The National Survey of Early Childhood Health

PEDIATRICS ◽  
2004 ◽  
Vol 113 (Supplement_5) ◽  
pp. 1899-1906 ◽  
Author(s):  
Stephen J. Blumberg ◽  
Neal Halfon ◽  
Lynn M. Olson
Keyword(s):  
Health Care ◽  
Early Childhood ◽  
Young Children ◽  
National Survey ◽  
Telephone Survey ◽  
The United States ◽  
Sampling Frame ◽  
Childhood Health ◽  
Early Childhood Health ◽  
Nationally Representative

Objectives. The National Survey of Early Childhood Health (NSECH) is a new survey that was designed to provide nationally representative data on the health and development of children and to fill an information gap in the pediatric literature on parents’ views of the delivery of health care to their young children. Design. The selection of topics was guided by previous studies conducted to examine parents’ expectations and needs in child health supervision visits. The NSECH is a random-digit-dial telephone survey of a nationally representative sample of 2068 children aged 4 to 35 months. This sample includes an oversample of black and/or Hispanic children so that results for these minority groups could be estimated with greater precision. The sampling frame for NSECH is from the State and Local Area Integrated Telephone Survey (SLAITS), which is a program of surveys conducted by the National Center for Health Statistics that makes economical use of the large sampling frame of the National Immunization Survey (NIS). SLAITS takes advantage of the NIS screening effort by fielding interviews on other health topics with households screened for the NIS. The respondent was the parent or guardian identified as the person most responsible for the sampled child’s medical care. Spanish-language interviews composed 19% of all completed interviews. The Council of American Survey Research Organizations response rate was 65.6%. Conclusion. The NSECH provides a unique data set that allows a well-rounded picture of the health, health care utilization, health care content, and interpersonal quality of health services received by young children in the United States. It also contains important information about family characteristics, patterns of health-promoting behaviors, and family routines that are associated with promoting the developmental health of young children. NSECH results can also help national policy makers understand the health needs of families with young children and how well the health system is meeting those needs.

Parents’ Discipline of Young Children: Results From the National Survey of Early Childhood Health

PEDIATRICS ◽  
2004 ◽  
Vol 113 (Supplement_5) ◽  
pp. 1952-1958 ◽  
Author(s):  
Michael Regalado ◽  
Harvinder Sareen ◽  
Moira Inkelas ◽  
Lawrence S. Wissow ◽  
Neal Halfon
Keyword(s):  
Early Childhood ◽  
Young Children ◽  
National Survey ◽  
Childhood Health ◽  
Developmental Risk ◽  
Discipline Practices ◽  
Early Childhood Health ◽  
Time Out ◽  
Frequent Use ◽  
Child Age

Objective. To examine the use and predictors of different discipline practices by parents of very young children using data from the 2000 National Survey of Early Childhood Health (NSECH). Methods. NSECH is a nationally representative telephone survey of 2068 parents of young children between the ages of 4 and 35 months conducted by the National Center for Health Statistics. The survey includes questions about parents’ use of 5 discipline practices: yelling, spanking, time out, toy removal, and explanations. χ2 analyses and logistic multivariate regression were used to examine associations between discipline practices and child, parent, and demographic factors. Results. Among young children aged 19 to 35 months, frequent parental use of discipline strategies ranged from 26% (spanking) to 65% (taking away toy or treat), 67% (yelling), 70% (using time out), and 90% (providing explanations). In multivariate analyses, child age predicts reports of more frequent spanking and yelling, and child developmental risk is associated with increased reports of yelling. Parent frustration predicts frequent use of every discipline practice, including a greater inclination to use aversive practices. Lower parental emotional well-being is associated with reports of frequent yelling and spanking. Black ethnicity and maternal age predict more frequent spanking, and Spanish-speaking parents reported less frequent use of time out and taking away a toy. Conclusion. Child age and developmental risk and parents’ ethnicity, emotions, and mental health are closely associated with discipline practices in the first 3 years of life. These factors are important for pediatricians to recognize in providing anticipatory guidance about discipline.

Health professionals’ knowledge of oral health preventive practices regarding early childhood health care

2012 ◽  
Vol 20 (5) ◽  
pp. 513-518 ◽  
Author(s):  
Luciana Vilar de Oliveira Diniz ◽  
Camila Helena Machado da Costa ◽  
Andressa Feitosa Bezerra Oliveira ◽  
Franklin Delano Soares Forte
Keyword(s):  
Health Care ◽  
Early Childhood ◽  
Oral Health ◽  
Health Professionals ◽  
Childhood Health ◽  
Preventive Practices ◽  
Early Childhood Health

scholarly journals The Influence of Parenting on Early Childhood Health and Health Care Utilization

2014 ◽  
Vol 39 (10) ◽  
pp. 1161-1174 ◽  
Author(s):  
Lisa A. Serbin ◽  
Michele Hubert ◽  
Paul D. Hastings ◽  
Dale M. Stack ◽  
Alex E. Schwartzman
Keyword(s):  
Health Care ◽  
Early Childhood ◽  
Health Care Utilization ◽  
Care Utilization ◽  
Childhood Health ◽  
Early Childhood Health

Pediatric chronic pain and caregiver burden in a national survey

2019 ◽  
Vol 19 (1) ◽  
pp. 109-116 ◽  
Author(s):  
Hannah Datz ◽  
Dmitry Tumin ◽  
Rebecca Miller ◽  
Timothy P. Smith ◽  
Tarun Bhalla ◽  
...  
Keyword(s):  
Health Care ◽  
Chronic Pain ◽  
Health Status ◽  
Caregiver Burden ◽  
National Survey ◽  
The United States ◽  
Representative Survey ◽  
Pediatric Chronic Pain ◽  
Specialized Health Care ◽  
Nationally Representative

Abstract Background and aims Caring for children with chronic pain incurs burdens of cost and time for families. We aimed to describe variation in caregiver burden among parents of adolescents with chronic pain who responded to a nationally-representative survey. Our secondary aim was to identify child and parent characteristics associated with increased caregiver burden. Methods We used de-identified, publicly-available data from the 2016 National Survey of Children’s Health (NSCH), designed to be representative of non-institutionalized children in the United States. We analyzed data for households where an adolescent age 12–17 years old was reported by a parent to have chronic pain. Outcomes included the parent’s time spent on the child’s health needs, reduced labor force participation, and out-of-pocket medical costs. Results Data on 1,711 adolescents were analyzed. For adolescents with chronic pain, 15% of parents reported spending at least 1 h/week on their child’s health care, 14% reported cutting back on paid work, and 36% reported spending ≥$500 on their child’s health care in the past 12 months. Adolescents’ general health status and extent of specialized health care needs predicted increased caregiver burden across the three measures. Conversely, no consistent differences in caregiver burden were noted according to demographic or socioeconomic characteristics. Conclusions Among adolescents with chronic pain identified on a nationally-representative survey, parents frequently reported reducing work participation and incurring out-of-pocket expenses in providing health care for their child. Caregiver burdens increased with indicators of greater medical complexity (e.g. presence of comorbidities, need for specialized health care) and poorer overall adolescent health status. Implications We add a national-level perspective to studies previously performed in clinical samples addressing caregiver burden in pediatric chronic pain. Initiatives to reduce the burden of caring for children with chronic pain, described in prior work, may be especially beneficial for families with adolescents whose chronic pain is accompanied by other health problems or requires coordination of care among multiple providers.

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