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The National Survey of Early Childhood Health
Stephen J Blumberg1, Neal Halfon, Lynn M Olson
1Centers for Disease Control and Prevention, National Center for Health Statistics, Hyattsville, Maryland 20782, USA. sblumberg@cdc.gov
Insights
The National Survey of Early Childhood Health (NSECH) offers vital data on young children's health and development. It captures parents' perspectives on pediatric care, informing national health policies.
Area of Science:
- Pediatric Health Research
- Child Development Studies
- Public Health Surveys
Background:
- Limited national data exists on early childhood health and development.
- A gap in pediatric literature concerns parents' views on healthcare delivery for young children.
- Previous studies informed the selection of topics based on parental expectations for child health supervision.
Purpose of the Study:
- To provide nationally representative data on the health and development of young children.
- To address the information gap regarding parents' perspectives on pediatric healthcare delivery.
- To gather insights into family characteristics and behaviors influencing child development.
Main Methods:
- Conducted a random-digit-dial telephone survey of 2068 children aged 4-35 months.
- Oversampled Black and/or Hispanic children for precise minority group estimations.
- Utilized the State and Local Area Integrated Telephone Survey (SLAITS) sampling frame, leveraging the National Immunization Survey (NIS).
Main Results:
- The survey collected comprehensive data on young children's health, healthcare utilization, and service quality.
- Information on family characteristics, health-promoting behaviors, and routines associated with developmental health was gathered.
- Spanish-language interviews comprised 19% of completed interviews, with a 65.6% response rate.
Conclusions:
- The NSECH provides a unique dataset for a holistic view of young children's health in the US.
- Results offer insights into family dynamics and behaviors that support child development.
- NSECH findings can inform national policymakers about the health needs of families and healthcare system performance.
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.
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