PMID- 23597380 OWN - NLM STAT- MEDLINE DCOM- 20130709 LR - 20240413 IS - 1541-0048 (Electronic) IS - 0090-0036 (Print) IS - 0090-0036 (Linking) VI - 103 IP - 6 DP - 2013 Jun TI - Healthy people 2010 leading health indicators: how children with special health care needs fared. PG - e99-e106 LID - 10.2105/AJPH.2012.301001 [doi] AB - OBJECTIVES: We compared estimates for children with and without special health care needs (SHCN) at 2 time periods for national health objectives related to the Healthy People 2010 leading health indicators (LHIs). METHODS: Data were from the 2003 and 2007 National Surveys of Children's Health. Seven survey items were relevant to the LHIs and available in both survey years: physical activity, obesity, household tobacco use, current insurance, personal health care provider, past-month depressive symptoms, and past-year emergency department visits. RESULTS: In 2003 and 2007, children with SHCN fared worse than those without SHCN with respect to physical activity, obesity, household tobacco exposure, depressive symptomology, and emergency department visits, but fared better on current insurance and having a personal health care provider. Physical activity and access to a personal health care provider increased for all children, whereas the absolute disparity in personal provider access decreased 4.9%. CONCLUSIONS: Significant disparities exist for key population health indicators between children with and without SHCN. Analyses illustrated how population-based initiatives could be used to frame health challenges among vulnerable populations. FAU - Ghandour, Reem M AU - Ghandour RM AD - Office of Epidemiology and Research, Maternal and Child Health Bureau, Health Resources and Services Administration, US Department of Health and Human Services, Rockville, MD 20857, USA. rghandour@hrsa.gov FAU - Grason, Holly A AU - Grason HA FAU - Schempf, Ashley H AU - Schempf AH FAU - Strickland, Bonnie B AU - Strickland BB FAU - Kogan, Michael D AU - Kogan MD FAU - Jones, Jessica R AU - Jones JR FAU - Nichols, Debra AU - Nichols D LA - eng PT - Comparative Study PT - Journal Article DEP - 20130418 PL - United States TA - Am J Public Health JT - American journal of public health JID - 1254074 RN - 0 (Tobacco Smoke Pollution) SB - IM MH - Adolescent MH - Child MH - Child, Preschool MH - Disabled Children/*statistics & numerical data MH - Emergency Service, Hospital/statistics & numerical data MH - Exercise MH - Health Services Accessibility/statistics & numerical data MH - *Health Status Disparities MH - Health Surveys MH - *Healthcare Disparities MH - Healthy People Programs/*statistics & numerical data MH - Humans MH - Infant MH - Infant, Newborn MH - Insurance, Health/statistics & numerical data MH - Mental Health/statistics & numerical data MH - Obesity/epidemiology MH - Quality Indicators, Health Care/*statistics & numerical data MH - Tobacco Smoke Pollution MH - United States PMC - PMC3698721 EDAT- 2013/04/20 06:00 MHDA- 2013/07/10 06:00 PMCR- 2015/06/01 CRDT- 2013/04/20 06:00 PHST- 2013/04/20 06:00 [entrez] PHST- 2013/04/20 06:00 [pubmed] PHST- 2013/07/10 06:00 [medline] PHST- 2015/06/01 00:00 [pmc-release] AID - 301001 [pii] AID - 10.2105/AJPH.2012.301001 [doi] PST - ppublish SO - Am J Public Health. 2013 Jun;103(6):e99-e106. doi: 10.2105/AJPH.2012.301001. Epub 2013 Apr 18.