these health behaviours, given the importance of health-related behaviours such as childhood physical activity for development.</abstract><type>Journal Article</type><journal>BMJ Open</journal><volume>12</volume><journalNumber>9</journalNumber><paginationStart>e061344</paginationStart><paginationEnd/><publisher>BMJ</publisher><placeOfPublication/><isbnPrint/><isbnElectronic/><issnPrint>2044-6055</issnPrint><issnElectronic>2044-6055</issnElectronic><keywords/><publishedDay>7</publishedDay><publishedMonth>9</publishedMonth><publishedYear>2022</publishedYear><publishedDate>2022-09-07</publishedDate><doi>10.1136/bmjopen-2022-061344</doi><url/><notes/><college>COLLEGE NANME</college><department>Education</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>EDUC</DepartmentCode><institution>Swansea University</institution><apcterm>SU Library paid the OA fee (TA Institutional Deal)</apcterm><funders>The Economic and Social Research Council (ESRC) funded the development of the HAPPEN network (grant number: ES/J500197/1) which this research was conducted through. The National Centre for Population Health and Wellbeing Research (NCPHWR) funded by Health and Care Research Wales provided infrastructural support for this work. This work was supported by the Con-COV team funded by the Medical Research Council (grant number: MR/V028367/1). This work was supported by Health Data Research UK, which receives its funding from HDR UK (HDR-9006) funded by the UK Medical Research Council, Engineering and Physical Sciences Research Council, Economic and Social Research Council, Department of Health and Social Care (England), Chief Scientist Office of the Scottish Government Health and Social Care Directorates, Health and Social Care Research and Development Division (Welsh Government), Public Health Agency (Northern Ireland), British Heart Foundation (BHF) and the Wellcome Trust. This work was a collaboration with the ADR Wales programme of work. ADR Wales is part of the Economic and Social Research Council (part of UK Research and Innovation) funded ADR UK (grant number: ES/S007393/1). This work was supported by the Wales COVID-19 Evidence Centre, funded by Health and Care Research Wales and by the COVID-19 Longitudinal Health and Wellbeing National Core Study funded by the Medical Research Council (MC_PC_20030).</funders><projectreference/><lastEdited>2022-09-29T16:11:39.7844408</lastEdited><Created>2022-01-25T08:58:14.1777820</Created><path><level id="1">Faculty of Medicine, Health and Life Sciences</level><level id="2">Swansea University Medical School - Medicine</level></path><authors><author><firstname>Emily</firstname><surname>Marchant</surname><orcid>0000-0002-9701-5991</orcid><order>1</order></author><author><firstname>Emily</firstname><surname>Lowthian</surname><order>2</order></author><author><firstname>Tom</firstname><surname>Crick</surname><orcid>0000-0001-5196-9389</orcid><order>3</order></author><author><firstname>Lucy</firstname><surname>Griffiths</surname><orcid>0000-0001-9230-624X</orcid><order>4</order></author><author><firstname>Rich</firstname><surname>Fry</surname><orcid>0000-0002-7968-6679</orcid><order>5</order></author><author><firstname>Kevin</firstname><surname>Dadaczynski</surname><orcid>0000-0002-7367-5362</orcid><order>6</order></author><author><firstname>Orkan</firstname><surname>Okan</surname><orcid>0000-0003-1714-4783</orcid><order>7</order></author><author><firstname>Michaela</firstname><surname>James</surname><orcid>0000-0001-7047-0049</orcid><order>8</order></author><author><firstname>Laura</firstname><surname>Cowley</surname><order>9</order></author><author><firstname>Fatemeh</firstname><surname>Torabi</surname><orcid>0000-0002-5853-4625</orcid><order>10</order></author><author><firstname>Jonathan</firstname><surname>Kennedy</surname><orcid/><order>11</order></author><author><firstname>Ashley</firstname><surname>Akbari</surname><orcid>0000-0003-0814-0801</orcid><order>12</order></author><author><firstname>Ronan</firstname><surname>Lyons</surname><orcid>0000-0001-5225-000X</orcid><order>13</order></author><author><firstname>Sinead</firstname><surname>Brophy</surname><orcid>0000-0001-7417-2858</orcid><order>14</order></author></authors><documents><document><filename>59234__25266__d2f92161119b4ae1a476e79b52b4a724.pdf</filename><originalFilename>59234_VoR.pdf</originalFilename><uploaded>2022-09-29T16:08:47.0765531</uploaded><type>Output</type><contentLength>711927</contentLength><contentType>application/pdf</contentType><version>Version of Record</version><cronfaStatus>true</cronfaStatus><documentNotes>This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license</documentNotes><copyrightCorrect>true</copyrightCorrect><language>eng</language><licence>https://creativecommons.org/licenses/by/4.0/</licence></document></documents><OutputDurs/></rfc1807>
spelling 2022-09-29T16:11:39.7844408 v2 59234 2022-01-25 Pre-COVID-19 pandemic health-related behaviours in children (2018–2020) and association with being tested for SARS-CoV-2 and testing positive for SARS-CoV-2 (2020–2021): a retrospective cohort study using survey data linked with routine health data in Wales, UK d68adb6744707b3bd75e07bd334d0516 0000-0002-9701-5991 Emily Marchant Emily Marchant true false db5bc529b8a9dfca2b4a268d14e03479 Emily Lowthian Emily Lowthian true false 200c66ef0fc55391f736f6e926fb4b99 0000-0001-5196-9389 Tom Crick Tom Crick true false e35ea6ea4b429e812ef204b048131d93 0000-0001-9230-624X Lucy Griffiths Lucy Griffiths true false d499b898d447b62c81b2c122598870e0 0000-0002-7968-6679 Rich Fry Rich Fry true false 9a717d184fb8f768e462d95b91e63e23 0000-0001-7047-0049 Michaela James Michaela James true false a80501f280e89fee276510b25fc68e77 Laura Cowley Laura Cowley true false f569591e1bfb0e405b8091f99fec45d3 0000-0002-5853-4625 Fatemeh Torabi Fatemeh Torabi true false 08163d1f58d7fefcb1c695bcc2e0ef68 Jonathan Kennedy Jonathan Kennedy true false aa1b025ec0243f708bb5eb0a93d6fb52 0000-0003-0814-0801 Ashley Akbari Ashley Akbari true false 83efcf2a9dfcf8b55586999d3d152ac6 0000-0001-5225-000X Ronan Lyons Ronan Lyons true false 84f5661b35a729f55047f9e793d8798b 0000-0001-7417-2858 Sinead Brophy Sinead Brophy true false 2022-01-25 EDUC Objectives Examine if pre-COVID-19 pandemic (prior March 2020) health-related behaviours during primary school are associated with (1) being tested for SARS-CoV-2 and (2) testing positive between 1 March 2020 and 31 August 2021.Design Retrospective cohort study using an online cohort survey (January 2018 to February 2020) linked with routine PCR SARS-CoV-2 test results.Setting Children attending primary schools in Wales (2018–2020), UK, who were part of the Health and Attainment of Pupils in a Primary Education Network (HAPPEN)_school network.Participants Complete linked records of eligible participants were obtained for n=7062 individuals. 39.1% (n=2764) were tested (age 10.6±0.9; 48.9% girls) and 8.1% (n=569) tested positive for SARS-CoV-2 (age 10.6±1.0; 54.5% girls).Main outcome measures Logistic regression of health-related behaviours and demographics were used to determine the ORs of factors associated with (1) being tested for SARS-CoV-2 and (2) testing positive for SARS-CoV-2.Results Consuming sugary snacks (1–2 days/week OR=1.24, 95% CI 1.04 to 1.49; 5–6 days/week OR=1.31, 95% CI 1.07 to 1.61; reference 0 days), can swim 25 m (OR=1.21, 95% CI 1.06 to 1.39) and age (OR=1.25, 95% CI 1.16 to 1.35) were associated with an increased likelihood of being tested for SARS-CoV-2. Eating breakfast (OR=1.52, 95% CI 1.01 to 2.27), weekly physical activity ≥60 min (1–2 days OR=1.69, 95% CI 1.04 to 2.74; 3–4 days OR=1.76, 95% CI 1.10 to 2.82; reference 0 days), out-of-school club participation (OR=1.06, 95% CI 1.02 to 1.10), can ride a bike (OR=1.39, 95% CI 1.00 to 1.93), age (OR=1.16, 95% CI 1.05 to 1.28) and girls (OR=1.21, 95% CI 1.00 to 1.46) were associated with an increased likelihood of testing positive for SARS-CoV-2. Living in least deprived areas (quintile 4 OR=0.64, 95% CI 0.46 to 0.90; quintile 5 OR=0.64, 95% CI 0.46 to 0.89) compared with the most deprived (quintile 1) was associated with a decreased likelihood.Conclusions Associations may be related to parental health literacy and monitoring behaviours. Physically active behaviours may include coparticipation with others and exposure to SARS-CoV-2. A risk-versus-benefit approach must be considered in relation to promoting these health behaviours, given the importance of health-related behaviours such as childhood physical activity for development. Journal Article BMJ Open 12 9 e061344 BMJ 2044-6055 2044-6055 7 9 2022 2022-09-07 10.1136/bmjopen-2022-061344 COLLEGE NANME Education COLLEGE CODE EDUC Swansea University SU Library paid the OA fee (TA Institutional Deal) The Economic and Social Research Council (ESRC) funded the development of the HAPPEN network (grant number: ES/J500197/1) which this research was conducted through. The National Centre for Population Health and Wellbeing Research (NCPHWR) funded by Health and Care Research Wales provided infrastructural support for this work. This work was supported by the Con-COV team funded by the Medical Research Council (grant number: MR/V028367/1). This work was supported by Health Data Research UK, which receives its funding from HDR UK (HDR-9006) funded by the UK Medical Research Council, Engineering and Physical Sciences Research Council, Economic and Social Research Council, Department of Health and Social Care (England), Chief Scientist Office of the Scottish Government Health and Social Care Directorates, Health and Social Care Research and Development Division (Welsh Government), Public Health Agency (Northern Ireland), British Heart Foundation (BHF) and the Wellcome Trust. This work was a collaboration with the ADR Wales programme of work. ADR Wales is part of the Economic and Social Research Council (part of UK Research and Innovation) funded ADR UK (grant number: ES/S007393/1). This work was supported by the Wales COVID-19 Evidence Centre, funded by Health and Care Research Wales and by the COVID-19 Longitudinal Health and Wellbeing National Core Study funded by the Medical Research Council (MC_PC_20030). 2022-09-29T16:11:39.7844408 2022-01-25T08:58:14.1777820 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Medicine Emily Marchant 0000-0002-9701-5991 1 Emily Lowthian 2 Tom Crick 0000-0001-5196-9389 3 Lucy Griffiths 0000-0001-9230-624X 4 Rich Fry 0000-0002-7968-6679 5 Kevin Dadaczynski 0000-0002-7367-5362 6 Orkan Okan 0000-0003-1714-4783 7 Michaela James 0000-0001-7047-0049 8 Laura Cowley 9 Fatemeh Torabi 0000-0002-5853-4625 10 Jonathan Kennedy 11 Ashley Akbari 0000-0003-0814-0801 12 Ronan Lyons 0000-0001-5225-000X 13 Sinead Brophy 0000-0001-7417-2858 14 59234__25266__d2f92161119b4ae1a476e79b52b4a724.pdf 59234_VoR.pdf 2022-09-29T16:08:47.0765531 Output 711927 application/pdf Version of Record true This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license true eng https://creativecommons.org/licenses/by/4.0/
title Pre-COVID-19 pandemic health-related behaviours in children (2018–2020) and association with being tested for SARS-CoV-2 and testing positive for SARS-CoV-2 (2020–2021): a retrospective cohort study using survey data linked with routine health data in Wales, UK
spellingShingle Pre-COVID-19 pandemic health-related behaviours in children (2018–2020) and association with being tested for SARS-CoV-2 and testing positive for SARS-CoV-2 (2020–2021): a retrospective cohort study using survey data linked with routine health data in Wales, UK
Emily Marchant
Emily Lowthian
Tom Crick
Lucy Griffiths
Rich Fry
Michaela James
Laura Cowley
Fatemeh Torabi
Jonathan Kennedy
Ashley Akbari
Ronan Lyons
Sinead Brophy
title_short Pre-COVID-19 pandemic health-related behaviours in children (2018–2020) and association with being tested for SARS-CoV-2 and testing positive for SARS-CoV-2 (2020–2021): a retrospective cohort study using survey data linked with routine health data in Wales, UK
title_full Pre-COVID-19 pandemic health-related behaviours in children (2018–2020) and association with being tested for SARS-CoV-2 and testing positive for SARS-CoV-2 (2020–2021): a retrospective cohort study using survey data linked with routine health data in Wales, UK
title_fullStr Pre-COVID-19 pandemic health-related behaviours in children (2018–2020) and association with being tested for SARS-CoV-2 and testing positive for SARS-CoV-2 (2020–2021): a retrospective cohort study using survey data linked with routine health data in Wales, UK
title_full_unstemmed Pre-COVID-19 pandemic health-related behaviours in children (2018–2020) and association with being tested for SARS-CoV-2 and testing positive for SARS-CoV-2 (2020–2021): a retrospective cohort study using survey data linked with routine health data in Wales, UK
title_sort Pre-COVID-19 pandemic health-related behaviours in children (2018–2020) and association with being tested for SARS-CoV-2 and testing positive for SARS-CoV-2 (2020–2021): a retrospective cohort study using survey data linked with routine health data in Wales, UK
author_id_str_mv d68adb6744707b3bd75e07bd334d0516
db5bc529b8a9dfca2b4a268d14e03479
200c66ef0fc55391f736f6e926fb4b99
e35ea6ea4b429e812ef204b048131d93
d499b898d447b62c81b2c122598870e0
9a717d184fb8f768e462d95b91e63e23
a80501f280e89fee276510b25fc68e77
f569591e1bfb0e405b8091f99fec45d3
08163d1f58d7fefcb1c695bcc2e0ef68
aa1b025ec0243f708bb5eb0a93d6fb52
83efcf2a9dfcf8b55586999d3d152ac6
84f5661b35a729f55047f9e793d8798b
author_id_fullname_str_mv d68adb6744707b3bd75e07bd334d0516_***_Emily Marchant
db5bc529b8a9dfca2b4a268d14e03479_***_Emily Lowthian
200c66ef0fc55391f736f6e926fb4b99_***_Tom Crick
e35ea6ea4b429e812ef204b048131d93_***_Lucy Griffiths
d499b898d447b62c81b2c122598870e0_***_Rich Fry
9a717d184fb8f768e462d95b91e63e23_***_Michaela James
a80501f280e89fee276510b25fc68e77_***_Laura Cowley
f569591e1bfb0e405b8091f99fec45d3_***_Fatemeh Torabi
08163d1f58d7fefcb1c695bcc2e0ef68_***_Jonathan Kennedy
aa1b025ec0243f708bb5eb0a93d6fb52_***_Ashley Akbari
83efcf2a9dfcf8b55586999d3d152ac6_***_Ronan Lyons
84f5661b35a729f55047f9e793d8798b_***_Sinead Brophy
author Emily Marchant
Emily Lowthian
Tom Crick
Lucy Griffiths
Rich Fry
Michaela James
Laura Cowley
Fatemeh Torabi
Jonathan Kennedy
Ashley Akbari
Ronan Lyons
Sinead Brophy
author2 Emily Marchant
Emily Lowthian
Tom Crick
Lucy Griffiths
Rich Fry
Kevin Dadaczynski
Orkan Okan
Michaela James
Laura Cowley
Fatemeh Torabi
Jonathan Kennedy
Ashley Akbari
Ronan Lyons
Sinead Brophy
format Journal article
container_title BMJ Open
container_volume 12
container_issue 9
container_start_page e061344
publishDate 2022
institution Swansea University
issn 2044-6055
2044-6055
doi_str_mv 10.1136/bmjopen-2022-061344
publisher BMJ
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Medicine{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Medicine
document_store_str 1
active_str 0
description Objectives Examine if pre-COVID-19 pandemic (prior March 2020) health-related behaviours during primary school are associated with (1) being tested for SARS-CoV-2 and (2) testing positive between 1 March 2020 and 31 August 2021.Design Retrospective cohort study using an online cohort survey (January 2018 to February 2020) linked with routine PCR SARS-CoV-2 test results.Setting Children attending primary schools in Wales (2018–2020), UK, who were part of the Health and Attainment of Pupils in a Primary Education Network (HAPPEN)_school network.Participants Complete linked records of eligible participants were obtained for n=7062 individuals. 39.1% (n=2764) were tested (age 10.6±0.9; 48.9% girls) and 8.1% (n=569) tested positive for SARS-CoV-2 (age 10.6±1.0; 54.5% girls).Main outcome measures Logistic regression of health-related behaviours and demographics were used to determine the ORs of factors associated with (1) being tested for SARS-CoV-2 and (2) testing positive for SARS-CoV-2.Results Consuming sugary snacks (1–2 days/week OR=1.24, 95% CI 1.04 to 1.49; 5–6 days/week OR=1.31, 95% CI 1.07 to 1.61; reference 0 days), can swim 25 m (OR=1.21, 95% CI 1.06 to 1.39) and age (OR=1.25, 95% CI 1.16 to 1.35) were associated with an increased likelihood of being tested for SARS-CoV-2. Eating breakfast (OR=1.52, 95% CI 1.01 to 2.27), weekly physical activity ≥60 min (1–2 days OR=1.69, 95% CI 1.04 to 2.74; 3–4 days OR=1.76, 95% CI 1.10 to 2.82; reference 0 days), out-of-school club participation (OR=1.06, 95% CI 1.02 to 1.10), can ride a bike (OR=1.39, 95% CI 1.00 to 1.93), age (OR=1.16, 95% CI 1.05 to 1.28) and girls (OR=1.21, 95% CI 1.00 to 1.46) were associated with an increased likelihood of testing positive for SARS-CoV-2. Living in least deprived areas (quintile 4 OR=0.64, 95% CI 0.46 to 0.90; quintile 5 OR=0.64, 95% CI 0.46 to 0.89) compared with the most deprived (quintile 1) was associated with a decreased likelihood.Conclusions Associations may be related to parental health literacy and monitoring behaviours. Physically active behaviours may include coparticipation with others and exposure to SARS-CoV-2. A risk-versus-benefit approach must be considered in relation to promoting these health behaviours, given the importance of health-related behaviours such as childhood physical activity for development.
published_date 2022-09-07T04:16:23Z
_version_ 1763754097829216256
score 10.999524

Similar Items