Health Status of Children Entering Kindergarten in Nevada
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Health Status of Children Entering Kindergarten in Nevada Results of the 2015-2016 (Year 8) Nevada Kindergarten Health Survey May 2016 This project was completed in collaboration with the following: All Nevada County School Districts Nevada School District Superintendents Nevada Division of Public and Behavioral Health This publication was supported by the Nevada State Division of Public and Behavioral Health through Grant Number B04MC26680 from the U.S. Department of Health and Human Service, Health Resources and Services Administration. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the Division nor the U.S. Department of Health and Human Service Health Resources and Services Administration. University of Nevada, Las Vegas School of Community Health Sciences The Nevada Institute for Children's Research and Policy (NICRP) is a not-for-profit, non- partisan organization dedicated to advancing children's issues in Nevada. As a research center within the UNLV School of Community Health Sciences, NICRP is dedicated to improving the lives of children through research, advocacy, and other specialized services. NICRP's History: NICRP started in 1998 based on a vision of First Lady Sandy Miller. She wanted an organization that could bring credible research and rigorous policy analysis to problems that confront Nevada's children. But she didn't want to stop there; she wanted to transform that research into meaningful legislation that would make a real difference in the lives of our children. NICRP's Mission: The Nevada Institute for Children's Research and Policy (NICRP) looks out for Nevada's children. Our mission is to conduct community-based research that will guide the development of programs and services for Nevada's children. For more information regarding NICRP research and services, please visit our website at: http://www.nic.unlv.edu NICRP Staff Contributors: Amanda Haboush-Deloye, Ph.D. Associate Director Patricia Haddad, B.A. Research Assistant Yaretsi Arroyo, B.S. Research Assistant Tara Phebus, M.A. Executive Director Nevada Institute for Children’s Research and Policy School of Community Health Sciences, University of Nevada, Las Vegas 4505 S. Maryland Parkway, 453030 Las Vegas, NV 89154-3030 (702) 895-1040 http://nic.unlv.edu Nevada Institute for Children’s Research and Policy, UNLV May 2016 Results of the 2015-2016 Nevada Kindergarten Health Survey Page 2 TABLE OF CONTENTS Executive Summary ........................................................................................................................6 Introduction .....................................................................................................................................8 Methodology ........................................................................................................................9 Limitations to the Study ......................................................................................................10 Survey Results .............................................................................................................................11 Response Rates ..................................................................................................................11 Demographics ...................................................................................................................14 Insurance Status ................................................................................................................19 Access to Healthcare ..........................................................................................................23 Routine Care .....................................................................................................................25 Care for Illness or Injury ....................................................................................................28 Medical Conditions ...........................................................................................................30 Dental Care .......................................................................................................................32 Mental Health.....................................................................................................................33 Weight and Healthy Behaviors ..........................................................................................34 Appendix A: Summary of the 2015-2016 Survey Results by County ....................................51 Appendix B: Comparison of Survey Results by Survey Year ................................................57 Appendix C: Survey Instrument ...............................................................................................64 Appendix D: References .............................................................................................................66 Nevada Institute for Children’s Research and Policy, UNLV May 2016 Results of the 2015-2016 Nevada Kindergarten Health Survey Page 3 TABLE OF CONTENTS List of Tables Table 1.1: Survey Response Rate by School District .......................................................11 Table 1.2: Kindergarten Unaudited Enrollment and Response Rate by School District ...12 Table 2.1: Average Preschool Hours of Attendance ..........................................................18 Table 10.1: Weight Status Categories by BMI Percentile Ranges ...................................34 Table 10.2: Weight Status Category Calculations Based on BMI Values ........................35 Table 10.3: Average Television Watched During a Weekday .........................................41 Table 10.4: Average Sleep per Night for the State of Nevada ...........................................50 Table 11.1: Comparison of 2015-2016 Weighted Data by County ...................................51 Table 11.2: Comparison of 2013-2014 through 2015-2016 Weighted Data .....................57 List of Figures Figure 1.1: Survey Participation by School District ..........................................................13 Figure 1.2: Survey Response Rate Among All Rural Counties .........................................13 Figure 2.1: Weighted Survey Data by School District ......................................................14 Figure 2.2: Annual Household Income by School Year ...................................................15 Figure 2.3: Child’s Race/Ethnicity ...................................................................................16 Figure 2.4: Child’s Type of Preschool Setting During Last Twelve Months ...................17 Figure 3.1: Types of Children’s Health Insurance Coverage by School Year ..................19 Figure 3.2: Annual Household Income by Child’s Insurance Status ................................21 Figure 3.3: Child’s Race/Ethnicity by Child’s Insurance Status ......................................22 Figure 4.1: Types of Barriers When Accessing Healthcare for Child ...............................23 Figure 4.2: Access to Support Services by Child’s Race/Ethnicity ...................................24 Figure 5.1: Child’s Routine Check-Ups and Presence of Primary Care Provider ............25 Figure 5.2: Presence of Primary Care Provider by Child’s Insurance Status ...................26 Figure 5.3: Child’s Routine Check-Ups by Presence of Primary Care Provider (PCP) ....27 Figure 6.1: Number of Emergency Room Visits for Non-Life-Threatening Care ...........28 Figure 6.2: Percentage of Emergency Room Visits for Non-Life-Threatening Care by Child’s Insurance Status .................................................................................29 Figure 7.1: Types of Medical Conditions in Children .......................................................30 Figure 7.2: Developmental Screening by Child’s Race/Ethnicity .................................... 31 Figure 8.1: Child’s Dental Visit .........................................................................................32 Figure 9.1: Trouble Obtaining Mental Health Services by County ..................................33 Figure 10.1: Child’s Weight Status Category ....................................................................36 Figure 10.2: Race/Ethnicity of Participants with a Valid Body Mass Index .....................37 Figure 10.3: Child’s Weight Status Category by Child’s Race/Ethnicity ........................38 Figure 10.4: Child’s Weight Status Category by Amount of Physical Activity Per Week ......................................................................................................40 Figure 10.5: Child’s Weight Status Category by Hours of Television Watched on Average School Day ....................................................................................41 Figure 10.6: Child’s Weight Status Category by Hours of Video Game Playing on Average School Day.. ....................................................................................42 Figure 10.7: Child’s Weight Status Category by Number of Non-Diet Sodas Consumed in a Week ..........................................................................................................43 Nevada Institute for Children’s Research and Policy, UNLV May 2016 Results of the 2015-2016 Nevada Kindergarten Health Survey Page 4 TABLE OF CONTENTS Figure 10.8: Child’s Weight Status Category by Number of Diet Sodas Consumed in a Week ..............................................................................................................44 Figure