Children and Adolescents
Meeting 2 Data Review
January 28, 2010
Children and Adolescents Data Session
 After Meeting 1, significant follow-up research and
data gathering by KDHE MCH Epidemiologists,
Garry Kelley and Jamie Kim
 Indicator prioritization was also submitted by
several of you
 Walking through these results and resources
together
 Presentation is only to keep us organized; we will
focus on the handouts
Indicator Prioritization Worksheet Results
(Rank Order of Indicators)
1.
2.
3.
4.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
Nutrition and Physical Activity
Injury Deaths, Non-Fatal Injury Rates
Immunizations
Child Death Rates (tie)
Medical Home, Provider Access (tie)
Risky Behaviors
Adolescent Sexual Health and Risky Behaviors
Behavioral/Mental Health Services
Child Abuse & Neglect
Insurance Coverage/Insurance Type of Children in Poverty
Dental Health
Children in Poverty
Health Status: 11 days or more of school missed – illness or injury
School Readiness Indicator
Crime Rates
Indicator Prioritization Worksheet Results
Common Groupings of Indicators

Group A
 Child Death Rates
 Injury Deaths, Non-Fatal Injury Rates
 Child Abuse and Neglect

Group B
 Medical Home, Provider Access
 Insurance Coverage, Insurance Type of Children Living in Poverty
 Children in Poverty

Group C
 Adolescents Sexual Health and Risky Behaviors
 Risky Behaviors
 Crime Rates
Clarifications and Follow-up Research
 Reliability of national surveys for Kansas/ National
Child Health Survey
 See handout packet
 Juvenile Crime rates (Add. Data 1, pg 3 and 4)
 Additional death breakouts (Add. Data 2, pg 2 and 3)
 Additional nonfatal injury rates
 Children 0-4 years vs. 5-15 years poverty rates
 Preventive medical visit (CA174)
 STDs and teen pregnancy rates by race/ethnicity
(Add. Data 2,pg 4)
Clarifications and Follow-up Research
 Kansas child sexual abuse (See Add. Data, pg 2, CA 78)
 Child abuse and neglect – definitional change
 KAR amendments effective July 2004 increased the standard of
evidence for a case finding to "clear & convincing"'; definitions
of physical abuse and mental abuse removed "likelihood of
harm" narrowing the definition of physical and mental abuse;
and a substantiated finding is now entered on the Kansas Child
Abuse & Neglect Central Registry. Any one of these items
could have reduced the number of substantiated victims.
Child Abuse and Neglect Data
Year
Reports Rec’d
# Assigned for
Maltreatment
Reports Assigned for
CINC/NAN Reasons
Substantiated
Victims
FY01
40,843
19,070
7,417
8,389
FY02
42,818
18,123
7,767
7,741
FY03
40,966
16,869
7,579
7,085
FY04
43,102
16,728
7,872
6,354
FY05
46,250
15,701
8,832
2,749*
FY06
50,402
16,361
8,810
2,974*
FY07
53,048
18,316
9,021
2,189*
FY08
53,888
18,129
9,294
2,020*
FY09
56,207
18,332
9,008
1,373*
* See note on definitional change, previous slide
Clarifications and Follow-up Research
 County-level data
 CA177 – Child mental health
 See suicide data on following slides
 Early childhood mental health
 Kansas Association of Infant and Early Childhood
Mental Health: www.kaimh.org
Kansas High School Survey (2007 YRBS)
Percentage of students who seriously considered attempting suicide
during the past 12 months
100
80
60
40
20
0
16.8
13.9
11.2
Total
Male
QN24 - Weighted Data
*Non-Hispanic.
Female
13.0
9th
15.2
10th
13.4
14.1
11th
12th
11.0
15.6
13.2
Black* Hispanic/ White*
Latino
Kansas High School Survey (2007 YRBS)
Percentage of students who made a plan about how they would attempt
suicide during the past 12 months
100
80
60
40
20
0
9.6
8.3
11.0
Total
Male
Female
QN25 - Weighted Data
*Non-Hispanic.
14.4
12.2
8.3
9th
10th
7.7
9.6
11th
12th
6.5
9.0
Black* Hispanic/ White*
Latino
Kansas High School Survey (2007 YRBS)
Percentage of students who actually attempted suicide one or more times
during the past 12 months
100
80
60
40
13.7
20
0
6.7
6.3
7.1
5.5
Total
Male
Female
9th
QN26 - Weighted Data
*Non-Hispanic.
7.5
7.2
6.2
10th
11th
12th
4.6
6.3
Black* Hispanic/ White*
Latino
Clarifications and Follow-up Research
 Fetal Alcohol Syndrome
 Medical Home (Additional Data, pg 1-2)
 Children with no preventive medical care within a year:
10% (2007 NSCH)
 Children with no dental care within a year: 21% (2007
NSCH)
 4 counties with no Medicaid medical provider (2008)
 23 counties with no Medicaid dental provider (2008)
 Additional Hispanic demographics (Add. Data 1, page 1)
 School readiness: See report online