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Survey Items: Survey instrument item number for children 0-5 years: A4a-f,A5a,A5b; for children 6-11 years: A4a-d,A5a-e; for children 12-17 years: A4a-d, A5a-f Variables in public use data file: BLINDNESS; BREATHING; COORDINATION; DRESSING; ERRANDALONE; HANDS; K2Q43B; MEMORYCOND; PHYSICALPAIN; STOMACH; SWALLOWING; WALKSTAIRS
Denominator: Children age 0-17 years
Numerator: Children who do not have any difficulties; Children with one functional difficulty; Children with two or more functional difficulties
Revisions and Changes: In 2017, this measure did not change from the 2016 NSCH. Due to changes in the administration and sampling for the NSCH, results from surveys prior to 2016 are not directly comparable and should not be used to conduct trend analyses. Prior to the 2016 NSCH, functional difficulty items were asked in the 2009/10 National Survey of Children with Special Health Care Needs. However, several new items were included in 2016 NSCH, including serious difficulty concentrating, remembering, or making decisions and difficulty doing errands alone(such as visiting a doctor’s office or shopping). The wording of the questions which ask about difficulty with walking or climbing stairs and difficulty with dressing or bathing were substantively changed in 2016. For more information about the changes, click here.
Additional Notes: This measure was scored as the count of difficulties children experience from a list of 12 functional difficulties. The difficulties are asked about as two different types of questions: (a) During the past 12 months, whether the child had frequent or chronic difficulty with breathing or other respiratory problems; eating or swallowing; digesting food, including stomach/intestinal problems, constipation, or diarrhea; repeated or chronic physical pain, including headaches or other back or body pain; using his/her hands (0-5 years); coordination and moving around (0-5 years) , and (b) Whether the child has serious difficulty concentrating, remembering, or making decisions (6-17 years); serious difficulty walking or climbing stairs (6-17 years); difficulty dressing or bathing (6-17 years); difficulty doing errands alone, such as visiting a doctor’s office or shopping (12-17 years), deafness or problems with hearing; and blindness or problems with seeing, even when wearing glasses.
Treatment of Unknown Values: Missing values due to non-response or a “don’t know” response are not included in the denominator when calculating prevalence estimates and weighted population counts displayed in the data query results table. In the majority of cases, the proportion of missing values is less than 2%. Exceptions are noted in the form of a Data Alert at the bottom of a results table. The exclusion of these values does not change the prevalence estimates (%) and only marginally affects the weighted population counts (Pop. Est.). If missing cases are handled in any other way, details can be found in the "Additional notes" section above.
History and Development: The Health Resources and Services Administration’s (HRSA) Maternal and Child Health Bureau (MCHB) funds and directs the National Survey of Children’s Health (NSCH), and develops survey content in collaboration with the U.S. Census Bureau and a Technical Expert Panel. The Technical Expert Panel consists of experts in survey methodology and children’s health, federal and state stakeholders, clinicians and researchers. The U.S. Census Bureau conducts the survey, oversees the sampling, and produces a final data set of survey results. Respondents’ cognitive understanding of the survey questions was assessed during the pretest phase of the survey redesign and reassessed after the 2016 survey; subsequent revisions were made. Previously validated questions and scales are used when available. The manuscript “The Design and Implementation of the 2016 National Survey of Children’s Health”, provides detailed information about the redesign of the NSCH, administration of the first redesigned survey (2016), and the sampling and administration changes for the 2017 NSCH. Prior to 2016, the NSCH and the National Survey of Children with Special Health Care Needs were each conducted three times as interviewer-assisted telephone surveys using random digit dial sampling. In 2016, the two surveys were combined into a single annual self-administered questionnaire. Due to decline in the number of households with landline telephones, the NSCH now utilizes an addressed based sampling method to select participating households, thus all invitations are sent by mail. Participants may choose to complete the survey either online using a secure website or a mailed paper version of the survey. All final data components are verified by the Census Bureau, HRSA/MCHB and CAHMI/DRC staff prior to public release. More information about the survey can be found in the “About the National Survey of Children's Health” section of this website and HRSA’s MCHB website.
Indicator 1.10: Does this child have one or more functional difficulties from a list of 12 difficulties?
Notes: Click on the Column Header to sort the results by ascending or descending order. To get a detailed explanation of the data HOVER over the text in the table.
Select a Response Category: Does not have any difficulties One functional difficulty Two or more functional difficulties
Data Source: National Survey of Children’s Health, Health Resources and Services Administration, Maternal and Child Health Bureau. https://mchb.hrsa.gov/data/national-surveys
Citation: Child and Adolescent Health Measurement Initiative. 2016-2017 National Survey of Children’s Health (NSCH) data query. Data Resource Center for Child and Adolescent Health supported by the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), Maternal and Child Health Bureau (MCHB). Retrieved [mm/dd/yy] from [www.childhealthdata.org].