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Updated: Jan 10, 2026

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Measuring the Functional Abilities of Children Aged 3-6 Years Old with Observational Methods and Computer Tools
Published on: June 20, 2020
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Difficulties in Functioning Among Children in the United States: 2021-2023
National Health Statistics Reports
|November 25, 2025
Summary
National estimates show that over half of children ages 5-17 and a quarter of children ages 2-4 experience functioning difficulties. Communication, learning, and behavior were common challenges for younger children, while older children faced issues with anxiety, change, and behavior.
Area of Science:
- Child Health
- Developmental Psychology
- Public Health
Background:
- Child functioning difficulties impact development and well-being.
- Understanding prevalence is crucial for targeted interventions.
- The Child Functioning Module provides a standardized assessment tool.
Purpose of the Study:
- To present national estimates of functioning difficulties in children aged 2-17.
- To analyze prevalence by age group, sex, and other demographic factors.
- To identify specific functional domains most affected.
Main Methods:
- Utilized 2021-2023 National Health Interview Survey (NHIS) data.
- Employed the Child Functioning Module to assess difficulties in various domains.
- Calculated prevalence estimates for overall functioning and specific domains.
Main Results:
- 24.9% of children aged 2-4 and 50.8% of children aged 5-17 reported functioning difficulties.
- Boys were more likely than girls to experience significant difficulties.
- Commonly affected domains included communication, learning, behavior, anxiety, and depression.
Conclusions:
- Functioning difficulties are prevalent in US children, varying by age and sex.
- Targeted support is needed for children experiencing challenges in specific domains.
- Continued monitoring via the NHIS is essential for public health initiatives.
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