Child Health USA 2008-2009 pdf

Child Health USA 2008-2009 September 2009 U.S. Department of Health and Human Services Health Resources and Services Administration Child Health USA 2008-2009 is not copyrighted. Readers are free to duplicate and use all or part of the information contained in this publication; however, the photographs are copyrighted and permission may be required to reproduce. It is available online: www.mchb.hrsa.gov Suggested Citation: U.S. Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau. Child Health USA 2008-2009. Rockville, Maryland: U.S. Department of Health and Human Services, 2009. Single copies of this publication are also available at no cost from: HRSA Information Center P.O. Box 2910 Merrifield, VA 22116 1-888-ASK-HRSA or ask@hrsa.gov Child Health USA 2008-2009 3 Table of Contents Table of Contents Preface 5 Introduction 7 Population Characteristics 11 Population of Children 12 Children of Foreign-Born Parents 13 Children in Poverty 14 School Dropouts 15 Maternal Age 16 Working Mothers and Child Care 17 Neighborhood Characteristics 18 Health Status 19 Health Status - Infants 20 Breastfeeding 21 Low Birth Weight 22 Very Low Birth Weight 23 Maternal Mortality 24 Neonatal and Postneonatal Mortality 25 Infant Mortality 26 International Infant Mortality 27 Health Status - Children 29 Health Status 30 Vaccine-Preventable Diseases 31 Pediatric AIDS 32 Hospitalization 33 Hospitalization Trends 34 Abuse and Neglect 35 Child Mortality 36 Childhood Deaths Due to Injury 37 Health Status - Adolescents 39 Adolescent Childbearing 40 Sexual Activity 41 Sexually Transmitted Infections 42 Adolescent and Young Adult HIV/AIDS 43 Physical Activity 45 Mental Health 46 Cigarette Smoking 47 Substance Abuse 48 Violence 49 Adolescent Mortality 50 Adolescent Mortality from Trafc and Firearm Injuries 51 Health Services Financing and Utilization 53 Health Care Financing 54 Adequacy of Health Insurance Coverage 55 Vaccination Coverage 56 Immunization Coverage 57 Mental Health Treatment 58 Dental Care 59 Timing of Health Care Visits 60 Preventive Health Care Visits 61 Usual Place for Sick Care 62 Emergency Department Utilization 63 Prenatal Care 65 State Data 67 SCHIP Enrollment 68 Medicaid Enrollment and EPSDT Utilization 69 Health Insurance Status 70 Health Insurance Status (Map) 71 Low Birth Weight, Preterm Birth, and Births to Unmarried Women 72 Infant and Neonatal Mortality 73 City Data 75 Birth Weight 76 Infant Mortality 77 References 78 Contributors 80 [...]... 2 3 4 5 6 7 8 Deaths per 1,000 Live Births Health Status - Infants 27 Health Status - Children Child Health USA 2008-2009 HEALTH STATUS The general state of a child s health as perceived by their parents is a useful measure of the child s overall health and ability to function The 2007 National Survey of Children’s Health asked parents to rate their child s health status as excellent, very good, good,... dilapidated housing; and vandalism Child Health USA 2008-2009 Health Status Monitoring the health status of infants, children, and adolescents allows health professionals, program planners, and policymakers to assess the impact of past and current health intervention and prevention programs and identify areas of need within the child population Although indicators of child health and well-being are often... Excellent or Very Good Health, by Race/Ethnicity, 2007 Source (I.8): Health Resources and Services Administration, Maternal and Child Health Bureau and Centers for Disease Control and Prevention, National Center for Health Statistics, National Survey of Children’s Health 84.4 91.0 80 Percent of Children 87.9 80.4 Source (I.8): Health Resources and Services Administration, Maternal and Child Health Bureau and... percent of children aged 6 months to 5 years reported that their child was exclusively breastfed for the first 6 Breastfeeding* among Children Under Age 6, by Race/Ethnicity, 2007 Source (I.8): Health Resources and Services Administration, Maternal and Child Health Bureau and Centers for Disease Control and Prevention, National Center for Health Statistics, National Survey of Children’s Health 100... Among children who received child care, 56.9 percent of children aged 3-5 years received center-based care compared to 22.8 percent of children aged 1-2 years and 11.8 percent of children under 1 year of age Weekly Child Care Arrangements* for Children Under Age 6,** by Age, 2005 Source (1.7): U.S Department of Education, National Center for Education Statistics 80 With Children Aged 6–17 With Children... of children under 18 years of age reported that their child s health was excellent or very good This varied, however, by the child s race and ethnicity Non-Hispanic White children and non-Hispanic children of multiple races were most likely to be reported in excellent or very good health (91.0 and 87.9 percent, respectively), followed by non-Hispanic children of other races (85.3 percent) Hispanic children... Asian/Pacific Islander 4.3% American Indian/ Alaska Native 1.1% Hispanic 20.5% Black 15.2% Child Health USA 2008-2009 Children’s poverty status varies noticeably were the most likely to have health insurance in CHILDREN OF FOREIGN-BORN with nativity In 2007, foreign-born children of 2007 (91.7 percent), while foreign-born children PARENTS The foreign-born population in the United States has increased substantially... of Children 100 (the question was not asked of children under 1 year of age) The child s oral health status also varied with race and ethnicity More than 80 percent of nonHispanic White children and 76.9 percent of non-Hispanic children of multiple races were reported to have excellent or very good oral health, compared to 62.5 percent of non-Hispanic Black children and 49.3 percent of Hispanic children... Pregnancy/Childbirth 216 Mental Disorders 92 Injury 84 Diseases of the Digestive System 43 Diseases of the Respiratory System Ages 20-21 433 Pregnancy/Childbirth 67 Mental Disorders Injury 39 Diseases of the Digestive System 36 Diseases of the Respiratory System 19 50 100 150 200 250 300 350 400 450 500 Average Number of Discharges per Year (in thousands) Health Status - Children 33 Child Health USA 2008-2009. .. both non-His26 Health Status - Infants panic Whites and non-Hispanic Blacks have declined over the last century, the disparity between the two races remains largely unchanged The Maternal and Child Health Block Grant and MCHB’s Healthy Start program provide health and support services to pregnant women and infants with the goal of improving children’s health outcomes and reducing infant and child mortality . Child Health USA 2008-2009 September 2009 U.S. Department of Health and Human Services Health Resources and Services Administration Child Health USA. housing. Child Health USA 2008-2009 8 Introduction Child Health USA also provides information regarding the health of infants and young chil- dren. Healthy