National Survey of Children's Health 2016-2019 Overview
Explore the demographics and sample characteristics of the National Survey of Children's Health (NSCH) from 2016 to 2019 in Delaware and the U.S. Understand the domains covered and key measures, including physical, emotional, and mental health, health insurance coverage, access to care, family activities, and neighborhood safety and support. Discover insights into child and family health measures within this comprehensive survey.
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National Survey of Childrens Health 2016-2019 - Delaware Presented by Khaleel S. Hussaini, PhD MCH Epidemiologist Delaware Division of Public Health
Overview of National Survey of Childrens Health (NSCH) Sample 2016 (U.S. = 50,212; DE = 918) 2017 (U.S. = 21,599; DE = 419) 2016-2019 (U.S. = 131,744; DE = 2,485) 2018 (U.S. = 30,530; DE = 579) 2019 (U.S. = 29,433; DE = 569)
Overview of National Survey of Childrens Health (NSCH) Screener and Topical responses cannot be combined (confidentiality issues) NSCH Domain of Child and Family Health Measures contains seven sub-domains: 1. Physical, Oral Health, and Functional Status (15 measures or indicators); 2. Emotional and Mental Health (18 measures or indicators); 3. Health Insurance Coverage (8 measures or indicators); 4. Health Care Access and Quality (32 measures or indicators); 5. Community and School Activities (12 measures or indicators); 6. Family Health and Activities (32 measures or indicators); and 7. Neighborhood Safety and Support (6 measures or indicators).
Demographics NSCH Survey Years (2016-2019) Delaware (n = 2,485) U.S. (n = 131,744) Demographic characteristics N (SE) Percent (95% CI) N (SE) Percent (95% CI) Sex Male Female Special Health Care Need (SHCN) status SHCN Non-SHCN Age Age 0-5 years Age 6-11 years Age 12-17 years Generation status All parents born in the US (3rd or higher generation HH) Any parent born outside of the US (1st and 2nd generation HH) Other (child born in United States, parents are not listed) Race and ethnicity Non-Hispanic White African American Hispanic/Latino(a) Other races Federal Poverty Line (FPL) 0-199% FPL 200-299% FPL 300-399% FPL 400% FPL or more 1,285 (1.4) 51.3 (48.5-54.1) 1,200 (1.4) 48.7 (45.9-51.5) 68,100 (0.3) 51.1 (50.5-51.7) 63,674 (0.3) 48.9 (48.3-49.5) 659 (1.1) 22.3 (20.1-24.5) 1,826 (1.1) 77.7 (75.5-79.9) 101,473 (0.2) 81.2 (80.7-81.6) 30,301 (0.2) 18.8 (18.4-19.3) 713 (1.4) 32.4 (29.8-35.1) 769 (1.4) 34.0 (31.3-36.6) 1,003 (1.3) 33.6 (31.1-36.1) 37,405 (0.3) 32.2 (31.6-32.8) 39,935 (0.3) 33.8 (33.2-34.4) 54,434 (0.3) 34.0 (33.5-34.6) 1,834 (1.4) 71.0 (68.3-73.6) 101,514 (0.3) 66.5 (65.9-67.2) 451 (1.2) 20.4 (17.9-22.8) 21,854 (0.3) 25.8 (25.1-26.4) 168 (0.9) 8.7 (7.0-10.4) 6,883 (0.2) 7.7 (7.3-8.1) 1,543 (1.4) 50.1 (47.4-52.9) 347 (1.4) 25.3 (22.6-28) 232 (1.2) 15.6 (13.2-18) 363 (0.6) 91,695 (0.3) 50.9 (50.3-51.5) 8,099 (0.2) 13.2 (12.7-13.6) 15,148 (0.4) 25.1 (24.4-25.8) 16,832 (0.2) 10.8 (10.5-11.2) 9.0 (7.7-10.2) 688 (1.5) 39.3 (36.5-42.2) 378 (1.0) 15.9 (13.8-17.9) 369 (0.9) 14.1 (12.2-15.9) 1,050 (1.2) 30.8 (28.4-33.1) 35,681 (0.3) 41.9 (41.3-42.6) 21,058 (0.2) 15.5 (15.1-16.0) 19,676 (0.2) 11.9 (11.6-12.3) 55,359 (0.3) 30.6 (30.1-31.1) Source: National Survey of Children s Health, 2016-2019 Notes: N is unweighted sample, standard error (SE), percent are weighted with 95% confidence intervals (CI)
Adverse Childhood Experiences (ACEs) Survey Items To the best of your knowledge, has this child EVER experienced any of the following? Items ACE 1 ACE 2 ACE 3 ACE 4 ACE 5 ACE 6 ACE 7 ACE 8 ACE 9 Adverse Childhood Experiences Hard to Cover Basics Like Food or Housing Child Experienced - Parent or Guardian Divorced Child Experienced - Parent or Guardian Died Child Experienced - Parent or Guardian Time in Jail Child Experienced - Adults Slap, Hit, Kick, Punch Others Child Experienced - Victim of Violence Child Experienced - Lived with Mentally Ill Child Experienced - Lived with Person with Alcohol/Drug Problem Child Experienced - Treated Unfairly Because of Race
Trends in Adverse Childhood Experiences among children 0-17 years of age in the U.S. and Delaware, 2016-2019 U.S. Delaware 30 25 20 Percent 15 10 5 0 2018 2018 2016 2017 2019 2016 2017 2018 2019 2016 2017 2018 2019 2016 2017 2018 2019 2016 2017 2018 2019 2016 2017 2018 2019 2016 2017 2019 2016 2017 2018 2019 2016 2017 2018 2019 1 2 3 4 5 6 7 8 9 Adverse Childhood Experience Types Source: Delaware Department of Health and Social Services, Division of Public Health, National Survey of Children s Health, 2016-2019 *Adverse Childhood Experiences Item 1: Hard to Cover Basics Like Food or Housing; Item 2: Child Experienced - Parent or Guardian Divorced; Item 3: Child Experienced - Parent or Guardian Died; Item 4: Child Experienced - Parent or Guardian Time in Jail; Item 5: Child Experienced - Adults Slap, Hit, Kick, Punch Others; Item 6: Child Experienced - Victim of Violence; Item 7: Child Experienced - Lived with Mentally Ill; Item 8: Child Experienced - Lived with Person with Alcohol/Drug Problem; Item 9: Child Experienced - Treated Unfairly Because of Race
Adverse Childhood Experiences in the U.S. and Delaware, 2016-2018 U.S. Delaware 100 90 80 70 60.2 60.1 56.2 60 53.7 Percent 57.2 56.5 56.7 50 51.7 40 24.6 24.5 30 22.6 22.0 21.9 21.3 21.1 19.6 20 25.7 21.7 23.2 22.0 21.6 19.3 18.7 17.8 10 0 2016 2017 2018 2019 2016 2017 2018 2019 2016 2017 2018 2019 Unexposed One Two or more Source: Delaware Department of Health and Social Services, Division of Public Health, National Survey of Children s Health, 2016-2019 *Adverse Childhood Experiences Item 1: Hard to Cover Basics Like Food or Housing; Item 2: Child Experienced - Parent or Guardian Divorced; Item 3: Child Experienced - Parent or Guardian Died; Item 4: Child Experienced - Parent or Guardian Time in Jail; Item 5: Child Experienced - Adults Slap, Hit, Kick, Punch Others; Item 6: Child Experienced - Victim of Violence; Item 7: Child Experienced - Lived with Mentally Ill; Item 8: Child Experienced - Lived with Person with Alcohol/Drug Problem; Item 9: Child Experienced - Treated Unfairly Because of Race
Adverse Childhood Experiences among children 0 to 17 years in Delaware, 2016-2019 100 90 Male Female 80 70 60 Percent 50 40 30 55.6 55.4 20 23.3 23.0 21.6 21.1 10 0 Unexposed One Two or more Adverse Childhood Experiences (ACEs) Source: Delaware Department of Health and Social Services, Division of Public Health, National Survey of Children s Health, 2016-2019 *Weighted percent with 95% confidence intervals
Adverse Childhood Experiences among children 0 to 17 years in Delaware, by special health care needs status, 2016-2019 SHCN Non-SHCN 100 90 80 70 60 Percent 50 40 30 60.5 20 38.5 37.9 23.5 23.0 10 16.4 0 Unexposed One Two or more Adverse Childhood Experiences Source: Delaware Department of Health and Social Services, Division of Public Health, National Survey of Children s Health, 2016-2019 *Weighted percent with 95% confidence intervals. Special Health Care Needs (SHCN)
Adverse Childhood Experiences among children 0 to 17 years in Delaware, by age-group, 2016-2019 Age 0-5 years Age 6-11 years Age 12-17 years 100 90 80 70 60 Percent 50 40 68.4 30 55.4 43.1 20 31.0 25.9 24.1 10 20.6 19.3 12.2 0 Unexposed One Two or more Adverse Childhood Experiences Source: Delaware Department of Health and Social Services, Division of Public Health, National Survey of Children s Health, 2016-2019 *Weighted percent with 95% confidence intervals
Adverse Childhood Experiences among children 0 to 17 years in Delaware, by generation status, 2016-2019 All parents born in the US (3rd or higher generation HH) Any parent born outside of the US (1st and 2nd generation HH) Other (child born in United States, parents are not listed) 100 90 80 70 60 Percent 50 40 61.7 30 56.1 47.5 20 32.4 26.5 22.4 21.5 10 21.5 11.8 0 Unexposed One Two or more Adverse Childhood Experiences Source: Delaware Department of Health and Social Services, Division of Public Health, National Survey of Children s Health, 2016-2019 *Weighted percent with 95% confidence intervals Household (HH)
Adverse Childhood Experiences among children 0 to 17 years in Delaware, by race and ethnicity, 2016-2019 White (non-Hispanic) Hispanic/Latino(a) Blacks (non-Hispanic) Other races (non-Hispanic) 100 90 80 70 60 Percent 50 40 62.5 30 54.7 53.7 42.8 20 31.3 25.9 23.9 23.4 22.5 21.9 21.5 10 16 0 Unexposed One Two or more Adverse Childhood Experiences Source: Delaware Department of Health and Social Services, Division of Public Health, National Survey of Children s Health, 2016-2019 *Weighted percent with 95% confidence intervals
Adverse Childhood Experiences among children 0 to 17 years in Delaware, by poverty, 2016-2019 0-199% FPL 200-299% FPL 300-399% FPL 400% FPL or more 100 90 80 70 60 Percent 50 40 75.3 61.4 30 50.5 20 39.8 34.6 26.3 25.6 23.2 22.8 10 18.8 15.8 6.1 0 Unexposed One Two or more Adverse Childhood Experiences Source: Delaware Department of Health and Social Services, Division of Public Health, National Survey of Children s Health, 2016-2019 *Weighted percent with 95% confidence intervals Federal Poverty Line (FPL)
Adverse Childhood Experiences among children 0 to 17 years in Delaware, by family resilience, 2016-2019 Low Medium High 100.0 90.0 80.0 70.0 60.0 Percent 50.0 40.0 63.2 30.0 53.8 46.8 20.0 28.4 24.8 24.0 22.2 21.6 10.0 15.2 0.0 Unexposed One Two or more Adverse Childhood Experiences Source: Delaware Department of Health and Social Services, Division of Public Health, National Survey of Children s Health, 2016-2019 *Weighted percent with 95% confidence intervals Family Resilience measured using 4 items (Cronbach alpha 0.89)
Adverse Childhood Experiences among children 0 to 17 years in Delaware, by social capital, 2016-2019 Low Medium High 100.0 90.0 80.0 70.0 60.0 Percent 50.0 40.0 67.7 30.0 54.4 44.8 20.0 30.2 25.3 25.0 10.0 20.3 19.8 12.6 0.0 Unexposed One Two or more Adverse Childhood Experiences Source: Delaware Department of Health and Social Services, Division of Public Health, National Survey of Children s Health, 2016-2019 *Weighted percent with 95% confidence intervals Social Capital measured using 4 items (Cronbach alpha 0.80)
