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Enhancing Surveillance with the Colorado Child Health Survey

Enhancing Surveillance with the Colorado Child Health Survey. Jodi Drisko, MSPH Colorado Department of Public Health and Environment, Health Statistics Section December 14, 2007. Maternal Child Health Epidemiology Conference, 2007. Colorado Child Health Survey.

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Enhancing Surveillance with the Colorado Child Health Survey

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  1. Enhancing Surveillance with the Colorado Child Health Survey Jodi Drisko, MSPH Colorado Department of Public Health and Environment, Health Statistics Section December 14, 2007 Maternal Child Health Epidemiology Conference, 2007

  2. Colorado Child Health Survey • Why do we need a child health survey? • Vision of data across the lifecycle • “Cradle to Grave” • There were no current surveillance systems in Colorado to assess the health of children under 14 years old. • PRAMS – perinatal (mom & newborn) • YRBS - 14-18 year olds • BRFSS - 18 years and older • Birth and Death data

  3. Colorado Child Health Survey • What is it? • Surveillance system to monitor health and risk behaviors for children • Target age group • Currently, 1-14 years old • Core content areas • Optional modules or questions to meet program specific needs

  4. Colorado Child Health Survey • How? • “Add on” or “follow back” to BRFSS • Telephone survey using random digit dialing. • After a respondent completes the BRFSS, the interviewer will determine if there are children in the household of target age. • If target age children reside in household, respondent will be asked if they may be contacted in the future for a survey about children. • An interviewer will call back within 1-2 weeks to administer Child Health Survey.

  5. Health Department Programs MCH section Oral Health Injury Prevention Chronic disease programs Asthma Cancer Physical activity & nutrition Tobacco Prevention Immunization program HCP Program Disease control and epidemiology Colorado Children's Trust Fund Colorado Child Health SurveyCollaborative effort • Colorado State University (Injury epidemiology) • University of Colorado Health Sciences Center • Child development/ Project Bloom • Preventive Medicine • Rocky Mountain Prevention Research Center • Colorado Department of Education • State Department of Alcohol and Drug Abuse (ADAD) • Colorado Children’s Campaign • Caring for Colorado Foundation • Kaiser Permanente

  6. Colorado Child Health Survey • How did we pull it all together? • Unfunded  charged for questions • $1,200 for 1st question (help offset costs of demographics) • $1,000 for each additional question • 2008 - $1200 for each question • Financing = ~$100,000/yr • ~ $4,000/mo interviewers • ~ $70/mo long distance • .15 FTE CHS Director • .30 FTE Stat Analyst • .15 Administrative (budget, accounting)

  7. Colorado Child Health Survey Domains Physical and Dental Health Emotional and Mental Health Community and School Activities Parental Opinions Access to Care Medical Home Family Health and Activities Demographics

  8. Colorado Child Health Survey • Results • 997 completed interviews in 2004 • (48% overall response rate) • 915 completed interviews in 2005 • (44% overall response rate) • 968 completed interviews in 2006 • (47% overall response rate) • Data are cleaned and weighted to Colorado population by age and gender • In 2004-2006, 98% of those interviewed agreed to have responses linked to BRFSS data set

  9. Data Use and CHS • Journal Article: Parent opinions about the appropriate ages at which adult supervision is unnecessary for bathing, street crossing, and bicycling.Arch Pediatr Adolesc Med. 2007 Jul; 161(7):656-62 • Reports • Injury prevention, Childhood Obesity, Adult/childhood obesity, parent opinions on school environment, food and physical activity • Presentations – National, State • Sun protection, antibiotic resistance, CSHCN • Regional chronic disease mtg, MCH class, MCH Epi conf • Tracking, monitoring, using data for program evaluation • Data on web – static tables

  10. Summary • Survey has been a huge success • Have data for children • People are very excited • Bringing in new partners • Having to limit number of questions • Soon to have 4 years of data • Website www.cdphe.state.co.us/hs

  11. For more information… Jodi Drisko, MSPH Director, Research and Evaluation Colorado Department of Public Health and Environment, Health Statistics Section 303-692-2171 jodi.drisko@state.co.us

  12. Age of selected child respondent, Colorado Child Health Survey Data, 2006 AGE

  13. Medical and dental care, Colorado children ages 1-14, 2004 - 2006

  14. Physical activity and TV viewing, Colorado children, 2004 - 2006

  15. Nutrition and food security, Colorado children ages 1-14, 2004 - 2006

  16. Body Mass Index (BMI)* Percentiles, Colorado children ages 2-14, 2004 - 2006 *For this age range, children with a BMI in the 85th-94.5th percentile are considered at risk for overweight and children with a BMI in the 95th percentile or above are considered overweight

  17. Sun safety practices and attitudes, Colorado children ages 1-14, 2004 - 2006

  18. Vehicle safety practices, Colorado children, 2004 - 2006

  19. Asthma, Colorado children ages 1-14, 2004 - 2006

  20. Exposure to 2nd hand smoke, Colorado children ages 1-14, 2004 - 2006

  21. Behavioral health, Colorado children, 2004-06

  22. Parent support of age appropriate education topics, 2005

  23. Parent support of school vending changes, 2005

  24. Parent opinion on importance of healthy school environment, 2005

  25. Parent support of possible school changes, 2006

  26. What do you think is the most important health problem facing Colorado children? • obesity/overweight - 28% • poor nutrition - 14% (another 2% said malnutrition) • colds and flu (bringing them home from school) - 9% • health care issues - 14% (no insurance 8%, cost of care or insurance 2.5%, access issues 1.5% and lack of health care in general 1.5%) • asthma - 7% • lack of physical activity - 6% • allergies - 2.5%

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