TY - JOUR
T1 - Healthy people 2010 leading health indicators
T2 - How children with special health care needs fared
AU - Ghandour, Reem M.
AU - Grason, Holly A.
AU - Schempf, Ashley H.
AU - Strickland, Bonnie B.
AU - Kogan, Michael D.
AU - Jones, Jessica R.
AU - Nichols, Debra
PY - 2013/6
Y1 - 2013/6
N2 - Objectives. We compared estimates for children with and without special health care needs (SHCN) at 2 time periods for national health objectives related to the Healthy People 2010 leading health indicators (LHIs). Methods. Data were from the 2003 and 2007 National Surveys of Children's Health. Seven survey items were relevant to the LHIs and available in both survey years: physical activity, obesity, household tobacco use, current insurance, personal health care provider, past-month depressive symptoms, and past-year emergency department visits. Results. In 2003 and 2007, children with SHCN fared worse than those without SHCN with respect to physical activity, obesity, household tobacco exposure, depressive symptomology, and emergency department visits, but fared better on current insurance and having a personal health care provider. Physical activity and access to a personal health care provider increased for all children, whereas the absolute disparity in personal provider access decreased 4.9%. Conclusions. Significant disparities exist for key population health indicators between children with and without SHCN. Analyses illustrated how populationbased initiatives could be used to frame health challenges among vulnerable populations.
AB - Objectives. We compared estimates for children with and without special health care needs (SHCN) at 2 time periods for national health objectives related to the Healthy People 2010 leading health indicators (LHIs). Methods. Data were from the 2003 and 2007 National Surveys of Children's Health. Seven survey items were relevant to the LHIs and available in both survey years: physical activity, obesity, household tobacco use, current insurance, personal health care provider, past-month depressive symptoms, and past-year emergency department visits. Results. In 2003 and 2007, children with SHCN fared worse than those without SHCN with respect to physical activity, obesity, household tobacco exposure, depressive symptomology, and emergency department visits, but fared better on current insurance and having a personal health care provider. Physical activity and access to a personal health care provider increased for all children, whereas the absolute disparity in personal provider access decreased 4.9%. Conclusions. Significant disparities exist for key population health indicators between children with and without SHCN. Analyses illustrated how populationbased initiatives could be used to frame health challenges among vulnerable populations.
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U2 - 10.2105/AJPH.2012.301001
DO - 10.2105/AJPH.2012.301001
M3 - Article
C2 - 23597380
AN - SCOPUS:84878059976
SN - 0090-0036
VL - 103
SP - e99-e106
JO - American journal of public health
JF - American journal of public health
IS - 6
ER -