Associations among positive child health measures in the environmental influences on child health outcomes (ECHO) cohort

被引：0

作者：

Taylor, Genevieve L. ^{[1
,26
]}

Burjak, Mohamad ^{[2
]}

Ray, Debashree ^{[2
]}

Blackwell, Courtney K. ^{[3
]}

Santos, Hudson P. ^{[4
]}

Ganiban, Jody ^{[5
]}

Dunlop, Anne L. ^{[6
]}

Elliott, Amy J. ^{[7
,8
]}

Aschner, Judy L. ^{[9
]}

Stroustrup, Annemarie ^{[10
]}

Bekelman, Traci A. ^{[11
]}

Barone, Charles ^{[12
]}

Camargo, Carlos A. ^{[13
]}

Mcevoy, Cindy T. ^{[14
]}

Tung, Irene ^{[15
]}

Schweitzer, Julie B. ^{[16
]}

Herbstman, Julie ^{[17
]}

Wright, Robert O. ^{[18
]}

Wright, Rosalind J. ^{[18
]}

Akinkugbe, Aderonke A. ^{[18
]}

Kelly, Rachel S. ^{[19
]}

Hartert, Tina V. ^{[20
,21
]}

Patterson, Barron L. ^{[20
,21
]}

Bendixsen, Casper ^{[22
]}

Cassidy-Bushrow, Andrea E. ^{[12
,23
,24
]}

O'Shea, T. Michael ^{[1
]}

Fry, Rebecca C. ^{[1
,25
]}

Program Collaborators Environm Influences Child Hlth Outcomes

机构：

[1] Univ North Carolina, Sch Med, Dept Pediat, Chapel Hill, NC 27514 USA

[2] Johns Hopkins Univ, Sch Publ Hlth, Dept Epidemiol, Baltimore, MD USA

[3] Northwestern Univ, Feinberg Sch Med, Dept Med Social Sci, Chicago, IL USA

[4] Univ Miami, Sch Nursing & Hlth Studies, Coral Gables, FL USA

[5] George Washington Univ, Dept Psychol & Brain Sci, Washington, DC USA

[6] Emory Univ, Sch Med, Dept Gynecol & Obstet, Atlanta, GA USA

[7] Avera Res Inst, Sioux Falls, SD USA

[8] Univ South Dakota, Sanford Sch Med, Dept Pediat, Sioux Falls, SD USA

[9] Hackensack Meridian Sch Med, Nutley, NJ USA

[10] Northwell Hlth, Div Neonatol, Cohen Childrens Med Ctr, New Hyde Pk, NY USA

[11] Colorado Sch Publ Hlth, Lifecourse Epidemiol Adipos & Diabet LEAD Ctr, Aurora, CO USA

[12] Michigan State Univ Hlth Sci, Henry Ford Hlth, Detroit, MI USA

[13] Harvard Med Sch, Massachusetts Gen Hosp, Dept Emergency Med, Boston, MA USA

[14] Oregon Hlth & Sci Univ, Pape Family Pediat Res Inst, Portland, OR USA

[15] Calif State Univ Dominguez Hills, Dept Psychol, Carson, CA USA

[16] Univ Calif Davis, Dept Psychiat & Behav Sci, MIND Inst, Sacramento, CA USA

[17] Columbia Univ, Mailman Sch Publ Hlth, New York, NY USA

[18] Icahn Sch Med Mt Sinai, Dept Environm Med & Climate Sci, New York, NY USA

[19] Harvard Med Sch, Brigham & Womens Hosp, Channing Div Network Med, Boston, MA USA

[20] Vanderbilt Univ, Med Ctr, Dept Med, Nashville, TN USA

[21] Vanderbilt Univ, Dept Pediat, Med Ctr, Nashville, TN USA

[22] Marshfield Clin Res Inst, Natl Farm Med Ctr, Marshfield, WI USA

[23] Henry Ford Hlth, Dept Publ Hlth Sci, Detroit, MI USA

[24] Michigan State Univ, Coll Human Med, Dept Pediat & Human Dev, E Lansing, MI USA

[25] Univ North Carolina Chapel Hill, Gillings Sch Global Publ Hlth, Dept Environm Sci & Engn, Chapel Hill, NC USA

[26] Univ North Carolina, Sch Med, Dept Pediat, 101 Manning Dr,Room N4051,CB 7596, Chapel Hill, NC 27599 USA

来源：

QUALITY OF LIFE RESEARCH | 2025年 / 34卷 / 05期

关键词：

Patient-reported outcomes; Personal satisfaction; Child; Health status; Resilience (psychological); AGREEMENT;

D O I：

10.1007/s11136-025-03900-7

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

PurposeEffective measurement of positive child health is critical in improving public health. A proposed measure of positive health, a positive child health index (PCHI), is based on how many of 11 specific physical, developmental, and mental health conditions a child has (ranging from 0 to 11). Accepted measures of positive health, Patient-Reported Outcome Measurement Information System (PROMIS (R)) measures of global health, meaning and purpose, and life satisfaction, are based on child and caregiver perceptions.MethodsThe sample comprised 3713 children aged 5 to 17 years from the NIH Environmental influences on Child Health Outcomes (ECHO) Cohort with data to calculate PCHI and at least 1 child- or caregiver-reported PROMIS measure. Linear regressions were performed to test the associations between each PROMIS measure T-score and the PCHI, adjusting for gestational age, child sex, child age, and maternal factors (age, education, income).ResultsThe PROMIS measure associated most strongly with PCHI was caregiver-reported global health, followed by child-reported global health. Caregiver-reported life satisfaction and child-reported meaning and purpose were higher for children with a PCHI = 0 compared with children with 3 or more health conditions but not when compared with children with only 1 or 2 conditions. Among children with 4 or more conditions, girls reported lower global health than boys. Sex differences were not found for caregiver-reported measures.ConclusionPROMIS measures and PCHI offer complementary information on positive child health. PROMIS measures are intended as measures of a person's perception of their health, whereas PCHI reflects a cumulative impact of chronic health conditions from the perspective of health care systems. Both viewpoints are informative in public health promotion.

引用

页码：1277 / 1289

页数：13

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