204570 Using Data to Inform Policy: Six-Year Trends in Children's Health Indicators as Measured in the California Health Interview Survey

Wednesday, November 11, 2009

Sue Holtby, MPH , Public Health Institute, Santa Cruz, CA
Y. Jenny Chia, PhD , Center for Health Policy Research, UCLA, Los Angeles, CA
Nicole Lordi , Public Health Institute, Santa Cruz, CA
Christy McCain, MPH , Public Health Institute, Santa Cruz, CA
Elaine Zahnd, PhD , Public Health Institute, Oakland, CA
The California Health Interview Survey (CHIS) is a biennial random-digit-dial survey that began in 2001. Each sample has about 45,000 households, including 5,000 children ages 5-11. Data were analyzed from 2001, 2003, 2005 and 2007 to identify trends in diet, physical activity and access to care. The large sample sizes allow for analysis by gender, income level, and race/ethnicity (White, Latino, Asian, African American and American Indian/Alaska Native). Key health indicators were analyzed for changes over the six-year period, including measures of Healthy People 2010 objectives (HP). Trends were tracked for BMI, fruit, vegetable, soda, and fast food consumption; measures of physical activity and sedentary behavior; currently uninsured, usual source of medical care, and dental visit past 12 months. Findings show an overall positive trend on most indicators, but there are significant differences by income and race/ethnicity. For example, low-income children are more likely than higher income children to walk or bike to school, but are also more likely to be overweight and have poorer dietary habits. Asian children continuously have the lowest rate of fruit and vegetable consumption, and Latino and African American children have the highest rates of soda and fast food intake. These findings have been used by state and local governments and organizations to develop and influence policies related to children's health in California. CHIS data are also useful to pubic health researchers and practitioners nationwide because of the survey's large, diverse and biennial samples.

Learning Objectives:
1. Describe racial and ethnic differences in key health indicators among children ages 5-11 in California. 2. Describe six-year trends in the health of 5-11 year olds in California. 3. Become familiar with the California Health Interview Survey as an ongoing source of public use data on a wide range of public health measures.

Keywords: Child Health, Health Objectives

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I received my MPH in 1983 and have worked in Public Health ever since. I have worked for the past 10 years on the California Health Interview Survey, which I will present on.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.