State & Local Telephone Survey: Health Data Collection

1. The Stateand Local AreaIntegrated Telephone Survey Marcie Cynamon Chief, Survey Planning and Special Surveys Branch National Center for Health Statistics

2. SLAITS: The State and Local Area Integrated Telephone Survey • System developed by CDC/NCHS • DHHS survey consolidation • Efficient use of NIS sampling frame • Addresses need for subnational data • Sponsor driven content and design

3. Customized Surveys • Uses existing questions (when available) for comparability • Develops/tests new questions to address emergent topics • Focuses on policy relevant topics • Health insurance • Health care utilization • Unmet health care needs • Child well-being • Family functioning • Program participation

4. Flexible Sample Selection • Large NIS sampling frame allows for: • Targeting subnational geographic areas • Targeting policy-relevant populations • Data of seasonal interest • Quick turnaround surveys • Methodological research

5. AdditionalFeatures of SLAITS • Centralized data collection • Advance letters • Interviewing in many languages • Sampling weights account for households without telephones • Potential to combine SLAITS data with data from other surveys (e.g., NHIS, NSFG) for dual-frame estimation (e.g. small areas, rare occurrences, mode issues)

6. Recent SLAITS Modules • National Survey of Early Childhood Health • National Survey of Children with Special Health Care Needs X 2 • National Asthma Survey • National Survey of Children’s Health

7. National Survey ofEarly Childhood Health, 2000 • Sponsored by: • American Academy of Pediatrics • Gerber Foundation • Maternal and Child Health Bureau • AAP Friends of Children Fund

8. National Survey ofEarly Childhood Health, 2000 • Parent’s perceptions of pediatric care • One child aged 4-35 months randomly selected as target of detailed interview • National sample size: • 1,208 children selected randomly • 860 additional minority children • Special supplement to Pediatrics (June 2004)

9. National Survey ofEarly Childhood Health, 2000 • Questionnaire Topics • Health Care Utilization • Parental Perceptions of Pediatric Care • Interactions with Health Care Providers • Family Interactions and Home Safety • Parental and Child Health • Financial Welfare and Health Insurance

10. National Survey of Children with Special Health Care Needs, 2001 • Produced national and state-based estimates on the prevalence and impact of children with special health care needs (CSHCN) • Repeated in 2005 – 2006

11. National Survey of CSHCNInterviewProcess • Screened 2.5-3 million telephone lines to identify households with children <18 • Screened all children • Detailed questionnaire for ≈39,000 CSHCN (750 per state in ’01; 850 in ’05-06) ♦♦♦♦♦ • Health insurance coverage for an additional 176,296 children without special health care needs • Eligible but uninsured module

12. National Survey of CSHCN • Questionnaire Topics • CSHCN Screening • Health and Functional Status • Access to Care: Met/Unmet Needs • Care Coordination • Satisfaction with Care • Health Insurance Coverage • Adequacy of CSHCN Health Care Coverage • Impact on the Family

13. National Asthma Survey, 2003 • To produce estimates of the prevalence of asthma and its successful management Centers for Disease Control and Prevention National Center for Environmental Health

14. National Asthma SurveyInterview Process • National sample • Randomly selected one person in each household for prevalence • Four state samples (AL, CA, IL, TX) • Screened all household members Randomly selected up to one adult and one child with asthma for detailed questionnaire

15. National Asthma Survey, 2003 • Questionnaire Topics • Asthma Screening • History of Asthma: Symptoms and Episodes • Health Care Utilization • Knowledge of Asthma/Management Plan • Modifications to Environment • Medication Use • Family History of Asthma

16. National Survey ofChildren’s Health, 2003 and 2007 • National and state-based estimates on the health and well-being of children, families, and communities • National sample size ≈ 102,000 children

17. National Survey ofChildren’s Health • Questionnaire Topics • Health and Functional Status • Health Insurance Coverage • Health Care Access and Utilization • Medical Home • Child Well-Being • Family Functioning and Parental Health • Neighborhood Characteristics

18. Analytic Opportunities • SLAITS website • www.cdc.gov/nchs/slaits.htm • Public Use Data Files • Data Resource Center for Child and Adolescent Health • www.cshcndata.org • www.nschdata.org • Crosstabs at your fingertips

19. http://www.cshcndata.org

20. New SLAITS modules in 2007 • National Survey of Adoptive Parents • Follow up survey to NSCH • Domestic Private, Foster, International • 2,000 children • Adolescent Immunization • Similar in format to NIS • Teenagers • New immunizations and recommendations

21. Examples ofSLAITS Methods Research Impact of… • incentives on refusal conversion and response rates • touch-tone data entry on estimates for HIV/STD-related sexual behaviors • proxy reporting on adult asthma prevalence estimates • question wording on children’s health insurance estimates • wireless substitution on RDD surveys

22. SLAITS and Public Health Policy • Congressional Report on SCHIP • Child Well-Being • Autism • Asthma • Healthy People 2010 • Title V Funding and Block Grants • Health Disparities Reports

23. SLAITS Sessions at DUC • 4 NIS/SLAITS • 7 Overview • 14 Asthma Presentation • 18 Hands On Tutorial for Beginners • 29, 42 Data resource Center Hands On Tutorial • 36, 65 Advanced Hands On Tutorial • 51 Health Care Quality • 55 Current and Future Content • 62 Analyzing SLAITS Data

24. On behalf of the SLAITS team, thanks for your interest!www.cdc.gov/nchs/slaits.htmSLAITS@cdc.gov