Reem M Ghandour1, Ashley H Hirai2, Kristin A Moore3, Lara R Robinson4, Jennifer W Kaminski4, Kelly Murphy3, Michael C Lu5, Michael D Kogan2. 1. U.S. Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau (RM Ghandour, AH Hirai, and MD Kogan), Rockville, Md. Electronic address: rghandour@hrsa.gov. 2. U.S. Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau (RM Ghandour, AH Hirai, and MD Kogan), Rockville, Md. 3. Child Trends (KA Moore and K Murphy), Bethesda, Md. 4. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center on Birth Defects and Developmental Disabilities (LR Robinson and JW Kaminski), Atlanta, Ga. 5. University of California Berkeley, School of Public Health (MC Lu), Berkeley, Calif.
Abstract
OBJECTIVE: To assess the national and state prevalence of being "Healthy and Ready to Learn" (HRL) and associated sociodemographic, health, family and neighborhood factors. METHODS: Cross-sectional analysis of the 2016 National Survey of Children's Health, a nationally representative parent-reported survey administered by web and paper June 2016 to February 2017. Four domains were constructed from 18 items through confirmatory factor analyses: "Early Learning Skills", "Social-Emotional Development", "Self-Regulation", and "Physical Well-being and Motor Development." Each item and domain were scored according to age-specific standards as "On-Track", "Needs Support", and "At Risk" with overall HRL defined as "On-Track" in all domains for 7565 randomly selected children ages 3 to 5 years. RESULTS: In 2016, 42.2% of children ages 3 to 5 years were considered HRL with the proportion considered "On-Track" ranging from 58.4% for Early Learning Skills to 85.5% for Physical Well-being and Motor Development"; approximately 80% of children were considered "On-Track" in Social-Emotional Development and Self-Regulation, respectively. Sociodemographic differences were mostly non-significant in multivariable analyses. Health, family, and neighborhood factors (ie, special health care needs status/type, parental mental health, reading, singing and storytelling, screen time, adverse childhood experiences, and neighborhood amenities) were associated with HRL. HRL prevalence ranged from 25.5% (NV) to 58.7% (NY), but only 4 states were significantly different from the U.S. overall. CONCLUSIONS: Based on this pilot measure, only about 4 in 10 US children ages 3 to 5 years may be considered "Healthy and Ready to Learn." Improvement opportunities exist for multiple, modifiable factors to affect young children's readiness to start school. Published by Elsevier Inc.
OBJECTIVE: To assess the national and state prevalence of being "Healthy and Ready to Learn" (HRL) and associated sociodemographic, health, family and neighborhood factors. METHODS: Cross-sectional analysis of the 2016 National Survey of Children's Health, a nationally representative parent-reported survey administered by web and paper June 2016 to February 2017. Four domains were constructed from 18 items through confirmatory factor analyses: "Early Learning Skills", "Social-Emotional Development", "Self-Regulation", and "Physical Well-being and Motor Development." Each item and domain were scored according to age-specific standards as "On-Track", "Needs Support", and "At Risk" with overall HRL defined as "On-Track" in all domains for 7565 randomly selected children ages 3 to 5 years. RESULTS: In 2016, 42.2% of children ages 3 to 5 years were considered HRL with the proportion considered "On-Track" ranging from 58.4% for Early Learning Skills to 85.5% for Physical Well-being and Motor Development"; approximately 80% of children were considered "On-Track" in Social-Emotional Development and Self-Regulation, respectively. Sociodemographic differences were mostly non-significant in multivariable analyses. Health, family, and neighborhood factors (ie, special health care needs status/type, parental mental health, reading, singing and storytelling, screen time, adverse childhood experiences, and neighborhood amenities) were associated with HRL. HRL prevalence ranged from 25.5% (NV) to 58.7% (NY), but only 4 states were significantly different from the U.S. overall. CONCLUSIONS: Based on this pilot measure, only about 4 in 10 US children ages 3 to 5 years may be considered "Healthy and Ready to Learn." Improvement opportunities exist for multiple, modifiable factors to affect young children's readiness to start school. Published by Elsevier Inc.
Entities:
Keywords:
National Survey of Children's Health; child development; school readiness
Authors: Rebecca H Bitsko; Angelika H Claussen; Jesse Lichstein; Lindsey I Black; Sherry Everett Jones; Melissa L Danielson; Jennifer M Hoenig; Shane P Davis Jack; Debra J Brody; Shiromani Gyawali; Matthew J Maenner; Margaret Warner; Kristin M Holland; Ruth Perou; Alex E Crosby; Stephen J Blumberg; Shelli Avenevoli; Jennifer W Kaminski; Reem M Ghandour Journal: MMWR Suppl Date: 2022-02-25
Authors: Anna K Ettinger; Doug Landsittel; Kaleab Z Abebe; Jamil Bey; Val Chavis; Judith D Navratil; Felicia Savage Friedman; Terence S Dermody; Elizabeth Miller Journal: Front Pediatr Date: 2022-02-04 Impact factor: 3.418