The Design and Implementation of the 2016 National Survey of Children’s Health

Ghandour, Reem M.; Jones, Jessica R.; Lebrun‐Harris, Lydie A.; Minnaert, Jessica J; Blumberg, Stephen J.; Fields, Jason; Bethell, Christina; Kogan, Michael D.

doi:10.1007/s10995-018-2526-x

Cited by 174 publications

(116 citation statements)

References 11 publications

(15 reference statements)

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“…The design and operation of the survey have been described in detail elsewhere. [10][11][12] Measures The presence of current mental disorders was assessed in all children using parent/caregiver responses to questions regarding whether a doctor or healthcare provider had ever told the parent/caregiver that the child had depression, anxiety problems, or behavioral or conduct problems (yes/no) and if so, whether the child currently had the condition. For behavioral/ conduct problems, the question also included whether educators such as teachers or school nurses had told the parent/caregiver that the child had the disorder.…”

Section: Methodsmentioning

confidence: 99%

Prevalence and Treatment of Depression, Anxiety, and Conduct Problems in US Children

Ghandour

Sherman

Vladutiu

et al. 2019

The Journal of Pediatrics

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Objectives To use the latest data to estimate the prevalence and correlates of currently diagnosed depression, anxiety problems, and behavioral or conduct problems among children, and the receipt of related mental health treatment. Study design We analyzed data from the 2016 National Survey of Children's Health (NSCH) to report nationally representative prevalence estimates of each condition among children aged 3-17 years and receipt of treatment by a mental health professional. Parents/caregivers reported whether their children had ever been diagnosed with each of the 3 conditions and whether they currently have the condition. Bivariate analyses were used to examine the prevalence of conditions and treatment according to sociodemographic and health-related characteristics. The independent associations of these characteristics with both the current disorder and utilization of treatment were assessed using multivariable logistic regression. Results Among children aged 3-17 years, 7.1% had current anxiety problems, 7.4% had a current behavioral/ conduct problem, and 3.2% had current depression. The prevalence of each disorder was higher with older age and poorer child health or parent/caregiver mental/emotional health; condition-specific variations were observed in the association between other characteristics and the likelihood of disorder. Nearly 80% of those with depression received treatment in the previous year, compared with 59.3% of those with anxiety problems and 53.5% of those with behavioral/conduct problems. Model-adjusted effects indicated that condition severity and presence of a comorbid mental disorder were associated with treatment receipt. Conclusions The latest nationally representative data from the NSCH show that depression, anxiety, and behavioral/ conduct problems are prevalent among US children and adolescents. Treatment gaps remain, particularly for anxiety and behavioral/conduct problems.

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Section: Methodsmentioning

confidence: 99%

Prevalence and Treatment of Depression, Anxiety, and Conduct Problems in US Children

Ghandour

Sherman

Vladutiu

et al. 2019

The Journal of Pediatrics

Self Cite

779

508

View full text Add to dashboard Cite

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“…Additional details of the NSCH are available elsewhere. 22 , 23 Participation was voluntary and confidential under Title 13, United States Code, Section 9. Prior to public release, all data products are reviewed for adherence to privacy protection and disclosure avoidance guidelines by the US Census Bureau’s Disclosure Review Board.…”

Section: Methodsmentioning

confidence: 99%

Prevalence and Variation of Developmental Screening and Surveillance in Early Childhood

et al. 2018

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Importance Since 2001, the American Academy of Pediatrics has recommended universal developmental screening and surveillance to promote early diagnosis and intervention and to improve the outcomes of children with developmental delays and disabilities. Objective To examine the current prevalence and variation of developmental screening and surveillance of children by various sociodemographic, enabling, and health characteristics. Design, Setting, and Participants This cross-sectional analysis of the Health Resources and Services Administration’s 2016 National Survey of Children’s Health—a nationally representative survey of US children completed between June 2016 and February 2017—examined 5668 randomly selected children 9 through 35 months of age whose parent or caregiver responded to the address-based survey by mail or via a website. All analyses were weighted to account for the probability of selection and nonresponse and to reflect population counts of all noninstitutionalized US children residing in housing units. Main Outcomes and Measures Developmental screening was measured through a validated set of 3 items indicating receipt in the past year of parent-completed screening from a health care professional with age-appropriate content regarding language development and social behavior. Surveillance was determined by an item capturing verbal elicitation of developmental concerns by a health care professional. Results Of the estimated 9.0 million children aged 9 through 35 months, an estimated 30.4% (95% CI, 28.0%-33.0%) were reported by their parent or guardian to have received a parent-completed developmental screening and 37.1% (95% CI, 34.4%-39.8%) were reported to have received developmental surveillance from a health care professional in the past year. Characteristics associated with screening and/or surveillance that remained significant after adjustment included primary household language, family structure, household education, income, medical home, past-year preventive visit, child health status, and special health care needs. Having health care that meets medical home criteria was significantly associated with both developmental screening (adjusted rate ratio, 1.34; 95% CI, 1.13-1.57) and surveillance (adjusted rate ratio, 1.24; 95% CI, 1.08-1.42), representing an 8 to 9 absolute percentage point increase. State-level differences spanned 40 percentage points for screening (17.2% in Mississippi and 58.8% in Oregon) and surveillance (19.1% in Mississippi and 60.8% in Oregon), with approximately 90% of variation not explained by child and family characteristics. Conclusions and Relevance Despite more than a decade of initiatives, rates of developmental screening and surveillance remain low. However, state-level variation indicates continued potential for improvement. Systems-level quality improvement efforts, building on the medical home, will ...

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“…The US Census Bureau collected the most recent NSCH from June 2016 to February 2017, which was the survey used for this study. This survey utilized address‐based sampling (ABS) frames for households with children to improve sampling coverage with high response rates and to reduce sampling bias [Ghandour et al, ; Tourangeau & Plewes, ]. The data analyzed for this study are available from the Data Resource Center for Child and Adolescent Health (DRC) website at http://www.childhealthdata.org.…”

Section: Methodsmentioning

confidence: 99%

Flourishing in children with autism spectrum disorders

et al. 2019

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Flourishing is an indicator of positive mental health and is important for children's development and well-being. We used variables from the National Survey of Children's Health 2016 as indicators of flourishing (difficulty making friends, is bullied, bullies others, shares ideas with family, argues, finishes tasks, does all homework, shows curiosity, stays calm, and cares about doing well in school) to compare differences in parent perceptions of their children with and without autism spectrum disorder (ASD). We anticipate that these findings will help identify intervention targets to support the well-being of individuals with ASD. Children between 6 and 17 years of age, without intellectual disability, brain injury, cerebral palsy, or Down syndrome were included. Total participants were 34,171 controls (male/female = 17,116/17,155) and 812 with ASD (male/female = 668/144). Factor analysis resulted in three-factor structures (social competence, behavioral control, and school motivation) with good model fit (root mean square error of approximation = 0.08, comparative fit index = 0.92, Tucker-Lewis index = 0.89). The multivariate regression model and propensity score with inverse probability of treatment weighting (PS-IPTW) method revealed that children with ASD had lower scores in the social competence and behavioral control factors compared to the control group (all P < 0.05). However, no significant differences were found in the school motivation factor between the two groups (P > 0.05) in both multivariate regression model and PS-IPTW method. Findings suggest that social competence and behavioral control are indicators of flourishing and are important intervention targets to increase flourishing among children with ASD. Autism Res 2019, 12: 952-966. Health 2016 to examine differences in parent perceptions of the indicators of flourishing (difficulty making friends, is bullied, bullies others, shares ideas with family, argues, finishes tasks, does all homework, shows curiosity, stays calm, and cares about doing well in school) between children with and without autism spectrum disorders (ASD). We anticipate that this information will help to identify therapeutic targets to support the well-being of individuals with ASD. Children between 6 and 17 years old, without intellectual disability (ID), brain injury (BI), cerebral palsy (CP), or Down syndrome (DS) were included. From the total (N = 50,212), we excluded children under age 6 (n = 14,494), those who once, but do not currently have ASD (n = 81), and those with ID (n = 432), BI (n = 170), CP (n = 35), and DS (n = 17), resulting in 34,983 records used. Total participants, age 6-17 years, were 34,171 controls (male/female = 17,116/17,155) and 812 with ASD (male/female = 668/144). Factor analysis resulted in the identification of three flourishing categories among the indicator variables (social competence, behavioral control, and school motivation). Children with ASD had lower scores in the social competence and behavioral control factors compared to the cont...

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The Design and Implementation of the 2016 National Survey of Children’s Health

Cited by 174 publications

References 11 publications

Prevalence and Treatment of Depression, Anxiety, and Conduct Problems in US Children

Prevalence and Treatment of Depression, Anxiety, and Conduct Problems in US Children

Prevalence and Variation of Developmental Screening and Surveillance in Early Childhood

Flourishing in children with autism spectrum disorders

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