Assessment of Your Home Health Environment in Environmental influences on Child Health Outcomes (ECHO)-wide Cohort - 2nd Release

Assessment of Your Home Health Environment
Study Description
The National Institutes of Health launched the Environmental influences on Child Health Outcomes (ECHO) initiative in September 2016. The Program focuses on five pediatric outcome areas: obesity, neurodevelopment, upper and lower airways, pre-, peri-, and postnatal outcomes, and positive health. The ECHO-wide Cohort Study, presented here, incorporates longitudinal data on a growing 30,000 pregnancies and 50,000 children from 69 pediatric cohorts to investigate how exposure to environmental factors — including physical, chemical, biological, social, behavioral, natural, and built environments — impact child health and development. By bringing data together into one large ECHO-wide Cohort, scientists can address questions that no single cohort, or a few working together, can answer. Most of the cohorts existed prior to ECHO, bringing a wealth of extant data for compilation and harmonization, in addition to standardized collection of new essential and recommended data elements. As of August 31, 2022, 32,311 pregnancies (among 21,801 pregnant persons) and 30,904 children agreed to participate in new ECHO-wide Cohort data collection. Longitudinal data are collected for pregnancies and life stages of the child to 21 years of age.

家庭健康环境评估

研究概况
美国国立卫生研究院（National Institutes of Health, NIH）于2016年9月启动了儿童健康结局的环境影响（Environmental influences on Child Health Outcomes, ECHO）计划。该计划聚焦五大儿科结局领域：肥胖、神经发育、上下呼吸道疾病、产前-产时-产后结局以及积极健康。本次介绍的ECHO全队列研究整合了来自69个儿科队列的纵向数据，覆盖约3万例妊娠与5万名儿童，旨在探究物理、化学、生物、社会、行为、自然及建成环境等各类环境暴露对儿童健康与发育的影响。通过将多源数据整合为单一大型ECHO全队列，科研人员可解答单个队列或少数联合队列均无法解决的科学问题。本研究纳入的大部分队列在ECHO计划启动前即已建立，因此除标准化采集新的必要与推荐数据要素外，还积累了大量可用于汇编与协调的既有数据。截至2022年8月31日，共有21801名妊娠个体的32311例妊娠，以及30904名儿童同意参与ECHO全队列的新增数据采集工作。研究将采集妊娠全程及儿童成长至21岁各生命阶段的纵向随访数据。