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National Healthcare Disparities Report, 2006

Effectiveness of Care: Maternal and Child Health

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Maternity Care
Mothers receiving prenatal care in the first trimester
Live-born infants with low birthweight (<2,500 grams)
Live-born infants with very low birthweight (<1,500 grams)
Infant mortality per 1,000 live births, all
Infant mortality per 1,000 live births, birthweight <1,500 grams
Infant mortality per 1,000 live births, birthweight 1,500-2,499 grams
Infant mortality per 1,000 live births, birthweight >2,499 grams
Maternal deaths per 100,000 live births
Immunization, Childhood
Children 19-35 months who received all recommended vaccines
Children 19-35 months who received 4 doses of diphtheria-pertussis-tetanus vaccine
Children 19-35 months who received 3 doses of polio vaccine
Children 19-35 months who received 1 dose of measles-mumps-rubella vaccine
Children 19-35 months who received 3 doses of Haemophilus influenzae type B vaccine.
Children 19-35 months who received 3 doses of hepatitis B vaccine
Children 19-35 months who received 1 dose of varicella vaccine
Immunization, Adolescent
Adolescents (13-15) reported to have received 3 or more doses of hepatitis B vaccine
Adolescents (13-15) reported to have received 2 or more doses of MMR vaccine
Adolescents (13-15) reported to have received 1 or more doses of tetanus-diphtheria booster
Adolescents (13-15) reported to have received 1 or more doses of varicella vaccine
Treatment of Pediatric Gastroenteritis
Hospital admissions for pediatric gastroenteritis per 100,000 population under 18
Childhood Screening and Counseling
Children 0-17 who had their height and weight measured by a doctor or other health provider
Children 2-17 who received advice from a doctor or other health provider about amount and kind of physical activity
Children 2-17 who received advice from a doctor or other health provider about eating healthy
Children 3-6 whose vision was checked by a doctor or other health provider
Children 0-17 for whom a doctor or other health provider gave advice to parent or guardian about how smoking in the house can be harmful
Children 0-40 lbs for whom a doctor or other health provider gave advice to parent or guardian about using child car safety seats
Children 40-80 lbs for whom a doctor or other health provider gave advice to parent or guardian about using booster seats
Children over 80 lbs for whom a doctor or other health provider gave advice to parent or guardian about using lap or shoulder belts
Children 2-17 for whom a doctor or other health provider gave advice to parent or guardian about using a helmet when riding a bicycle or motorcycle
Children 2-17 who had a dental visit in the past year
Children who were overweight who were told by a doctor they were overweight

Maternity Care

Measure Title

Mothers receiving prenatal care in the first trimester.

Measure Source

Healthy People 2010, measure 16-6a.

Tables

61. Pregnant women receiving prenatal care in the first trimester, United States, 2003, by

Race
Ethnicity
Education

Data Source

Centers for Disease Control and Prevention, National Center for Health Statistics, National Vital Statistics System—Natality.

Denominator

Number of live births.

Numerator

Number of mothers receiving prenatal care in the first trimester (three months) of pregnancy.

Comments

A description of the primary measurement used to determine the fetus' gestational age—the interval between the first day of the last normal menstrual period (LMP) and the birth—has been published by the NCHS.

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Maternity Care

Measure Title

Live-born infants with low birthweight (<2500 grams).

Measure Source

Healthy People 2010, measure 16-10.

Tables

62. Live-born infants with low birthweight (<2,500 grams), United States, 2003, by

Race
Ethnicity
Mother's education

Data Source

Centers for Disease Control and Prevention, National Center for Health Statistics, National Vital Statistics System—Natality.

Denominator

Number of live births.

Numerator

Number of live births with birthweight of less than 2,500 grams (5 lbs. 8 oz).

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Maternity Care

Measure Title

Live-born infants with very low birthweight (<1,500 grams)

Measure Source

Healthy People 2010, measure 16-10.

Tables

63. Live-born infants with very low birthweight (<1,500 grams), United States, 2003, by

Race
Ethnicity
Mother's education

Data Source

Centers for Disease Control and Prevention, National Center for Health Statistics, National Vital Statistics System—Natality.

Denominator

Number of live births.

Numerator

Number of live births with birthweight of less than 1,500 grams (3 lbs. 3 oz).

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Maternity Care

Measure Title

Infant mortality per 1,000 live births, all.

Measure Source

Healthy People 2010, measure 16-1c.

Tables

64. Infant mortality per 1,000 live births, all birthweights, United States, 2003, by

Race
Ethnicity
Mother's education

Data Source

Centers for Disease Control and Prevention, National Center for Health Statistics, National Vital Statistics System—Linked Birth and Infant Death Data.

Denominator

Resident live births.

Numerator

Number of infant deaths within the first year.

Comments

The baseline data for this measure come from the period-linked birth and infant death data set (linked file). In the linked file, the information from the death certificate is linked to information on the birth certificate for each infant under 1 year who died during the calendar year. The purpose of linkage is to use the many variables and improve racial/ethnic reporting available from the birth certificate.

The number of deaths for infant mortality is based on a record weight from the linked birth and infant death file, which adjusts for the approximately 2-3% of records each year that cannot be linked to their corresponding birth certificates. Therefore, because of number rounding, the number of deaths for subgroups may not add up to the total.

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Maternity Care

Measure Title

Infant mortality per 1,000 live births, birthweight <1,500 grams.

Measure Source

Healthy People 2010, measure 16-1c.

Tables

65. Infant mortality per 1,000 live births, birthweight <1,500 grams, United States, 2003, by

Race
Ethnicity
Mother's education

Data Source

Centers for Disease Control and Prevention, National Center for Health Statistics, National Vital Statistics System—Linked Birth and Infant Death Data.

Denominator

Resident live births with birthweight less than 1,500 grams.

Numerator

Number of infant deaths within the first year among live births with birthweight less than 1,500 grams.

Comments

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Maternity Care

Measure Title

Infant mortality per 1,000 live births, birthweight 1,500-2,499 grams.

Measure Source

Healthy People 2010, measure 16-1c.

Tables

66. Infant mortality per 1,000 live births, birthweight 1,500-2,499 grams, United States, 2003, by

Race
Ethnicity
Mother's education

Data Source

Centers for Disease Control and Prevention, National Center for Health Statistics, National Vital Statistics System—Linked Birth and Infant Death Data.

Denominator

Resident live births with birthweight of 1,500 to 2,499 grams.

Numerator

Number of infant deaths within the first year among live births with birthweight of 1,500 to 2,499 grams.

Comments

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Maternity Care

Measure Title

Infant mortality per 1,000 live births, birthweight >2,499 grams.

Measure Source

Healthy People 2010, measure 16-1c.

Tables

67. Infant mortality per 1,000 live births, birthweight more than 2,499 grams, United States, 2003, by

Race
Ethnicity
Mother's education

Data Source

Centers for Disease Control and Prevention, National Center for Health Statistics, National Vital Statistics System—Linked Birth and Infant Death Data.

Denominator

Resident live births with birthweight more than 2,499 grams.

Numerator

Number of infant deaths within the first year among live births with birthweight more than 2,499 grams.

Comments

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Maternity Care

Measure Title

Maternal deaths per 100,000 live births.

Measure Source

Healthy People 2010, measure 16-4.

Tables

68. Maternal deaths per 100,000 live births, United States, 2003, by

Race
Ethnicity
Education

Data Source

Centers for Disease Control and Prevention, National Center for Health Statistics, National Vital Statistics System—Mortality.

Denominator

Resident live births.

Numerator

Number of female deaths due to obstetric causes (ICD-10-CM codes O00-O95, O98-O99) within 42 days of a pregnancy.

Comments

Caution should be used when comparing these data with pregnancy-related mortality rates from other reports. NCHS uses the definition of maternal mortality and related coding conventions recommended in the ICD-9-CM by the World Health Organization. Other definitions may use different time intervals from pregnancy to death and may be more inclusive with regard to cause of death.

A description of the maternal mortality measurement has been published by NCHS.

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Immunization, Childhood

Measure Title

Children 19-35 months who received all recommended vaccines.

Measure Source

Healthy People 2010, measure 14-24a.

Tables

69. Children age 19-35 months who received all recommended vaccines (4:3:1:3:3), United States, 2004, by

Race
Ethnicity
Family income

Data Source

Centers for Disease Control and Prevention, National Center for Health Statistics and National Immunization Program, National Immunization Survey.

Denominator

U.S. civilian noninstitutionalized, population: children age 19-35 months.

Numerator

Number of children age 19-35 months, receiving at least 4 doses of diphtheria-tetanus-acellular pertussis (DTaP), at least 3 doses of polio, at least 1 dose of measles-mumps-rubella (MMR), at least 3 doses of Haemophilus influenzae B (Hib), and at least 3 doses of hepatitis B antigens.

Comments

This objective is one of the measures used to track the Immunization Leading Health Indicator.

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Immunization, Childhood

Measure Title

Children 19-35 months who received 4 doses of diphtheria-pertussis-tetanus vaccine.

Measure Source

Healthy People 2010, measure 14-22a.

Tables

70. Children age 19-35 months who received 4 doses of diphtheria-pertussis-tetanus vaccine, United States, 2004, by

Race
Ethnicity
Family income

Data Source

Centers for Disease Control and Prevention, National Center for Health Statistics and National Immunization Program, National Immunization Survey.

Denominator

U.S. civilian noninstitutionalized, population: children age 19-35 months.

Numerator

Number of children age 19-35 months, receiving at least 4 or more doses of the combination of diphtheria, tetanus, and acellular pertussis antigens.

Comments

Statistical adjustments are made to minimize bias due to (1) lower coverage among children living in households without telephones, (2) discrepancies between vaccinations reported by household compared with immunization providers, and (3) differences in race/ethnic population distribution in the sample compared to race/ethnic population distribution at birth.

This baseline measure tracks the number of children age 19-35 months, receiving 4 or more doses of the combination of diphtheria, tetanus, and acellular pertussis antigens (DTaP) as well as those children who received the combination of diphtheria, tetanus, and pertussis antigens (DTP).

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Immunization, Childhood

Measure Title

Children 19-35 months who received 3 doses of polio vaccine.

Measure Source

Healthy People 2010, measure 14-22e.

Tables

71. Children age 19-35 months who received 3 doses of polio vaccine, United States, 2004, by

Race
Ethnicity
Family income

Data Source

Centers for Disease Control and Prevention, National Center for Health Statistics and National Immunization Program, National Immunization Survey.

Denominator

U.S. civilian noninstitutionalized, population: children age 19-35 months.

Numerator

Number of children age 19-35 months, receiving at least 3 doses of the polio antigen.

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Immunization, Childhood

Measure Title

Children 19-35 months who received 1 dose of measles-mumps-rubella vaccine.

Measure Source

Healthy People 2010, measure 14-22d.

Tables

72. Children age 19-35 months who received 1 dose of measles-mumps-rubella vaccine, United States, 2004, by

Race
Ethnicity
Family income

Data Source

Centers for Disease Control and Prevention, National Center for Health Statistics and National Immunization Program, National Immunization Survey.

Denominator

U.S. civilian noninstitutionalized, population: children age 19-35 months.

Numerator

Number of children age 19-35 months, receiving at least 1 dose of the combination of measles, mumps, and rubella antigens.

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Immunization, Childhood

Measure Title

Children 19-35 months who received 3 doses of Haemophilus influenzae type B vaccine.

Measure Source

Healthy People 2010, measure 14-22b.

Tables

73. Children age 19-35 months who received 3 doses of Haemophilus influenzae type B vaccine, United States, 2004, by

Race
Ethnicity
Family income

Data Source

Centers for Disease Control and Prevention, National Center for Health Statistics and National Immunization Program, National Immunization Survey.

Denominator

U.S. civilian noninstitutionalized, population: children age 19-35 months.

Numerator

Number of children age 19-35 months, receiving at least 3 doses of the Haemophilus influenzae B antigen.

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Immunization, Childhood

Measure Title

Children 19-35 months who received 3 doses of hepatitis B vaccine.

Measure Source

Healthy People 2010, measure 14-22c.

Tables

74. Children age 19-35 months who received 3 doses of hepatitis B vaccine, United States, 2004, by

Race
Ethnicity
Family income

Data Source

Centers for Disease Control and Prevention, National Center for Health Statistics and National Immunization Program, National Immunization Survey.

Denominator

U.S. civilian noninstitutionalized, population: children age 19-35 months.

Numerator

Number of children age 19-35 months, receiving at least 3 doses of the hepatitis B antigen.

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Immunization, Childhood

Measure Title

Children 19-35 months who received 1 dose of varicella vaccine.

Measure Source

Healthy People 2010, measure 14-22f.

Tables

75. Children age 19-35 months who received 1 dose of varicella vaccine, United States, 2004, by

Race
Ethnicity
Family income

Data Source

Centers for Disease Control and Prevention, National Center for Health Statistics and National Immunization Program, National Immunization Survey.

Denominator

U.S. civilian noninstitutionalized, population: children age 19-35 months.

Numerator

Number of children age 19-35 months, receiving at least 1 dose of the varicella antigen.

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Immunization, Adolescent

Measure Title

Adolescents age 13-15 who received 3 or more doses of hepatitis B vaccine.

Measure Source

Healthy People 2010, measure 14-27a.

Tables

76. Adolescents age 13-15 who received 3 or more doses of hepatitis B vaccine, United States, 2003, by

Race
Ethnicity
Family income

Data Source

Centers for Disease Control and Prevention, National Center for Health Statistics, National Health Interview Survey (NHIS).

Denominator

U.S. civilian noninstitutionalized, population: adolescents age 13-15.

Numerator

Number of adolescents age 13-15, reported to be vaccinated with 3 or more doses of the hepatitis B antigens.

Comments

This measure tracks selected vaccines (2 or more doses of MMR, 3 or more doses of hepatitis B, 1 or more doses of varicella if indicated, and 1 or more doses of tetanus-diphtheria booster) among adolescents age 13-15.

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Immunization, Adolescent

Measure Title

Adolescents age 13-15 who received 2 or more doses of measles-mumps-rubella vaccine.

Measure Source

Healthy People 2010, measure 14-27b.

Tables

77. Adolescents age 13-15 who received 2 or more doses of measles-mumps-rubella vaccine, United States, 2003, by

Race
Ethnicity
Family income

Data Source

Centers for Disease Control and Prevention, National Center for Health Statistics, National Health Interview Survey (NHIS).

Denominator

U.S. civilian noninstitutionalized, population: adolescents age 13-15.

Numerator

Number of adolescents age 13-15, reported to be vaccinated with 3 or more doses of the hepatitis B antigens.

Comments

This measure tracks selected vaccines (two or more doses of MMR, 3 or more doses of hepatitis B, 1 or more doses of varicella if indicated, and 1 or more doses of tetanus-diphtheria booster) among adolescents age 13-15.

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Immunization, Adolescent

Measure Title

Adolescents age 13-15 who received 1 or more doses of tetanus-diphtheria booster.

Measure Source

Healthy People 2010, measure 14-27c.

Tables

78. Adolescents age 13-15 who received 1 or more doses of tetanus-diphtheria booster, United States, 2003, by

Race
Ethnicity
Family income

Data Source

Centers for Disease Control and Prevention, National Center for Health Statistics, National Health Interview Survey (NHIS).

Denominator

U.S. civilian noninstitutionalized, population: adolescents age 13-15.

Numerator

Number of adolescents age 13-15, reported to be vaccinated with 2 or more doses of the tetanus and diphtheria antigens.

Comments

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Immunization, Adolescent

Measure Title

Adolescents age 13-15 who received 1 or more doses of varicella vaccine.

Measure Source

Healthy People 2010, measure 14-27d.

Tables

79. Adolescents age 13-15 who received 1 or more doses of varicella vaccine, United States, 2003, by

Race
Ethnicity
Family income

Data Source

Centers for Disease Control and Prevention, National Center for Health Statistics, National Health Interview Survey (NHIS).

Denominator

U.S. civilian noninstitutionalized, population: adolescents age 13-15, excluding those who are reported to ever have had varicella (chicken pox).

Numerator

Number of adolescents age 13-15 reported to be vaccinated with 2 or more doses of the varicella antigen, excluding those who are reported to ever have had varicella (chicken pox).

Comments

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Treatment of Pediatric Gastroenteritis

Measure Title

Hospital admissions for pediatric gastroenteritis per 100,000 population under age 18.

Measure Source

Agency for Healthcare Research and Quality (AHRQ) Prevention Quality Indicators.

Table

80. Admissions for pediatric gastroenteritis (excluding obstetric and neonatal admissions and transfers from other institutions) per 100,000 population, age less than 18 years, United States, 2003, by

Race/ethnicity

Data Source

AHRQ, Healthcare Cost and Utilization Project (HCUP), State Inpatient Databases, disparities analysis file.

Denominator

Pediatric U.S. population under age 18 by subcategory (i.e., race, age group, gender, median household income level, urbanization, and region).

Numerator

Pediatric non-maternal/non-neonatal discharges under age 18 with a principal diagnosis for gastroenteritis, excluding transfers from other institutions.

Comments

Rates are adjusted by age and gender using the total U.S. population for 2000 as the standard population. When reporting is by age, the adjustment is by gender only; when reporting is by gender, the adjustment is by age only.

The disparities analysis file, created specifically for this report to provide national estimates on disparities, consists of weighted records from a sample of hospitals from the following 23 States that participate in HCUP and have high-quality race/ethnicity data: AZ, CA, CO, CT, FL, GA, HI, KS, MD, MA, MI, MO, NH, NJ, NY, PA, RI, SC, TN, TX, VA, VT, and WI.

Tables were created using version 2.1, revision 3, of the AHRQ Prevention Quality Indicators software. This measure is referred to as indicator 6 in the AHRQ Prevention Quality Indicators software documentation. More information about the AHRQ Quality Indicators is available at http://www.qualityindicators.ahrq.gov.

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Childhood Screening and Counseling

Measure Title

Children age 0-17 who had their height and weight measured by a doctor or other health provider.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

Tables

81. Children age 0-17 with both weight and height measurements, United States, 2003, by

Race
Ethnicity
Family income

Data Source

AHRQ, MEPS.

Denominator

Children age 0-17, excluding non-respondents to the questions of whether height or weight was measured by a doctor or other healthcare provider.

Numerator

Children age 0-17 who ever had their height and weight measured by a doctor or other health provider.

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Childhood Screening and Counseling

Measure Title

Children age 2-17 who received advice from a doctor or other health provider about amount and kind of physical activity.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

Tables

82. Children age 2-17 with advice about physical activity, United States, 2003, by

Race
Ethnicity
Family income

Data Source

AHRQ, MEPS.

Denominator

Children age 2-17, excluding non-respondents to the question "Has a doctor or other health provider ever given advice about amount and kind of exercise, sports, or physically active hobbies (person) should have?"

Numerator

Children age 2-17 for whom a doctor or other health provider had ever given advice about amount and kind of physical activity.

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Childhood Screening and Counseling

Measure Title

Children age 2-17 who received advice from a doctor or other health provider about eating healthy.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

Tables

83. Children age 2-17 with advice about eating healthy, United States, 2003, by

Race
Ethnicity
Family income

Data Source

AHRQ, MEPS.

Denominator

Children age 2-17, excluding non-respondents to the question "Has a doctor or other health provider ever given advice about eating healthy?"

Numerator

Children age 2-17 for whom a doctor or other health provider had ever given advice about eating healthy.

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Childhood Screening and Counseling

Measure Title

Children age 3-6 whose vision was checked by a doctor or other health provider.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

Tables

84. Children age 3-6 with a vision check, United States, 2003, by

Race
Ethnicity
Family income

Data Source

AHRQ, MEPS.

Denominator

Children age 3-6. Nonresponses, as well as "don't know" responses, were excluded.

Numerator

Children age 3-6 whose vision had ever been checked by a doctor or other health provider.

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Childhood Screening and Counseling

Measure Title

Children age 0-17 for whom a doctor or other health provider gave advice to parent or guardian about how smoking in the house can be harmful.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

Tables

85. Children age 0-17 with advice to parent or guardian about smoking in the house, United States, 2003, by

Race
Ethnicity
Family income

Data Source

AHRQ, MEPS.

Denominator

Children age 0-17, excluding non-respondents to the question of whether a doctor or other health provider had ever given advice about how smoking in the house can be harmful.

Numerator

Children age 0-17 for whom a doctor or other health provider had ever given advice about how smoking in the house can be harmful.

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Childhood Screening and Counseling

Measure Title

Children 0-40 lbs for whom a doctor or other health provider gave advice to parent or guardian about using child car safety seats.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

Tables

86. Children 0-40 lbs with advice to parent or guardian about using child car safety seats, United States, 2003, by

Race
Ethnicity
Family income

Data Source

AHRQ, MEPS.

Denominator

Children under 40 lbs or age 0-17, excluding missing.

Numerator

Children in the denominator for whom a doctor or other health provider had ever given advice about using child car safety seats.

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Childhood Screening and Counseling

Measure Title

Children 40-80 lbs for whom a doctor or other health provider gave advice to parent or guardian about using booster seats.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

Tables

87. Children 41-80 lbs with advice to parent or guardian about using child booster seats, United States, 2003, by

Race
Ethnicity
Family income

Data Source

AHRQ, MEPS.

Denominator

Children 40-80 lbs or age 5-9, excluding missing.

Numerator

Children in the denominator for whom a doctor or other health provider had ever given advice about using booster seats.

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Childhood Screening and Counseling

Measure Title

Children over 80 lbs for whom a doctor or other health provider gave advice to parent or guardian about using lap or shoulder belts.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

Tables

88. Children over 80 lbs with advice to parent or guardian about using lap and shoulder belts, United States, 2003, by

Race
Ethnicity
Family income

Data Source

AHRQ, MEPS.

Denominator

Children over 80 lbs or age 10-17, excluding missing.

Numerator

Children in the denominator for whom a doctor or other health provider had ever given advice about using lap and shoulder belts.

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Childhood Screening and Counseling

Measure Title

Children age 2-17 for whom a doctor or other health provider gave advice to parent or guardian about using a helmet when riding a bicycle or motorcycle.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

Tables

89. Children age 2-17 with advice about using helmets, United States, 2003, by

Race
Ethnicity
Family income

Data Source

AHRQ, MEPS.

Denominator

Children age 2-17, excluding non-respondents to the question of whether a doctor or other health provider had ever given advice about using a helmet when riding a bicycle or motorcycle.

Numerator

Children age 2-17 for whom a doctor or other health provider had ever given advice about using a helmet when riding a bicycle or motorcycle.

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Childhood Screening and Counseling

Measure Title

Children 2-17 who had a dental visit in the past year.

Measure Source

Healthy People 2010, measure 21-10.

Tables

90. Children age 2-17 with a dental visit in the past year, United States, 2003, by

Race
Ethnicity
Family income

Data Source

Agency for Healthcare Research and Quality, Center for Financing, Access and Cost Trends, Medical Expenditure Panel Survey (MEPS).

Denominator

U.S. civilian noninstitutionalized population: children age 2 -17.

Numerator

Number of children age 2 -17 who had a dental visit in 2001.

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Childhood Screening and Counseling

Measure Title

Noninstitutionalized children who were overweight who were told by a doctor they were overweight.

Measure Source

Healthy People 2010, measure 19-3c.

Tables

Data source does not support detailed tables.

Data Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Health and Nutrition Examination Survey (NHANES).

Denominator

Persons age 2-19 and over with a body mass index (BMI) greater than or equal to the 95th percentile on the BMI-for-age, sex-specific 2000 CDC growth charts for the United States.

Numerator

Subset of denominator who reported they were told by a doctor or health professional that they were overweight.