KHS Year 6 Report_Final

of 65

  • date post

    03-Jun-2018
  • Category

    Documents

  • view

    215
  • download

    0

Embed Size (px)

Transcript of KHS Year 6 Report_Final

  • 8/12/2019 KHS Year 6 Report_Final

    1/65

    Health Status of Children Entering

    Kindergarten in Nevada

    This project was completed in collaboration with the following:All Nevada County School Districts

    Nevada School District SuperintendentsNevada Division of Public and Behavioral Health

    This publication was supported by the Nevada Division of Public and Behavioral Health Maternal andChild Health Program through Grant Number B04MC23393 from the Health Resources and Services

    Administration. Its contents are solely the responsibility of the authors and do not necessarily representthe official views of the Nevada Division of Public and Behavioral Health nor the Health Resources and

    Services Administration.

    University of Nevada, Las Vegas

    School of Community Health Sciences

    Results of the

    2013-2014(Year 6)

    Nevada

    Kindergarten

    Health Survey

    April 2014

  • 8/12/2019 KHS Year 6 Report_Final

    2/65

    Nevada Institute for Childrens Research and Policy, UNLV April 2014

    Results of the 2013-2014 Nevada Kindergarten Health Survey Page 2

    The Nevada Institute for Children's Research and Policy (NICRP) is a not-for-profit, non-

    partisan organization dedicated to advancing children's issues in Nevada.

    As a research center within the UNLV School of Community Health Sciences, NICRP isdedicated to improving the lives of children through research, advocacy, and other specialized

    services.

    NICRP's History:NICRP started in 1998 based on a vision of First Lady Sandy Miller. Shewanted an organization that could bring credible research and rigorous policy analysis to

    problems that confront Nevada's children. But she didn't want to stop there; she wanted totransform that research into meaningful legislation that would make a real difference in the lives

    of our children.

    NICRP's Mission: The Nevada Institute for Children's Research and Policy (NICRP) looks outfor Nevada's children. Our mission is to conduct community-based research that will guide thedevelopment of programs and services for Nevada's children. For more information regarding

    NICRP research and services, please visit our website at: http://www.nic.unlv.edu

    NICRP Staff Contributors:

    Amanda Haboush-Deloye, Ph.D.Senior Research Associate

    Dawn L. Davidson, Ph.D.Research Associate

    Tara Phebus, M.A.

    Interim Executive Director

    Nevada Institute for Childrens Research and Policy

    School of Community Health Sciences, University of Nevada, Las Vegas

    4505 S. Maryland Parkway, 453030

    Las Vegas, NV 89154-3030

    (702) 895-1040

    http://nic.unlv.edu

  • 8/12/2019 KHS Year 6 Report_Final

    3/65

    Nevada Institute for Childrens Research and Policy, UNLV April 2014

    Results of the 2013-2014 Nevada Kindergarten Health Survey Page 3

    TABLE OF CONTENTS

    Executive Summary........................................................................................................................6

    Introduction.....................................................................................................................................8Methodology ........................................................................................................................8Limitations to the Study .......................................................................................................9

    Survey Results ...............................................................................................................................10Response Rates ....................................................................................................................10Demographics .....................................................................................................................13Insurance Status ..................................................................................................................18Access to Healthcare ............................................................................................................22Routine Care .......................................................................................................................24Care for Illness or Injury ......................................................................................................27

    Medical Conditions .............................................................................................................29Dental Care .........................................................................................................................31Mental Health.......................................................................................................................32Weight and Healthy Behaviors ............................................................................................33

    Appendix A: Summary of the 2013-2014 Survey Results by County ......................................47

    Appendix B: Comparison Survey Results by Survey Year .......................................................52

    Appendix C: Survey Instrument .................................................................................................61

    Appendix D: References ...............................................................................................................63

  • 8/12/2019 KHS Year 6 Report_Final

    4/65

  • 8/12/2019 KHS Year 6 Report_Final

    5/65

    TABLE OF CONTENTS

    Nevada Institute for Childrens Research and Policy, UNLV April 2014

    Results of the 2013-2014 Nevada Kindergarten Health Survey Page 5

    Figure 10.10: Infant Feeding Habits ....................................................................................45Figure 10.11: Childs Weight Status Category by Infant Feeding Habits ...........................46

  • 8/12/2019 KHS Year 6 Report_Final

    6/65

    Nevada Institute for Childrens Research and Policy, UNLV April 2014

    Results of the 2013-2014 Nevada Kindergarten Health Survey Page 6

    EXECUTIVE SUMMARY

    To gather additional data on the health status of children entering the school system and to better track

    student health status, the Nevada Institute for Childrens Research and Policy (NICRP), in partnershipwith all Nevada School Districts and the Nevada Division of Public and Behavioral Health, conducted a

    health survey of children entering kindergarten in Nevada. The goal of this study was to: longitudinally quantify the health status of children as they enter school,

    identify specific areas for improvement to potentially increase academic success, and

    provide local information to policy makers to guide decisions that impact childrens health.

    In the Fall of 2013, NICRP distributed questionnaires to all public elementary schools in the State, exceptClark County School District, who requested we use a sample of their schools. The survey had an overallresponse rate of 29.1 percent (less than the previous year), with a total of 7,330 surveys received fromparents in all 17 school districts in Nevada. Survey respondents from Clark County comprised 60.2percent of the sample, while 13.4 percent were from Washoe County and 26.4 percent were from theremaining rural counties. The following tables contain some of the key findings of the survey.

    Health Status:This year, as compared to last year, respondents reported that their children are engagingin fewer unhealthy behaviors such as watching television and drinking diet or non-diet sodas. However,more children, as compared to last year, are engaging in more computer/video game play. This year therewas a decrease in the percentage of children in the underweight category, and an increase in thepercentage of children in both the healthy and overweight/obese weight categories. Compared to lastyear, there was an increase in the percentage of parents who breastfed their child at three months and atsix months.

    2012-2013 2013-2014 % Change *

    Weight StatusUnderweight 15.4% 14.5% -5.8%

    Healthy 54.9% 55.5% +1.1%

    Overweight/Obese 29.6% 30.0% +1.4%Physical Activity

    < 3 days per week of 30-minutes of physical activity 19.0% 17.6% -7.4%

    Television Viewing on School Days2 hrs or less of television watched per school day 80.0% 80.5% +0.6%

    3 hrs or more of television watched per school day 20.0% 19.4% -3.0%

    Computer/Video Game Play on School Days< 1 hr of computer/video games played per school day 89.1% 86.6% -2.8%

    Consumption of Non-Diet SodaNever drink non-diet soda 55.8% 59.9% +7.3%

    Drink non-diet soda once a day or more 10.3% 9.3% -9.7%

    Consumption of Diet Soda

    Never drink diet soda 83.0% 85.5% +3.0%Drink diet soda once a day or more 2.8% 2.9% +3.6%

    Infant Feeding BehaviorsBreastfed OnlyOne Month 47.3% 47.4% +0.2%Breastfed OnlyThree Months 33.6% 34.0% +1.2%Breastfed OnlySix Months 23.2% 23.7% +2.2%

    Note. *Green arrows = positive change, red arrows = negative change, and yellow arrows = no change (< +.5%).

  • 8/12/2019 KHS Year 6 Report_Final

    7/65

    EXECUTIVE SUMMARY

    Nevada Institute for Childrens Research and Policy, UNLV April 2014

    Results of the 2013-2014 Nevada Kindergarten Health Survey Page 7

    Household I ncome: The percentage of families in the lower income brackets decreased while thepercentage of families in the higher income brackets increased, representing an overall increaseStatewide.

    2012-2013 2013-2014 % Change *

    Household Income

    Less than $25,000 per year 33.7% 33.0% -2.1%Less than $45,000 per year 55.5% 54.8% -1.3%$45,000 or more per year 44.5% 45.2% +1.6%

    Note. *Green arrows = positive change, red arrows = negative c