COVID-19大流行期间学习模式与儿童健康行为之间的关系

IF 2.4 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Preventive Medicine Reports Pub Date : 2025-04-14 DOI:10.1016/j.pmedr.2025.103071

Monica Prajapati , Xuedi Li , Kaylyssa Philip , Charles D.G. Keown-Stoneman , Jessica A. Omand , Alice Charach , Katherine T. Cost , Laura M. Kinlin , Leigh M. Vanderloo , Magdalena Janus , Jonathon L. Maguire , Catherine S. Birken , The TARGet Kids! Collaboration

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引用次数: 0

摘要

目的探讨COVID-19期间学校学习模式（虚拟与面对面）与儿童健康行为（每日屏幕时间、身体活动、户外时间、睡眠持续时间和睡眠开始时间）之间的关系，以及这些关系是否受到儿童年龄、性别和家庭收入的影响。方法采用纵向队列研究对目标儿童中心4 ~ 13岁的儿童进行研究。2020年11月至2022年7月儿童和家庭COVID-19研究。目标的孩子啊!是加拿大安大略省的一个初级保健研究网络。从家长重复报告的问卷中收集社会人口特征、儿童学校学习模式和健康行为的数据。线性混合效应模型拟合调整了先验识别的混杂因素。结果患儿367例，男占51%；7.3（±2.2）年]，共纳入779例学校学习模型观察。与面对面学习相比，虚拟学习与更高的每日屏幕时间相关(0.22小时；95% CI 0.03, 0.40)，户外时间较长(0.71 h；95% CI 0.56, 0.86)，较高的体力活动(0.64 h；95% CI 0.44, 0.85)和较晚的睡眠开始时间(0.22 h；95% ci 0.15, 0.28)。年龄较大的儿童每天的户外活动时间更长，女孩的睡眠时间更晚，家庭收入超过15万美元的儿童每天的体育锻炼时间更长。结论虚拟学习与流感大流行期间每天屏幕时间、户外活动时间和身体活动时间增加以及睡眠时间推迟有关。

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The association between learning models and child health behaviours during the COVID-19 pandemic

Objective

This paper aimed to explore the association between school learning models (virtual vs. in-person) and child health behaviours (daily screen time, physical activity, outdoor time, sleep duration, and sleep onset time) during COVID-19, and whether these associations were modified by child's age, sex, and family income.

Methods

A longitudinal cohort study was conducted among children four to 13 years from the TARGet Kids! COVID-19 Study of Children and Families between November 2020 and July 2022. TARGet Kids! is a primary care research network in Ontario, Canada. Data on sociodemographic characteristics, child school learning models and health behaviours were collected from repeated parent-reported questionnaires. Linear mixed effects models were fit adjusting for confounders identified a priori.

Results

A total of 367 children [51 % male; 7.3 (± 2.2) years] with 779 observations on school learning model were included. Compared to in-person learning, virtual learning was associated with higher daily screen time (0.22 h; 95 % CI 0.03, 0.40), higher outdoor time (0.71 h; 95 % CI 0.56, 0.86), higher physical activity (0.64 h; 95 % CI 0.44, 0.85), and a later sleep onset time (0.22 h; 95 % CI 0.15, 0.28). Older children had higher daily outdoor time, girls had a later sleep onset time and children with a family income greater than $150,000 reported higher daily physical activity.