April 9, 2013 
Now Available-More Data from the 2011/12 National Survey of Children's Health (NSCH) 
In This Letter

Introducing the Well Visit Planner: A Tool to Engage Parents as Improvement Partners
April 11th
2-3 PM EDT
2012/12 NSCH 

April 16th
3-4 PM EDT
Get an in-depth view of the 2011/12 NSCH

Join the twitter chat during the DataSpeak

Use the hashtag:

@childhealthdata will be answering questions
April 25th
Register Today
How to Use Data to Improve Care Delivery, 
part of the 2013 Medical Home in Pediatrics 
Got Data?
DRC Enhanced Data Set for the 2011/12 NSCH Coming Soon-Late April

View Your State's Medical Home Profile

Compare States by Medical Home
We Need You!
Test Drive our Free Online Tool for 
Parents of Young Children
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Try it & Send to 
Friends & Family
 Parents, did you know
 there are 13 well-child care visits in the first 4 years of your child's life? The CAHMI's Well-Visit Planner is designed to help you learn about and prepare for your child's well-care. 
Join us on facebook and twitter.
Health Care Providers 
You can use the Well-Visit Planner to engage and empower parents as proactive partners in improving well-child care and insert parent data into the electronic medical record.
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, 
newNSCHNow Available: Child Health Measures from the 2011/12 NSCH

We are continuing to enable your access to findings from the 2011/12 National Survey of Children's Health (NSCH). In addition to state-by-state snapshots on key measures, new child health indicators are being added every day.  Browse all the data available to date .
Hot Topics in the News


Autism Spectrum Disorder: As reported in a HRSA/CDC report, prevalence of ASD increased to 1 in 50 US children age 6-17 years. Click here to explore prevalence of ASD among US children, including variations by age, special health care needs status, income, race/ethnicity, sex of child and type of insurance. 


ADD/ADHD: The New York Times recently published an article on the increase in the prevalence of ADHD among US children. ADHD estimates are available for children age 2-17 years on the DRC website. These data can be stratified by Age, CSHCN status, and other demographics. They can also be compared across States, where parent-reported prevalence ranges from 3.8% to 13.1%.  If you have questions about differences between these estimates and those posted by the New York Times, please contact us.


GOOD NEWS! Developmental Screening: Nationally, the percentage of  US children (age 10 months to 5 years) screened for being at risk for developmental, behavioral or social delays increased from 19.5% in 2007 to 30.8 % in 2011/12. While all but one state saw improvements in developmental screening rates, variation across states continues to persist in 2011/12 from a low of 17.5% to a high of 58.0%. 


Nearly a third of US youth age 12-17 have experienced two or more adverse childhood events (30.5%), with a range of 23.0% to 44.4% across states.
9 ACEs Components Assessed:
  1. An estimated 7% of children live in families where it is very often hard to get by on their family's income.  
  2. CSHCN are more likely to experience living with a parent or guardian who got divorced or separated.
  3. An estimated 3.1% of children have lived with a parent who died, ranging from 1.4% to 7.1% across US States.
  4. An estimated 6.9% of children have lived with a parent or guardian who served time in jail or prison
  5. CSHCN are twice as likely as non-CSHCN to have seen or heard adults slap, hit, kick, punch, or beat each other up in the home (12.6% compared to 6.0%). Parents of CSHCN also report a greater prevalence of stress (22.6% usually or always feel stress) compared to parents of non-CSHCN (8.6%). 
  6. An estimated 14.5% of children living in poverty have been victims of or witnesses to neighborhood violence.
  7. The percent of children who have ever lived with anyone who was mentally ill or suicidal ranges from 5.4% to 14.1% across US states.
  8. An estimated 10.7% of children have lived with someone with an alcohol/drug problem.
  9. The percent of parents who indicated that their child was ever treated or judged unfairly because of his/her race or ethnic group ranges from 1.4% to 9.9% depending on the child's race/ethnicity.


Other Highlights


Physical and Dental Health 

Childhood Obesity: An estimated 31.3% of US children age 10-17 were reported as overweight or obese, ranging from 22.1% to 39.8% across US states. Generally, the prevalence of overweight or obese children increase among lower income families. However, some states with low rates of overweight/obese youth actually experience large disparities among income groups.

NEW TOPIC!  Premature Birth:  Nearly 12% of US children have parents who report they were born premature, ranging from 8.5% to 15.7% across US states. 

Breast Feeding: Over 1 in 5 children age 0-5 years were never breastfed or fed breast milk, which increases to 35.3% among Black, non-Hispanic children. 


Emotional and Mental Health

NEW TOPIC! Resilience and Engagement in Life: An estimated 47.7% of child and adolescents, age 6-17 years meet all three indicators (1) curiosity in learning new things, (2) calm and in control when faced with a challenge, (3) finishes tasks and follows through with plans. Estimates range from 36% to 54.3% across US states. 

Developmental Status: Roughly 2 in 5 parents of children age 4 months to 5 years have one or more concerns about their child's physical, behavioral or social development.


Health Insurance and Health Care Access

Type of Insurance: An estimated 5.6% of children are currently uninsured, ranging from 1% to 13.5% across US states.

Adequacy of Insurance: Nearly 1 in 3 children with special health care needs have insurance that does not adequately meet their needs.

NEW TOPIC: Home Visitation: An estimated 13.6% of children have participated in the Home Visitation Program, ranging from 3.7% to 30.6% across states.


Medical Home Sub-Components:

  • Nearly 10% of children do not have a personal doctor or nurse, ranging from 2.7% to 19% across US states.
  • An estimated 8.6% of children do not have a usual source of sick care, ranging from 2.9% to 16.4% across US states.
  • 2 in 3 children received family-centered care in the last 12 months. An estimated 50% of Hispanic children received family-centered care compared to 77.7% of White, non-Hispanic children.
  • Children with special health care needs (CSHCN) are over 3 times more likely to have problems getting needed referrals when compared to children without special health care needs. Problems getting referrals when needed for CSHCN ranges from 2.9% to 15.5% across US states.
  • An estimated 33.1% of CSHCN did not receive all care coordination needed compared to 9.6% of non-CSHCN.

Community and School Activities

School Engagement: An estimated 52.2% of children age 6-17 years are always engaged in school, ranging from 39.4% to 58.5% across US states. Nationally, the percentage of children engaged in school decreases as children get older (58.7% for 6-11 years old and 46% for 12-17 years old). This trend persists at the state level as well. 

Repeated Grades: An estimated 9.1% of children age 6-17 have repeated one or more grades, ranging from 2.9% to 23.0% across US states.


Family Health and Activities

Smoking In the Home:  Nearly 1 in 4 US children live in households where someone smokes (24.1%), ranging from 12.4% to 41.0% across US states. 

NEW TOPIC: Time with Electronics: An estimated 11.2% of children age 6-17 year and 1.9% of children age 1-5 years usual spend 4 or more hours per day with computers, cell phones, video games, and other electronic devices.


Neighborhood Safety and Support

Safe Communities: Children living below the federal poverty level are over 5 times more likely to live in an unsafe community when compared to more affluent children.  

Neighborhood Amenities: An estimated 54.1% of children in the US live in neighborhoods that have all 4 of the amenities asked about--parks, recreation centers, sidewalks and libraries.

LearnLearn More About the 2011/12 NSCH
The Data Resource Center partners with the Maternal and Child Health Bureau to make data and information about the national surveys accessible and understandable to all.

PASSign Up to Join Us at the PAS Annual Meeting

Will you be in Washington, D.C. at the Pediatric Academic Societies (PAS) Annual Meeting May 4-7? 


Here's what we are up to this year at PAS:


Saturday May 4th

2:45-4:45 PM

Location: Walter E. Washington Convention Center Room 150A 

Ameliorating Family Impacts among Children with Autism Spectrum Disorder

12:00-4:00 PM 

Location: Renaissance Washington Hotel, Mt. Vernon Square A

RSVP for An Applied Conversation on Leveraging Mind-Body Neuroscience and Mindfulness to Improve Pediatrics 


Sunday May 5th

12:00-3:00 PM 

Location: Washington Convention Center Room 143A

Using the National Survey of Children's health and the National Survey of Children with Special Health Care Needs, co-hosted with the CDC and CityMatch

10:30 AM - 12:30 PM

Location: Washington Convention Center Room 145A 

Identification of Autism Spectrum Disorder in Latino Children 


Monday May 6th

8:30-11:30 AM

Leveraging the CSHCN Screener to Identify Complex CSHCN, a presentation by the CAHMI as part of the Complex Care Special Interest Group (SIG) Meeting
 1:00-3:00 PM 
Location: Walter E. Washington Convention Center Room 151A 
Health Care Quality for Children: The Position of Autism Spectrum Disorder 
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