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

IF 3.3 3区 医学 Q1 HEALTH CARE SCIENCES & SERVICES Quality of Life Research Pub Date : 2025-02-04 DOI:10.1007/s11136-025-03900-7
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, 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
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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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目的:有效衡量儿童的积极健康状况对于改善公共卫生至关重要。一种拟议的积极健康测量方法,即儿童积极健康指数(PCHI),是根据儿童在 11 种特定的身体、发育和心理健康状况(从 0 到 11 种不等)中有多少种状况来确定的。公认的积极健康测量方法是病人报告结果测量信息系统(PROMIS®)的全球健康、意义和目的以及生活满意度测量方法,这些测量方法基于儿童和照顾者的看法:样本包括美国国立卫生研究院(NIH)儿童健康结果环境影响(ECHO)队列中的 3713 名 5 至 17 岁儿童,这些数据可用于计算 PCHI 和至少一项由儿童或看护人报告的 PROMIS 测量结果。在调整妊娠年龄、儿童性别、儿童年龄和母亲因素(年龄、教育程度、收入)后,进行线性回归以检验每项 PROMIS 测量 T 分数与 PCHI 之间的关联:结果:与 PCHI 关联度最高的 PROMIS 指标是护理人员报告的总体健康状况,其次是儿童报告的总体健康状况。与患有 3 种或 3 种以上健康状况的儿童相比,PCHI=0 的儿童的护理人员报告的生活满意度和儿童报告的意义和目的均较高,但与仅患有 1 种或 2 种健康状况的儿童相比,护理人员报告的生活满意度和儿童报告的意义和目的均不高。在有 4 种或更多健康状况的儿童中,女孩报告的总体健康状况低于男孩。在护理人员报告的测量结果中未发现性别差异:结论:PROMIS测量和PCHI提供了关于儿童积极健康状况的互补信息。PROMIS 测量方法旨在测量个人对自身健康的感知,而 PCHI 则从医疗保健系统的角度反映了慢性健康状况的累积影响。这两种观点对促进公众健康都有参考价值。
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来源期刊
Quality of Life Research
Quality of Life Research 医学-公共卫生、环境卫生与职业卫生
CiteScore
6.50
自引率
8.60%
发文量
224
审稿时长
3-8 weeks
期刊介绍: Quality of Life Research is an international, multidisciplinary journal devoted to the rapid communication of original research, theoretical articles and methodological reports related to the field of quality of life, in all the health sciences. The journal also offers editorials, literature, book and software reviews, correspondence and abstracts of conferences. Quality of life has become a prominent issue in biometry, philosophy, social science, clinical medicine, health services and outcomes research. The journal''s scope reflects the wide application of quality of life assessment and research in the biological and social sciences. All original work is subject to peer review for originality, scientific quality and relevance to a broad readership. This is an official journal of the International Society of Quality of Life Research.
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