October 25, 2012 
Get Ready for APHA with a Life Course Perspective
In This Letter



20% of CSHCN 
(ages 0-11 years) 
Met All 5 MCHB Core Outcomes
Disparities for Children Living in Poverty

Using data from the National Survey of Children's Health a research assistant here at the DRC put together this infographic. Support his effort with your vote!
The WVP is Coming Soon!
Demo at APHA
CAHMI's WVP Tools Engaging Parents This brief video describes CAHMI's Well-Visit Planner (WVP) tools designed to customize, tailor and improve the quality of well-child care for young children by engaging parents as proactive partners in planning and conducting these visits.
About Us
The DRC is a project of the CAHMI
The DRC is a project of the CAHMI supported by the Health Resources and Services Administration, 
The 140th annual meeting of the American Public Health Association is just around the corner! This year's theme brings attention to prevention and wellness across the life span, a national priority for the Maternal and Child Health Bureau. In this issue, the Data Resource Center for Child and Adolescent Health (DRC) highlights data from the national surveys relevant to implementing a life course approach for children--the timeline of their lives; the timing of their experiences; their physical, psychosocial and cultural environments; and issues of equity.

LCPrevention and Wellness Across the Life Span
A focus on prevention and health across the life course focuses on the experiences of children and how experiences at every age--from preconception to adulthood--are inextricably tied to the development of their health, well-being, and success. The DRC Web site contains point and click data from the National Survey of Children's Health and the National Survey of Children with Special Health Care Needs that map to key concepts embedded in the life course perspective, which promote a whole child approach to health over the life span. 
 
Timeline
Risk and protective factors accumulate over the life course. For example, as seen in the 2009/10 NS-CSHCN, it is important to know that children are more likely to be identified with special health care needs as they age--CSHCN status varies by age from 9.3% among children 0-5 years to 18.4% among children 12-17 years.

  

Timing 
3 in 5 youth and children with special health care did not receive the services necessary to make appropriate transitions to adult health care, work, and independence. This is a critical juncture and  missed opportunity for preventing the further onset of adult chronic conditions. 
 
4  in 5 young children did not receive age-appropriate screening  for developmental, behavioral, and social risks and delays, leading to missed opportunities for early intervention and advancing school readiness. 
 
Environment
Nationally, only 28.5% of children experienced each of a core set of protective home environment measures, based on exposure to household smoking, sharing meals with family members, an appropriate amount of time watching TV, and other, key home-centered variables. For those who received care within a medical home, 34.1% experienced a protective home environment. 
 
51% of children met a neighborhood and school summary measure. These children live in safe and supportive neighborhoods and attend safe schools. 58.3% of children that received care within a medical home met the neighborhood and school summary index compared to 42.2% of children without a medical home.
 
Equity
The DRC Web site allows you to examine numerous disparities on key measures of child health with a simple point and click. Here is a glance at what you will find:
-  Children living in poverty are 13 times more likely to never feel safe in school compared with children from more affluent families.
-  The more functional difficulties a child with special health care needs faces the less likely she or he is to receive coordinated, ongoing, comprehensive care within  a medical home
-  CSHCN from ethnic or racial minorities are less likely to have families that feel like partners in shared decision-making for their child's optimal health. 
-  38.5% of Hispanic children receive care within a medical home compared to 68% of White children. 

 

aphaVisit Us at the 140th Meeting of APHA 
The Data Resource Center for Child and Adolescent Health (DRC) will be in San Francisco from October 27 to 31 for the annual meeting of the American Public Health Association. Stop by booth number 2019.
CAHMI's wvp tools
 
Come demo the new, exciting parent engagement and quality improvement tool, the Well-Visit Planner!
NSCHComing Soon:
The 2011 National Survey of Children's Health (NSCH)
The 2011 NSCH dataset will be publicly available in 2013. Sign up today to receive notice when it becomes available!
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