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Survey Items: Screener Questionnaire item number: 4 & 5 Variables in public use data file: SC_HISPANIC_R; SC_RACE_R
Denominator: Children age 0-17 years
Numerator: Hispanic; White, non-Hispanic; Black, non-Hispanic; Other, non-Hispanic
Revisions and Changes: In 2022, the NSCH underwent a comprehensive review to improve consistency across federal surveys and align race reporting options with the American Community Survey (ACS), which provides population estimates for NSCH weighting. For more details on the steps taken to improve weighting and imputation please see the NSCH Weighting and Imputation Enhancements and the 2022 Methodology report.
Additional Notes: The questions about child's Hispanic origin and race were asked in the initial screening questionnaire. Responses to the race question are combined into SC_RACE_R. Responses to the question about Hispanic, Latino or Spanish origin is included as SC_HISPANIC_R. Hispanic origin and race information for the selected sample child was provided in the "Topical" public use file provided by the U.S. Census Bureau. For race4_2022, children reporting Hispanic or Latino ethnicity (SC_HISPANIC_R=1) are counted as Hispanic regardless of reported race in SC_RACE_R. Non-Hispanic children (SC_HISPANIC_R=2) are grouped by race based on SC_RACE_R. Non-Hispanic children reporting one race category of Asian, American Indian or Alaska Native, Native Hawaiian or other Pacific Islander, and multi-race are grouped as "Other, non-Hispanic" because of small sample sizes in many states. Selected child’s Hispanic origin had 0.29% and race had 1.73% missing cases in 2022 . The NSCH public-use data file provided by the U.S. Census Bureau includes values of single imputation for these missing cases in the variables SC_HISPANIC_R and SC_RACE_R.
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.
C.I. = 95% Confidence Interval. Percentages and population estimates (Pop.Est.) are weighted to represent child population in US.
DATA ALERT: The ACEs subgroup is a composite of 11 survey items addressing the presence of adverse childhood experiences. These items include: difficulty covering the basics on the family's income; parent/guardian divorced or separated; parent/guardian died; parent/guardian served time in jail; saw or heard parents/adults slap, hit, kick, punch one another in the home; was a victim of or witnessed violence in the neighborhood; lived with anyone who was mentally ill, suicidal, or severely depressed; lived with anyone who had a problem with alcohol/drugs; treated or judged unfairly due to race/ethnicity; treated or judged unfairly due to sexual orientation or gender identity (6-17 years only); and treated unfairly because of a health condition or disability.
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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 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].