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Delaware Survey of Children’s Health 2011 - March 7, 2013. Zhongcui Gao, Co Investigator Jia Zhao, Co Investigator Judith Johnson, Team Member Monica Burnett, Team Member Tiho Enev, Principal Investigator . Introduction.
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Delaware Survey of Children’s Health2011-March 7, 2013 Zhongcui Gao, Co Investigator Jia Zhao, Co Investigator Judith Johnson, Team Member Monica Burnett, Team Member Tiho Enev, Principal Investigator
Introduction • The Delaware Survey of Children’s Health (DSCH), funded by Nemours, is one of the most comprehensive surveillance instruments in the field of public health for Delaware children; • The survey data is used to guide NHPS and it’s partners programmatic work and to monitor children’s health outcomes at the state level; • DSCH contains a broad range of information about health domains including healthy eating, physical activity, screen time, and emotional behavioral health.
Sampling Design • The DSCH features a two-stage cluster sample using random-digit-dialing (RDD). • The sample represents all Delaware households with one or more children younger than 18 years of age. • Sample size: 2006: N=3,055 2008: N=3,081 2011: N=3,207 • The statewide sample allows comparisons among the following demographic categories: • Geographic locations: Kent County New Castle County Sussex County City of Wilmington
Sampling Design • Age groups: • birth through 5 • 6 through 11 • 12 through 17 • Race and Ethnicity: • Hispanic* • African American • White • Other * In the 2011 administration the Delaware Hispanic population was oversampled to increase the power of the analyses.
Survey Topics NOT FOR DISSEMINATION
Demographic Characteristics: 2011 DSCH Age Race / Ethnicity
Weight Status of Delaware Children Ages 2-17 (Based on BMI Percentile): 2006 - 2011 Body Weight
Weight Status of Delaware Children Ages 2-17 (Based on BMI Percentile): 2006 - 2011
Percentage of Overweight and Obese Children by Age Group: 2006-2011 Body Weight
Percentage of Overweight and Obese Children Ages 2-17 by Race and Ethnicity: 2006 -2011
Percentage of Overweight and Obese Children Ages 2-17 by Geographic Location: 2006-2011 Body Weight
Percentage of Overweight and Obese Children Ages 2-17 by Gender: 2006-2011 Body Weight
Percentage of Overweight and Obese Children Ages 2-17 by Type of Insurance: 2011 Body Weight
Fruit and Vegetable Consumption • NHPS recommendation for children ages 2-17: • Children should have five or more servings of fruits and vegetables each day. • Measures of fruit/vegetable consumption in the 2006, 2008, and 2011 DSCH: • Thinking about yesterday, how many servings of fruit did your child have? • Thinking about yesterday, how many servings of vegetables did your child have? • Thinking about yesterday, how many cups of 100% fruit or vegetable juices did your child drink? (*Note: if the number of cups reported by parents is greater than 1, only 1 cup will be counted in the total daily fruit/vegetable consumption ) Healthy Eating
Percentage of Children Ages 2 – 17 who Eat 5 or More Servings of Fruits and Vegetables per Day: 2006 - 2011 Healthy Eating
Percentage of Children who Eat 5 or More Servings of Fruits and Vegetables per Day by Age Group: 2006 - 2011 Healthy Eating
Percentage of Children Ages 2-17 who Eat 5 or More Servings of Fruits and Vegetables per Day by Race and Ethnicity: 2006 - 2011 Healthy Eating
Percentage of Children Ages 2-17 who Eat 5 or More Servings of Fruits and Vegetables per Day by Gender: 2006 - 2011 NOT FOR DISSEMINATION Healthy Eating
Average Number of Servings of Fruits and Vegetables per Day by Age Group: 2006 -2011 Healthy Eating
Physical Activity • 2008 Physical Activity Guidelines for Americans: • Children and adolescents ages 6-17 should have 60 minutes (1 hour) or more of physical activity each day. • Measure of physical activity in the 2008 and 2011 DSCH: • “During the past seven days, on how many days was {selected child} physically active for a total of at least 60 minutes per day? (Add up all the time he/she spends in any kind of physical activity that increases his/her heart rate and makes him/her breathe hard some of the time.)” NOT FOR DISSEMINATION Physical Activity
Percentage of Children Meeting the 1-hour Physical Activity Guideline by Age, Race/Ethnicity, Gender, and Weight Status: 2011 Physical Activity
Comparing Physical Activity Levels: 2008 vs. 2011 • The percentage of children who meet the physical activity recommendation increased significantly from 38.9%in 2008 to 44.8% in 2011. • Significant increase occurred among: • Ages 2-5 (53.2% to 62.6%) • Ages 12-17 (26.9% to 33.3%) • Non-Hispanic White (38.8% to 49.5%) • Males (41.8% to 48.4%) • Females (36.3% to 41.1%) • Children living in Sussex County (43.7% to 51.7%) • Children living in Kent County (39.7% to 46.6%) Physical Activity
Average Number of Days with 60+ minutes of Physical Activity per Week by Age, Race/Ethnicity, Gender and Location: 2008 & 2011 Physical Activity
Screen Time • NHPS recommendation for children: • Children should have two hours or less of screen time a day. • Measures of screen time in the 2006, 2008, and 2011 DSCH: • - On an average weekday, about how many hours does your child usually watch TV, watch videos, or play video games? • - On an average school day/weekday, about how many hours does your child use a computer for purposes other than school work? Healthy Use of Media
AverageTV Time by Age Group 2006 - 2011 Healthy Use of Media
Average Computer Time by Age Group 2006 -2011 Healthy Use of Media
Average TV Time for Children Ages 2-17 by Race and Ethnicity: 2006 - 2011 Healthy Use of Media
Average Computer Time for Children Ages 2-17 by Race and Ethnicity: 2006 -2011 Healthy Use of Media
Average TV Time per Day by Level of Physical Activity and Age Group : 2011 Healthy Use of Media
Sugar-Sweetened Beverage Consumption • NHPS Recommendation: • Children and youth should not consume more than two servings of sugar-sweetened beverages (SSB), specifically soft drinks, fruit drinks, and sports drinks per week. • DSCH measure of SSB consumption (2006, 2008, 2011) • Thinking about the last 7 days, how many cups of regular soda or other drinks containing sugar such as fruit-flavored drinks did [your child] drink? SSB Consumption
Percentage of Children who Drank Less than Two Cups of Sugar-Sweetened Beverages per Week: 2011 SSB Consumption
Percentage of Children who Drank Less than 2 Cups of Sugar- Sweetened Beverages per Week by Age Group:2006 - 2011 NOT FOR DISSEMINATION SSB Consumption
Percentage of Children Ages 2-17 who Drank Less than 2 Cups of Sugar- Sweetened Beverages per Week by Gender:2006 - 2011 SSB Consumption
Percentage of Children Ages 2-17 who Drank Less than 2 Cups of Sugar- Sweetened Beverages per Week by Race and Ethnicity:2006 - 2011 NOT FOR DISSEMINATION SSB Consumption
Parental Perception of Child’s Weight Status • Consistently, across all DSCH administrations, close to 80 percent of the parents consider their overweight children (between the 85th and the 95th BMI percentile) to be in the normal weight zone… • … and over 55 percent of the parents consider their obese children (above the 95th BMI percentile) to be in the normal weight category. Perception of Body Weight
Dissemination • Press releases • Publications • Presentations • Electronic access – Nemours website • Availability of data for analysis to external parties
Electronic Access • To create an interactive data website, connected to and aligned in a seamless manner to the Nemours website, that will provide the opportunity for the community at-large to view and interact with the data and obtain information. • The website would provide access to measures of various health-related behaviors and domains and help inform a broad audience: • Partners • Communities • Researchers • Policy and Decision Makers • Providers and Caregivers
Questions? • Contact Information: Tiho Enev tenev@nemours.org (302) 444-9246