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Purpose <p>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.</p> Methods <p>The sample comprised 3713 children aged 5 to 17&#xa0;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).</p> Results <p>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.</p> Conclusion <p>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.</p>

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

  • 期刊论文

  • 发表日期：

    2025年2月4日

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  • 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

摘要

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.