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  1. Artikel ; Online: Diagnosed Developmental Disabilities in Children Aged 3-17 Years: United States, 2019-2021.

    Zablotsky, Benjamin / Ng, Amanda E / Black, Lindsey I / Blumberg, Stephen J

    NCHS data brief

    2023  , Heft 473, Seite(n) 1–8

    Abstract: Developmental disabilities are common in children in the United States, and the prevalence has increased in recent years (1). Timely estimates are necessary to assess the adequacy of services and interventions that children with developmental ... ...

    Abstract Developmental disabilities are common in children in the United States, and the prevalence has increased in recent years (1). Timely estimates are necessary to assess the adequacy of services and interventions that children with developmental disabilities typically need (2). This report provides updated prevalence estimates for diagnosed autism spectrum disorder, intellectual disability, and other developmental delay among children aged 3-17 years from the 2019-2021 National Health Interview Survey (NHIS), with differences in prevalence examined between years and by sex, age group, and race and Hispanic origin. Estimates are also presented for any developmental disability, defined as having had one or more of these three diagnoses.
    Mesh-Begriff(e) Child ; Humans ; Autism Spectrum Disorder/diagnosis ; Autism Spectrum Disorder/epidemiology ; Developmental Disabilities/epidemiology ; Intellectual Disability/diagnosis ; Intellectual Disability/epidemiology ; Prevalence ; United States/epidemiology ; Child, Preschool ; Adolescent
    Sprache Englisch
    Erscheinungsdatum 2023-07-13
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ZDB-ID 2506576-2
    ISSN 1941-4927 ; 1941-4935
    ISSN (online) 1941-4927
    ISSN 1941-4935
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  2. Artikel ; Online: National Health Interview Survey, COVID-19, and Online Data Collection Platforms: Adaptations, Tradeoffs, and New Directions.

    Blumberg, Stephen J / Parker, Jennifer D / Moyer, Brian C

    American journal of public health

    2021  Band 111, Heft 12, Seite(n) 2167–2175

    Abstract: High-quality data are accurate, relevant, and timely. Large national health surveys have always balanced the implementation of these quality dimensions to meet the needs of diverse users. The COVID-19 pandemic shifted these balances, with both disrupted ... ...

    Abstract High-quality data are accurate, relevant, and timely. Large national health surveys have always balanced the implementation of these quality dimensions to meet the needs of diverse users. The COVID-19 pandemic shifted these balances, with both disrupted survey operations and a critical need for relevant and timely health data for decision-making. The National Health Interview Survey (NHIS) responded to these challenges with several operational changes to continue production in 2020. However, data files from the 2020 NHIS were not expected to be publicly available until fall 2021. To fill the gap, the National Center for Health Statistics (NCHS) turned to 2 online data collection platforms-the Census Bureau's Household Pulse Survey (HPS) and the NCHS Research and Development Survey (RANDS)-to collect COVID-19‒related data more quickly. This article describes the adaptations of NHIS and the use of HPS and RANDS during the pandemic in the context of the recently released Framework for Data Quality from the Federal Committee on Statistical Methodology. (
    Mesh-Begriff(e) Bias ; COVID-19/epidemiology ; Cross-Sectional Studies ; Data Collection/methods ; Data Collection/standards ; Health Surveys/methods ; Health Surveys/standards ; Humans ; Internet ; Interviews as Topic ; National Center for Health Statistics, U.S./organization & administration ; Pandemics ; SARS-CoV-2 ; Sociodemographic Factors ; Telephone ; United States/epidemiology
    Sprache Englisch
    Erscheinungsdatum 2021-12-02
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ZDB-ID 121100-6
    ISSN 1541-0048 ; 0090-0036 ; 0002-9572
    ISSN (online) 1541-0048
    ISSN 0090-0036 ; 0002-9572
    DOI 10.2105/AJPH.2021.306516
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  3. Artikel ; Online: Developing Sampling Weights for Statistical Analysis of Parent-Child Pair Data From the National Health Interview Survey.

    Zhang, Guangyu / He, Yulei / Parsons, Van / Moriarity, Chris / Blumberg, Stephen J / Zablotsky, Benjamin / Maitland, Aaron / Bramlett, Matthew D / Bose, Jonaki

    Vital and health statistics. Ser. 1, Programs and collection procedures

    2024  , Heft 207, Seite(n) 1–31

    Abstract: The National Health Interview Survey (NHIS), conducted by the National Center for Health Statistics since 1957, is the principal source of information on the health of the U.S. civilian noninstitutionalized population. NHIS selects one adult (Sample ... ...

    Abstract The National Health Interview Survey (NHIS), conducted by the National Center for Health Statistics since 1957, is the principal source of information on the health of the U.S. civilian noninstitutionalized population. NHIS selects one adult (Sample Adult) and, when applicable, one child (Sample Child) randomly within a family (through 2018) or a household (2019 and forward). Sampling weights for the separate analysis of data from Sample Adults and Sample Children are provided annually by the National Center for Health Statistics. A growing interest in analysis of parent-child pair data using NHIS has been observed, which necessitated the development of appropriate analytic weights. Objective This report explains how dyad weights were created such that data users can analyze NHIS data from both Sample Children and their mothers or fathers, respectively. Methods Using data from the 2019 NHIS, adult-child pair-level sampling weights were developed by combining each pair's conditional selection probability with their household-level sampling weight. The calculated pair weights were then adjusted for pair-level nonresponse, and large sampling weights were trimmed at the 99th percentile of the derived sampling weights. Examples of analyzing parent-child pair data by means of domain estimation methods (that is, statistical analysis for subpopulations or subgroups) are included in this report. Conclusions The National Center for Health Statistics has created dyad or pair weights that can be used for studies using parent-child pairs in NHIS. This method could potentially be adapted to other surveys with similar sampling design and statistical needs.
    Mesh-Begriff(e) Adult ; Female ; Humans ; Data Collection ; Family Characteristics ; Health Services Accessibility ; Mothers ; National Center for Health Statistics, U.S. ; Parent-Child Relations ; Research Design ; Socioeconomic Factors ; United States ; Male ; Child
    Sprache Englisch
    Erscheinungsdatum 2024-04-17
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ISSN 2332-8401
    ISSN (online) 2332-8401
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  4. Artikel ; Online: Symptoms of Anxiety or Depressive Disorder and Use of Mental Health Care Among Adults During the COVID-19 Pandemic - United States, August 2020-February 2021.

    Vahratian, Anjel / Blumberg, Stephen J / Terlizzi, Emily P / Schiller, Jeannine S

    MMWR. Morbidity and mortality weekly report

    2021  Band 70, Heft 13, Seite(n) 490–494

    Abstract: The spread of disease and increase in deaths during large outbreaks of transmissible diseases is often associated with fear and grief (1). Social restrictions, limits on operating nonessential businesses, and other measures to reduce pandemic-related ... ...

    Abstract The spread of disease and increase in deaths during large outbreaks of transmissible diseases is often associated with fear and grief (1). Social restrictions, limits on operating nonessential businesses, and other measures to reduce pandemic-related mortality and morbidity can lead to isolation and unemployment or underemployment, further increasing the risk for mental health problems (2). To rapidly monitor changes in mental health status and access to care during the COVID-19 pandemic, CDC partnered with the U.S. Census Bureau to conduct the Household Pulse Survey (HPS). This report describes trends in the percentage of adults with symptoms of an anxiety disorder or a depressive disorder and those who sought mental health services. During August 19, 2020-February 1, 2021, the percentage of adults with symptoms of an anxiety or a depressive disorder during the past 7 days increased significantly (from 36.4% to 41.5%), as did the percentage reporting that they needed but did not receive mental health counseling or therapy during the past 4 weeks (from 9.2% to 11.7%). Increases were largest among adults aged 18-29 years and among those with less than a high school education. HPS data can be used in near real time to evaluate the impact of strategies that address mental health status and care of adults during the COVID-19 pandemic and to guide interventions for groups that are disproportionately affected.
    Mesh-Begriff(e) Adolescent ; Adult ; Aged ; Aged, 80 and over ; Anxiety/epidemiology ; Anxiety/therapy ; COVID-19/epidemiology ; COVID-19/psychology ; Depressive Disorder/epidemiology ; Depressive Disorder/therapy ; Female ; Humans ; Male ; Mental Health Services/statistics & numerical data ; Middle Aged ; Risk Factors ; Socioeconomic Factors ; United States/epidemiology ; Young Adult
    Sprache Englisch
    Erscheinungsdatum 2021-04-02
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ZDB-ID 412775-4
    ISSN 1545-861X ; 0149-2195
    ISSN (online) 1545-861X
    ISSN 0149-2195
    DOI 10.15585/mmwr.mm7013e2
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  5. Artikel ; Online: Assessing Anxiety and Depression: A Comparison of National Health Interview Survey Measures.

    Zablotsky, Benjamin / Weeks, Julie D / Terlizzi, Emily P / Madans, Jennifer H / Blumberg, Stephen J

    National health statistics reports

    2022  , Heft 172, Seite(n) 1–17

    Abstract: Objective-This report examines differences across two different sets of measures used to assess anxiety and depression in the National Health Interview Survey (NHIS). ...

    Abstract Objective-This report examines differences across two different sets of measures used to assess anxiety and depression in the National Health Interview Survey (NHIS).
    Mesh-Begriff(e) Anxiety/epidemiology ; Anxiety Disorders/epidemiology ; Depression/epidemiology ; Health Surveys ; Humans ; United States
    Sprache Englisch
    Erscheinungsdatum 2022-08-03
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ISSN 2332-8363
    ISSN (online) 2332-8363
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  6. Artikel ; Online: Assessing the Validity of the Baby Pediatric Symptom Checklist Using a Nationally Representative Household Survey.

    Zablotsky, Benjamin / Black, Lindsey I / Sheldrick, R Christopher / Perrin, Ellen C / Blumberg, Stephen J

    Academic pediatrics

    2022  Band 23, Heft 5, Seite(n) 939–946

    Abstract: Objective: The Baby Pediatric Symptom Checklist (BPSC) is a screening tool developed for detecting behavioral or emotional concerns among parents of children younger than 18 months. Nationally representative survey data have not yet been used to assess ... ...

    Abstract Objective: The Baby Pediatric Symptom Checklist (BPSC) is a screening tool developed for detecting behavioral or emotional concerns among parents of children younger than 18 months. Nationally representative survey data have not yet been used to assess the validity of the BPSC, nor to evaluate its appropriateness for use among children between 18 and 23 months old. The current study assesses the validity of the BPSC using data from the National Health Interview Survey (NHIS).
    Methods: Data from the 2019 NHIS were used to evaluate the 12-item BPSC screening tool among a nationally representative sample of children 2 to 23 months. Confirmatory factor analysis (CFA) and differential item functioning (DIF) were used to assess construct and predictive validity and test how response items differed by selected sociodemographics. Quantile regression was used to calculate 50th, 70th, and 90th percentiles for age-based normative curves of the previously established domains of irritability, inflexibility, and difficulty with routines.
    Results: A 3-factor CFA produced comparable results to the original study. Tests of DIF did not reveal any significant effects for the child's sex, race and Hispanic origin, household urbanization level, number of children in family, or respondent type (mother, father, other). In addition, DIF was not found between children aged 2 to 17 months and 18 to 23 months. Age-based normative data were calculated for each subscale.
    Conclusions: The use of the BPSC in a nationally representative survey produced findings comparable to those of the original-validation study. The NHIS can be used to track BPSC scores over time at the population-level.
    Mesh-Begriff(e) Infant ; Female ; Humans ; Child ; Child, Preschool ; Checklist ; Surveys and Questionnaires ; Mothers ; Parents ; Emotions ; Psychometrics
    Sprache Englisch
    Erscheinungsdatum 2022-11-06
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ZDB-ID 2483385-X
    ISSN 1876-2867 ; 1876-2859
    ISSN (online) 1876-2867
    ISSN 1876-2859
    DOI 10.1016/j.acap.2022.10.022
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  7. Artikel ; Online: Anxiety and depression symptoms among children before and during the COVID-19 pandemic.

    Zablotsky, Benjamin / Black, Lindsey I / Terlizzi, Emily P / Vahratian, Anjel / Blumberg, Stephen J

    Annals of epidemiology

    2022  Band 75, Seite(n) 53–56

    Abstract: Purpose: The COVID-19 pandemic caused disruptions to children's daily lives due in part to stay-at-home orders and school closures, reducing interactions with both peers and extended family. Yet, few studies with nationally representative data have ... ...

    Abstract Purpose: The COVID-19 pandemic caused disruptions to children's daily lives due in part to stay-at-home orders and school closures, reducing interactions with both peers and extended family. Yet, few studies with nationally representative data have explored the potential association of the COVID-19 pandemic and children's mental health.
    Methods: The current study analyzed data from the 2019 and 2020 National Health Interview Survey (NHIS) to describe changes in the prevalence of symptoms of anxiety and depression before and during the first year of the pandemic among children aged 5-17 years. Changes in prevalence by child- and family-level characteristics were also examined.
    Results: During the COVID-19 pandemic, nearly one in six children aged 5-17 years had daily or weekly symptoms of anxiety or depression, a significant increase from before the COVID-pandemic (16.7% (95% CI:15.0-18.6) versus 14.4% (95% CI:13.4-15.3)). Males, children 5-11 years, non-Hispanic children, children living in families in large metropolitan areas, incomes at or below the federal poverty level, and whose highest educated parent had more than a HS education, also showed statistically significant increases in anxiety and depression symptoms.
    Conclusions: NHIS data may be used to monitor this increase in mental health symptomatology and assist in identifying children at risk.
    Mesh-Begriff(e) Male ; Humans ; Pandemics ; COVID-19/epidemiology ; Depression/psychology ; Anxiety/epidemiology ; Anxiety/psychology ; Mental Health
    Sprache Englisch
    Erscheinungsdatum 2022-09-14
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ZDB-ID 1074355-8
    ISSN 1873-2585 ; 1047-2797
    ISSN (online) 1873-2585
    ISSN 1047-2797
    DOI 10.1016/j.annepidem.2022.09.003
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  8. Artikel ; Online: Utilization of Clinical Preventive Services for Cancer and Heart Disease Among Insured Adults: United States, 2015.

    Vahratian, Anjel / Blumberg, Stephen J

    NCHS data brief

    2017  , Heft 274, Seite(n) 1–8

    Abstract: Key findings: Data from the National Health Interview Survey •Two-thirds of insured adults aged 50-75 were screened for colorectal cancer within the recommended intervals. •Insured women aged 30-39 (90.5%) were more likely than their older peers to be ... ...

    Abstract Key findings: Data from the National Health Interview Survey •Two-thirds of insured adults aged 50-75 were screened for colorectal cancer within the recommended intervals. •Insured women aged 30-39 (90.5%) were more likely than their older peers to be screened for cervical cancer within the recommended intervals. •Seventy-three percent of insured women aged 50-74 had a mammogram in the past 2 years. •The percentage of insured adults who had a cardiovascular risk screening (blood pressure, blood sugar) within the recommended intervals significantly increased with advancing age for both men and women. Recent improvements in health insurance coverage (1) have been associated with improved access to health care (2-4) and increased utilization of preventive services (5). Most insurance plans are now required to cover specific clinical preventive services without copayment from the insured adult (6). This report presents the proportion of insured adults who received selected services that are recommended for the prevention or early detection of cancer and heart disease. Sex- and age-specific differences are examined. The age groups included in each chart vary because the selected preventive services are recommended for different age groups.
    Mesh-Begriff(e) Adult ; Age Distribution ; Aged ; Cardiovascular Diseases/diagnosis ; Cardiovascular Diseases/prevention & control ; Female ; Guideline Adherence/statistics & numerical data ; Health Surveys ; Humans ; Insurance Coverage/statistics & numerical data ; Insurance, Health/statistics & numerical data ; Male ; Mass Screening/statistics & numerical data ; Middle Aged ; Neoplasms/diagnosis ; Neoplasms/prevention & control ; Preventive Health Services/utilization ; Sex Distribution ; United States
    Sprache Englisch
    Erscheinungsdatum 2017-03
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ZDB-ID 2506576-2
    ISSN 1941-4927 ; 1941-4935
    ISSN (online) 1941-4927
    ISSN 1941-4935
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  9. Artikel ; Online: Overview of the 2019 National Health Interview Survey Questionnaire Redesign.

    Zablotsky, Benjamin / Lessem, Sarah E / Gindi, Renee M / Maitland, Aaron K / Dahlhamer, James M / Blumberg, Stephen J

    American journal of public health

    2023  Band 113, Heft 4, Seite(n) 408–415

    Abstract: Data System. ...

    Abstract Data System.
    Mesh-Begriff(e) Adult ; Child ; United States ; Humans ; Health Surveys ; National Center for Health Statistics, U.S. ; Data Accuracy
    Sprache Englisch
    Erscheinungsdatum 2023-02-09
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ZDB-ID 121100-6
    ISSN 1541-0048 ; 0090-0036 ; 0002-9572
    ISSN (online) 1541-0048
    ISSN 0090-0036 ; 0002-9572
    DOI 10.2105/AJPH.2022.307197
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  10. Artikel ; Online: Geographic Disparities in Treatment for Children with Autism Spectrum Disorder.

    Zablotsky, Benjamin / Maenner, Matthew J / Blumberg, Stephen J

    Academic pediatrics

    2019  Band 19, Heft 7, Seite(n) 740–747

    Abstract: Objective: Geographic differences may provide insight into what factors influence the likelihood that a child is diagnosed with autism spectrum disorder (ASD) in the United States; yet, there have been few nationally representative surveys that have ... ...

    Abstract Objective: Geographic differences may provide insight into what factors influence the likelihood that a child is diagnosed with autism spectrum disorder (ASD) in the United States; yet, there have been few nationally representative surveys that have explored this topic. The current study expands the limited literature by analyzing regional differences in ASD prevalence, service utilization, and the presence of unmet needs within a nationally representative sample of children.
    Methods: Data were drawn from the 2014-2016 National Health Interview Survey (NHIS), a nationally representative household survey of the noninstitutionalized US population. Children 3 to 17 years of age were included in the analytic sample. Prevalence estimates accounted for the complex survey design of the NHIS, and differences between geographic regions were compared using logistic/linear regressions with and without adjustment for child/family characteristics.
    Results: The prevalence of ASD was highest in the Northeast (3.0%), followed by the Midwest (2.4%), South (2.4%), and West (2.3%). A significant difference was found between the Northeast and West (P < .05); however, after accounting for child and family characteristics, this difference was no longer significant. Children with ASD in the Northeast were the most likely to have seen a specialist in the past year. Approximately 1 in 8 children with ASD experienced at least 1 unmet need, but there were no differences found by geographic region.
    Conclusions: Although differences in prevalence were not significant after adjustment, service utilization differences remained. It appears that children with ASD in the Northeast utilize the greatest number of specialty services when compared to children with ASD from other parts of the country.
    Mesh-Begriff(e) Adolescent ; Autism Spectrum Disorder/diagnosis ; Autism Spectrum Disorder/epidemiology ; Autism Spectrum Disorder/therapy ; Child ; Child, Preschool ; Female ; Health Services Accessibility/statistics & numerical data ; Health Services Needs and Demand/statistics & numerical data ; Healthcare Disparities/statistics & numerical data ; Humans ; Male ; Prevalence ; United States/epidemiology
    Sprache Englisch
    Erscheinungsdatum 2019-03-08
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ZDB-ID 2483385-X
    ISSN 1876-2867 ; 1876-2859
    ISSN (online) 1876-2867
    ISSN 1876-2859
    DOI 10.1016/j.acap.2019.02.013
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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