142nd APHA Annual Meeting and Exposition

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Comparison of selected health indicators from the Children's Health Assessment & Planning Survey (CCHAPS) with two national US health surveys: NSCH and NHANES

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014 : 10:50 AM - 11:10 AM

Ami Richards, MPH (c) , Department of Biostatistics and Epidemiology, UNTHSC School of Public Health, Fort Worth, TX
The Community-wide Children's Health Assessment & Planning Survey (CCHAPS) was developed to identify health, safety, and quality of life measures for use in six North Texas counties. In a broader context, these data allow comparison of North Texas, the state and nation. Two national surveys collect similar data on the health and well-being of children; the National Survey of Children’s Health (NSCH) and National Health and Nutrition Examination Survey (NHANES).
Children were 0-14 years in all analyses. 16,183 children from the 2008 and 2012 CCHAPS surveys; 149,115 children from the 2007 and 2011 NSCH surveys and 3,302 children in the Texas NSCH subset; and 6937 children from the 2007 and 2009 NHANES surveys were analyzed. Twenty-three health measures and 6 demographics questions compared CCHAPS and each survey.
Four questions were statistically similar between CCHAPS and the other surveys: Age, Gender, Medical Place, and Mental Illness. Between CCHAPS and NHANES there were also Smoking, Ear Infections, Physical Limitations, Current Asthma. Between CCHAPS and the Texas state NSCH there were 3 additional variables: Health Insurance Gap, Current Asthma, and Diabetes. Developmental Delay was also statistically similar between CCHAPS and the NSCH.
Statistically significant differences between local and national data were noted. The CCHAPS survey provides a local snapshot into health measures and healthcare delivery in North Texas. Further analysis into those health measures that were statistically different could elucidate the underlying reasons for the variances. Interpretation of these comparisons may identify variables most impactful on health policy.

Learning Areas:

Implementation of health education strategies, interventions and programs
Program planning
Provision of health care to the public

Learning Objectives:
Compare local, state and national survey data on selected healthcare measures To determine prevalence estimates for 23 health measures and 6 demographic statistics Examine the statistical similarities across the local, state and national prevalence measures

Keyword(s): Community Health Planning, Public Health Policy

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am currently an MPH student who served as the biostatistician who was responsible for analyzing the data presented in this session. My Master's thesis project is derived from this project.
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.