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Survey Items: Survey instrument item numbers for children 0-5 years: A13-A15 & A21-A26 & A31(2022), A13-A15 & A20-A25 & A30 (2023); for children 6-11 years: A13-A15 & A21-A26 & A31(2022), A13-A15 & A20-A25 & A30 (2023); for children 12-17 years: A13-A15 & A21-A26 & A31(2022), A13-A15 & A20-A25 & A30 (2023) The screener item number: 11 for all children Variables in public use data file: K2Q38A; K2Q38B; K2Q33A; K2Q33B; K2Q32A; K2Q32B; K2Q34A; K2Q34B; K2Q36A; K2Q36B; K2Q60A; K2Q60B; K2Q37A; K2Q37B; K2Q30A; K2Q30B; K2Q35A; K2Q35B; K2Q31A; K2Q31B; C#_K2Q22; C#_K2Q23
Denominator: Children age 3-17 years
Numerator: Child has 1 or more reported MEDB problems and/or qualifies on CSHCN Screener emotional, behavioral or developmental criteria; Child does not currently have mental, emotional, developmental, or behavioral problems
Revisions and Changes: This measure was added to the 2017-2018 NSCH Data Query for the first time. There have been no substantive changes to the survey items used to construct this measure since 2016.
Additional Notes: All information about children's health conditions is based on parent recollection and is not independently verified. This measure was derived based on 10 conditions: Tourette Syndrome, anxiety problems, depression, behavioral and conduct problems, developmental delay, intellectual disability, speech or other language disorder, learning disability (also known as mental retardation), Autism or Autism Spectrum Disorder (ASD), Attention Deficit Disorder or Attention-Deficit/Hyperactivity Disorder (ADD or ADHD) and the CSHCN Screener questions on mental, emotional and behavioral problems. To qualify as having a mental, emotional, developmental or behavioral problem, the child must have any of 10 conditions currently and/or qualify on the CSHCN Screener ongoing emotional, developmental or behavioral conditions criteria. More information about the CSHCN Screener can be obtained on the Child and Adolescent Health Measurement Initiative’s website The individual conditions and CSHCN Screener questions were asked of all children, but the denominator is limited to children age 3-17 years for this measure.
Treatment of Unknown Values: Missing values may be due to non-response (i.e. a skipped item) or a “don’t know” response. The way these items are handled can vary by measure. For Title V Maternal and Child Health Services Block Grant Measures, having missing values for all items in an indicator will lead to the case being given a missing value on the overall measure. For some other measures, if there is a missing value on any of the items, the case will be set to missing. How missing values are handled is documented in the "Additional notes" field above when required. Missing values are not included in the denominator when calculating prevalence estimates and weighted population counts displayed in the Interactive Data Query results table. In the majority of cases, the proportion of missing values is less than 5%. 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.). To learn about the impact of the missing values on the population count estimates, click here.
History and Development: About NSCH The National Survey of Children’s Health (NSCH), funded and directed by the Health Resources and Services Administration’s (HRSA) Maternal and Child Health Bureau (MCHB), is designed to provide annual national and state-level information on the health and well-being of children ages 0-17 years in the United States. The U.S. Census Bureau administers the survey, oversees the sampling, and produces a final data set of survey results. HRSA’s Maternal and Child Health Bureau (MCHB) 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. In 2016, the NSCH underwent a significant redesign which combined content from both the NSCH and the National Survey of Children with Special Health Care Needs (NS-CSHCN). Further information on that redesign can be found in “The Design and Implementation of the 2016 National Survey of Children’s Health”. The NSCH is conducted as a household survey, and one child per household is selected to be the subject for the detailed age-specific questionnaire. The respondent to this questionnaire is a parent or guardian who is living in the home and has knowledge of the sampled child. Survey participants complete either web-based or self-administered paper-and-pencil questionnaires. Data from the NSCH is used for scientific research, federal policy and program development, and state-level planning and performance reporting. Information is collected on factors related to the health and well-being of children, including access to and utilization of health care, receipt of care in a medical home, systems of care for CSHCN, family interactions, parental health, school and after-school experiences, and neighborhood characteristics. 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.
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C.I. = 95% Confidence Interval. Percentages and population estimates (Pop.Est.) are weighted to represent child population in US. -- Dashed lines indicate that the total number of respondents to this measure (unweighted denominator) is less than 30, which does not meet MCHB data display criteria.
DATA ALERT: Missing values for this subgroup were imputed separately in each individual year. The estimates were calculated using a single imputation.
Note: N/A indicates that the total number of respondents to this measure (unweighted denominator) is less than 30, which does not meet MCHB data display criteria.
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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. 2022-2023 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].