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Calendar Year 2006 Results

Child Health Assessment and Monitoring Program (CHAMP)

2006 CHAMP Topics

CHAMP 2006 Annual Results Technical Notes

General Health (see results for 2005)

• Would you say that in general the health of (CHILD) is:

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Birth Characteristics (see results for 2005)

• Was (CHILD) born before {his/her} due date?
• How many weeks or months was he/she born early?

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Weight (see results for 2005)

• Weight for Age Categories
• BMI for Age Categories

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Breast Feeding (see results for 2005)

• Was (CHILD) breastfed for any length of time?
• For how many days, weeks, or months was (CHILD) breastfed?
• Did his/her doctors or health providers give you any help or encouragement for breastfeeding?

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Child Care (see results for 2005)

• In a typical week, how many hours does (CHILD) spend in the care of someone other than a parent or guardian?
• Where Is (CHILD) mostly cared for during working hours?
• About how much money does your household spend weekly or monthly on the cost of daycare or preschool program for (CHILD)?
• Is part of the cost of daycare or preschool for (CHILD) paid for by public funds such as Smart Start or More at Four?

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Early Childhood Development (see results for 2005)

• How concerned are you with how (CHILD) talks and makes speech sounds?
• How concerned are you with how {he/she} understands what you say?
• How concerned are you with how {he/she} uses {his/her}hands and fingers to do things?
• How concerned are you with how {he/she} uses {his/her}arms and legs?
• How concerned are you with how {he/she} behaves?
• How concerned are you with how {he/she} gets along with others?
• How concerned are you with how {he/she} is learning to do things for (himself/herself)?
• How concerned are you with how {he/she} is learning pre-school or school skills, such as learning to read?

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Health Care Access and Utilization (see results for 2005)

• During the past 12 months was there any time when {he/she} was not covered by ANY health insurance?
• What was the MAIN reason that (CHILD) did/does not have health insurance coverage?
• During the time when (CHILD) did not have health insurance was {he/she} eligible or still qualified to re-enroll in Medicaid?
• What was the most important reason (CHILD) did not re-enrolled in Medicaid?
• During the past 12 months, how many times did (CHILD) go to a hospital emergency room for health care, including emergency room visits that resulted in a hospital admission?
• What kind of place does (CHILD) go to most often for sick care:
• When (CHILD) needs a shot or a check-up, where do you usually take {him/her}?
• During the past 12 months did (CHILD) receive all the medical care you felt he or she needed?
• What was the MAIN reason (CHILD) did not get all the medical care that {he/she} needed?
• During the past 12 months, did you delay or not get a medicine that a doctor prescribed for (CHILD) because of cost or lack of insurance?
• Do you have one or more persons you think of as the personal doctor or nurse for (CHILD)?
• Preventive care visits include things like a Well Child check-up, a routine physical exam, immunizations, or health screening tests? During the past 12 months has (CHILD) had a preventive care visit, or Well Child check-up?
• An interpreter is someone who repeats what one person says in a language used by another person. During the past 12 months did you or (CHILD) need an interpreter to help speak with his or her doctors or nurses?
• When you needed an interpreter, how often were you able to get someone other than a family member to help you speak with the doctors or nurses?
• Child currently does not have or at some point in the past 12 months did not have insurance

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School Performance (see results for 2005)

• During the past 12 months, about how many days did (CHILD) miss school because of illness or injury?
• Since starting kindergarten, has {he/she} repeated any grades?
• During the past 12 months, how would you describe the performance of (CHILD) in school?

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Asthma (see results for 2005)

• Has a doctor ever told you that (CHILD) has asthma?
• Does (CHILD) still have asthma?
• During the past 12 months, has (CHILD) had to visit a hospital emergency room or urgent care clinic because of {his/her} asthma?
• Is (CHILD) using a medicine every day, (such as a Beclovent, Azmacort, Pulmicort, Flovent, Advair, Singulair, or Vanceril inhaler) that was prescribed by a doctor to keep {him/her} from having asthma problems?
• Does (CHILD) use a rescue medication SUCH AS Albuterol, Alupent, Ventolin, Proventil, Xopenex or Maxair inhaler?
• During the past 12 months, how many days of daycare or school did (CHILD) miss due to asthma?
• Has a doctor or other health professional ever given you an asthma management plan for (CHILD}?

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School Nurse (see results for 2005)

• Have you ever talked with a school nurse about the health of (CHILD)?
• What was/were the reason(s) you talked with the school nurse for (CHILD)?
• At school, is (CHILD) allowed to self administer emergency medication for asthma?

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Child Health Conditions (see results for 2005)

• Has a doctor or health professional ever told you that (CHILD) had diabetes or high blood sugar?
• Has a doctor or health professional ever told you that (CHILD) has borderline or pre-diabetes?
• Has a doctor or health professional ever told you that (CHILD) has high blood pressure?

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Children with Special Health Care Needs (CSHCN) (see results for 2005)

• Does (CHILD) need or use more medical care (If age 2 yrs or older, INCLUDE phrase: "mental health or educational services")
  than is usual for most children of the same age?
• Is the need of (CHILD) for medical care (If age 2 yrs or older, INCLUDE phrase: "mental health or educational services")
  because of ANY medical, behavioral, or other health condition?
• Is this a condition that has lasted or is expected to last for at least 12 months?
• Does (CHILD) currently need or use medicine prescribed by a doctor, other than vitamins?
• Is the need of (CHILD) for prescription medicine because of ANY medical, behavioral, or other health condition?
• Is this a condition that has lasted or is expected to last 12 months or longer?
• Is (CHILD) limited or prevented in any way in {his/her} ability to do the things most children of the same age do?
• Is the limitation in abilities because of ANY medical, behavioral, or other health condition?
• Is this a condition that has lasted or is expected to last 12 months or longer?
• Does (CHILD) need or get special therapy, such as physical, occupational, or speech therapy?
• Is the need for special therapy because of ANY medical, behavioral, or other health condition?
• Is this a condition that has lasted or is expected to last 12 months or longer?
• Does (CHILD) have any kind of emotional, developmental, or behavioral problem for which {he/she} needs treatment or counseling?
• Has the emotional, developmental or behavioral problem lasted or is it expected to last 12 months or longer?
• Does (CHILD) receive services from a program called Early Intervention Services?
  Children receiving these services often have an Individualized Family Service Plan.
• Does (CHILD) receive services from a program called Special Educational Services?
  Children receiving these services often have an Individualized Education Plan.

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Mental Health/Disability (see results for 2005)

• Has a doctor, other health professional or school representative ever told you that (CHILD) has Attention Deficit Hyperactivity Disorder, that is, ADD or ADHD?
• Has a doctor, other health professional ever told you that (CHILD) has Depression or Anxiety?
• Has a doctor, other health professional or school representative ever told you that (CHILD) has a learning disability such as dyslexia, problems with speech, reading and language, or communication problems, such as understanding what people say?
• Has a doctor, other health professional ever told you that (CHILD) has Autism?
• Has a doctor, other health professional ever told you that (CHILD) has Mental retardation?
• Has a doctor, other health professional ever told you that (CHILD) has any other developmental delay?
• Has a doctor, other health professional ever told you that (CHILD) has a learning disability?
• Has a doctor, other health professional or school representative ever told you that (CHILD) has a problem with alcohol or drugs?
• Do you think that (CHILD) has a problem with alcohol or drugs that has not been diagnosed?

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Oral Health (see results for 2005)

• Has a doctor or nurse ever advised you about how to take care of the dental health of (CHILD) during a medical office or clinic visit?
• How would you rate the condition of the teeth of (CHILD)?
• Does (CHILD) have a dentist or dental clinic where {he/she} goes to regularly?
• Does (CHILD) have dental insurance that helps pay for any routine dental care including cleanings, x-rays and examinations?
• About how long has it been since (CHILD) last saw a dentist?
• During the past 12 months, was there any time (CHILD) needed dental care but could not get it?
• Within the past 12 months when seeking dental care for your child, do you feel the experiences of your child were worse than, the same as, or better than for people of other races?

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Sun Safety (see results for 2005)

• On a sunny summer day, when (CHILD) is outside for more than 15 minutes between 10 am and 4 pm, how often does {he/she} use sunscreen with a Sun Protection Factor or SPF of 15 or more?
• On a sunny summer day, when (CHILD) is outside for more than 15 minutes between 10 am and 4 pm, how often does {he/she} stay in the shade?
• On a sunny summer day, when (CHILD) is outside for more than 15 minutes between 10 am and 4 pm, how often does he/she wear clothes covering most of his/her arms and legs?
• Has (CHILD) had a sunburn within the last 12 months?

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Nutrition (see results for 2005)

• On a typical day, how many servings of fruit does (CHILD) consume?
• On a typical day, how many servings of 100% fruit juice does (CHILD) consume?
• On a typical day, how many servings of vegetables does (CHILD) eat, not including french fries?
• On a typical day, how many servings of fruit and/or vegetables does (CHILD) eat?
• On a typical day, how many servings of fruit, 100% fruit juice and/or vegetables does (CHILD) eat?
• On a typical day, how many servings of french fries or chips does (CHILD) eat?
• On a typical day, how many glasses of milk does (CHILD) drink?
• How often does (CHILD) eat fast food?
• On a typical day, how many times does (CHILD) drink sweetened beverages such as soda pop, sweet tea, fruit punch, Kool-aid, sports drinks or fruit drinks?

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Physical Activity (see results for 2005)

• On a typical day how much total time does your child spend in physically active play?
• In an average week how many days does your child participate in physically active play that is led, taught or coached?
• How far does (he/she) live from school?
• On how many days per week does your child actually walk or ride a bicycle to school?
• On a typical day how much total time does (CHILD) spend watching television?

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Parent Reaction to Child Weight(see results for 2005)

• How would you describe the weight of your child?
• Are you trying to decrease the amount of food and/or beverages you give (CHILD)?
• Are you trying to reduce the amount of sugar or fat (CHILD) consumes?
• Are you trying to encourage more physical activity or limit TV/video/computer game time?

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Food Insecurity (see results for 2005)

• Is {he/she} currently enrolled in the WIC program?
• Is your household currently enrolled in the Food Stamp Program?
• In the last 12 months, how often did you rely on only a few kinds of low-cost food to feed (CHILD) because you were running out of money to buy food?
• In the last 12 months did you ever cut the size of (CHILD) meals because there was not enough money for food?
• In the last 12 months did (CHILD) ever skip a meal because there was not enough money for food?
• In the last 12 months did (CHILD) ever not eat for a whole day because there was not enough money for food?

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Family Involvement (see results for 2005)

• During the past week, how many times did you or any family member take (CHILD) on any kind of outing, such as to the park, library, zoo, shopping, church, restaurants, or family gatherings?
• How many times does your household eat dinner together in a typical week?
• How many times do you read to (CHILD) in a typical week?
• Do you usually prepare a lunch for (CHILD) to take to school?

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Parent Opinion (see results for 2005)

• How important do you think it is for North Carolina to take additional actions to prevent and reduce tobacco use among our youth?
• To what degree do you support a tobacco free policy in the school of your child so that no one, not students, nor teachers, staff or visitors, could smoke or use other tobacco products on the school grounds at any time?
• To what degree do you support a tobacco free policy in indoor recreational areas (skating rinks, bowling alleys) and fast food restaurants where your child plays, works or eats?
• To what degree would you support increasing the tax on cigarettes in NC to reduce youth access to tobacco in our state?
• To what extent do you believe overweight in children is a serious problem in your community?
• Do you believe schools should require only healthy options in all food service settings, such as the cafeteria, snack bars, vending machines, concession stands?
• To what degree do you support changing the contents of school vending machines to replace sodas and high calorie/high fat snacks with healthier foods?
• Do you believe it is important for schools to have physical activity policies that provide daily physical education for students in: Elementary School (Kindergarten to 5th Grade)?
• Do you believe it is important for schools to have physical activity policies that provide daily physical education for students in: Middle School (6th through 8th)?
• Do you believe it is important for schools to have physical activity policies that provide daily physical education for students in: High School (9th through 12th)?
• Do you believe it is important for schools to provide routine physical activity opportunities, in addition to physical education, throughout the school day for students of all abilities?
• Do you feel well prepared to talk with a child about reducing the chances of smoking?

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Tobacco Indicators (see results for 2005)

• How often have you discussed the dangers of tobacco use with (CHILD) in the last 12 months?
• To your knowledge, has (CHILD) ever smoked cigarettes?
• To your knowledge, does (CHILD) currently smoke cigarettes?
• How frequently in the last year have you heard about or seen (on TV, from your children, or in other media) the NC Tobacco Reality Unfiltered (TRU) media campaign directed to preventing tobacco use among youth?

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Sexual Behavior (see results for 2005)

• Have you or other members of your family ever talked with your child about what you expect them to do or not do when it comes to sex?
• Do you believe (CHILD) is sexually active?
• Have you discussed with (CHILD) about reducing {his/her} chances of getting HIV/STDs (Sexually Transmitted Diseases)?
• Do you feel well prepared to talk with (CHILD) about reducing {his/her} chances of getting HIV/STDs?

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Child Safety and Injury (see results for 2005)

• How many times in the past month was (CHILD) injured so that he/she could not participate in his/her usual activities for at least one day?
• How many times in the past month has (CHILD) been left alone for more than one hour without any adult supervision?
• How many times in the past month did (CHILD) get hurt because no adult was watching (him/her) carefully enough?
• How many times in the past month has ANYONE in your household taken away privileges, forbade something (like not allowed to watch TV), or grounded him/her [not allowed to leave house]?
• How many times in the past month has ANYONE in your household explained why something (like the behavior) was wrong?
• How many times in the past month has ANYONE in your household shouted, yelled at or screamed at him/her?
• How many times in the past month has ANYONE in your household insulted, by calling (CHILD) dumb, lazy or another name like that?
• How many times in the past month has ANYONE in your household spanked him/her on the bottom with a bare hand?
• How many times in the past month has ANYONE in your household told or showed (child) you loved him/her?

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