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The National Children’s Study in St. Louis City: An Update to the Mayor’s Commission on

The National Children’s Study in St. Louis City: An Update to the Mayor’s Commission on Children, Youth and Families P. Louise Flick, DrPH, MSN, MPE Saint Louis University School of Public Health Vetta Sanders-Thompson, PhD Washington University in St. Louis

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The National Children’s Study in St. Louis City: An Update to the Mayor’s Commission on

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  1. The National Children’s Study in St. Louis City: AnUpdate to the Mayor’s Commission on Children, Youth and FamiliesP Louise Flick, DrPH, MSN, MPE Saint Louis University School of Public Health Vetta Sanders-Thompson, PhD Washington University in St. Louis The Brown School/Institute of Public Health February 9, 2012

  2. Aims of Presentation • NCS Study Goals • The Gateway Study Center • The Vanguard Study - NCS Pilot Phase • Recruitment Activities • The Main Study

  3. NCS Study Goal • To study effects of environment on child growth, development and health • Environment: physical, chemical, social • Existing studies not • Early enough • Large enough • Long enough

  4. NCS Study Design • Longitudinal, observational study of children, pre-birth through age 21. • Pilot stage • Main study • 105 counties in the US • Goal: more than 100,000 babies

  5. The Gateway Study Center A consortium of local partners: • Saint Louis University • Battelle Memorial Institute • Southern Illinois University Edwardsville • Southern Illinois University Carbondale • Washington University

  6. National Children’s Study

  7. The Gateway Study Center team at the St. Louis City Field Office

  8. The Gateway Study Center GSC counties • St. Louis City, MO (Active) • Jefferson County, MO (Inactive) • Macoupin County, IL (Inactive) • Johnson, Union, & Williamson Counties, IL (Inactive)

  9. The Vanguard Study,the NCS pilot phase • Vanguard study assesses the cost, feasibility and acceptability of 3 possible recruitment strategies • Our recruitment strategy: Enhanced Household-Based Recruitment • Local recruitment of pregnant and pre-pregnant women began in 2010. • Complete recruitment by March 1, 2012. • Study visits and data analysis continue.

  10. Recruitment Activities • Households Targeted13,850* • Contacted HH 95% • Enumerations Completed 3,300 • Age-Eligible Women Found 2,150 • Study-Eligible Women Found 200 *All figures except percentages are rounded to nearest 50 to protect confidentiality.

  11. Recruitment Activities • Study Eligible WomenWho Consent 65% • Women Who Have Joined the Study 100 • 60% pregnant/40% trying • Number of Babies Born about 50

  12. Age of Mothers NCS St.Louis Participants1 City2 • Less than 18 n/a 6% • Age 18-24 33% 37% • Age 25-29 21% 27% • Age 30-34 21% 20% • Age 35-40 18% 8% • Age 41-49 7% 2% 1NCS Biweekly Report (September 28, 2011) 2Missouri Birth MICA (2009)

  13. Race, Ethnicity & Language • NCS St.Louis • Participants City • African-American 42% 57% • Asian/Nat. Haw./Pac. Isl. 3% 3% • White/Caucasian 38% 39% • Multiple or Other Racial Backgrounds 13% 1%* • Unknown/Missing 3% 0.4% • Hispanic 8% 5% • Spanish-Speaking Households 4% n/a *MICA does not include ‘Multiple Racial Backgrounds,’ only ‘Other’

  14. Educational Attainment • NCS St. Louis • Participants City • Less Than High School Degree/GED • 24% 23% • High School Degree/GED 33% 32% • More than High School/GED 41% 43% • Unknown/Missing 2% 2%

  15. National Recruitment Status (as of 12/15/2011) *Respondents further determined to be ineligible are excluded from the denominator in computing response rates. Source: NCS Update NICHD, Steven Hirschfeld, MD, PhD

  16. The Main Study What’s Coming Next….. • 6-Month and 12-Month Study Visits for the growing Vanguard babies. • Evaluation of recruitment strategies.. • Protocol development for the Main Study. • Continued community outreach • Main study start: Late 2012/Early 2013

  17. The National Children’s Study Thank you for your support! Please contact us: 314-880-3640 x204 ncs@slu.edu www.nationalchildrensstudy.gov/ 1 SOURCE: NCS Alternate Recruitment Substudy, Vanguard Study, Data for the City of St. Louis as of October 12, 2011. From document: EH_StLouisCity_MO_20110928_BiweeklyReport, Saint Louis University. NOTE: NCS Rounding Rules applied.

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