Healthy Youth, Healthy Future: MCH Needs Assessment for Children and Adolescents

Healthy Youth, Healthy Future: MCH Needs Assessment for

Children and Adolescents

MCH 2010 Children and Adolescent Priority Needs

Improve behavioral / mental health Reduce overweight Reduce injury and death

Additional Focus Issues:– Reduce teen pregnancy and sexually transmitted diseases– Improve oral health– Improve asthma diagnosis and treatment

Percent Children by Age Group

Census. American Community Survey 2007

Under 5 28.0%

10 to 14 27.3%

5 to 9 27.2%

15 to 17 17.5%

Urban74.9%

Rural22.5%

Frontier2.6%

Percent Children Urban

Census. American Community Survey 2007

White86.9%

Native American

1.5%

Black9.0%

Asian / Pacific

Islander2.6%

Racial Identity of Children

Census. American Community Survey 2007

Ethnic Identity of Children

U.S. Census. American Community Survey (ACS), Kansas, 2007.

Percent HispanicPercent Hispanic

13.7%

10.7%

0% 2% 4% 6% 8% 10% 12% 14% 16%

2008

2002

Yea

r

Percent of Population

Married Couple

73%

Female Householder

20%

Male Householder

7%

Kansas Family Structure

U.S. Census. American Community Survey (ACS), Kansas, 2007.

56%

15%

6%

28%

64%

8%

14%

7%2%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

All Children Children in Poverty

Other

Uninsured

Medicaid

Individual

Employer

Insurance Type in Kansas Children

U.S. Census. Current Populations Survey (CPS), Kansas. 2007

Poverty Level of Kansas Children

U.S. Census. CPS Kansas 2007 and ACS Kansas 2005-2007

40.1%

17.4%

6.0%

0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50%

Under 200%

Under 100%

Under 50%

Fed

eral

Po

vert

y L

evel

Percent of Population

Children Below Poverty by Age Group

US Census, American Community Survey 2004 & 2008

Percent of Population 5-17 Linguistically Isolated in KS

U.S. Census. ACS Kansas 2005-2007

0.1

0.3

0.2

2.7

0 0.5 1 1.5 2 2.5 3

other

Asian/Pacific Island

Indo-European

Spanish

Overall Health Good

HRSA. National Survey of Child Health 2007

Percent of parents who rated their child’s Percent of parents who rated their child’s overall health as good or excellentoverall health as good or excellent

Oral Health Good

Percent of parents who rated their child’s oral Percent of parents who rated their child’s oral health as good or excellenthealth as good or excellent

HRSA. National Survey of Child Health 2007

KS Childhood Immunizations

CDC. National Immunization Survey 2008

Percent of children (19-35 months) that receive DTP, polio, MCV, HepB, and HIB

Adolescent Obesity

HRSA. National Survey of Child Health 2007

Percent of adolescents (10-17 years) that are

overweight or obese

Childhood Obesity

KDHE. WIC Pediatric Nutrition Surveillance System

Percent of WIC children (2-5 years) that are over 85% for BMI

Nonfatal Injuries by Age Group

CDC. WISQARS. 2005

KS 149.9

KS 300.4

KS 463.4

US 286.1

US 225.9

US 484

0 100 200 300 400 500

0-4

5-14

15-24

Ag

e G

rou

p

Rate per 100,000

Rate of all nonfatal hospitalizations for nonfatal injuries by age group

Motor Vehicle Accidents

Percent of children (0-17 years) involved in motor vehicle accidents with improperly applied

or lack of restraints

US DOT. FARS. 2008

Fatal Injury Hospitalizations

CDC. WISQARS 2003-2006

14.5

3.8

2.2

0.4

17.0

2.6 2.5

0.30.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

16.0

18.0

Unintentional Violence Related Suicide Undetermined

Cause

Rat

e p

er 1

00,0

00

US

KS

Deaths of Children (0-15) by Race/Ethnicity

KDHE. 2008 Annual Vital Statistics Summary

Child Abuse/Neglect

KS, 3.3

US, 43

US, 10.6

KS, 45.1

0 10 20 30 40 50

referrals

victims

Rate per 10,000

HRSA. Abuse and Neglect data 2007.

Adolescent Dating Related Violence

CDC. YRBSS 2007.

KS, 8.3

US, 9.9

US, 7.8

KS, 10.1

0 2 4 6 8 10 12

PhysicallyAbused by

Partner

PhysicallyCoerced into

Sex

Percent of Population

Adolescent Sexual Activity

US, 14.9

KS, 15.4

KS, 45

US, 47.8

0 10 20 30 40 50

At least 4sexual

partners

Ever hadSexual

Intercourse

Percent of Population

CDC. YRBSS 2007.

Teenage Pregnancy

KDHE. Annual Vital Statistics Summary 2002, 2008.

Rate of Teenage Pregnancy (15-19 years old) per 1,000 Female Teenagers

KS 2002; 60.7

KS 2008; 55

0 8 16 24 32 40 48 56 64

Rate per 1,000

Female Adolescent STD

KDHE. STD. STD Annual summary 2002, 2008.

Rate per 1,000 women aged 15 -19 years with a reported case of Chlamydia

KS 2002; 22.4

KS 2008; 28.5

0 5 10 15 20 25 30

Rate per 1,000

Adolescent Drug Use Prior to Sex

CDC. YRBSS 2007.

Percent of Adolescents who self-reported drugs were used prior to sexual intercourse

Driving Under Influence

CDC. YRBSS 2007.

Percent of Adolescents who self-reported driving under the influence of alcohol

Adolescent Tobacco Use

CDC. YRBSS 2007.

Questions?