Colorado Child Health Survey

							Development of the Colorado
Child Health Survey

          Jodi Drisko, MSPH
     Director, Research & Evaluation
    Colorado Department of Public Health and
      Environment, Health Statistics Section


            December 10, 2003
    Colorado Child Health Survey
   Why do we need a child health survey?
       Vision of data across the lifecycle
            “Cradle to Grave”
       There are 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
    Colorado Child Health Survey
   Addresses Essential Public Health
    Functions
       1º - Monitor health status to identify
        community health problems.
       2º - Evaluate effectiveness, accessibility,
        and quality of personal and population-
        based health services.
       2º - Research new insights and innovative
        solutions to health problems.
       2º- Develop policies and plans that support
        individual and community health efforts
    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
    How will the data be used?
   To monitor trends in child health.
   To estimate the prevalence of children in
    Colorado who have specific health conditions.
   To estimate the prevalence of certain risk
    factors associated with these conditions.
   To analyze differences between subgroups,
    including examining disparities.
   To monitor progress towards selected health
    targets (HP2010, grants, etc.).
    How was survey developed?
   Literature review and instrument review
       Child Health Questionnaire (CHQ)
       Iowa Hawki child health survey
       New South Wales, Australia child health survey
       New Federalism child health survey, Urban
        Institute
       SLAITS (NCHS state and local area integrated
        telephone survey)
       The health survey for England
       Utah child health survey
       AAP and AHRQ recommendations
    Colorado Child Health Survey
   Core content areas
       Demographics
       Access to health and dental care
       Health status and health behaviors
       Safety and injury
       Mental health/Behavioral health
       Identification of children with special
        health care needs
    Colorado Child Health Survey
   How?
       “Add on” 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.
Colorado Child Health Survey
    Collaborative effort
         Health Department Programs
               MCH section
               Oral Health
               Injury
               Chronic disease programs (asthma, cancer, physical activity
                & nutrition)
               Tobacco
               Immunization program
               HCP Program
         Colorado State University (Injury epidemiology)
         University of Colorado health Sciences Center
               Child development
               Preventive Medicine
         Rocky Mountain Prevention Research Center
         Colorado Department of Education
         State Department of Alcohol and Drug Abuse (ADAD)
         Colorado Children’s Campaign
         Kaiser Permanente
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
       Held multiple meetings
            Group decided on target age range: 1-14 years
            Group decided how people would pay for
             questions of interest to multiple parties
                 Subgroups formed to work on these questions
     Colorado Child Health Survey
                     Tasks and Processes
   Survey development                        Data collection phase
       Literature and instrument review          Translate into Spanish
       Question development                      Interviewer training
   Pilot-testing                                 Quality assurance
       Programming the questionnaire              monitoring
        into Computer Assisted                    Data cleaning
        Telephone Interviewing (CATI)
        software                                  Data weighting
       Interviewer training                      Data analysis
       Data collection                           Report generation
       Data cleaning
       Data analysis
       Questionnaire revision
       Revise CATI programming
    Colorado Child Health Survey
   When?
       Piloted in July 2003 & in November 2003
       “Go live” January 2004
       Plan to collect data annually
Colorado Child Health Survey
   Pilot Results
       98 eligible respondents
       10 refusals
       6 Spanish speaking (ineligible for pilot)
       10 no contact
       72 completes
       No one refused to have data linked to BRFSS
Age of selected child respondent, Colorado
Child Health Survey Pilot Data, 2003


                        Age of Selected Child

18.0%
16.0%
14.0%
12.0%
10.0%
 8.0%
 6.0%
 4.0%
 2.0%
 0.0%
        1   2   3   4     5   6     7   8   9   10   11   12   13   14


                              AGE
   Gender and race/ethnicity of respondents,
   Colorado Child Health Survey Pilot Data, 2003


Characteristics                  Percentage
Gender
 Male                               52.8
 Female                             47.2

Race
 White                              77.8
 Black/African American              5.6
 Asian, American Indian, Other      16.7

Ethnicity
 Hispanic                           23.6
        Nutrition and TV viewing, Colorado Child
        Health Survey Pilot data, 2003

    Drink pop 7+
  times per week
                             18



 Eat fast food 3+
 times per week
                                  24


 Eat <7 servings
of vegetables per                           31
      week


  3+ hours of TV
      per day
                                       29


                    0   10   20        30        40
       Health status, conditions, medications,
       Colorado Child Health Survey Pilot data,
       2003

Health status
good/fair/poor
                              10



No health care
  coverage
                         7



 Have asthma                        15


     Using
  prescription                           19
     meds


                 0   5       10    15    20   25
      Sun protective behavior, Colorado Child
      Health Survey Pilot data, 2003


Sunburn in past
   12 mths
                                 54




Use sun screen
 always/nearly                        61
    always




Tan makes child
  look healthy
                       21



                  0   20    40    60       80
   For more information…

Contact
  Jodi Drisko, MSPH
    jodi.drisko@state.co.us
    303-692-2171