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04-02-2025

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

Auteurs: Genevieve L. Taylor, Mohamad Burjak, Debashree Ray, Courtney K. Blackwell, Hudson P. Santos, Jody Ganiban, Anne L. Dunlop, Amy J. Elliott, Judy L. Aschner, Annemarie Stroustrup, Traci A. Bekelman, Charles Barone, Carlos A. Camargo Jr., Cindy T. McEvoy, Irene Tung, Julie B. Schweitzer, Julie Herbstman, Robert O. Wright, Rosalind J. Wright, Aderonke A. Akinkugbe, Rachel S. Kelly, Tina V. Hartert, Barron L. Patterson, Casper Bendixsen, Andrea E. Cassidy-Bushrow, T. Michael O’Shea, Rebecca C. Fry, program collaborators for Environmental influences on Child Health Outcomes

Gepubliceerd in: Quality of Life Research

Abstract

Purpose

Effective 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®) measures of global health, meaning and purpose, and life satisfaction, are based on child and caregiver perceptions.

Methods

The 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).

Results

The 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.

Conclusion

PROMIS 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.

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Titel: Associations among positive child health measures in the environmental influences on child health outcomes (ECHO) cohort
Auteurs: Genevieve L. Taylor
Mohamad Burjak
Debashree Ray
Courtney K. Blackwell
Hudson P. Santos
Jody Ganiban
Anne L. Dunlop
Amy J. Elliott
Judy L. Aschner
Annemarie Stroustrup
Traci A. Bekelman
Charles Barone
Carlos A. Camargo Jr.
Cindy T. McEvoy
Irene Tung
Julie B. Schweitzer
Julie Herbstman
Robert O. Wright
Rosalind J. Wright
Aderonke A. Akinkugbe
Rachel S. Kelly
Tina V. Hartert
Barron L. Patterson
Casper Bendixsen
Andrea E. Cassidy-Bushrow
T. Michael O’Shea
Rebecca C. Fry
program collaborators for Environmental influences on Child Health Outcomes
Publicatiedatum: 04-02-2025
Uitgeverij: Springer International Publishing
Gepubliceerd in: Quality of Life Research
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-025-03900-7

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

Abstract

Purpose

Methods

Results

Conclusion

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Abstract

Purpose

Methods

Results

Conclusion

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