National Survey of Children s Health (NSCH) Child Health Measures

Transcription

1 National Survey of Children s Health () Summary of key differences in measurement: to Percent of children meeting Physical and Dental Health * 1.1: Children s overall health status, excellent/very good 84.1% 84.4% 95% CI: % CI: : Condition of children s teeth, age % 95% CI: % 95% CI: Content changes: location of item in survey changed 1.2a: Two or more oral health problems, age 1-17 N/A 8.4% 95% CI: : Breast fed ever, age % 75.5% 95% CI: % CI: : Childhood Obesity, age % 16.4% 95% CI: % CI: : Physical activity every day, age % 29.9% Content changes: Question wording changed 95% CI: % CI: : Missed 11 or more days of school due to illness, age % 5.8% 95% CI: % CI: : Injuries requiring medical care, age % 10.4% 95% CI: % CI: : One or more current chronic conditions rated moderate/severe 7.9% 10.6% Content changes: question changed from ever to ever and current 95% CI: % CI: a: One or more current chronic health conditions N/A 8.7% Content changes: question changed from ever to ever and current 95% CI: : Health conditions interfere with activity and social participation, CSHCN age 6-17 N/A 14.2% 95% CI: * Not repeated in : 1.10 through 1.12 on asthma impact and hospitalization were not repeated in the survey.

2 2 National Survey of Children s Health () Summary of key differences in measurement from to Emotional and Mental Health * 2.1: One or more concerns about child s development status, age 4 months- 5 years 2.2: At moderate/high risk for developmental, behavioral, or social delay, age 4 months-5 years 36.6% 95% CI: % 95% CI: % 95% CI: % 95% CI: a: Play with other children of their age every day, age 1-5 N/A 31.4% 2.5: Positive social skills, age % 95% CI: : Problematic behaviors, age % 95% CI: : Currently taking medication for ADD/ADHD 3.8% 95% CI: % CI: % 95% CI: % 95% CI: % 95% CI: a: Parent-rated severity of child s ADD/ADHD N/A 3.4% 2.8: Autism, Asperger s Disorder etc., age % 95% CI: % CI: % 95% CI: a: Parent-rated severity of child s autism or ASD N/A 0.2% 95% CI: : Medication for emotions, concentration or behavior N/A 6.2% 95% CI: : Depressive behaviors, age 6-17 N/A 1.3% 95% CI: * Not repeated in : 2.3 and 2.4 on socio-emotional difficulties were not repeated in the survey. Content changes: response category of rarely was added Content changes: response category of rarely was added Content changes: location of question was changed Content changes: question changed to ask both ever and current and breadth expanded to include other developmental disorders in autism question Content changes: response category of rarely was added, not calculated in the survey

3 3 National Survey of Children s Health () Summary of key differences in measurement from to Health Insurance Coverage 3.1: Health insurance status 91.2% 95% CI: : Consistency of health insurance coverage 85.1% 3.3: Type of health insurance: 95% CI: Public 27.7% 95% CI: Private 63.5% 95% CI: Uninsured 8.8% 95% CI: % 95% CI: % 95% CI: % 95% CI: % 95% CI: % 95% CI: : Adequacy of current insurance children currently insured N/A 76.5% 95% CI:

4 4 National Survey of Children s Health () Summary of key differences in measurement: to Health Care Access and Quality * 4.1: One or more preventive medical care visits 77.8% 95% CI: : One or more preventive dental care visits, age % 95% CI: : Received both preventive medical and dental care 58.8% 95% CI: : Received needed mental health care, age % 95% CI: % 95% CI: % 95% CI: % 95% CI: % 95% CI: a: One or more unmet needs for care N/A 6.9% 4.8: Have a medical home 46.1% 95% CI: : Have a personal doctor or nurse 83.3% 95% CI: % CI: % 95% CI: % 95% CI: a: Usual sources for sick and well care N/A 93.1% 95% CI: b: Family-centered care N/A 67.4% 95% CI: c: Problems getting needed referrals N/A 2.8% 95% CI: d: Effective care coordination when needed N/A 28.3% 4.12: Problems accessing needed specialist care 15.5% 95% CI: % CI: % 95% CI: a: Received care from a specialist doctor N/A 22.3% 95% CI: Content changes: location of item in survey changed Content changes: question was changed from several questions to one question Content changes: dental question was changed from several questions to one question Content changes: denominator changed (age 2-17 years) and question wording changed Content changes: denominator and question wording of the changed from the survey Content changes: scoring and composite questions of the changed completely from the survey Content changes: location of item in survey changed New content: several new questions were added in to assess this measure. In focus is on provider communication New content: The questions used to assess care coordination in are different from those used in Content changes: denominator changed from children only needing specialist care to include children who either received or needed specialist care Content changes: parents in the survey were only asked if their child needed to see a specialist, not if they actually saw one

5 5 Health Care Access and Quality (contd.) * 4.14: Doctor asks about parental concerns, age % 95% CI: % 95% CI: : Developmental screenings during well-child visit, age 10 months- 5 years N/A 19.5% 95% CI: * Not repeated in : 4.4 emergency room visits, 4.6 received needed medical care, 4.7 needing prescription medication, communication with personal doctor or nurse, 4.13 follow up with personal doctor or nurse, and 4.15 parents get needed communication were not repeated in survey.

6 6 National Survey of Children s Health () Summary of key differences in measurement from to Community and School Activities * 5.1a: Child has early intervention plan, IFSP or IEP, age 0-5 N/A 4.4% 95% CI: b: School-age child has IEP, age 6-17 N/A 11.2% 5.2: Repeated grades in school, age % 95% CI: % CI: % 95% CI: a: Consistently engaged in school, age 6-17 N/A 80.5% 5.3: Participation in organized activities outside school, age % 5.4: Participation in volunteer work or community service once a week or more, age % CI: % 95% CI: : Worked 10 or more hours for pay outside the home, age % 95% CI: : Reading for pleasure over 60 minutes, age % 95% CI: : Religious services attendance weekly 55.7% 95% CI: % CI: % 95% CI: % 95% CI: % 95% CI: % 95% CI: % 95% CI: Content changes: introduction text changed Content changes: response options changed from a dichotomous question to a time period (how often ) Content changes: question changed to two questions: first dichotomous and the second an open-ended time period Content changes: question wording changed from school day to week day * Not repeated in : Indicator 5.1 preschool, Head Start or Early Start attendance was not repeated in survey.

7 7 National Survey of Children s Health () Summary of key differences in measurement from to Family Health and Activities * 6.1: Physical health status of child s mother, excellent/very good 66.2% 95% CI: b: Physical health status of child s father, excellent/very good 72.1% 95% CI: : Mental health status of child s mother, excellent/very good 71.4% 95% CI: a: Mental health status of child s father, excellent/very good 78.0% 95% CI: : Overall health status of child s mother, excellent/very good 58.9% 95% CI: a: Overall health status of child s father, excellent/very good 66.2% 95% CI: : Tobacco use in households 29.5% 95% CI: % 95% CI: % 95% CI: % 95% CI: % 95% CI: % 95% CI: % 95% CI: % 95% CI: a: Exposure to secondhand smoke at home N/A 7.6% 6.5: Children living in working poor households 12.6% 95% CI: : Family outings every day, age % 95% CI: : Family reads to child every day, age % 95% CI: % CI: % 95% CI: % 95% CI: % 95% CI: a: Family sings or tells stories to child every day, age 0-5 N/A 59.1% -- not calculated in -- not calculated in -- not calculated in Content changes: location of item in survey and time period changed 6.8: Family eats meals together every day 47.2% 95% CI: % CI: % 95% CI:

8 8 Family Health and Activities (contd.) * 6.9: Adequate amount of sleep every night, age % 6.10: Time spent watching TV or playing video games on a weekday for 4 hours or more, age a: Time spent watching TV or videos on a weekday for 4 hours or more, age % CI: % 95% CI: % 95% CI: % 95% CI: N/A 12.8% 95% CI: b: Child has TV in bedroom, age 6-17 N/A 50.2% 6.11: Child stays home alone, age % 95% CI: : Parental aggravation with child 7.9% 95% CI: : Last minute child care arrangements 3 or more times, age % 95% CI: : Child care issues affected employment, age % 95% CI: : One or more child care issues, age % 95% CI: % CI: % 95% CI: % 95% CI: % 95% CI: % 95% CI: % 95% CI: a: Sources of 10+ hours of childcare: preschool, day care, etc. age 0-5 N/A 10.4% Content changes: wording of question changed from how many hours to how much time Content changes: introduction text changed Content changes: response category of rarely was added Content changes: the survey first asked parents if their child needed care Content changes: the survey first asked parents if their child needed care 95% CI: * Not repeated in : Indicator 6.16 non-parental child care attendance was not repeated in survey.

9 9 National Survey of Children s Health () Summary of key differences in measurement from to Neighborhood Safety and Support 7.1: Supportive neighborhoods 81.4% 95% CI: : Safe communities 83.8% 95% CI: : Safe schools, age % 95% CI: % 95% CI: % 95% CI: % 95% CI: : Presence of neighborhood amenities, all 4 amenities N/A 48.2% 95% CI: : Presence of detracting neighborhood elements, dilapidated housing N/A 14.6% 95% CI: New content: Questions not included in survey New content: Questions not included in survey For more information on the s summarized here, please refer to the details box for each question, the codebook (COMING SOON!), or us at cahmi@ohsu.edu.