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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 Orcid Logo, Tom Crick Orcid Logo, Lucy Griffiths Orcid Logo, Rich Fry Orcid Logo, Kevin Dadaczynski, Orkan Okan, 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, 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

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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...

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

URI: https://cronfa.swan.ac.uk/Record/cronfa60846
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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 (2018–2020), 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.
College: Swansea University Medical School
Funders: Economic and Social Research Council - ES/J500197/1, ES/S007393/1; HDR UK Ltd - HDR-9006; Medical Research Council - MC_PC_20030, MR/V028367/1
Issue: 9
Start Page: e061344