Locke Amy, Jones Hope, James Michaela, Marchant Emily, Kennedy Jonathan L, Burdett David W E, Bandyopadhyay Amrita, Stratton Gareth, Brophy Sinead
National Centre for Population Health and Wellbeing Research, Swansea University, Swansea, UK
National Centre for Population Health and Wellbeing Research, Swansea University, Swansea, UK.
BMJ Open. 2024 Dec 20;14(12):e088721. doi: 10.1136/bmjopen-2024-088721.
Health and Attainment of Pupils in a Primary Education National (HAPPEN) is a primary school national cohort which brings together education, health and well-being research in line with the Curriculum for Wales framework. Health, education and social care data are linked and held in the Secure Anonymised Information Linkage (SAIL) Databank. In addition, school-aged children complete the HAPPEN Survey to inform the design and implementation of the Health and Well-being curriculum. Over 600 schools take part in the HAPPEN Survey. Linkage of health and education records from the HAPPEN national cohort with HAPPEN Survey responses gives enriched cohort detail which can be used to extrapolate to other schools in Wales. We present the descriptive data available in HAPPEN, and the future expansion plans.
The HAPPEN cohort includes 37 902 primary-aged school children from 2016 to July 2023. Of this number, 28 019 can be linked in SAIL with their anonymised linkage field. In addition, to date (May 2024), HAPPEN Survey data have been captured from over 45 000 children, which can be linked to the electronic data. The survey continues to rise by 7000-8000 responses annually.
The cohort is 49% girls, 47% boys (3% prefer not to state their gender and 1% of this data is missing) and 14% are from an ethnic minority background (10% prefer not to state their ethnicity). Initial findings have explored the impact of COVID-19 on well-being and play opportunities, along with a longitudinal exploration of well-being throughout the years.
HAPPEN is an ongoing dynamic cohort of data collection. Access to the cohort is available through SAIL. Ongoing research includes the evaluation of interventions for primary school children such as natural experiment methods, free school meal roll-out in Wales, interventions to improve physical literacy including changes to the built environment and interventions to improve the health and well-being of primary school children.
小学教育阶段学生的健康与成就（HAPPEN）是一个全国性的小学队列研究，它将教育、健康和幸福研究与威尔士课程框架相结合。健康、教育和社会护理数据相互关联，并存储在安全匿名信息链接（SAIL）数据库中。此外，学龄儿童要完成HAPPEN调查，为健康与幸福课程的设计和实施提供信息。超过600所学校参与了HAPPEN调查。将HAPPEN全国队列中的健康和教育记录与HAPPEN调查的回答相联系，能提供更丰富的队列细节，可用于推断威尔士的其他学校情况。我们展示了HAPPEN中可用的描述性数据以及未来的扩展计划。
HAPPEN队列包括2016年至2023年7月期间的37902名小学适龄儿童。其中，28019名儿童可在SAIL中与其匿名链接字段相链接。此外，截至2024年5月，已从超过45000名儿童中收集了HAPPEN调查数据，这些数据可与电子数据相链接。该调查的回复量每年持续增加7000 - 8000份。
该队列中女孩占49%，男孩占47%（3%不愿表明性别，此数据的1%缺失），14%来自少数民族背景（10%不愿表明种族）。初步发现探讨了新冠疫情对幸福感和玩耍机会的影响，以及多年来对幸福感的纵向探索。
HAPPEN是一个持续进行的动态数据收集队列。可通过SAIL访问该队列。正在进行的研究包括对小学生干预措施的评估，如自然实验方法、威尔士免费学校餐的推广、改善身体素养的干预措施（包括改变建筑环境）以及改善小学生健康和幸福感的干预措施。
