Appendix D

Appendix D

List of new, modified, and removed survey items to NSCH 2017 production

New Items

For all topical questionnaires:

• Environmental Health Items: The Environmental Protection Agency (EPA) has entered into an Interagency Agreement (IAA) with the Census Bureau in order to sponsor two items on the 2017 NSCH. The purpose of these items is to assess household exposures to pesticides and mold.

  • Question:

DURING THE PAST 12 MONTHS, how often were pesticides used inside your residence to control for insects? If the frequency changed throughout the year, report the highest frequency.

Response Options:

• More than once a week

• Once a week

• Once a month

• Once every 2-5 months

• Once every 6 months

• Once during the past 12 months

• Never

• Don’t know

• Question:

DURING THE PAST 12 MONTHS, other than in a shower or bathtub, have you seen any mold, mildew or other signs of water damage on walls or other surfaces inside your home?

Response Options:

• Yes

• No

• Military /Deployment Status: Partners at MCHB requested that we capture the military and deployment status of each parent or caregiver. These items will be added to Section J for each Adult.

  • Question (Drawn from the American Community Survey):

Has Adult X ever served on active duty in the U.S. Armed Forces, Reserves, or National Guard?

Response Options:

• Never served in the military

• Only on active duty for training in the Reserves or National Guard

• Now on active duty

• On active duty in the past, but not now

• Question (Drawn from the Health Center Patient Survey):

Was Adult X deployed at any time during this child’s life?

Response Options:

• Yes

• No

For children aged 0-5:

• Identifying Colors: This new question will follow the current G10 question pertaining to how often the child can identify basic shapes.

  • Question:

Can this child identify the colors red, yellow, blue, and green by name?

Response Options:

• Yes, all of them

• Yes, some of them

• No, none of them

Modifications to Existing Items

For children aged 0-5:

• Section G Additions and Revisions:

  • Question G1 – This question is being split for 2017 to add additional detail and assist with the skip pattern of this section for those children under 3 years of age. The first question will appear only on paper, since the Web will already have this skip pattern programmed into the instrument.

Is this child 3 years old or older?

Response Options:

• Yes

• No (instructions to skip to next section)

Has this child started school? Include any formal homeschooling.

Response Options:

• Yes, preschool

• Yes, kindergarten

• Yes, first grade

• No

• Section G response option group modifications:

2016 NSCH Response Options:

• All of the time

• Most of the time

• Some of the time

• None of the time

2017 NSCH Response Options:

• Always

• Most of the time

• About half the time

• Sometimes

• Never

For children aged 6-17:

• Item G1: An additional response option is need for this item. In 2016, this item assessed the number of missed school days; however, there is no way for a parent to indicate that the child is not enrolled in school. A modification of this item is below.

  • Question:

DURING THE PAST 12 MONTHS, about how many days did this child miss school because of illness or injury? Include days missed from any formal home schooling.

Response Options:

• No missed school days

• 1-3 days

• 4-6 days

• 7-10 days

• 11 or more days

• This child was not enrolled in school

Revised respondent messaging/privacy act statement on the cover of each questionnaire:

• 2016 NSCH wording:

The U.S. Census Bureau is conducting the National Survey of Children’s Health on behalf of the U.S. Department of Health and Human Services (HHS) under Title 13, United States Code, Section 8(b), which allows the Census Bureau to conduct surveys on behalf of other agencies. Title 42 U.S.C. Section 701(a)(2) allows HHS to collect information for the purpose of understanding the health and well-being of children in the United States. The data collected under this agreement are confidential under 13 U.S.C. Section 9. All access to Title 13 data from this survey is restricted to Census Bureau employees and those holding Census Bureau Special Sworn Status pursuant to 13 U.S.C. Section 23(c).

Any information you provide will be shared among a limited number of Census Bureau and HHS staff only for work-related purposes identified above and as permitted under the Privacy Act of 1974 (5 U.S.C. Section 552a).

Participation in this survey is voluntary and there are no penalties for refusing to answer questions. However, your cooperation in obtaining this much needed information is extremely important in order to ensure complete and accurate results.

• 2017 NSCH wording:

The U.S. Census Bureau is required by law to protect your information and is not permitted to publicly release your responses in a way that could identify you or your household. The U.S. Census Bureau is conducting the National Survey of Children’s Health on the behalf of the Department of Health and Human Services (HHS) under Title 13, United States Code, Section 8(b), which allows the Census Bureau to conduct surveys on behalf of other agencies. Title 42 U.S.C. Section 701(a)(2) allows HHS to collect information for the purpose of understanding the health and well-being of children in the United States. Federal law protects your privacy and keeps your answers confidential under 13 U.S.C. Section 9. Per the Federal Cybersecurity Enhancement Act of 2015, your data are protected from cybersecurity risks through screening of the systems that transmit your data.

Any information you provide will be shared for the work-related purposes identified above and as permitted under the Privacy Act of 1974 (5 U.S.C. Section 552a) and SORN COMMERCE/CENSUS-3, Demographic Survey Collection (Census Bureau Sampling Frame).

Participation in this survey is voluntary and there are no penalties for refusing to answer questions. However, your cooperation in obtaining this much needed information is extremely important in order to ensure complete and accurate results.

Removed Items

For children aged 0-5:

• Item G22: This item was included in the 2016 NSCH in order to assess preschool suspension and expulsion, and was requested by the Agency for Children and Families. Sponsorship of this item is no longer anticipated, nor does this item address an identified analytic need.

  • Question:

IN THE PAST 12 MONTHS, were you ever asked to keep your child home from any child care or preschool because of their behavior (things like hitting, kicking, biting, tantrums or disobeying)?

Response Options:

• This child did not attend child care or preschool

• No

• Yes, I was told to pick up my child early on 1 or more days

• Yes, I had to keep my child home for 1 full day or more

• Yes permanently, I was told my child could no longer attend this child care center or preschool