Maternal and Child Health Bureau

5600 Fishers Lane, Room 18-05

Rockville MD 20857

301-443-2170

www.mchb.hrsa.gov
The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

1

The Health 

and Well-Being

of Children:

A Portrait 

of States and

the Nation

2007

July 2009

U.S. Department of Health and Human Services

Health Resources and Services Administration
The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

3

Table of Contents

Introduction 4

The Child 7

Health Status 

Child Health Status 8

Oral Health Status 9

Prevalence of Conditions 10

Asthma 11

ADD/ADHD 12

Injury 13

Breastfeeding 14

Parents’ Concerns and Risk of 

Developmental Delay 15

Social Skills 16

Problem Social Behaviors 17

Missed School Days 18

Health Care

Current Health Insurance 19

Insurance Coverage Consistency 20

Adequacy of Insurance 21

Preventive Health Care Visits 22

Preventive Dental Care 23

Developmental Surveillance 

and Screening 24

Mental Health Care 25

Medical Home 26

Medical Home: Family-Centered Care 27

Medical Home: Access and Care 

Coordination 28

School and Activities

Playing with Children of the Same Age 29

Early Intervention and Special 

Education 30

School Engagement 31

Repeating a Grade 32

Activities Outside of School 33

Screen Time 34

Reading for Pleasure 35

Working for Pay 36

Volunteering 37

The Child’s Family 39

Reading, Singing, and Telling Stories 40

Sharing Meals 41

Religious Services 42

Parental Health Status 43

Smoking in the Household 44

Parental Stress 45

Child Care 46

The Child and Family’s Neighborhood 47

Neighborhood Amenities 48

Neighborhood Conditions 49

Supportive Neighborhoods 50

Safety of Child in the Neighborhood 51

Safety of Child at School 52

State Data 53

Alabama 54

Alaska 55

Arizona 56

Arkansas 57

California 58

Colorado 59

Connecticut 60

Delaware 61

District of Columbia 62

Florida 63

Georgia 64

Hawaii 65

Idaho 66

Illinois 67

Indiana 68

Iowa 69

Kansas 70

Kentucky 71

Louisiana 72

Maine 73

Maryland 74

Massachusetts 75

Michigan 76

Minnesota 77

Mississippi 78

Missouri 79

Montana 80

Nebraska 81

Nevada 82

New Hampshire 83

New Jersey 84

New Mexico 85

New York 86

North Carolina 87

North Dakota 88

Ohio 89

Oklahoma 90

Oregon 91

Pennsylvania 92

Rhode Island 93

South Carolina 94

South Dakota 95

Tennessee 96

Texas 97

Utah 98

Vermont 99

Virginia 100

Washington 101

West Virginia 102

Wisconsin 103

Wyoming 104

Technical Appendix and References 106
Introduction 

While data sources exist to measure 

and monitor the health of children 

in the United States, few take into 

account the many contexts in which 

children grow and develop, including 

their family and community environments. The National Survey of 

Children’s Health (NSCH), conducted 

in 2007, addresses multiple aspects 

of children’s health and well-being—

including physical and mental health, 

health care, and social well-being—as 

well as aspects of the family and the 

neighborhood that can affect children’s health, on both the national 

and State levels. The survey was supported and developed by the Health 

Resources and Services Administration’s Maternal and Child Health 

Bureau and conducted by the Centers 

for Disease Control and Prevention’s 

National Center for Health Statistics.

This represents the second round 

of the NSCH, which was conducted for 

the first time in 2003. While many 

of the indicators reported here were 

reported in the 2003 survey, some 

of the survey questions have been 

revised to improve the quality of the 

data obtained. Those changes, however, may influence parents’ responses. 

Therefore, we note where current 

findings cannot be compared with 

those reported in 2003.

The survey contains many encouraging findings about the state of 

children’s health in the United States. 

Overall, 84.4 percent of children in the 

United States are in excellent or very 

good health, and 88.5 percent receive 

an annual preventive health care 

checkup. Most children have access to 

a regular source of care when they are 

sick (93.1 percent), and have a personal doctor or nurse (92.2 percent), 

according to their parents.

The survey also presents information that can guide the Nation 

in improving children’s health and 

health care. Of children aged 1-17 

years, only 78.4 percent receive an 

annual preventive dental visit, and 

70.7 percent of children are reported 

to have excellent or very good oral 

health. Of children with family incomes below the Federal poverty level 

(FPL), fewer than half are in excellent 

or very good oral health. In addition, 

many children with developmental, 

behavioral or emotional conditions 

need mental health services, but only 

60.0 percent of these children receive 

any mental health services, according 

to their parents. Only 57.5 percent 

receive their care through a “medical 

home,” a regular source of medical 

care that meets the criteria of accessibility, continuity, comprehensiveness, coordination, compassion, and 

cultural sensitivity. This proportion 

varies substantially by the race and 

ethnicity of the child: 68.0 percent of 

White children received care from a 

medical home, compared to 44.2 percent of Black children, 63.0 percent of 

multiracial children, 38.5 percent of 

Hispanic children, and 48.6 percent of 

children of other races.

Health insurance is another area 

in need of systemic improvement. 

Nearly 10 percent of children lacked 

health insurance, and a total of 15.1 

percent had at least one period in 

which they were uninsured during the 

year before the survey; both of these 

findings represent increases since the 

2003 survey. Children in low-income 

households are more likely than children in higher-income households 

to have experienced a gap in health 

insurance in the past year: more than 

24 percent of children in households whose income is less than 200 

percent of the Federal poverty level 

lacked consistent health insurance 

coverage. The survey also makes 

clear the risks associated with lack of 

health insurance for children. Uninsured children are more likely than 

those with insurance to go without 

preventive health and dental care 

and are less likely to receive needed 

mental health services than those 

with coverage. 

Many aspects of children’s home 

and family environment support 

their health and development. 

Eighty-four percent of school-aged 

children read for pleasure on a typical day, a habit that can improve their 

school performance and support 

their intellectual development, and 

three-quarters of children eat meals 

with their families at least 4 days a 

week. The parents of 89.8 percent 

of children do not report usually 

or always feeling stress from their 

parenting roles. However, one major, 

preventable environmental threat 

to children is tobacco smoke in the 

household. Overall, 26.2 percent of 

children live in households where 

someone smokes, and this rate is 

higher for lower-income children. Of 

children with family incomes below 

the poverty level, 36.9 percent lived 

in a household with a smoker, as did 

33.9 percent of children with household incomes between 100 and 199 

percent of the poverty level. 

Most parents express confidence 

in their communities: 83.2 percent 

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

4
The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

5

of children live in neighborhoods that 

their parents find to be supportive of 

them, 86.0 percent are safe in their 

neighborhood, and 89.6 percent are 

safe at school. Over 80 percent of 

children live in neighborhoods with 

parks or playgrounds, and 86.0 percent have libraries or bookmobiles in 

their neighborhoods. These statistics 

represent good news about children’s 

prospects for healthy development.

In addition to measures of physical 

and mental health, the survey measures aspects of children’s social and 

educational development that lay the 

groundwork for their ability to function in the adult world. Overall, 90.7 

percent of 1- to 5-year-old children 

had played with others their own 

age at least once in the week before 

the survey, and 80.7 percent of 6- to 

17-year-olds participated in activities outside of school in the past year. 

The parents of 93.7 percent of 6- to 

17-year-old children report that they 

consistently exhibit positive social 

skills, and 80.5 percent of school-aged 

children are reported to be engaged in 

school, meaning that they do all their 

homework and care about doing well 

in school.

Some groups of children are at 

higher risk of health problems and 

experience barriers to access to health 

care as well. Children in low-income 

households are less likely to be in 

excellent or very good physical or oral 

health, more likely to be diagnosed 

with asthma, more likely to display 

problem social behaviors, miss more 

days of school due to illness, and are 

more likely to have gaps in health 

care coverage than children in higherincome households. Low-income 

children are less likely to participate 

in activities outside of school, more 

likely to watch more than one hour of 

television a day in their early years, 

more likely to live in households where 

someone smokes, and more likely to 

live in neighborhoods that do not feel 

safe or supportive to their parents, and 

their parents are more likely to report 

parenting stress. These circumstances 

may combine to put children in low-income households at a health, developmental, and educational disadvantage.

Another population of children who 

may be especially vulnerable is children with special health care needs 

(CSHCN), defined as those who have 

a chronic physical, developmental, 

behavioral or emotional condition and 

who also require health and related 

services of a type or amount beyond 

that required by children generally.1

 

Compared to other children, CSHCN are 

more likely to have injuries that require 

medical care, are less likely to receive 

their care from a medical home, are 

less likely to be fully engaged in school, 

and miss more days of school each year. 

However, CSHCN are also more likely to 

have health insurance and less likely to 

have a gap in coverage over the course 

of a year than are children without 

special health care needs. 

This chartbook presents indicators 

of the health and well-being of children, 

as well as the factors in the family environment and aspects of the neighborhood that may support or threaten 

families and children. These indicators present basic information on the 

health status and risk and protective factors experienced by children 

on the national level, and show the 

subpopulations who are at particular 

risk in each area. Children’s use of 

preventive health care services was 

compared to the standards presented 

in the Bright Futures guidelines for 

children’s health care.2

 This is followed by analyses of key indicators 

on the State level for each of the 50 

States and the District of Columbia. 

The Technical Appendix at the end 

of this book presents information 

about the survey methodology and 

sample in summary form. For more 

in-depth information about the survey and its findings, other resources 

are available. For easy access to online analyses of the survey’s findings, 

the Data Resource Center on Child 

and Adolescent Health (DRC) web 

site, sponsored by the Maternal 

and Child Health Bureau, provides 

online access to the survey data at 

www.childhealthdata.org. More complex analyses can be conducted using 

the public use data set available from 

the National Center for Health Statistics at: http://www.cdc.gov/nchs/

about/major/slaits/nsch.htm
The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

7

The Child

The National Survey of Children’s Health took several approaches to monitoring the health and well-being of children. 

This section presents information on children’s health status, their health care, and their activities in and outside of school. 

Taken together, these measures present a snapshot of children’s health and well-being that reflects a wide range of aspects of 

their lives.

Children’s health status was measured through parents’ reports of their children’s overall health status, as well as whether 

they currently have specific conditions, such as asthma, learning disabilities, and attention deficit/hyperactivity disorder. In 

addition, parents were asked about their concerns regarding their children’s development and behavior, whether their child 

was screened for such problems, and about the child’s social skills and ability to get along with others. 

Children’s access to health care and parents’ satisfaction with the health care their children receive were measured 

through questions about children’s health insurance coverage, their use of preventive medical and dental services, their access to needed mental health services, and the communication skills and cultural sensitivity of their children’s health care 

providers. Several survey questions were also combined to assess whether children had a “medical home,” a source of primary care that is accessible, family-centered, continuous, comprehensive, coordinated, compassionate, and culturally effective.

Children’s participation in activities in school and in the community represents another important aspect of their well-being. The survey addressed whether young children often played with children their own age, and whether school-aged children were engaged in school and had ever repeated a grade. In addition, parents were asked about their children’s participation in activities such as reading for pleasure, volunteering and working for pay, as well as other activities outside of school.
The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

8 The Child > Health Status > Child Health Status

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Health 

Status

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

 Child Health Status

The general state of a child’s health, 

as perceived by his or her parents, is 

a useful measure of the child’s overall 

health and ability to function. This is, 

however, only a general measure of 

a child’s health, as parents may have 

a positive view of their child’s health 

even in the presence of significant 

health issues. Parents were asked to 

rate their child’s health status as excellent, very good, good, fair, or poor. 

Overall, the parents of 84.4 percent 

of children reported that their child’s 

health was excellent or very good. 

This proportion did not vary by the 

sex of the child.

Younger children are slightly more 

likely to be reported to be in excellent 

or very good health than are schoolaged children or adolescents. Of 

children aged 5 years and under, 86.7 

percent were reported to be in excellent or very good health, compared 

to 83.6 percent of children aged 6-11 

years and 82.8 percent of children 

aged 12-17 years.

Children in low-income households are much more likely to have 

poorer reported health status than 

children with higher levels of income. 

Only 68.0 percent of children with 

household incomes below the Federal poverty level (FPL; $20,650 for a 

family of four in 2007) were reported 

to be in excellent or very good health, 

compared to 79.1 percent of children 

with household incomes between 100 

and 199 percent of the FPL. Among 

children with household incomes 

between 200 and 399 percent of the 

FPL, 89.6 percent were in excellent or 

very good health, as were 92.9 percent 

of children with household incomes of 

400 percent or more of the FPL.

A child whose mother is herself in 

excellent or very good health appears 

to be more likely to be reported to 

be in excellent or very good health. 

Of children whose mothers were 

reported to be in excellent or very 

good mental, emotional, and physical 

health, 93.2 percent were themselves 

reported to be in excellent or very 

good health; among children of mothers whose health was good, fair, or 

poor, only 64.9 percent were themselves in excellent or very good health.

Health 

Status

Child Health Status

Poor 0.5%

Fair 3.0%

Good 

12.2%

Very Good 

23.1%

Excellent 

61.3%

20

40

60

80

100

0-5 Years 6-11 Years 12-17 Years 

 Children in Excellent or

Very Good Health, by Age

Percent of Children

86.7 83.6 82.8

20

40

60

80

100

Excellent or Very Good Good, Fair or Poor

Maternal Health Status

93.2

Children in Excellent or Very Good

 Health, by Maternal Health Status

Percent of Children

64.9

20

40

60

80

100

400% or

More FPL

200-399% 

FPL

100-199% 

FPL

<100% 

FPL*

Children in Excellent or Very

Good Health, by Poverty Status

Percent of Children

68.0

79.1

89.6 92.9

*Federal poverty level was $20,650 for a family of four in 2007.
The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

The Child > Health Status > Oral Health Status 9

Oral Health Status

Parents were asked to rate the 

condition of their children’s teeth 

as excellent, very good, good, fair, or 

poor (excluding children under age 

1 or who had no teeth). Overall, the 

parents of 70.7 percent of children 

reported that their children’s teeth 

were in excellent or very good condition, while 20.9 percent reported 

the child’s teeth to be in good condition and the remaining 8.4 percent 

reported them to be in fair or poor 

condition.

This proportion varied, however, by 

the child’s age group. The parents of 

77.9 percent of 1- to 5-year-olds rated 

the condition of their children’s teeth 

as excellent or very good, compared 

to 64.7 percent of children aged 6-11 

years and 70.6 percent of adolescents 

aged 12-17 years.

The condition of children’s teeth 

also varied with household income. 

Of children with household incomes 

below the Federal poverty level (FPL), 

about half were reported to have teeth 

that were in excellent or very good 

condition (49.8 percent), compared 

to 61.3 percent of children with 

household incomes between 100 and 

199 percent of the FPL, 76.0 percent 

of children with household incomes 

between 200 and 399 percent of the 

FPL, and 84.8 percent of children with 

household incomes of 400 percent or 

more of the FPL.

Parents also reported on 4 individual 

oral health problems that may have 

occurred in the previous 6 months. 

Parents of 19.4 percent of children 

reported that their children had decayed teeth or cavities within the past 6 

months, while 10.7 percent of children 

had a toothache during that time. 

Less common were broken teeth and 

bleeding gums, occurring in 4.1 and 

3.3 percent of children, respectively. 

In total, 26.7 percent of children 

were reported to have at least one of 

these oral health problems (data not 

shown).

Health 

Status

Child Oral Health Status

Poor 1.5%

Fair 6.9%

Good

20.9%

Very Good

 24.2%

Excellent

 46.5%

20

40

60

80

100

1-5 Years 6-11 Years 12-17 Years

 Children in Excellent or

Very Good Oral Health, by Age

Percent of Children

77.9

64.7

70.6

20

40

60

80

100

400% or

More FPL 

200-399%

 FPL

100-199%

 FPL

<100% 

FPL*

 Children in Excellent or Very Good

Oral Health, by Poverty Status

Percent of Children

49.8

61.3

76.0

84.8

*Federal poverty level was $20,650 for a family of four in 2007.

5

10

15

20

25

Bleeding 

Gums

Broken 

Teeth

Decayed Toothache

Teeth or

Cavities

Prevalence of Oral Health Problems

in the Past 6 Months

Percent of Children

19.4

10.7

4.1 3.3
The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

10 The Child > Health Status > Prevalence of Conditions

Prevalence of 

Conditions

Children may have chronic physical or mental health problems, such 

as asthma or anxiety, which may 

have an impact on the child. Overall, 

parents of 22.3 percent of children 

reported they had at least one of a 

list of 16 chronic health conditions. 

Nearly half of those with at least one 

condition had two or more conditions. Of children with at least one of 

the 16 current health conditions, 47.8 

percent were reported to have one or 

more moderate or severe conditions 

(data not shown).

Asthma was the most often reported condition, occurring among 

9.0 percent of children, followed 

closely by learning disabilities (7.8 

percent). Also relatively common was 

attention deficit disorder/attention 

deficit hyperactivity disorder, or ADD/

ADHD, reported among 6.4 percent 

of children, and speech problems 

(3.7 percent). Oppositional defiant 

disorder (ODD) or conduct disorder 

were reported among 3.3 percent of 

children, while developmental delay 

occurred among 3.2 percent. The 

least commonly reported conditions 

addressed in the survey were brain 

injury or concussion and Tourette 

syndrome, occurring among 0.3 and 

0.1 percent of children, respectively.

Health 

Status

Children with Reported Chronic Conditions

Percent of Children 

123456789 10

Tourette Syndrome

Brain Injury or

 Concussion

Diabetes

Epilepsy or

 Seizure Disorder

Autism Spectrum

Disorder

Vision Problems*

Hearing Problems

Depression

Bone, Joint, or

 Muscle Problems

Anxiety Problems

Developmental Delay

ODD or Conduct

Disorder

Speech Problems

ADD/ADHD

Learning Disabilities

Asthma 9.0

7.8

6.4

3.7

3.3

3.2

2.9

2.2

2.0

1.4

1.3

1.1

0.6

0.4

0.3

0.1

*Includes only vision problems that cannot be corrected with glasses or contact lenses.

Number of Chronic 

Conditions Reported*

3 or More 

Conditions 4.8%

2 Conditions 3.9%

1 Condition 

13.6%

No Conditions 

77.7%

*Of 16 specific health conditions
The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

The Child > Health Status > Asthma 11

Asthma

Asthma, a chronic inflammatory 

disorder of the airways, is one of the 

most common chronic diseases affecting children. It can cause wheezing, 

chest tightness, and coughing, particularly at night or after exercise. More 

severe asthma attacks can result in 

breathlessness, agitation, and respiratory failure.

Overall, parents of 9.0 percent of 

children reported that their child 

had asthma at the time of the survey. 

For most children with asthma (71.4 

percent) the condition was reported 

as mild but for the remaining 23.0 

and 5.6 percent, asthma was reported 

as moderate and severe, respectively. 

The proportion of children with 

asthma varied slightly with regard to 

the child’s sex. Boys were more likely 

than girls to have asthma (10.1 versus 

7.9 percent, respectively).

The proportion of children with 

asthma varied by race and ethnicity, 

as did the severity of the condition. 

The parents of 15.7 percent of Black 

children reported that their child had 

asthma, as did the parents of 13.3 

percent of multiracial children, 8.0 

percent of White children, and 7.1 

percent of Hispanic children. Among 

children with asthma, parents of 

Black children were also most likely 

to report the condition as severe (10.3 

percent), compared to 6.5 percent of 

Hispanic, 4.7 percent of multiracial, 

and 3.0 percent of White children. 

Hispanic children had the lowest 

reported rate of asthma. Research has 

consistently found that while parents 

of Hispanic children are less likely than 

non-Hispanic parents to report health 

conditions such as asthma in their children, Hispanic children’s conditions are 

often more severe.3

The prevalence of asthma among 

children is higher among children in 

lower-income households. Of children with household incomes below 

the poverty level, 11.8 percent were 

reported to have asthma, compared 

to 9.7 percent of children with 

household incomes between 100 and 

199 percent of poverty, 8.6 percent 

of children with household incomes 

between 200 and 399 percent of the 

Federal poverty level (FPL), and 7.3 

percent of children with household 

incomes of 400 percent or more of 

the FPL.

Health 

Status Moderate Asthma 2.1% Severe Asthma 0.5%

Mild Asthma 6.4%

Do not have asthma

Children With Asthma

Do Not Have Asthma

91.0%

Have Asthma 9.0%

4

8

12

16

20

Male Female

10.1

Children with Asthma,

by Sex

Percent of Children 

7.9

4

8

12

16

20

Other 

Races*

Multiracial White Black Hispanic

Children with Asthma, by

Race and Ethnicity and Severity 

Percent of Children

*Includes Asian/Pacific Islander and American Indian/Alaska 

Native children.

Total

6.6

Total

13.3

Total

7.1

Total

15.7

Total

8.0

Mild

Moderate

Severe

4

8

12

16

20

400% or

More FPL

200-399%

 FPL

100-199%

 FPL

<100%

 FPL*

Children with Asthma,

by Poverty Status

Percent of Children 

*Federal poverty level was $20,650 for a family of four in 2007.

7.3

8.6

9.7

11.8
The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

12 The Child > Health Status > ADD/ADHD

ADD/ADHD

Attention Deficit Disorder/Attention Deficit Hyperactivity Disorder 

(ADD/ADHD) is a neurobehavioral, or 

psychiatric, disorder that is characterized by chronic inattention and/or 

impulsive hyperactivity severe enough 

to interfere with daily functioning.

Parents of 6.4 percent of children 

reported that their child had ADD/

ADHD at the time of the survey. For 

nearly half of children with ADD/

ADHD, the condition was reported as 

mild (46.9 percent); however, for 39.1 

percent of children with ADD/ADHD 

the severity of the condition was 

reported to be moderate, and for the 

remaining 14.1 percent, the condition 

was considered severe by the parent. The proportion of children with 

ADD/ADHD varied with regard to the 

child’s sex. Boys were significantly 

more likely than girls to have been diagnosed with ADD/ADHD (9.1 versus 

3.5 percent, respectively).

The proportion of children with 

ADD/ADHD varied by race and ethnicity. Parents of multiracial children 

were most likely to have reported that 

their child currently had ADD/ADHD 

(9.3 percent), followed by parents of 

Black and White children (7.4 and 7.2 

percent, respectively). Parents of 3.7 

percent of Hispanic children reported 

that their child had ADD/ADHD, as did 

the parents of 2.8 percent of children 

of other races. The low reported rate 

of ADHD among Hispanic children is 

consistent with other national studies.4

 

The prevalence of ADD/ADHD varied 

with poverty status. Of children with 

household incomes below the poverty 

level, 8.1 percent were reported to have 

ADD/ADHD, compared to 6.8 percent 

of children with household incomes 

between 100 and 199 percent of 

poverty, 5.9 percent of children with 

household incomes between 200 and 

399 percent of the Federal poverty 

level (FPL), and 5.6 percent of children with household incomes of 400 

percent or more of the FPL.

Health 

Status Moderate 2.5% Severe 0.9%

Mild 3.0%

Do not have asthma

Children with ADD/ADHD

Have ADD/ADHD 6.4%

Do Not Have 

ADD/ADHD 

93.6% 4

8

12

16

20

Male Female

9.1

Children with ADD/ADHD,

by Sex

Percent of Children 

3.5

4

8

12

16

20

Other 

Races*

MultiracialWhite Black Hispanic

Children with ADD/ADHD, 

by Race and Ethnicity and Severity

Percent of Children

*Includes Asian/Pacific Islander and American Indian/Alaska 

Native children.

Total

2.8

Total

9.3

Total

3.7

Total

7.2

Total

7.4

Mild

Moderate

Severe

4

8

12

16

20

400% or

More FPL

200-399%

 FPL

100-199%

 FPL

<100% 

FPL*

Children with ADD/ADHD,

by Poverty Status

Percent of Children 

*Federal poverty level was $20,650 for a family of four in 2007.

5.9 5.6

6.8

8.1
The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

The Child > Health Status > Injury 13

Injury

Unintentional injury, including motor vehicle crashes, falls, and cuts, is 

a major risk to children’s health and 

the leading cause of death for children 

over age 1. Parents of children aged 

5 years and younger were asked if 

their child had required medical attention for an accidental injury over 

the past year. Overall, 10.4 percent of 

young children had had an injury that 

required medical attention.

Boys may be more likely to experience serious injury than girls: 11.8 

percent of boys aged 0-5 years had 

an injury requiring medical attention, 

compared to 8.9 percent of girls in 

this age group.

Children with special health care 

needs (CSHCN) may be especially 

likely to experience injuries requiring medical care. Of CSHCN aged 0-5 

years, 18.3 percent had an injury requiring medical attention, compared 

to 9.4 percent of children without 

special health care needs.

Parents were also asked in which 

physical location the child was injured; parents could select more than 

one location if the child was injured 

multiple times. The most common 

location cited by parents was in the 

home (64.2 percent). Child care was 

identified by 10.6 percent of parents 

whose children were injured and 27.2 

percent indicated that the injury occurred at another place.

Health 

Status

Children Aged 0-5 Years

with Injuries* in the Past Year

Had No Injury

89.6%

Had An 

Injury 

10.4%

*Requiring medical attention, not including poisoning.

4

8

12

16

20

Male Female

11.8

Children Aged 0-5 Years with

Injuries in the Past Year, by Sex

Percent of Children 

8.9

4

8

12

16

20

Children Without 

Special Health 

Care Needs

Children With 

Special Health 

Care Needs

18.3

Children Aged 0-5 Years 

with Injuries in the Past Year, 

by CSHCN Status

Percent of Children

9.4

20

40

60

80

100

Some Other 

Place

Home Child Care

64.2

Children Aged 0-5 Years 

with Injuries in the Past Year, 

by Physical Location* of Injury

Percent of Children

27.2

10.6

*Items are not mutually exclusive; parents could select 

more than one location.
The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

14 The Child > Health Status > Breastfeeding

Breastfeeding

Breast milk is widely recognized 

to be the ideal form of nutrition for 

infants. Breastfed infants are less 

susceptible to infectious diseases, 

and children who were breastfed are 

less likely to suffer from diabetes; 

overweight and obesity; asthma; and 

lymphoma, leukemia, and Hodgkin’s 

disease, compared to children who 

were not breastfed. In addition, rates 

of postneonatal mortality (death 

between the first month and the end 

of the first year of life) are lower 

among breastfed infants.5

 Therefore, 

the American Academy of Pediatrics 

recommends that, with few exceptions, all infants be fed with breast 

milk exclusively for the first 6 months 

of life.

Overall, 75.5 percent of children 

aged 0-5 years were ever fed breast 

milk, while the remaining 24.5 percent of children were never breastfed. 

More than 12 percent of children aged 

6 months to 5 years were exclusively 

breastfed—receiving no formula, 

solid food, or water—for their first 6 

months.

The proportion of children ever and 

exclusively breastfed varies by race 

and ethnicity. Among children aged 0 

to 5 years, Hispanic children and children of other races were most likely 

to have ever been breastfed (82.4 and 

82.2 percent, respectively). Nearly 77 

percent of White children and 55.5 

percent of Black children were ever 

breastfed.

Among children aged 6 months to 5 

years, White children were most likely 

to have been exclusively breastfed for 

6 months (13.6 percent), followed 

by Hispanic children and children of 

other races (12.4 and 12.7 percent, 

respectively). More than 11 percent 

of multiracial and 8.3 percent of Black 

children were exclusively breastfed 

for the first 6 months of life.

Health 

Status

Breastfeeding Among Children

Aged 0-5 Years

Never 

Breastfed 

24.5%

Ever Breastfed 

75.5%

Exclusive Breastfeeding for the 

First 6 Months of Life, Among 

Children Aged 6 Months to 5 Years

Breastfed 

Exclusivity 

Unknown 

1.0%

Never 

Breastfed 

25.1%

Breastfed 

But Not 

Exclusive 

61.4%

Exclusively 

Breastfed* 

12.4%

*Fed breast milk exclusively for at least the first 6 months of life.

Percentages may not add to 100 due to rounding.

20

40

60

80

100

 Other 

Races*

Multiracial White Black Hispanic

Breastfeeding Among Children 

Aged 0-5 Years, by Race and Ethnicity Percent of Children

*Includes Asian/Pacific Islander and American Indian/Alaska

Native children.

82.2

74.0

82.4

55.5

76.7

20

40

60

80

Other 

Races*

MultiracialWhite Black Hispanic

Exclusive Breastfeeding Among 

Children Aged 6 Months to 5 Years,

by Race and Ethnicity

Percent of Children 

*Includes Asian/Pacific Islander and American Indian/Alaska

Native children.

12.4 11.2 12.7

8.3

13.6
The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

15

Name

Uscidunt volor amcommolore mod 

do esto dolor susto consed magna 

coreet aut ut la augait dolor se magnisi bla facipit la augait alit wis ad te 

del dit, conse vulla faccum enisci tis 

eraesto enim alismodit, vel esequating eugait non vel dolorper ad magna 

commy nulluptat, con vullame tummod ming et, veros dolore doluptat 

ipit nulla faciliq uiscipit lum dunt 

at et la cons nos acillan utpat iuscin 

eugiam zzrilit augiamconum eugait 

veniam, sustrud mod dunt velesto 

dolor autatum eliquipiscin heniscilisl 

ulputet ad min henibh erostrud er sit, 

volenit aci ex esed eliquam et dolorpe 

riurem acillan endip et, corpero dip 

exer aliquatio core ea facil in velis at, 

commodo dunt lor sum quate dolum 

nulputpat.

Nit am aliquam, venit, si tat ad 

tem iuscipit lan vel et lore diam dunt 

nummod tat vel ipsusto odolobor ipis 

ad magnit augait praestie mincidunt 

vulputpat pratin vero dolenim et, corperosto consequip eugue facipisi.

Enim diatinci ex elis nulpute 

feugiat. Vulput wiscing elesto dolor 

ad min volor aliscil iuscin erillutat. 

Onsequissi tem zzrilisi tatum niat ad 

dit utat luptatum ad erci blam nulla 

faccumsandre vel exer ing exero essitHenit lorem euguero coreet dipit 

laoreri llaore duiscipit adipsum inci 

blam velenisl incin erat dolore diamcons niat eraestrud tat euguero ea 

feugait vent prat, commy nim nos exercil issequis er augiam accum volore 

cor sustrud minim quiscilla commolor 

sequipis eumsan venisi.It la feu facip 

eum ver sis dolestrud modigna feuis 

nos diam, vel duiscinci ea aliquat acin 

volobore dionse dionseq uatumsandre 

cor sed tisim digna consequis ad ting 

el utpat, vero od dolore ea faccumm 

odolestin vullum dignibh ecte eugiam 

verilis at. Accumsa ndigna alit alit 

augiamc onumsandio exer inibh exer 

alit velis adionulla facidunt ad molutpat volore duipsusto cons dolore 

dion vero od el ipissectet, sum in ulla 

commy nons ad do commy nonulla 

aciliquis ate te dipsuscinci tem nos 

nulputp atueratem nim aliquat. Rostrud eum dolutat.

Delissequisi blamet alit, venibh et 

vendio digna facilla augait am, se facilla feuismodions et aute verat ullolum 

iliquiscin veliquissis do et, quat.

Health 

Status

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

The Child > Health Status > Parents’ Concerns and Risk of 

 Developmental Delay

Parents’ Concerns 

and Risk of 

Developmental Delay 

Parental concerns and observations 

about their child’s development and 

behavior are an important indication 

of a child’s potential risk for developmental, behavioral, and/or social 

delays. Parents were asked about 

eight specific concerns they may have 

about their child’s learning, development, or behavior that can predict risk 

of developmental issues. These items 

were based on the Parent’s Evaluation 

of Developmental Status (PEDS©).6

The parents of 40.1 percent of children aged 0-5 years reported at least 

one concern from this list. 

The percentage of children whose 

parents had one or more concerns 

varied by the child’s sex and race/

ethnicity. The parents of more than 

44 percent of boys aged 0-5 years reported at least one concern, compared 

to the parents of 36.0 percent of girls 

(data not shown). White children 

were least likely to have their parents 

report one of more concerns (34.9 

percent), while children of other races 

and Hispanic children were most 

likely (50.6 and 48.1 percent, respectively). The parents of 45.2 percent of 

Black children also had one or more 

concerns.

Some of the eight concerns listed 

in the survey were considered to be 

“predictive” of developmental delay 

based on the age of the child. A child 

whose parents reported having one of 

these predictive concerns was classified as being at moderate risk of delay 

and a child with two or more predictive concerns was considered to be at 

high risk. The parents of 26.4 percent 

of children aged 4 months to 5 years 

indicated that they were at moderate 

or high risk for delay. The percentage 

of children at moderate or high risk of 

developmental or behavioral delays 

also varied by sex and race/ethnicity. Overall, boys were slightly more 

likely to be at moderate or high risk 

for delay than girls (29.2 versus 

23.4 percent, respectively; data not 

shown). Approximately one-third 

of Hispanic children and children of 

other races were at moderate or high 

risk for delays, compared to 21.4 

percent of White and 23.0 percent of 

multiracial children. 

Health 

Status

Children Whose Parents Reported 

Concerns About Child Development,

 Aged 0 to 5 Years

Two or More 

Concerns 

Reported 

25.3%

One Concern 

Reported 

14.8% No Reported

 Concerns 

59.9%

10

20

30

40

50

60

Other

Races*

Multiracial White Black Hispanic

Children Aged 4 Months to 5 Years Who Are 

at Moderate or High Risk for Developmental 

or Behavioral Delays, by Race and Ethnicity Percent of Children

*Includes Asian/Pacific Islanders and American Indian/

Alaksa Natives.

16.616.1 15.1

7.9

18.116.1 17.3

14.3 14.5

7.1

Moderate Risk

High Risk

10

20

30

40

50

60

Other

Races*

MultiracialWhite Black Hispanic

Children Aged 0 to 5 Years 

Whose Parents Reported One or

 More Concerns, by Race and Ethnicity Percent of Children

*Includes Asian/Pacific Islanders and American Indian/

Alaksa Natives.

50.6

37.2

48.1

45.2

34.9

Children at Risk for 

Developmental or Behavioral Delays, 

Aged 4 Months to 5 Years

High Risk

 10.6%

Moderate 

Risk

 15.8%

Low Risk 

13.8%

No Risk 

59.8%
The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

16

Name

Uscidunt volor amcommolore mod 

do esto dolor susto consed magna 

coreet aut ut la augait dolor se magnisi bla facipit la augait alit wis ad te 

del dit, conse vulla faccum enisci tis 

eraesto enim alismodit, vel esequating eugait non vel dolorper ad magna 

commy nulluptat, con vullame tummod ming et, veros dolore doluptat 

ipit nulla faciliq uiscipit lum dunt 

at et la cons nos acillan utpat iuscin 

eugiam zzrilit augiamconum eugait 

veniam, sustrud mod dunt velesto 

dolor autatum eliquipiscin heniscilisl 

ulputet ad min henibh erostrud er sit, 

volenit aci ex esed eliquam et dolorpe 

riurem acillan endip et, corpero dip 

exer aliquatio core ea facil in velis at, 

commodo dunt lor sum quate dolum 

nulputpat.

Nit am aliquam, venit, si tat ad 

tem iuscipit lan vel et lore diam dunt 

nummod tat vel ipsusto odolobor ipis 

ad magnit augait praestie mincidunt 

vulputpat pratin vero dolenim et, corperosto consequip eugue facipisi.

Enim diatinci ex elis nulpute 

feugiat. Vulput wiscing elesto dolor 

ad min volor aliscil iuscin erillutat. 

Onsequissi tem zzrilisi tatum niat ad 

dit utat luptatum ad erci blam nulla 

faccumsandre vel exer ing exero essitHenit lorem euguero coreet dipit 

laoreri llaore duiscipit adipsum inci 

blam velenisl incin erat dolore diamcons niat eraestrud tat euguero ea 

feugait vent prat, commy nim nos exercil issequis er augiam accum volore 

cor sustrud minim quiscilla commolor 

sequipis eumsan venisi.It la feu facip 

eum ver sis dolestrud modigna feuis 

nos diam, vel duiscinci ea aliquat acin 

volobore dionse dionseq uatumsandre 

cor sed tisim digna consequis ad ting 

el utpat, vero od dolore ea faccumm 

odolestin vullum dignibh ecte eugiam 

verilis at. Accumsa ndigna alit alit 

augiamc onumsandio exer inibh exer 

alit velis adionulla facidunt ad molutpat volore duipsusto cons dolore 

dion vero od el ipissectet, sum in ulla 

commy nons ad do commy nonulla 

aciliquis ate te dipsuscinci tem nos 

nulputp atueratem nim aliquat. Rostrud eum dolutat.

Delissequisi blamet alit, venibh et 

vendio digna facilla augait am, se facilla feuismodions et aute verat ullolum 

iliquiscin veliquissis do et, quat.

Health 

Status

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

The Child > Health Status > Social Skills

Social Skills

Children begin developing positive 

social skills at an early age, a process 

that will influence their relationships with others throughout their 

lives. Parents of children aged 6-17 

years were asked if their children had 

never, rarely, sometimes, usually, or 

always exhibited each of the following 

behaviors in the past month: showed 

respect for teachers and neighbors; 

got along well with other children; 

tried to understand other people’s 

feelings; and tried to resolve conflict 

with classmates, family, or friends.

The prevalence of individual social 

skills varied greatly. Parents of 93.7 

percent of children reported that they 

usually or always showed respect 

for teachers and neighbors, and 90.4 

percent get along well with other children, while 75.3 percent of children 

were reported to have tried to understand other people’s feelings, and 68.9 

percent tried to resolve conflict with 

classmates, family, or friends. 

While most children displayed 

positive social skills to some degree, 

children were considered to consistently display social skills if parents 

responded “usually” or “always” 

to two or more of these questions. 

Overall, 93.6 percent of children were 

reported to consistently exhibit positive social skills (data not shown).

The display of social skills varied 

by household income. Children with 

higher household incomes were more 

likely than those with lower incomes 

to do so. Among children aged 6-17 

years with household incomes below the poverty level, 87.9 percent 

conveyed social skills, compared to 

97.3 percent of children whose family 

incomes were 400 percent or more of 

poverty.

Health 

Status

Children Aged 6-17 Years Usually

or Always Exhibiting Social Skills

Percent of Children

90.4

93.7

75.3

68.9

20 40 60 80 100

Tries to Resolve

Conflict With

Classmates,

Family, or

Friends

Tries to

Understand

Other People's

Feelings

Gets Along

Well With

Other Children

Shows Respect

for Teachers

and Neighbors

20

40

60

80

100

400% or 

More FPL

200-399%

 FPL

100-199%

 FPL

<100%

 FPL*

Children Aged 6-17 Years

with Social Skills, by Poverty Status

Percent of Children 

97.3 94.8 91.3 87.9

*Federal poverty level was $20,650 for a family of four in 2007.
The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

17

Name

Uscidunt volor amcommolore mod 

do esto dolor susto consed magna 

coreet aut ut la augait dolor se magnisi bla facipit la augait alit wis ad te 

del dit, conse vulla faccum enisci tis 

eraesto enim alismodit, vel esequating eugait non vel dolorper ad magna 

commy nulluptat, con vullame tummod ming et, veros dolore doluptat 

ipit nulla faciliq uiscipit lum dunt 

at et la cons nos acillan utpat iuscin 

eugiam zzrilit augiamconum eugait 

veniam, sustrud mod dunt velesto 

dolor autatum eliquipiscin heniscilisl 

ulputet ad min henibh erostrud er sit, 

volenit aci ex esed eliquam et dolorpe 

riurem acillan endip et, corpero dip 

exer aliquatio core ea facil in velis at, 

commodo dunt lor sum quate dolum 

nulputpat.

Nit am aliquam, venit, si tat ad 

tem iuscipit lan vel et lore diam dunt 

nummod tat vel ipsusto odolobor ipis 

ad magnit augait praestie mincidunt 

vulputpat pratin vero dolenim et, corperosto consequip eugue facipisi.

Enim diatinci ex elis nulpute 

feugiat. Vulput wiscing elesto dolor 

ad min volor aliscil iuscin erillutat. 

Onsequissi tem zzrilisi tatum niat ad 

dit utat luptatum ad erci blam nulla 

faccumsandre vel exer ing exero essitHenit lorem euguero coreet dipit 

laoreri llaore duiscipit adipsum inci 

blam velenisl incin erat dolore diamcons niat eraestrud tat euguero ea 

feugait vent prat, commy nim nos exercil issequis er augiam accum volore 

cor sustrud minim quiscilla commolor 

sequipis eumsan venisi.It la feu facip 

eum ver sis dolestrud modigna feuis 

nos diam, vel duiscinci ea aliquat acin 

volobore dionse dionseq uatumsandre 

cor sed tisim digna consequis ad ting 

el utpat, vero od dolore ea faccumm 

odolestin vullum dignibh ecte eugiam 

verilis at. Accumsa ndigna alit alit 

augiamc onumsandio exer inibh exer 

alit velis adionulla facidunt ad molutpat volore duipsusto cons dolore 

dion vero od el ipissectet, sum in ulla 

commy nons ad do commy nonulla 

aciliquis ate te dipsuscinci tem nos 

nulputp atueratem nim aliquat. Rostrud eum dolutat.

Delissequisi blamet alit, venibh et 

vendio digna facilla augait am, se facilla feuismodions et aute verat ullolum 

iliquiscin veliquissis do et, quat.

Health 

Status

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

The Child > Health Status > Problem Social Behaviors

Problem 

Social Behaviors

Some children have trouble getting along with others. Parents of 

6- to 17-year-olds were asked if their 

children had never, rarely, sometimes, 

usually, or always exhibited each of 

the following behaviors in the past 

month: arguing too much; bullying or 

being cruel or mean to others; being 

disobedient; and being stubborn, sullen, or irritable. 

The prevalence of specific problem 

behaviors varied greatly. Parents of 

21.3 percent of children reported 

that they usually or always argued 

too much in the past month, while 

only 2.3 percent bullied or were cruel 

to others during that time. Parents 

reported that 4.8 percent of children 

were reported to usually or always 

be disobedient and 9.8 percent of 

children were stubborn, sullen, or 

irritable. 

While many children may occasionally misbehave, children were considered to have problem social behaviors 

if their parents responded “usually” 

or “always” to two or more of these 

problem behavior questions. Overall, 

8.9 percent of children were reported 

to consistently convey problem social 

behaviors (data not shown).

The proportion of parents reporting that their children consistently 

display problem social behaviors 

varied only slightly by sex: 8.4 percent 

of boys and 9.3 percent of girls aged 

6-17 years were reported to do so. The 

prevalence of these behaviors, however, 

is lower in higher-income households. 

Among children aged 6-17 years with 

household incomes below the poverty 

level, 16.1 percent were reported to 

consistently display problem social 

behaviors, compared to 7.3 percent 

of children with household incomes 

between 200 and 399 percent of poverty and 4.9 percent of children with 

household incomes of 400 percent or 

more of poverty.

Health 

Status

Children Aged 6-17 Years 

Usually or Always Exhibiting 

Problem Social Behaviors

Percent of Children

2.3

21.3

4.8

9.8

5 10 15 20 25

Stubborn,

 Sullen,

 or Irritable

Disobedient

Bullies or

 is Cruel

 to Others

Argues

 Too Much

3

6

9

12

15

18

Male Female

Children Aged 6-17 Years Who 

Consistently Exhibit Problem Social 

Behaviors, by Sex

Percent of Children

9.3

8.4

3

6

9

12

15

18

400% or 

More FPL

200-399%

 FPL

100-199%

 FPL

<100%

 FPL*

Children Aged 6-17 Years Who 

Consistently Exhibit Problem Social 

Behaviors, by Poverty Status

Percent of Children 

4.9

7.3

11.1

16.1

*Federal poverty level was $20,650 for a family of four in 2007.
The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

18

Name

Uscidunt volor amcommolore mod 

do esto dolor susto consed magna 

coreet aut ut la augait dolor se magnisi bla facipit la augait alit wis ad te 

del dit, conse vulla faccum enisci tis 

eraesto enim alismodit, vel esequating eugait non vel dolorper ad magna 

commy nulluptat, con vullame tummod ming et, veros dolore doluptat 

ipit nulla faciliq uiscipit lum dunt 

at et la cons nos acillan utpat iuscin 

eugiam zzrilit augiamconum eugait 

veniam, sustrud mod dunt velesto 

dolor autatum eliquipiscin heniscilisl 

ulputet ad min henibh erostrud er sit, 

volenit aci ex esed eliquam et dolorpe 

riurem acillan endip et, corpero dip 

exer aliquatio core ea facil in velis at, 

commodo dunt lor sum quate dolum 

nulputpat.

Nit am aliquam, venit, si tat ad 

tem iuscipit lan vel et lore diam dunt 

nummod tat vel ipsusto odolobor ipis 

ad magnit augait praestie mincidunt 

vulputpat pratin vero dolenim et, corperosto consequip eugue facipisi.

Enim diatinci ex elis nulpute 

feugiat. Vulput wiscing elesto dolor 

ad min volor aliscil iuscin erillutat. 

Onsequissi tem zzrilisi tatum niat ad 

dit utat luptatum ad erci blam nulla 

faccumsandre vel exer ing exero essitHenit lorem euguero coreet dipit 

laoreri llaore duiscipit adipsum inci 

blam velenisl incin erat dolore diamcons niat eraestrud tat euguero ea 

feugait vent prat, commy nim nos exercil issequis er augiam accum volore 

cor sustrud minim quiscilla commolor 

sequipis eumsan venisi.It la feu facip 

eum ver sis dolestrud modigna feuis 

nos diam, vel duiscinci ea aliquat acin 

volobore dionse dionseq uatumsandre 

cor sed tisim digna consequis ad ting 

el utpat, vero od dolore ea faccumm 

odolestin vullum dignibh ecte eugiam 

verilis at. Accumsa ndigna alit alit 

augiamc onumsandio exer inibh exer 

alit velis adionulla facidunt ad molutpat volore duipsusto cons dolore 

dion vero od el ipissectet, sum in ulla 

commy nons ad do commy nonulla 

aciliquis ate te dipsuscinci tem nos 

nulputp atueratem nim aliquat. Rostrud eum dolutat.

Delissequisi blamet alit, venibh et 

vendio digna facilla augait am, se facilla feuismodions et aute verat ullolum 

iliquiscin veliquissis do et, quat.

Health 

Status

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

The Child > Health Status > Missed School Days

Missed School Days

Parents of school-aged children 

(aged 6-17 years) were asked how 

many days of school their children 

had missed because of illness or 

injury during the past year. Overall, 

5.8 percent of children were reported 

by parents to have missed 11 or more 

days of school.

Children with special health care 

needs (CSHCN), whose conditions 

may cause complications that require 

them to miss school, were more likely 

to miss large numbers of school days 

than children without special health 

care needs. Of school-aged CSHCN, 

13.6 percent missed 11 or more days 

of school, compared to 3.5 percent of 

children without special health care 

needs in this age group.

Lower-income children miss more 

days of school than children from 

higher-income households. Among 

school-aged children with household 

incomes below the poverty level, 8.2 

percent missed 11 or more days of 

school, compared to 6.8 percent of 

children with household incomes 

between 100 and 199 percent of poverty and 5.4 percent of children with 

household incomes between 200 and 

399 percent of poverty. Children with 

household incomes of 400 percent or 

more of poverty were least likely to 

have missed 11 or more days of school 

(4.2 percent).

Health 

Status

Number of School Days Missed

in the Past Year Among Children

Aged 6-17 Years

11 or More Days

5.8%

6-10 Days

12.3%

1-5 Days

58.4%

No Days

23.4%

3

6

9

12

15

Children without

 Special Health

 Care Needs

Children with

 Special Health

 Care Needs

Children Aged 6-17 Years Missing

11 or More Days of School in 

the Past Year, by CSHCN Status

Percent of Children

3.5

13.6

3

6

9

12

15

400% or 

More FPL

200-399%

 FPL

100-199%

 FPL

<100%

 FPL*

Children Aged 6-17 Years Missing

11 or More Days of School 

in the Past Year, by Poverty Status

Percent of Children 

4.2

5.4

6.8

8.2

*Federal poverty level was $20,650 for a family of four in 2007.
The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

19

Name

Uscidunt volor amcommolore mod 

do esto dolor susto consed magna 

coreet aut ut la augait dolor se magnisi bla facipit la augait alit wis ad te 

del dit, conse vulla faccum enisci tis 

eraesto enim alismodit, vel esequating eugait non vel dolorper ad magna 

commy nulluptat, con vullame tummod ming et, veros dolore doluptat 

ipit nulla faciliq uiscipit lum dunt 

at et la cons nos acillan utpat iuscin 

eugiam zzrilit augiamconum eugait 

veniam, sustrud mod dunt velesto 

dolor autatum eliquipiscin heniscilisl 

ulputet ad min henibh erostrud er sit, 

volenit aci ex esed eliquam et dolorpe 

riurem acillan endip et, corpero dip 

exer aliquatio core ea facil in velis at, 

commodo dunt lor sum quate dolum 

nulputpat.

Nit am aliquam, venit, si tat ad 

tem iuscipit lan vel et lore diam dunt 

nummod tat vel ipsusto odolobor ipis 

ad magnit augait praestie mincidunt 

vulputpat pratin vero dolenim et, corperosto consequip eugue facipisi.

Enim diatinci ex elis nulpute 

feugiat. Vulput wiscing elesto dolor 

ad min volor aliscil iuscin erillutat. 

Onsequissi tem zzrilisi tatum niat ad 

dit utat luptatum ad erci blam nulla 

faccumsandre vel exer ing exero essitHenit lorem euguero coreet dipit 

laoreri llaore duiscipit adipsum inci 

blam velenisl incin erat dolore diamcons niat eraestrud tat euguero ea 

feugait vent prat, commy nim nos exercil issequis er augiam accum volore 

cor sustrud minim quiscilla commolor 

sequipis eumsan venisi.It la feu facip 

eum ver sis dolestrud modigna feuis 

nos diam, vel duiscinci ea aliquat acin 

volobore dionse dionseq uatumsandre 

cor sed tisim digna consequis ad ting 

el utpat, vero od dolore ea faccumm 

odolestin vullum dignibh ecte eugiam 

verilis at. Accumsa ndigna alit alit 

augiamc onumsandio exer inibh exer 

alit velis adionulla facidunt ad molutpat volore duipsusto cons dolore 

dion vero od el ipissectet, sum in ulla 

commy nons ad do commy nonulla 

aciliquis ate te dipsuscinci tem nos 

nulputp atueratem nim aliquat. Rostrud eum dolutat.

Delissequisi blamet alit, venibh et 

vendio digna facilla augait am, se facilla feuismodions et aute verat ullolum 

iliquiscin veliquissis do et, quat.

Health 

Care

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

The Child > Health Care > Current Health Insurance

Current Health 

Insurance

Parents were asked if their child 

currently had any kind of health 

insurance, including HMOs or government plans such as Medicaid. Overall, 

90.9 percent of children had health 

insurance coverage: 61.8 percent of 

children had private health insurance 

coverage, 29.1 percent had public 

coverage, and 9.2 percent were uninsured. The proportion of children 

reported to have current health insurance varies substantially, however, by 

race and ethnicity and family income.

Nearly 94 percent of White, multiracial, and children of other races 

had current health insurance. More 

than 91 percent of Black children also 

had current coverage, while Hispanic 

children were least likely to have had 

insurance (81.1 percent).

Children in low-income households 

were less likely to have current health 

insurance than children in households with higher incomes. About 85 

percent of children with household 

incomes below 200 percent of the 

Federal poverty level (FPL) had current health insurance, compared to 

92.4 percent of children with household incomes between 200 and 399 

percent of FPL, and 96.5 percent of 

children with household incomes of 

400 percent or more of the FPL. 

Health 

Care

Current Health Insurance 

Coverage Among Children, 

by Type of Coverage

Uninsured 9.2%

Public 

Insurance 

29.1%

Private 

Insurance 

61.8%

Percentages may not add to 100 due to rounding.

20

40

60

80

100

Other

Races*

MultiracialWhite Black Hispanic

Children with Current Health 

Insurance, by Race and Ethnicity

Percent of Children

*Includes Asian/Pacific Islanders and American Indian/

Alaksa Natives.

93.6 93.6

81.1

91.2 93.9

0

20

40

60

80

100

400% or 

More FPL

200-399%

 FPL

100-199%

 FPL

<100%

 FPL*

Children with Current Health 

Insurance, by Poverty Status

Percent of Children 

85.9

92.4 96.5

85.2

*Federal poverty level was $20,650 for a family of four in 2007.
The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

20

Name

Uscidunt volor amcommolore mod 

do esto dolor susto consed magna 

coreet aut ut la augait dolor se magnisi bla facipit la augait alit wis ad te 

del dit, conse vulla faccum enisci tis 

eraesto enim alismodit, vel esequating eugait non vel dolorper ad magna 

commy nulluptat, con vullame tummod ming et, veros dolore doluptat 

ipit nulla faciliq uiscipit lum dunt 

at et la cons nos acillan utpat iuscin 

eugiam zzrilit augiamconum eugait 

veniam, sustrud mod dunt velesto 

dolor autatum eliquipiscin heniscilisl 

ulputet ad min henibh erostrud er sit, 

volenit aci ex esed eliquam et dolorpe 

riurem acillan endip et, corpero dip 

exer aliquatio core ea facil in velis at, 

commodo dunt lor sum quate dolum 

nulputpat.

Nit am aliquam, venit, si tat ad 

tem iuscipit lan vel et lore diam dunt 

nummod tat vel ipsusto odolobor ipis 

ad magnit augait praestie mincidunt 

vulputpat pratin vero dolenim et, corperosto consequip eugue facipisi.

Enim diatinci ex elis nulpute 

feugiat. Vulput wiscing elesto dolor 

ad min volor aliscil iuscin erillutat. 

Onsequissi tem zzrilisi tatum niat ad 

dit utat luptatum ad erci blam nulla 

faccumsandre vel exer ing exero essitHenit lorem euguero coreet dipit 

laoreri llaore duiscipit adipsum inci 

blam velenisl incin erat dolore diamcons niat eraestrud tat euguero ea 

feugait vent prat, commy nim nos exercil issequis er augiam accum volore 

cor sustrud minim quiscilla commolor 

sequipis eumsan venisi.It la feu facip 

eum ver sis dolestrud modigna feuis 

nos diam, vel duiscinci ea aliquat acin 

volobore dionse dionseq uatumsandre 

cor sed tisim digna consequis ad ting 

el utpat, vero od dolore ea faccumm 

odolestin vullum dignibh ecte eugiam 

verilis at. Accumsa ndigna alit alit 

augiamc onumsandio exer inibh exer 

alit velis adionulla facidunt ad molutpat volore duipsusto cons dolore 

dion vero od el ipissectet, sum in ulla 

commy nons ad do commy nonulla 

aciliquis ate te dipsuscinci tem nos 

nulputp atueratem nim aliquat. Rostrud eum dolutat.

Delissequisi blamet alit, venibh et 

vendio digna facilla augait am, se facilla feuismodions et aute verat ullolum 

iliquiscin veliquissis do et, quat.

Health 

Care

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

The Child > Health Care > Insurance Coverage Consistency

Insurance Coverage 

Consistency

Although most children have health 

insurance, many experience a time 

when they are not covered over the 

course of a year. Overall, 15.1 percent 

of children had a gap in their coverage 

in the past year or were uninsured at 

the time of the survey. This proportion varies substantially, however, by 

family income.

Children in low-income households are more likely than children 

in higher-income households to have 

experienced a gap in health insurance 

in the past year. About 24 percent of 

children in households with incomes 

less than 200 percent of the Federal 

poverty level (FPL) lacked consistent 

health insurance coverage. Among 

children in households with incomes 

between 200 and 399 percent of FPL, 

12.4 percent experienced a gap in 

coverage, as did only 5.7 percent of 

children with household incomes of 

400 percent or more of the FPL.

Children with special health care 

needs (CSHCN) were more likely than 

other children to have consistent 

health insurance coverage. Among 

CSHCN, 12.3 percent experienced 

a gap in coverage in the past year, 

compared to 15.8 percent of children 

without special health care needs.

Children who live in two-parent 

families were also more likely to have 

consistent coverage. Of children in 

two-parent families, 13.7 percent had 

a gap in coverage in the past year, 

as did 16.6 percent of children in 

two-parent step-families. In contrast, 

18.5 percent of children who live with 

a single mother, and 18.7 percent 

of children with other family structures, had a gap in coverage (data not 

shown).

Health 

Care

Consistency of Health Insurance 

Coverage Among Children 

in the Past Year

Consistent 

Coverage 

84.9%

Gap in Coverage 

or Currently 

Uninsured 15.1%

5

10

15

20

25

400% or 

More FPL

200-399%

 FPL

100-199% 

FPL

<100% 

FPL*

Children Lacking Consistent

Health Insurance Coverage in the 

Past Year, by Poverty Status

Percent of Children 

5.7

12.4

24.3 24.1

*Federal poverty level was $20,650 for a family of four in 2007.

5

10

15

20

25

Children without 

Special Health 

Care Needs

Children with 

Special Health 

Care Needs

Children Lacking Consistent

Health Insurance Coverage in the 

Past Year, by CSHCN Status

Percent of Children 

15.8

12.3
The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

21

Name

Uscidunt volor amcommolore mod 

do esto dolor susto consed magna 

coreet aut ut la augait dolor se magnisi bla facipit la augait alit wis ad te 

del dit, conse vulla faccum enisci tis 

eraesto enim alismodit, vel esequating eugait non vel dolorper ad magna 

commy nulluptat, con vullame tummod ming et, veros dolore doluptat 

ipit nulla faciliq uiscipit lum dunt 

at et la cons nos acillan utpat iuscin 

eugiam zzrilit augiamconum eugait 

veniam, sustrud mod dunt velesto 

dolor autatum eliquipiscin heniscilisl 

ulputet ad min henibh erostrud er sit, 

volenit aci ex esed eliquam et dolorpe 

riurem acillan endip et, corpero dip 

exer aliquatio core ea facil in velis at, 

commodo dunt lor sum quate dolum 

nulputpat.

Nit am aliquam, venit, si tat ad 

tem iuscipit lan vel et lore diam dunt 

nummod tat vel ipsusto odolobor ipis 

ad magnit augait praestie mincidunt 

vulputpat pratin vero dolenim et, corperosto consequip eugue facipisi.

Enim diatinci ex elis nulpute 

feugiat. Vulput wiscing elesto dolor 

ad min volor aliscil iuscin erillutat. 

Onsequissi tem zzrilisi tatum niat ad 

dit utat luptatum ad erci blam nulla 

faccumsandre vel exer ing exero essitHenit lorem euguero coreet dipit 

laoreri llaore duiscipit adipsum inci 

blam velenisl incin erat dolore diamcons niat eraestrud tat euguero ea 

feugait vent prat, commy nim nos exercil issequis er augiam accum volore 

cor sustrud minim quiscilla commolor 

sequipis eumsan venisi.It la feu facip 

eum ver sis dolestrud modigna feuis 

nos diam, vel duiscinci ea aliquat acin 

volobore dionse dionseq uatumsandre 

cor sed tisim digna consequis ad ting 

el utpat, vero od dolore ea faccumm 

odolestin vullum dignibh ecte eugiam 

verilis at. Accumsa ndigna alit alit 

augiamc onumsandio exer inibh exer 

alit velis adionulla facidunt ad molutpat volore duipsusto cons dolore 

dion vero od el ipissectet, sum in ulla 

commy nons ad do commy nonulla 

aciliquis ate te dipsuscinci tem nos 

nulputp atueratem nim aliquat. Rostrud eum dolutat.

Delissequisi blamet alit, venibh et 

vendio digna facilla augait am, se facilla feuismodions et aute verat ullolum 

iliquiscin veliquissis do et, quat.

Health 

Care

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

The Child > Health Care > Adequacy of Insurance

Adequacy of Insurance

While most children had current 

health insurance coverage at the time 

of the survey, insurance coverage may 

not always be adequate to meet their 

needs. Parents whose children were 

currently insured were asked three 

questions regarding the services and 

costs associated with their child’s 

health insurance. Parents’ responses 

to each of the three questions varied 

significantly. Parents of 18.3 percent 

of currently insured children reported 

that the out-of-pocket costs were 

never or only sometimes reasonable. 

In addition, 7.2 percent of children 

were reported to have health insurance that never or only sometimes 

offers benefits or covers services that 

meet their needs and 5.1 percent were 

reported to have health insurance that 

never or only sometimes allows them 

to see the health care providers they 

need.

Children were considered to have 

adequate health insurance coverage if their parent answered “usually” or “always” to each of the three 

questions. Overall, 23.5 percent of 

children lacked adequate insurance. 

Older children were more likely than 

younger children to lack adequate 

coverage: 26.3 percent of children 

aged 12-17 and 25.2 percent of those 

aged 6-11 years were reported to lack 

adequate insurance, compared to 19.2 

percent of children aged 0-5 years.

Health 

Care

Children with Health Insurance

Coverage Never or Sometimes

Meeting Adequacy Criteria

Percent of Children with Current Coverage

7.2

5.1

18.3

5 10 15 20 25

Out-of-Pocket

 Costs Are

 Reasonable

Allows Child to

 See the Health

 Care Providers

 He/She Needs

Offers Benefits

 or Covers

 Services That

Meet Child's

 Needs

Adequacy of Health

Insurance Coverage Among 

Currently Insured Children 

Health Insurance 

Is Not Adequate 

23.5%

Adequate 

Health Insurance 

76.5% 

6

12

18

24

30

0-5 Years 6-11 Years 12-17 Years

Children Lacking Adequate Health

Insurance Coverage, by Age

Percent of Children with Current Coverage

26.3 25.2

19.2
The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

22

Name

Uscidunt volor amcommolore mod 

do esto dolor susto consed magna 

coreet aut ut la augait dolor se magnisi bla facipit la augait alit wis ad te 

del dit, conse vulla faccum enisci tis 

eraesto enim alismodit, vel esequating eugait non vel dolorper ad magna 

commy nulluptat, con vullame tummod ming et, veros dolore doluptat 

ipit nulla faciliq uiscipit lum dunt 

at et la cons nos acillan utpat iuscin 

eugiam zzrilit augiamconum eugait 

veniam, sustrud mod dunt velesto 

dolor autatum eliquipiscin heniscilisl 

ulputet ad min henibh erostrud er sit, 

volenit aci ex esed eliquam et dolorpe 

riurem acillan endip et, corpero dip 

exer aliquatio core ea facil in velis at, 

commodo dunt lor sum quate dolum 

nulputpat.

Nit am aliquam, venit, si tat ad 

tem iuscipit lan vel et lore diam dunt 

nummod tat vel ipsusto odolobor ipis 

ad magnit augait praestie mincidunt 

vulputpat pratin vero dolenim et, corperosto consequip eugue facipisi.

Enim diatinci ex elis nulpute 

feugiat. Vulput wiscing elesto dolor 

ad min volor aliscil iuscin erillutat. 

Onsequissi tem zzrilisi tatum niat ad 

dit utat luptatum ad erci blam nulla 

faccumsandre vel exer ing exero essitHenit lorem euguero coreet dipit 

laoreri llaore duiscipit adipsum inci 

blam velenisl incin erat dolore diamcons niat eraestrud tat euguero ea 

feugait vent prat, commy nim nos exercil issequis er augiam accum volore 

cor sustrud minim quiscilla commolor 

sequipis eumsan venisi.It la feu facip 

eum ver sis dolestrud modigna feuis 

nos diam, vel duiscinci ea aliquat acin 

volobore dionse dionseq uatumsandre 

cor sed tisim digna consequis ad ting 

el utpat, vero od dolore ea faccumm 

odolestin vullum dignibh ecte eugiam 

verilis at. Accumsa ndigna alit alit 

augiamc onumsandio exer inibh exer 

alit velis adionulla facidunt ad molutpat volore duipsusto cons dolore 

dion vero od el ipissectet, sum in ulla 

commy nons ad do commy nonulla 

aciliquis ate te dipsuscinci tem nos 

nulputp atueratem nim aliquat. Rostrud eum dolutat.

Delissequisi blamet alit, venibh et 

vendio digna facilla augait am, se facilla feuismodions et aute verat ullolum 

iliquiscin veliquissis do et, quat.

Health 

Care

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

The Child > Health Care > Preventive Health Care Visits

Preventive Health 

Care Visits

The Bright Futures guidelines for 

health supervision of infants, children, 

and adolescents recommend that 

children visit a physician six times 

during the first year, three times in the 

second year, and annually thereafter 

for preventive health care visits.2

 An 

annual preventive health care visit 

provides an opportunity to monitor 

a child’s growth and development, to 

assess his or her behavior, to provide 

appropriate immunizations, to discuss 

important issues regarding nutrition 

and prevention of injury and violence, 

and to answer parents’ questions 

about their children’s health and 

care. Overall, 88.5 percent of children 

received a preventive care visit in the 

past year.

The receipt of preventive care visits 

varied by age, health insurance status, 

and race and ethnicity. Parents of 84.2 

percent of children aged 12-17 years 

and of 85.5 percent of those aged 6-11 

years reported that their children 

received a preventive care visit in the 

past year, compared to 96.0 percent of 

children from birth through age 5.

Children without health insurance 

were less likely to receive a preventive 

visit than those with either public or 

private health insurance. While 89.5 

percent of children with private health 

insurance and 91.4 percent of children 

with public health insurance received 

a preventive visit, only 72.6 percent of 

uninsured children did so.

The use of preventive health care 

varied slightly by race and ethnicity as 

well. Black children were most likely to 

have received a preventive visit (91.5 

percent), followed by multiracial and 

White children (89.4 and 88.6 percent, respectively). Hispanic children 

were least likely to have received a 

preventive care visit (85.9 percent).

Health 

Care

Receipt of Preventive Health Care

in the Past Year

No 11.5%

Yes 88.5%

20

40

60

80

100

0-5 Years 6-11 Years 12-17 Years

Receipt of Preventive Health Care

in the Past Year, by Age

Percent of Children

84.2 85.5

96.0

20

40

60

80

100

Private Public Uninsured

Receipt of Preventive Health Care

in the Past Year, by Insurance Status

Percent of Children

72.6

91.4 89.5

20

40

60

80

100

Other

Races*

MultiracialWhite Black Hispanic

Receipt of Preventive Health Care

in the Past Year, by Race and Ethnicity Percent of Children

*Includes Asian/Pacific Islanders and American Indian/

Alaksa Natives.

88.0 89.4 85.9

91.5 88.6
The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

23

Name

Uscidunt volor amcommolore mod 

do esto dolor susto consed magna 

coreet aut ut la augait dolor se magnisi bla facipit la augait alit wis ad te 

del dit, conse vulla faccum enisci tis 

eraesto enim alismodit, vel esequating eugait non vel dolorper ad magna 

commy nulluptat, con vullame tummod ming et, veros dolore doluptat 

ipit nulla faciliq uiscipit lum dunt 

at et la cons nos acillan utpat iuscin 

eugiam zzrilit augiamconum eugait 

veniam, sustrud mod dunt velesto 

dolor autatum eliquipiscin heniscilisl 

ulputet ad min henibh erostrud er sit, 

volenit aci ex esed eliquam et dolorpe 

riurem acillan endip et, corpero dip 

exer aliquatio core ea facil in velis at, 

commodo dunt lor sum quate dolum 

nulputpat.

Nit am aliquam, venit, si tat ad 

tem iuscipit lan vel et lore diam dunt 

nummod tat vel ipsusto odolobor ipis 

ad magnit augait praestie mincidunt 

vulputpat pratin vero dolenim et, corperosto consequip eugue facipisi.

Enim diatinci ex elis nulpute 

feugiat. Vulput wiscing elesto dolor 

ad min volor aliscil iuscin erillutat. 

Onsequissi tem zzrilisi tatum niat ad 

dit utat luptatum ad erci blam nulla 

faccumsandre vel exer ing exero essitHenit lorem euguero coreet dipit 

laoreri llaore duiscipit adipsum inci 

blam velenisl incin erat dolore diamcons niat eraestrud tat euguero ea 

feugait vent prat, commy nim nos exercil issequis er augiam accum volore 

cor sustrud minim quiscilla commolor 

sequipis eumsan venisi.It la feu facip 

eum ver sis dolestrud modigna feuis 

nos diam, vel duiscinci ea aliquat acin 

volobore dionse dionseq uatumsandre 

cor sed tisim digna consequis ad ting 

el utpat, vero od dolore ea faccumm 

odolestin vullum dignibh ecte eugiam 

verilis at. Accumsa ndigna alit alit 

augiamc onumsandio exer inibh exer 

alit velis adionulla facidunt ad molutpat volore duipsusto cons dolore 

dion vero od el ipissectet, sum in ulla 

commy nons ad do commy nonulla 

aciliquis ate te dipsuscinci tem nos 

nulputp atueratem nim aliquat. Rostrud eum dolutat.

Delissequisi blamet alit, venibh et 

vendio digna facilla augait am, se facilla feuismodions et aute verat ullolum 

iliquiscin veliquissis do et, quat.

Health 

Care

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

The Child > Health Care > Preventive Dental Care

Preventive Dental Care

In addition to an annual preventive 

medical care visit, it is also recommended that children see a dentist 

every 6 months beginning by age 1.2

The majority of children aged 1-17 

years (78.4 percent) received at least 

one preventive dental visit in the past 

year.

The receipt of preventive dental 

care varied by age, health insurance 

status, and race and ethnicity. Of 

children aged 6-11 years, 89.5 percent 

received preventive dental care in the 

past year, as did 87.8 percent of those 

aged 12-17 years, compared to 53.5 

percent of children aged 1-5 years.

Children without health insurance 

were less likely to receive preventive 

dental care than those with either 

public or private health insurance. 

While 82.4 percent of children with 

private health insurance and 76.2 

percent of those with public insurance 

received preventive dental care, only 

58.5 percent of uninsured children 

did so.

White children were most likely to 

have received a preventive dental visit 

(80.9 percent), followed by children 

of other races and Black children 

(78.4 and 78.3 percent, respectively). 

Hispanic children were least likely to 

have received a preventive dental care 

(71.5 percent). Nearly 78 percent of 

multiracial children received preventive dental care.

Health 

Care

Receipt of Preventive Dental Care

Among Children Aged 1-17

 in the Past Year

No 21.6%

Yes 78.4%

0

20

40

60

80

100

1-5 Years 6-11 Years 12-17 Years

Receipt of Preventive Dental Care

Among Children Aged 1-17

in the Past Year, by Age

Percent of Children

87.8 89.5

53.5

20

40

60

80

100

Private Public Uninsured

Receipt of Preventive Dental Care

Among Children Aged 1-17

in the Past Year, by Insurance Status

Percent of Children 

58.5

76.2

82.4

20

40

60

80

100

Other 

Races*

MultiracialWhite Black Hispanic

Receipt of Preventive Dental Care

Among Children Aged 1-17

in the Past Year, by Race and Ethnicity Percent of Children

*Includes Asian/Pacific Islanders and American Indian/

Alaksa Natives.

78.4 77.8

71.5

78.3 80.9
The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

24

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iliquiscin veliquissis do et, quat.

Health 

Status

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

The Child > Health Care > Developmental Surveillance and Screening

Developmental 

Surveillance and 

Screening 

Asking about and addressing 

parents’ concerns is one of the most 

important and valuable aspects of 

well-child care. The American Academy of Pediatrics (AAP) recommends 

that pediatricians ask all parents if 

they have concerns about their child’s 

learning, development, or behaviors. In addition, the AAP and Bright 

Futures guidelines call for routine 

screening by pediatric health care 

providers for developmental and 

behavioral problems and delays using 

standardized developmental screening tools.2

Parents were asked a series of 

questions to assess whether children 

received basic developmental surveillance and to measure whether a 

parent completed a developmental 

and behavioral screening tool. Specifically, parents were asked: (1) whether 

the child’s doctors or other health 

care providers asked the parent if he 

or she had concerns about the child’s 

learning, development or behavior; 

and (2) whether parents filled out a 

questionnaire about specific concerns 

and observations they had about their 

child’s development, communication 

or social behavior. These items were 

based on the Promoting Healthy Development Survey.7

Parents of about half of children 

aged 0-5 years were asked by their 

children’s doctors whether they had 

Health 

Care

concerns about their child’s development or behavior, and fewer than 

20 percent of children received a 

standardized developmental screen. 

The likelihood of being asked about 

concerns or receiving a standardized 

screen varied by family income, but did 

not vary by the child’s level of risk for 

developmental or behavioral delays 

(data not shown).

Parents with higher household incomes were more likely to report having been asked about their concerns, 

while parents with lower household 

incomes were more likely to report 

having received a standardized developmental screen. Parents of 55.2 

percent of children with household 

incomes of 400 percent or more of 

the Federal poverty level (FPL) were 

asked about their concerns, compared to parents of 39.6 percent of 

children with household incomes 

below the poverty level. In contrast, 

parents of 21.7 percent of children 

with household incomes below poverty reported receiving developmental screening, compared to parents of 

17.1 percent of children with household incomes of 400 percent or more 

of FPL.

Developmental Surveillance 

for Children Aged 0 to 5 Years

Parents Were Not 

Asked About 

Concerns 

52.0% Parents Were 

Asked About 

Concerns

 48.0%

Standardized Developmental 

Screening for Children 

Aged 10 Months to 5 Years

No Standardized

 Screening 

80.5%

Standardized 

Screening 

Occurred 

19.5%

10

20

30

40

50

60

400% or

 More FPL 

200-399%

 FPL

100-199%

 FPL

<100%

 FPL†

Children Aged 0 to 5 Years Receiving 

Minimum Developmental Surveillance 

or Developmental Screening, 

by Poverty Status

Percent of Children

*Of children whose parents were asked about their concerns 

about their children’s development. **Screening assessed for 

children aged 10 months-5 years. †

Federal poverty level was 

$20,650 for a family of four in 2007. 

17.1

55.2

50.7

18.5

42.9

22.1

39.6

21.7

Developmental Surveillance*

Developmental Screening**
The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

The Child > Health Care > Mental Health Care 25

Mental Health Care

Mental health services, including 

counseling, medications, or specialized therapies, may be beneficial for 

children with behavioral or emotional 

problems. However, these services 

may not be readily available to all 

children who need them.

Among children who had an ongoing emotional, developmental, or 

behavioral problem that required 

treatment or counseling, 60.0 percent 

received mental health care or counseling in the past year. Older children 

were more likely to receive needed 

mental health care; 66.3 percent 

of children aged 12-17 years with 

emotional, developmental, or behavioral problems received mental health 

care in the past year, compared to 

57.8 percent of 6- to 11-year-olds and 

42.2 percent of those aged 2-5 years 

requiring treatment or counseling.

Children with any health insurance 

coverage were also more likely to 

receive needed mental health services 

than those without coverage. Of children with emotional, developmental, 

or behavioral problems who had private insurance, 63.4 percent received 

needed mental health services, as 

did 59.8 percent of publicly-insured 

children. Of uninsured children with 

emotional, developmental, or behavioral problems who needed mental 

health care, only 44.5 percent received 

any mental health care or counseling 

during the past year. 

Among children aged 2-17 years 

with emotional, developmental, and 

behavioral problems requiring treatment, Hispanic children and children of 

other races were least likely to receive 

mental health treatment or counseling (50.6 and 52.9 percent, respectively), compared to 73.8 percent of 

multiracial children and 63.8 percent 

of White children.

Health 

Care

Receipt of Mental Health Services 

in the Past Year Among Children 

Aged 2-17 with Emotional, 

Developmental, or Behavioral Problems

Did Not Receive 

Mental Health 

Services 

40.0% Received 

Mental Health 

Services 

60.0%

10

20

30

40

50

60

70

80

2-5 Years 6-11 Years 12-17 Years

Receipt of Mental Health Services in the 

Past Year Among Children Aged 2-17 

 with Emotional, Developmental, 

or Behavioral Problems, by Age

Percent of Children

42.2

57.8

66.3

10

20

30

40

50

60

70

80

Private Public Uninsured

Receipt of Mental Health Services 

in the Past Year Among Children 

Aged 2-17 with Emotional, 

Developmental, or Behavioral

Problems, by Insurance Status

Percent of Children

44.5

59.8 63.4

10

20

30

40

50

60

70

80

Other 

Races*

Multiracial White Black Hispanic

Receipt of Mental Health Services 

in the Past Year Among Children 

Aged 2-17 with Emotional, 

Developmental, or Behavioral

Problems, by Race and Ethnicity

Percent of Children

*Includes Asian/Pacific Islanders and American Indian/

Alaksa Natives.

52.9

73.8

50.6 54.0

63.8
The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

26 The Child > Health Care > Medical Home

Medical Home

A number of characteristics of 

high-quality health care for children 

can be combined into the concept 

of the medical home. As defined by 

the American Academy of Pediatrics, 

children’s medical care should be accessible, family-centered, continuous, 

comprehensive, coordinated, compassionate, and culturally effective. The 

survey included several questions that 

sought to measure whether a child’s 

health care met this standard:

• Whether the child has at least 

one personal doctor or nurse who 

knows him or her well and a usual 

source of sick care

• Whether the child has no problems gaining referrals to specialty 

care and access to therapies or 

other services or equipment

• Whether the family is very satisfied with the level of communication among their child’s doctors 

and other programs

• Whether the family usually or always gets sufficient help coordinating care when needed and receives 

effective care coordination

• Whether the child’s doctors usually or always spend enough time 

with the family, listen carefully to 

their concerns, are sensitive to their 

values and customs, provide any 

information they need, and make 

the family feel like a partner in their 

child’s care

• Whether an interpreter is usually 

or always available when needed.

A child was defined as having a medical home if his or her care is reported 

to meet all of these criteria. Note that 

the questions and requirements that 

make up the definition of a medical 

home have changed since the 2003 

survey, so the findings presented here 

cannot be compared with the previous 

version.

Overall, the care of 57.5 percent of 

children met this standard. This proportion varied substantially by the race 

and ethnicity of the child: 68.0 percent 

of White children received care from a 

medical home, compared to 44.2 percent of Black children, 63.0 percent of 

multiracial children, 38.5 percent of 

Hispanic children, and 48.6 percent 

of children of other races.

A medical home is particularly 

important for children with special 

health care needs (CSHCN), who are 

more likely to require specialized 

care and services, follow-up, and care 

coordination. Of CSHCN, 49.8 percent were reported to have a medical 

home, compared to 59.4 percent of 

children without special health care 

needs.

Health 

Care

Presence of a Medical Home

Does Not Have a 

Medical Home 

42.5%

Has a 

Medical Home 

57.5%

10

20

30

40

50

60

70

Other 

Races*

MultiracialWhite Black Hispanic

Children with a Medical Home,

by Race and Ethnicity

Percent of Children 

68.0

44.2

*Includes Asian/Pacific Islanders and American Indian/

Alaska Natives.

38.5

63.0

48.6

10

20

30

40

50

60

Children Without

Special Health

 Care Needs

Children With 

Special Health 

Care Needs

Children with a Medical Home,

by CSHCN Status

Percent of Children 

49.8

59.4
The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

The Child > Health Care > Medical Home: Family-Centered Care 27

Medical Home: 

Family-Centered Care

One important aspect of the medical home is whether or not children 

receive care that is “family-centered;” 

that is, whether parents report that 

their children’s doctors usually or 

always spend enough time with them, 

listen carefully to their concerns, are 

sensitive to their values and customs, 

provide needed information, make 

the family feel like a partner in their 

child’s care, and provide an interpreter when needed. Together, these 

measures of family-centered care 

provide an important picture of how 

comfortable families feel with their 

children’s medical care.

Overall, of the children who had at 

least one medical visit in the past year, 

two-thirds (67.4 percent) were reported to have received care that was 

family-centered. The care of more 

than 80 percent of children met four 

of the individual criteria that make 

up this measure: The parents of 89.4 

percent of children report that their 

children’s doctors usually or always 

listen carefully to their concerns; the 

parents of 89.2 percent report that 

their doctors are usually or always 

sensitive to their values and customs; 

the parents of 87.6 percent report 

that their doctors usually or always 

make the family feel like a partner in 

their child’s care; and the parents of 

84.8 percent report that their doctors 

usually or always provide the family 

with the information they need. The 

percentage of children whose parents 

reported that their doctors usually or 

always spend enough time with them 

was 79.3 percent. 

In addition, the parents of 64.2 

percent of children who need an 

interpreter report that an interpreter 

is usually or always available when 

needed.

Health 

Care

Receipt of Family-Centered Care*

Does Not Receive 

Family-Centered 

Care 32.7%

Receives 

Family-Centered 

Care 67.4%

*Among children who had at least one medical visit in the 

past year.

Children Who Usually or Always

Received Each Component of 

Family-Centered Care

Percent of Children

89.2

89.4

87.6

84.8

79.3

64.2

20 40 60 80 100

An Interpreter

 is Available

 When Needed

Doctors Spend Enough

Time with the Family

Doctors Provide

 Needed Information

Doctors Make the Family

 Feel Like a Partner in

the Child's Care

Doctors Are Sensitive

 to the Family's Values

 and Customs

Doctors Listen

Carefully
The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

28 The Child > Health Care > Medical Home: Access and Care Coordination

Medical Home: 

Access and Care 

Coordination

Also important to the concept of the 

medical home is children’s access to 

primary and preventive care, consistent care when they are sick, access 

to referrals when they are needed, 

and support to help to assure that 

the various services they receive are 

coordinated. 

These criteria were met for the majority of children. Overall, 92.2 percent were reported to have a personal 

doctor or nurse, 93.1 percent had a 

source of sick care, and 82.3 percent 

had no problems obtaining referrals 

when needed. The criterion that was 

met for the lowest percentage of children was the receipt of effective care 

coordination services, which was met 

by 68.8 percent of children.

Overall, 75.9 percent of children 

received care that met all four of these 

criteria. Children with private health 

insurance were most likely to have 

care that met all of the criteria for access and coordination (81.9 percent). 

Of children with public insurance, 

69.0 percent received care that met 

all four criteria, as did 57.4 percent of 

uninsured children.

Health 

Care

Children Who Received Each 

Component of Access to Care

and Coordinated Care

Percent of Children

92.2

93.1

82.3

68.8

75.9

20 40 60 80 100

Met All Criteria

 For Access to

 Care and

 Coordinated Care

Receives Effective

 Care Coordination

 Services

Has No Problems

 Obtaining Needed

 Referrals

Has a Personal

 Doctor Or Nurse

Has a Regular

 Source of

Sick Care

20

40

60

80

100

Private Public Uninsured

Children Whose Care Usually 

or Always Met All Criteria for 

Access and Coordination, 

by Insurance Status

Percent of Children

57.4

69.0

81.9
The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

The Child > School and Activities > Playing with Children of the 29

 Same Age

Playing with Children 

of the Same Age

Children learn and develop social 

skills and behaviors through interactions with other children their own 

age. Parents of 1- to 5-year-olds were 

asked to report on how many days 

in the past week their child played 

with other children their own age. In 

all, 31.4 percent of children aged 1-5 

years had played with other children 

every day in the past week, while 32.2 

percent of children did so on 4-6 days, 

27.1 percent played with other children on 1-3 days, and 9.3 percent of 

children had not played with another 

child their own age on any day in the 

past week. 

The frequency with which children 

played with others their own age 

varied by age and family income. Children aged 3-5 years were more likely 

than those aged 1-2 years to have 

played with others (35.3 versus 25.3 

percent, respectively).

Children with lower household 

incomes were also more likely than 

those with higher incomes to have 

played with other children every day. 

Among children with household incomes below the Federal poverty level 

(FPL), 39.6 percent of 1- to 5-yearolds played with others their own age 

every day, while 34.2 percent of those 

with household incomes between 100 

and 199 percent of FPL did so. Approximately 27 percent of 1- to 5-year-olds 

with household incomes of 200 percent 

or more of FPL played with others their 

own age every day in the past week.

School

and 

Activities

Children Aged 1-5 Years Who Played

 With Others Their Own Age 

in the Past Week

Every Day

31.4%

4-6 Days

 32.2%

1-3 Days

 27.1%

No Days

 9.3%

5

10

15

20

25

30

35

40

1-2 Years 3-5 Years

Children Aged 1-5 Years Who Play

With Others Their Own Age 

Every Day, by Age

Percent of Children

25.3

35.3

5

10

15

20

25

30

35

40

400% or

More FPL

200-399%

 FPL

100-199%

 FPL

<100%

 FPL*

Children Aged 1-5 Years Who Play

With Others Their Own Age 

Every Day, by Poverty Status

Percent of Children

39.6

34.2

27.0 27.6

*Federal poverty level was $20,650 for a family of four in 2007.
The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

30 The Child > School and Activities > Early Intervention and Special Education

Early Intervention 

and Special Education

The Individuals with Disabilities 

Education Act (IDEA) provides for 

early intervention services for young 

children (from birth through age 2) 

and special education services for 

older children (ages 3 and older) to 

minimize the effects of developmental 

delays and learning disabilities that 

could otherwise limit children’s developmental and educational prospects. 

Early intervention includes physical, 

occupational, and speech therapy for 

young children with developmental 

problems, and special education programs provide therapies and educational services. Overall, 2.8 percent 

of children from age 1 to less than 

3 years received early intervention 

services, while 5.4 percent of children 

aged 3 to less than 6 years received 

special education services.

For both programs, receipt of 

services varied by sex and household 

income. Boys were more likely to 

receive early intervention and special 

education services (3.4 and 7.2 percent, respectively) compared to girls 

(2.2 and 3.5 percent, respectively).

Among children aged 1 to less than 

3 years, those with household incomes between 100 and 199 percent 

of the Federal poverty level (FPL) 

were most likely to receive early 

intervention services (4.2 percent), 

followed by 3.2 percent of those with 

household incomes between 200 and 

399 percent of FPL, and 1.9 percent of 

those in the lowest and highest income 

categories.

Similarly, among children aged 3 to 

less than 6 years, those with household 

incomes between 100 and 199 percent 

of FPL were most likely to receive special education services (6.9 percent), 

compared to 6.1 percent of children 

with household incomes below poverty, and 4.9 percent of those with 

household incomes between 200 and 

399 percent of FPL.

School

and

Activities

Receipt of Early Intervention 

Services by Children 

Aged 1 to Less Than 3 Years

No 97.2%

Yes 2.8%

Receipt of Special Education 

Services by Children 

Aged 3 to Less Than 6 Years

No 94.6%

Yes 5.4%

3

6

9

12

Early Intervention Special Education

Receipt of Early Intervention 

and Special Education* 

by Children, by Sex

Percent of Children

3.4 3.5

2.2

7.2

Male

Female

*Early intervention services received by children aged 1 to <3 years; 

special education received by children aged 3 to <6 years. 

3

6

9

12

400% or 

More FPL

200-399%

 FPL

100-199%

 FPL

<100% 

FPL**

Receipt of Early Intervention and 

Special Education* by Children, 

by Poverty Status

Percent of Children

4.4 4.9

6.9

1.9

6.1

4.2

3.2

1.9

*Early intervention services received by children aged 1 to <3 years; 

special education received by children aged 3 to <6 years. 

**Federal poverty level was $20,650 for a family of four in 2007.

Early Intervention

Special Education
The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

The Child > School and Activities > School Engagement 31

School Engagement

Parents of school-aged children 

(aged 6-17 years) were asked two 

questions to assess their child’s engagement in school: whether the child 

cares about doing well in school and 

whether the child does all required 

homework. Children were considered 

to be engaged in school if their parent 

responded “usually” or “always” to 

both of these items. Overall, 80.5 percent of children aged 6-17 years were 

engaged in school.

This varied, however, by the child’s 

sex and age, and whether or not the 

child had special health care needs. 

Female children were more likely than 

males to be engaged in school (86.3 

versus 74.9 percent, respectively), and 

children aged 6-11 years were more 

likely than adolescents aged 12-17 

years to be engaged (85.9 versus 

75.4 percent, respectively). Only 

69.5 percent of children with special 

health care needs were reported to be 

engaged in school, compared to 83.7 

percent of children without special 

health care needs.

School

and 

Activities

Children Aged 6-17 Years

Engaged in School

No 

19.5%

Yes 

80.5% 20

40

60

80

100

Male Female

Children Aged 6-17 Years

Engaged in School, by Sex

Percent of Children

74.9

86.3

20

40

60

80

100

6-11 Years 12-17 Years

Children Aged 6-17 Years

Engaged in School, by Age

Percent of Children

85.9

75.4

20

40

60

80

100

Children Without

 Special Health 

Care Needs

Children With

 Special Health

 Care Needs

69.5

Children Aged 6-17 Years Engaged

 in School, by CSHCN Status

Percent of Children

83.7
The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

32 The Child > School and Activities > Repeating a Grade

Repeating a Grade

Parents of school-aged children 

(aged 6-17 years) were asked if their 

children had repeated one or more 

grades since starting school. Overall, 

10.6 percent of children aged 6-17 

years had repeated a grade.

Boys are more likely to repeat a 

grade than girls. Of school-aged boys, 

12.7 percent were reported to have 

repeated at least one grade, compared to 8.4 percent of girls (data not 

shown).

The likelihood of repeating a grade 

increases with age. Of children aged 

6-11 years, 8.5 percent were reported 

to have repeated a grade, compared to 

12.6 percent of 12- to 17-year-olds.

Children in low-income households 

are also more likely to repeat a grade 

than children with higher household 

incomes. Among school-aged children with household incomes below 

the poverty level, 21.7 percent were 

reported to have repeated at least 

one grade, compared to 13.8 percent 

children with household incomes 

between 100 and 199 percent of the 

Federal poverty level (FPL). Among 

children with household incomes 

between 200 and 399 percent of FPL, 

8.2 percent had repeated a grade, 

as had 4.5 percent of children with 

household incomes of 400 percent or 

more of FPL.

School

and

Activities

Children Aged 6-17 Years

Who Have Repeated a Grade

No 

89.4%

Yes 

10.6%

0

5

10

15

20

25

400% or

 More FPL

200-399%

 FPL

100-199%

 FPL

<100% 

FPL*

Children Aged 6-17 Years Who Have

Repeated a Grade, by Poverty Status

Percent of Children

4.5

8.2

13.8

21.7

*Federal poverty level was $20,650 for a family of four in 2007.

5

10

15

20

25

6-11 Years 12-17 Years

Children Aged 6-17 Years

Who Have Repeated a Grade, by Age

Percent of Children

8.5

12.6
The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

The Child > School and Activities > Activities Outside of School 33

Activities Outside of 

School

For school-aged children, participation in activities—such as sports 

teams, lessons, clubs, or religious 

groups—after school or on the 

weekends can be an important part of 

overall development and can provide 

enrichment and contribute to the development of social skills. Parents of 

children aged 6-17 years were asked 

if their children had participated in 

any of these types of activities in the 

past year. Overall, 80.7 percent of 

school-aged children participated in 

at least one organized activity outside 

of school.

Participation in activities outside 

of school varied by race and ethnicity. Among children aged 6-17 years, 

White children were most likely to 

have participated in activities outside 

of school (87.5 percent), followed by 

multiracial children (84.0 percent), 

children of other races (81.8 percent), 

and Black children (75.4 percent). 

Only 63.4 percent of school-aged Hispanic children participated in activities outside of school.

Participation in activities outside 

of school increases with household 

income. While 56.6 percent of schoolaged children with household incomes 

below the Federal poverty level (FPL) 

participated in at least one activity 

outside of school, 74.0 percent of 

children with household incomes between 100 and 199 percent of FPL did 

so. Among children aged 6-17 years, 

85.6 percent of those with household 

incomes between 200 and 399 percent 

of FPL participated in outside activities, as did 93.6 percent of those with 

household incomes of 400 percent or 

more of FPL.

School

and 

Activities

Participation in Activities Outside of 

School Among Children Aged 6-17 Years 

No 

19.3%

Yes 

80.7%

20

40

60

80

100

Other 

Races*

MultiracialWhite Black Hispanic

Participation in Activities 

Outside of School Among 

Children Aged 6-17 Years, 

by Race and Ethnicity

Percent of Children

87.5

75.4

*Includes Asian/Pacific Islanders and American Indian/

Alaska Natives.

63.4

84.0 81.8

20

40

60

80

100

400% or

 More FPL

200-399%

 FPL

100-199%

 FPL

<100%

 FPL*

Participation in Activities 

Outside of School Among 

Children Aged 6-17 Years, 

by Poverty Status

Percent of Children

93.6

85.6

74.0

56.6

*Federal poverty level was $20,650 for a family of four in 2007.
The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

34 The Child > School and Activities > Screen Time

Screen Time

The Bright Futures guidelines for 

infants, children, and adolescents recommend that parents limit children’s 

screen time to 1-2 hours per day for 

children aged 1-5 years.2

 Parents of 

children aged 1-5 years were asked 

how many hours children spent 

watching TV or videos on weekdays. 

Overall, only 7.9 percent of children 

aged 1-5 years did not watch any TV, 

while 37.7 percent watched 1 hour or 

less per weekday, and 54.4 percent 

watched TV for more than 1 hour per 

weekday.

Children in households with incomes between 100 and 199 percent 

of the Federal poverty level (FPL) 

were most likely to have watched 

more than 1 hour of TV per day (60.0 

percent). Among children with household incomes below 100 percent of 

the FPL, 57.7 percent watched more 

than 1 hour of TV per day, as did 55.4 

percent of children in households 

with incomes between 200 and 399 

percent of the FPL and 46.5 percent of 

those with household incomes of 400 

percent or more of the FPL.

Bright Futures guidelines also recommend that children of all ages not 

have a TV in their bedroom. Among 

children aged 6-17 years, 50 percent 

were reported to have a TV in their 

bedroom. Children aged 6-17 years in 

lower-income households were more 

likely to have a TV in their room than 

those in higher-income households. 

Among children aged 6-17 years with 

household incomes below the FPL, 60.9 

percent had a TV in their bedroom, 

compared to 57.6 percent of those with 

incomes between 100 and 199 percent 

of FPL and 51.4 percent of those with 

incomes between 200 and 399 percent 

of FPL. Children with household incomes of 400 percent or more of FPL 

were least likely to have a TV in their 

bedroom (37.6 percent).

School

and

Activities

Screen Time Among Children

 Aged 1-5 Years

More Than 1 Hour 

Per Weekday

 54.4%

1 Hour or Less 

Per Weekday

 37.7%

None

 7.9%

0

20

40

60

80

100

400% or 

More FPL

200-399%

 FPL

100-199%

 FPL

<100%

 FPL*

Greater Than 1 Hour Per Day 

of Screen Time Among Children 

Aged 1-5 Years, by Poverty Status

Percent of Children

46.5

55.4 60.0 57.7

*Federal poverty level was $20,650 for a family of four in 2007.

Children Aged 6-17 Years 

with a TV in Their Bedroom

No 

49.9%

Yes 

50.1%

20

40

60

80

100

400% or

 More FPL

200-399%

 FPL

100-199%

 FPL

<100%

 FPL*

Children Aged 6-17 Years 

with a TV in Their Bedroom,

by Poverty Status

Percent of Children

37.6

51.4

57.6 60.9

*Federal poverty level was $20,650 for a family of four in 2007.
The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

The Child > School and Activities > Reading for Pleasure 35

Reading for Pleasure

Parents of school-aged children 

(aged 6-17 years) were asked how 

much time their child spent reading 

for pleasure on an average school day. 

Overall, 84.2 percent of children in 

this age group read for pleasure for 

some amount of time, and those who 

did read were reported to spend an 

average of 61.1 minutes per school 

day reading.

Girls are more likely to read for 

pleasure than boys. Of girls aged 6-17 

years, 88.7 percent were reported to 

read for pleasure on an average school 

day, compared to 79.9 percent of boys 

in this age group.

Younger children are more apt to 

read for pleasure than older children. 

Of children aged 6-11 years, 89.9 

percent read for pleasure, compared 

to 78.8 percent of adolescents aged 

12-17 years.

School

and 

Activities

Reading for Pleasure Among 

Children Aged 6-17 Years 

Reads for 

Pleasure 

84.2%

Does Not 

Read for 

Pleasure

 15.8%

20

40

60

80

100

Male Female

Children Aged 6-17 Years

Who Read for Pleasure, by Sex

Percent of Children

79.9

88.7

20

40

60

80

100

6-11 Years 12-17 Years

Children Aged 6-17 Years

Who Read for Pleasure, by Age

Percent of Children

89.9

78.8
The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

36 The Child > School and Activities > Working for Pay

Working for Pay

Parents of children aged 12-17 

years were asked whether their 

children worked for pay in the past 

week, and if so, how many hours their 

children had worked for pay in the 

past week.* Overall, 36.0 percent of 

children aged 12-17 years had worked 

for pay; the parents of those who did 

work for pay reported that their children worked an average of 8.8 hours.

Overall, 11.5 percent of 12- to 17-

year-olds worked for pay for at least 

10 hours a week. Children aged 12-17 

years whose households had incomes 

below the Federal poverty level (FPL) 

were least likely to have worked 10 or 

more hours for pay in the past week 

(7.4 percent), compared to children 

in higher-income households. Children in households with incomes 

between 200 and 399 percent of FPL 

were most likely to have worked (13.0 

percent), followed by 12.1 percent of 

those with household incomes of 400 

percent or more of FPL, and 11.3 percent of those with incomes between 

100 and 199 percent of FPL.

The percentage of children working outside the home for pay for 10 

or more hours in the past week also 

varied by race and ethnicity. Among 

children aged 12-17 years, White 

children were the most likely to have 

worked for pay for at least 10 hours 

(13.4 percent), followed by multiracial 

children (10.3 percent), and Black children (9.6 percent). Hispanic children 

and children of other races were least 

likely to have worked 10 or more hours 

in the past week (8.2 and 8.1 percent, 

respectively).

*The question asked in 2007 was rephrased since the 2003 National Survey of Children’s Health, resulting in higher estimates. 2003 and 2007 

estimates should not be compared.

School

and

Activities

Children Aged 12-17 Years 

Working Outside the Home

for Pay in the Past Week 

Did Not Work

 for Pay in

 the Last Week

 64.0%

Worked for Pay 

in the Last Week

 36.0%

5

10

15

20

25

400% or 

More FPL

200-399%

 FPL

100-199%

 FPL

<100% 

FPL*

Children Aged 12-17 Years Working

10 Hours or More for Pay in the

Past Week, by Poverty Status

Percent of Children

12.1 13.0

11.3

7.4

*Federal poverty level was $20,650 for a family of four in 2007.

5

10

15

20

25

Other 

Races*

MultiracialWhite Black Hispanic

Children Aged 12-17 Years 

Working 10 Hours or More for Pay 

in the Past Week, by Race and Ethnicity Percent of Children

13.4

9.6

*Includes Asian/Pacific Islanders and American Indian/

Alaska Natives.

8.2

10.3

8.1
The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

The Child > School and Activities > Volunteering 37

Volunteering

Parents of children aged 12-17 

years were asked how often their children had participated in community 

service or volunteer activities during 

the past year, including activities at 

school, church, and in the community. 

Among children in this age group, 

37.1 percent of children participated 

in these types of activities a few times 

a month or more during the past year, 

while 40.8 percent did so a few times 

that year and 22.0 percent had not 

participated in any community service 

or volunteer activities in the past year.

Girls aged 12-17 years appear to 

be more likely to have volunteered a 

few times a month or more than boys 

of the same age group. Of girls aged 

12-17, 40.6 percent had volunteered a 

few times a month or more, while 33.7 

percent of boys did so.

Participation in community service 

or volunteer activities did not vary 

dramatically by household income. 

Approximately 36 percent of children 

with household incomes below 400 

percent of the Federal poverty level 

participated in these types of activities at least a few times a month in the 

past year, while 39.3 percent of children with household incomes of 400 

percent or more of poverty did so.

School

and 

Activities

Volunteering Among Children 

Aged 12-17 Years in the Past Year 

A Few Times 

a Month or More 

37.1%

A Few Times

 a Year 

40.8%

Never 

22.0%

10

20

30

40

50

Male Female

Volunteering at Least a Few Times

 a Month Among Children 

Aged 12-17 Years, by Sex

Percent of Children

33.7

40.6

10

20

30

40

50

400% or

 More FPL

200-399%

 FPL

100-199%

 FPL

<100%

 FPL*

Volunteering at Least a Few 

Times a Month Among 

Children Aged 12-17 Years, 

by Poverty Status

Percent of Children

39.3

35.9 36.0 36.5

*Federal poverty level was $20,650 for a family of four in 2007.
The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

39

The Child’s Family

The family environment, including parents’ physical and mental health and the activities that go on at home, provide the 

backdrop and context for children’s health and development. Therefore, the survey explored a number of aspects of the family, including shared activities (such as reading, singing, and telling stories to young children; shared meals; and attending 

religious services) as well as risk factors (such as smoking in the household, parenting stress, and the health status of the 

child’s parents). These indicators provide a picture of some of the factors that can influence children’s health and well-being.
The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

40

Name

Uscidunt volor amcommolore mod 

do esto dolor susto consed magna 

coreet aut ut la augait dolor se magnisi bla facipit la augait alit wis ad te 

del dit, conse vulla faccum enisci tis 

eraesto enim alismodit, vel esequating eugait non vel dolorper ad magna 

commy nulluptat, con vullame tummod ming et, veros dolore doluptat 

ipit nulla faciliq uiscipit lum dunt 

at et la cons nos acillan utpat iuscin 

eugiam zzrilit augiamconum eugait 

veniam, sustrud mod dunt velesto 

dolor autatum eliquipiscin heniscilisl 

ulputet ad min henibh erostrud er sit, 

volenit aci ex esed eliquam et dolorpe 

riurem acillan endip et, corpero dip 

exer aliquatio core ea facil in velis at, 

commodo dunt lor sum quate dolum 

nulputpat.

Nit am aliquam, venit, si tat ad 

tem iuscipit lan vel et lore diam dunt 

nummod tat vel ipsusto odolobor ipis 

ad magnit augait praestie mincidunt 

vulputpat pratin vero dolenim et, corperosto consequip eugue facipisi.

Enim diatinci ex elis nulpute 

feugiat. Vulput wiscing elesto dolor 

ad min volor aliscil iuscin erillutat. 

Onsequissi tem zzrilisi tatum niat ad 

dit utat luptatum ad erci blam nulla 

faccumsandre vel exer ing exero essitHenit lorem euguero coreet dipit 

laoreri llaore duiscipit adipsum inci 

blam velenisl incin erat dolore diamcons niat eraestrud tat euguero ea 

feugait vent prat, commy nim nos exercil issequis er augiam accum volore 

cor sustrud minim quiscilla commolor 

sequipis eumsan venisi.It la feu facip 

eum ver sis dolestrud modigna feuis 

nos diam, vel duiscinci ea aliquat acin 

volobore dionse dionseq uatumsandre 

cor sed tisim digna consequis ad ting 

el utpat, vero od dolore ea faccumm 

odolestin vullum dignibh ecte eugiam 

verilis at. Accumsa ndigna alit alit 

augiamc onumsandio exer inibh exer 

alit velis adionulla facidunt ad molutpat volore duipsusto cons dolore 

dion vero od el ipissectet, sum in ulla 

commy nons ad do commy nonulla 

aciliquis ate te dipsuscinci tem nos 

nulputp atueratem nim aliquat. Rostrud eum dolutat.

Delissequisi blamet alit, venibh et 

vendio digna facilla augait am, se facilla feuismodions et aute verat ullolum 

iliquiscin veliquissis do et, quat.

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

The Child’s Family > Reading, Singing, and Telling Stories

Reading, Singing, and 

Telling Stories

Reading, telling stories, and singing 

to young children regularly can lay the 

foundation for future literacy and educational success. Parents of children 

aged 0-5 years were asked how often 

their children were read to during the 

past week. A total of 47.8 percent of 

children in this age group were read 

to by a parent or other family member 

every day.

The likelihood of children being 

read to every day differs by race and 

ethnicity. More than half of White 

(57.4 percent), multiracial (54.1 

percent) and children of other races 

(50.8 percent) were read to every day, 

compared to 38.6 percent of Black 

children and 28.2 percent of Hispanic 

children.

Parents were also asked how often 

they or other family members sang 

songs or told stories to their children in the past week. Overall, 59.1 

percent of children aged 0-5 years 

were sung to or told stories every day. 

Singing and storytelling also varied by 

race and ethnicity: More than 65 percent of White and multiracial children 

were sung to or told stories every day, 

compared to 59.7 percent of children 

of other races, 55.4 percent of Black 

children, and 42.9 percent of Hispanic 

children.

Reading to Children

Aged 0-5 Years

Not Read to 

Every Day 

52.2%

Read to 

Every Day 

47.8%

15

30

45

60

75

Other 

Races*

MultiracialWhite Black Hispanic

Children Aged 0-5 Years 

Who Are Read to Every Day,

by Race and Ethnicity

Percent of Children

*Includes Asian/Pacific Islanders and American Indian/

Alaksa Natives.

50.8 54.1

28.2

38.6

57.4

Singing and Telling Stories 

to Children Aged 0-5 Years

Not Sung to 

or Told Stories 

Every Day 

40.9%

Sung to or

 Told Stories 

Every Day 

59.1% 15

30

45

60

75

Other 

Races*

MultiracialWhite Black Hispanic

Children Aged 0-5 Years 

Who Are Sung to or Told Stories

Every Day, by Race and Ethnicity

Percent of Children

*Includes Asian/Pacific Islanders and American Indian/

Alaksa Natives.

59.7

66.5

42.9

55.4

65.7
The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

41

Name

Uscidunt volor amcommolore mod 

do esto dolor susto consed magna 

coreet aut ut la augait dolor se magnisi bla facipit la augait alit wis ad te 

del dit, conse vulla faccum enisci tis 

eraesto enim alismodit, vel esequating eugait non vel dolorper ad magna 

commy nulluptat, con vullame tummod ming et, veros dolore doluptat 

ipit nulla faciliq uiscipit lum dunt 

at et la cons nos acillan utpat iuscin 

eugiam zzrilit augiamconum eugait 

veniam, sustrud mod dunt velesto 

dolor autatum eliquipiscin heniscilisl 

ulputet ad min henibh erostrud er sit, 

volenit aci ex esed eliquam et dolorpe 

riurem acillan endip et, corpero dip 

exer aliquatio core ea facil in velis at, 

commodo dunt lor sum quate dolum 

nulputpat.

Nit am aliquam, venit, si tat ad 

tem iuscipit lan vel et lore diam dunt 

nummod tat vel ipsusto odolobor ipis 

ad magnit augait praestie mincidunt 

vulputpat pratin vero dolenim et, corperosto consequip eugue facipisi.

Enim diatinci ex elis nulpute 

feugiat. Vulput wiscing elesto dolor 

ad min volor aliscil iuscin erillutat. 

Onsequissi tem zzrilisi tatum niat ad 

dit utat luptatum ad erci blam nulla 

faccumsandre vel exer ing exero essitHenit lorem euguero coreet dipit 

laoreri llaore duiscipit adipsum inci 

blam velenisl incin erat dolore diamcons niat eraestrud tat euguero ea 

feugait vent prat, commy nim nos exercil issequis er augiam accum volore 

cor sustrud minim quiscilla commolor 

sequipis eumsan venisi.It la feu facip 

eum ver sis dolestrud modigna feuis 

nos diam, vel duiscinci ea aliquat acin 

volobore dionse dionseq uatumsandre 

cor sed tisim digna consequis ad ting 

el utpat, vero od dolore ea faccumm 

odolestin vullum dignibh ecte eugiam 

verilis at. Accumsa ndigna alit alit 

augiamc onumsandio exer inibh exer 

alit velis adionulla facidunt ad molutpat volore duipsusto cons dolore 

dion vero od el ipissectet, sum in ulla 

commy nons ad do commy nonulla 

aciliquis ate te dipsuscinci tem nos 

nulputp atueratem nim aliquat. Rostrud eum dolutat.

Delissequisi blamet alit, venibh et 

vendio digna facilla augait am, se facilla feuismodions et aute verat ullolum 

iliquiscin veliquissis do et, quat.

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

The Child’s Family > Sharing Meals

Sharing Meals

Eating together as a family can 

promote family bonding and good 

nutrition and eating habits. Overall, 

the parents of 45.8 percent of children 

reported that their families had eaten 

at least one meal together every day 

during the previous week. More than 

31 percent of families were reported 

to eat meals together on 4-6 days per 

week, while 19.1 percent ate meals 

together on only 1-3 days per week 

and 4.1 percent of families did not eat 

at least one meal together during the 

previous week. On average, children 

and families ate meals together on 5.4 

days during the previous week.

The likelihood of sharing meals 

is lower in households with higher 

incomes. Among children with household incomes below 100 percent of 

the Federal poverty level (FPL), 58.2 

percent ate at least one meal together 

with their families every day, while 

48.8 percent of children whose household incomes were between 100 and 

199 percent of FPL did so. Nearly 43 

percent of children with household incomes between 200 and 399 percent 

of FPL and 38.9 percent of children 

in households with incomes of 400 

percent or more of FPL ate a meal 

together with their families every day.

Eating meals together every day 

also varied by race and ethnicity. 

Children of other races and Hispanic 

children were most likely to eat at least 

one meal together as a family every day 

(59.6 and 53.8 percent, respectively), 

followed by multiracial children (49.0 

percent). About 42 percent of Black 

and White children ate meals with family members every day.

Children Sharing at Least One Meal 

with Their Families

No Days 4.1%

1-3 Days 

19.1%

4-6 Days 

31.1%

Every Day 

45.8%

15

30

45

60

75

400% or 

More FPL

200-399%

 FPL

100-199%

 FPL

<100%

 FPL*

Children Sharing Meals with 

Their Families Every Day,

by Poverty Status

Percent of Children

38.9

42.9

48.8

58.2

*Federal poverty level was $20,650 for a family of four in 2007.

15

30

45

60

75

Other 

Races*

MultiracialWhite Black Hispanic

Children Sharing Meals with

 Their Families Every Day,

by Race and Ethnicity

Percent of Children

*Includes Asian/Pacific Islanders and American Indian/

Alaksa Natives.

59.6

49.0

53.8

42.6 42.0
The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

42

Name

Uscidunt volor amcommolore mod 

do esto dolor susto consed magna 

coreet aut ut la augait dolor se magnisi bla facipit la augait alit wis ad te 

del dit, conse vulla faccum enisci tis 

eraesto enim alismodit, vel esequating eugait non vel dolorper ad magna 

commy nulluptat, con vullame tummod ming et, veros dolore doluptat 

ipit nulla faciliq uiscipit lum dunt 

at et la cons nos acillan utpat iuscin 

eugiam zzrilit augiamconum eugait 

veniam, sustrud mod dunt velesto 

dolor autatum eliquipiscin heniscilisl 

ulputet ad min henibh erostrud er sit, 

volenit aci ex esed eliquam et dolorpe 

riurem acillan endip et, corpero dip 

exer aliquatio core ea facil in velis at, 

commodo dunt lor sum quate dolum 

nulputpat.

Nit am aliquam, venit, si tat ad 

tem iuscipit lan vel et lore diam dunt 

nummod tat vel ipsusto odolobor ipis 

ad magnit augait praestie mincidunt 

vulputpat pratin vero dolenim et, corperosto consequip eugue facipisi.

Enim diatinci ex elis nulpute 

feugiat. Vulput wiscing elesto dolor 

ad min volor aliscil iuscin erillutat. 

Onsequissi tem zzrilisi tatum niat ad 

dit utat luptatum ad erci blam nulla 

faccumsandre vel exer ing exero essitHenit lorem euguero coreet dipit 

laoreri llaore duiscipit adipsum inci 

blam velenisl incin erat dolore diamcons niat eraestrud tat euguero ea 

feugait vent prat, commy nim nos exercil issequis er augiam accum volore 

cor sustrud minim quiscilla commolor 

sequipis eumsan venisi.It la feu facip 

eum ver sis dolestrud modigna feuis 

nos diam, vel duiscinci ea aliquat acin 

volobore dionse dionseq uatumsandre 

cor sed tisim digna consequis ad ting 

el utpat, vero od dolore ea faccumm 

odolestin vullum dignibh ecte eugiam 

verilis at. Accumsa ndigna alit alit 

augiamc onumsandio exer inibh exer 

alit velis adionulla facidunt ad molutpat volore duipsusto cons dolore 

dion vero od el ipissectet, sum in ulla 

commy nons ad do commy nonulla 

aciliquis ate te dipsuscinci tem nos 

nulputp atueratem nim aliquat. Rostrud eum dolutat.

Delissequisi blamet alit, venibh et 

vendio digna facilla augait am, se facilla feuismodions et aute verat ullolum 

iliquiscin veliquissis do et, quat.

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

The Child’s Family > Religious Services

Religious Services

Attendance at religious services is 

another activity that families can do 

together that can involve children in 

the broader community. Overall, the 

parents of 53.7 percent of children 

reported that their children attended 

religious services at least once a week, 

while 20.7 percent do not attend any 

religious services.

Children in middle childhood (aged 

6-11 years) were more likely than 

younger and older children to attend 

religious services at least once a week 

(58.1 percent). In comparison, 49.6 

percent of children aged 0-5 years 

and 53.4 percent of those aged 12-17 

years attended religious services at 

least once a week.

Attendance at religious services 

also varied by race and ethnicity. 

Black children were most likely to attend religious services at least weekly 

(61.8 percent), followed by Hispanic 

children (56.0 percent). Slightly more 

than half of White children attended 

services each week, as did 48.1 percent of children of other races and 

44.9 percent of multiracial children.

Attendance at Religious Services

Among Children

Never 

20.7%

At Least 

Once a Year 

8.9%

At Least 

Once a Month 

16.8%

At Least 

Once a Week 

53.7%

15

30

45

60

75

0-5 Years 6-11 Years 12-17 Years

Weekly Attendance at

Religious Services Among 

Children, by Age

Percent of Children

58.1

53.4

49.6

15

30

45

60

75

Other 

Races*

MultiracialWhite Black Hispanic

Weekly Attendance at Religious 

Services Among Children, 

by Race and Ethnicity

Percent of Children

*Includes Asian/Pacific Islanders and American Indian/

Alaksa Natives.

48.1

44.9

56.0

61.8

51.7
The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

43

Name

Uscidunt volor amcommolore mod 

do esto dolor susto consed magna 

coreet aut ut la augait dolor se magnisi bla facipit la augait alit wis ad te 

del dit, conse vulla faccum enisci tis 

eraesto enim alismodit, vel esequating eugait non vel dolorper ad magna 

commy nulluptat, con vullame tummod ming et, veros dolore doluptat 

ipit nulla faciliq uiscipit lum dunt 

at et la cons nos acillan utpat iuscin 

eugiam zzrilit augiamconum eugait 

veniam, sustrud mod dunt velesto 

dolor autatum eliquipiscin heniscilisl 

ulputet ad min henibh erostrud er sit, 

volenit aci ex esed eliquam et dolorpe 

riurem acillan endip et, corpero dip 

exer aliquatio core ea facil in velis at, 

commodo dunt lor sum quate dolum 

nulputpat.

Nit am aliquam, venit, si tat ad 

tem iuscipit lan vel et lore diam dunt 

nummod tat vel ipsusto odolobor ipis 

ad magnit augait praestie mincidunt 

vulputpat pratin vero dolenim et, corperosto consequip eugue facipisi.

Enim diatinci ex elis nulpute 

feugiat. Vulput wiscing elesto dolor 

ad min volor aliscil iuscin erillutat. 

Onsequissi tem zzrilisi tatum niat ad 

dit utat luptatum ad erci blam nulla 

faccumsandre vel exer ing exero essitHenit lorem euguero coreet dipit 

laoreri llaore duiscipit adipsum inci 

blam velenisl incin erat dolore diamcons niat eraestrud tat euguero ea 

feugait vent prat, commy nim nos exercil issequis er augiam accum volore 

cor sustrud minim quiscilla commolor 

sequipis eumsan venisi.It la feu facip 

eum ver sis dolestrud modigna feuis 

nos diam, vel duiscinci ea aliquat acin 

volobore dionse dionseq uatumsandre 

cor sed tisim digna consequis ad ting 

el utpat, vero od dolore ea faccumm 

odolestin vullum dignibh ecte eugiam 

verilis at. Accumsa ndigna alit alit 

augiamc onumsandio exer inibh exer 

alit velis adionulla facidunt ad molutpat volore duipsusto cons dolore 

dion vero od el ipissectet, sum in ulla 

commy nons ad do commy nonulla 

aciliquis ate te dipsuscinci tem nos 

nulputp atueratem nim aliquat. Rostrud eum dolutat.

Delissequisi blamet alit, venibh et 

vendio digna facilla augait am, se facilla feuismodions et aute verat ullolum 

iliquiscin veliquissis do et, quat.

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

The Child’s Family > Parental Health Status

Parental Health Status

The physical and emotional health 

of a child’s parents can affect their 

ability to care for their children and 

can influence the health and wellbeing of the family as a whole. Among 

children who live with their mothers, 

56.9 percent of mothers rated both 

their physical and mental/emotional 

health as “excellent” or “very good.” 

Similarly, of children who live with 

their fathers, the fathers of 62.7 percent were reported to be in excellent 

or very good physical and mental/

emotional health.

The mothers of 64.7 percent of 

children reported that their physical 

health is excellent or very good, while 

69.5 percent of children’s fathers did 

so. The percentage of children whose 

parents’ mental or emotional health 

was reported to be excellent or very 

good is slightly higher: mothers of 

71.5 percent of children and fathers 

of 77.1 percent of children reported 

excellent or very good mental health.

Mother’s Health Status

Neither Physical

Nor Mental Health 

Excellent/Very Good

 20.7%

Only Mental Health

Excellent/Very Good 7.8%

Only 

Physical Health

Excellent/Very Good

 14.6%

Physical and 

Mental Health 

Excellent/Very Good 

56.9%

20

40

60

80

100

Mental/Emotional 

Health

Physical 

Health

Children Whose Mothers Are in

 Excellent/Very Good Health,* by Type Percent of Children

71.5

64.7

*Among children with a biological, step, foster, or adoptive 

mother in the household.

Father’s Health Status

Neither Physical Nor 

Mental Health 

Excellent/Very Good 16.1%

Only Mental Health 

Excellent/Very Good 6.8%

Only 

Physical Health 

Excellent/Very Good 

14.4%

Physical and 

Mental Health 

Excellent/Very Good 

62.7%

20

40

60

80

100

Mental/Emotional 

Health

Physical 

Health

Children Whose Fathers Are in

 Excellent/Very Good Health,* by Type Percent of Children

77.1

69.5

*Among children with a biological, step, foster, or adoptive 

father in the household.
The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

44

Name

Uscidunt volor amcommolore mod 

do esto dolor susto consed magna 

coreet aut ut la augait dolor se magnisi bla facipit la augait alit wis ad te 

del dit, conse vulla faccum enisci tis 

eraesto enim alismodit, vel esequating eugait non vel dolorper ad magna 

commy nulluptat, con vullame tummod ming et, veros dolore doluptat 

ipit nulla faciliq uiscipit lum dunt 

at et la cons nos acillan utpat iuscin 

eugiam zzrilit augiamconum eugait 

veniam, sustrud mod dunt velesto 

dolor autatum eliquipiscin heniscilisl 

ulputet ad min henibh erostrud er sit, 

volenit aci ex esed eliquam et dolorpe 

riurem acillan endip et, corpero dip 

exer aliquatio core ea facil in velis at, 

commodo dunt lor sum quate dolum 

nulputpat.

Nit am aliquam, venit, si tat ad 

tem iuscipit lan vel et lore diam dunt 

nummod tat vel ipsusto odolobor ipis 

ad magnit augait praestie mincidunt 

vulputpat pratin vero dolenim et, corperosto consequip eugue facipisi.

Enim diatinci ex elis nulpute 

feugiat. Vulput wiscing elesto dolor 

ad min volor aliscil iuscin erillutat. 

Onsequissi tem zzrilisi tatum niat ad 

dit utat luptatum ad erci blam nulla 

faccumsandre vel exer ing exero essitHenit lorem euguero coreet dipit 

laoreri llaore duiscipit adipsum inci 

blam velenisl incin erat dolore diamcons niat eraestrud tat euguero ea 

feugait vent prat, commy nim nos exercil issequis er augiam accum volore 

cor sustrud minim quiscilla commolor 

sequipis eumsan venisi.It la feu facip 

eum ver sis dolestrud modigna feuis 

nos diam, vel duiscinci ea aliquat acin 

volobore dionse dionseq uatumsandre 

cor sed tisim digna consequis ad ting 

el utpat, vero od dolore ea faccumm 

odolestin vullum dignibh ecte eugiam 

verilis at. Accumsa ndigna alit alit 

augiamc onumsandio exer inibh exer 

alit velis adionulla facidunt ad molutpat volore duipsusto cons dolore 

dion vero od el ipissectet, sum in ulla 

commy nons ad do commy nonulla 

aciliquis ate te dipsuscinci tem nos 

nulputp atueratem nim aliquat. Rostrud eum dolutat.

Delissequisi blamet alit, venibh et 

vendio digna facilla augait am, se facilla feuismodions et aute verat ullolum 

iliquiscin veliquissis do et, quat.

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

The Child’s Family > Smoking in the Household

Smoking in the 

Household

Exposure to environmental 

smoke— from cigarettes, cigars, or 

pipes— can be a serious health hazard 

for children. According to the Centers 

for Disease Control and Prevention, 

exposure to secondhand smoke is associated with higher rates of sudden 

infant death syndrome (SIDS), more 

frequent and severe asthma, and acute 

respiratory infections in young children.8

 Parents were asked whether 

anyone in the household used cigarettes, cigars, or pipe tobacco. Overall, 

26.2 percent of children were reported to live in households where someone smokes, 7.6 percent of whom 

were exposed to secondhand smoke 

inside their homes (data not shown).

More than one-third of multiracial children (35.6 percent) lived in 

households with a smoker, as did 27.3 

percent of White and 27.1 percent of 

Black children. Rates of household 

smoking among other racial and ethnic groups were lower: 22.6 percent of 

Hispanic children and 17.8 percent of 

children of other races lived in households with a smoker.

Rates of household smoking are 

lower in households with higher 

incomes. Of children with household 

incomes below the poverty level, 36.9 

percent lived in a household with a 

smoker, as did 33.9 percent of children 

with household incomes between 

100 and 199 percent of the Federal 

poverty level (FPL). Of children with 

household incomes between 200 and 

399 percent of FPL, 25.1 percent lived 

with a smoker, and of children with 

household incomes of 400 percent or 

more of FPL, only 15.0 percent had a 

smoker in the household.

Children Living in Households

with a Smoker

No One 

in Household 

Smokes 

73.8%

Someone 

in Household 

Smokes 

26.2%

10

20

30

40

50

Other 

Races*

MultiracialWhite Black Hispanic

Children Living in Households 

with a Smoker, by Race and Ethnicity Percent of Children

*Includes Asian/Pacific Islanders and American Indian/

Alaksa Natives.

17.8

35.6

22.6

27.3 27.1

10

20

30

40

50

400% or 

More FPL

200-399%

 FPL

100-199%

 FPL

<100%

 FPL*

Children Living in Households

with a Smoker, by Poverty Status

Percent of Children

33.9

25.1

15.0

36.9

*Federal poverty level was $20,650 for a family of four in 2007.
The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

45

Name

Uscidunt volor amcommolore mod 

do esto dolor susto consed magna 

coreet aut ut la augait dolor se magnisi bla facipit la augait alit wis ad te 

del dit, conse vulla faccum enisci tis 

eraesto enim alismodit, vel esequating eugait non vel dolorper ad magna 

commy nulluptat, con vullame tummod ming et, veros dolore doluptat 

ipit nulla faciliq uiscipit lum dunt 

at et la cons nos acillan utpat iuscin 

eugiam zzrilit augiamconum eugait 

veniam, sustrud mod dunt velesto 

dolor autatum eliquipiscin heniscilisl 

ulputet ad min henibh erostrud er sit, 

volenit aci ex esed eliquam et dolorpe 

riurem acillan endip et, corpero dip 

exer aliquatio core ea facil in velis at, 

commodo dunt lor sum quate dolum 

nulputpat.

Nit am aliquam, venit, si tat ad 

tem iuscipit lan vel et lore diam dunt 

nummod tat vel ipsusto odolobor ipis 

ad magnit augait praestie mincidunt 

vulputpat pratin vero dolenim et, corperosto consequip eugue facipisi.

Enim diatinci ex elis nulpute 

feugiat. Vulput wiscing elesto dolor 

ad min volor aliscil iuscin erillutat. 

Onsequissi tem zzrilisi tatum niat ad 

dit utat luptatum ad erci blam nulla 

faccumsandre vel exer ing exero essitHenit lorem euguero coreet dipit 

laoreri llaore duiscipit adipsum inci 

blam velenisl incin erat dolore diamcons niat eraestrud tat euguero ea 

feugait vent prat, commy nim nos exercil issequis er augiam accum volore 

cor sustrud minim quiscilla commolor 

sequipis eumsan venisi.It la feu facip 

eum ver sis dolestrud modigna feuis 

nos diam, vel duiscinci ea aliquat acin 

volobore dionse dionseq uatumsandre 

cor sed tisim digna consequis ad ting 

el utpat, vero od dolore ea faccumm 

odolestin vullum dignibh ecte eugiam 

verilis at. Accumsa ndigna alit alit 

augiamc onumsandio exer inibh exer 

alit velis adionulla facidunt ad molutpat volore duipsusto cons dolore 

dion vero od el ipissectet, sum in ulla 

commy nons ad do commy nonulla 

aciliquis ate te dipsuscinci tem nos 

nulputp atueratem nim aliquat. Rostrud eum dolutat.

Delissequisi blamet alit, venibh et 

vendio digna facilla augait am, se facilla feuismodions et aute verat ullolum 

iliquiscin veliquissis do et, quat.

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

The Child’s Family > Parental Stress

Parental Stress

The demands of parenting can 

cause considerable stress for families. 

Parents were asked how often during the past month they had felt that 

their child was much harder to care 

for than others of his or her age; how 

often the child did things that really 

bothered them a lot; and how often 

they had felt angry with the child. 

Parents were considered to often feel 

stressed if they answered “usually” or 

“always” to at least one of these measures: Overall, parents of 10.2 percent 

of children reported often feeling 

stressed.*

Levels of stress appear to be higher 

among parents of older children. 

While the parents of only 9.3 percent 

of children aged 0-11 years reported 

often feeling stressed, the parents of 

12.0 percent of 12- to 17-year-olds 

met the standard for parenting stress.

Lower household income is also 

associated with higher levels of parenting stress. Among children with 

household incomes below the Federal poverty level (FPL), the parents 

of 17.6 percent reported high levels 

of stress, compared to parents of 

12.8 percent of children with household incomes between 100 and 199 

percent of poverty. Of children with 

household incomes between 200 and 

Parental Stress

Rarely, Sometimes,

 or Never Feel Stress

 89.8%

Usually or Always Feel

 at Least One Form

 of Stress 10.2%

2

4

6

8

10

12

14

16

18

20

0-5 Years 6-11 Years 12-17 Years

Children Whose Parents Usually

 or Always Feel Stress, 

by Child’s Age

Percent of Children 

9.3

12.0

9.3

2

4

6

8

10

12

14

16

18

20

400% or

 More FPL

200-399%

 FPL

100-199%

 FPL

<100%

 FPL*

Children Whose Parents Usually or

Always Feel Stress, by Poverty Status

Percent of Children 

12.8

8.4

5.7

17.6

*Federal poverty level was $20,650 for a family of four in 2007.

399 percent of FPL, the parents of 8.4 

percent of children reported high stress 

levels, as did parents of 5.7 percent of 

children with household incomes of 

400 percent or more of FPL.

* Due to changes in response options to the survey questions, 2007 data cannot be directly compared with that from 2003.
The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

46

Name

Uscidunt volor amcommolore mod 

do esto dolor susto consed magna 

coreet aut ut la augait dolor se magnisi bla facipit la augait alit wis ad te 

del dit, conse vulla faccum enisci tis 

eraesto enim alismodit, vel esequating eugait non vel dolorper ad magna 

commy nulluptat, con vullame tummod ming et, veros dolore doluptat 

ipit nulla faciliq uiscipit lum dunt 

at et la cons nos acillan utpat iuscin 

eugiam zzrilit augiamconum eugait 

veniam, sustrud mod dunt velesto 

dolor autatum eliquipiscin heniscilisl 

ulputet ad min henibh erostrud er sit, 

volenit aci ex esed eliquam et dolorpe 

riurem acillan endip et, corpero dip 

exer aliquatio core ea facil in velis at, 

commodo dunt lor sum quate dolum 

nulputpat.

Nit am aliquam, venit, si tat ad 

tem iuscipit lan vel et lore diam dunt 

nummod tat vel ipsusto odolobor ipis 

ad magnit augait praestie mincidunt 

vulputpat pratin vero dolenim et, corperosto consequip eugue facipisi.

Enim diatinci ex elis nulpute 

feugiat. Vulput wiscing elesto dolor 

ad min volor aliscil iuscin erillutat. 

Onsequissi tem zzrilisi tatum niat ad 

dit utat luptatum ad erci blam nulla 

faccumsandre vel exer ing exero essitHenit lorem euguero coreet dipit 

laoreri llaore duiscipit adipsum inci 

blam velenisl incin erat dolore diamcons niat eraestrud tat euguero ea 

feugait vent prat, commy nim nos exercil issequis er augiam accum volore 

cor sustrud minim quiscilla commolor 

sequipis eumsan venisi.It la feu facip 

eum ver sis dolestrud modigna feuis 

nos diam, vel duiscinci ea aliquat acin 

volobore dionse dionseq uatumsandre 

cor sed tisim digna consequis ad ting 

el utpat, vero od dolore ea faccumm 

odolestin vullum dignibh ecte eugiam 

verilis at. Accumsa ndigna alit alit 

augiamc onumsandio exer inibh exer 

alit velis adionulla facidunt ad molutpat volore duipsusto cons dolore 

dion vero od el ipissectet, sum in ulla 

commy nons ad do commy nonulla 

aciliquis ate te dipsuscinci tem nos 

nulputp atueratem nim aliquat. Rostrud eum dolutat.

Delissequisi blamet alit, venibh et 

vendio digna facilla augait am, se facilla feuismodions et aute verat ullolum 

iliquiscin veliquissis do et, quat.

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

The Child’s Family > Child Care

Child Care

The availability of child care, and 

the need to make backup child care 

arrangements in emergencies, can 

also put stress on parents and families. Overall, parents of 54.2 percent 

of children reported that their child 

needed and received some form of 

nonparental child care; however, 

parents of an additional 9.1 percent 

of children reported needing but not 

receiving child care during the past 

month (data not shown). 

Parents of children aged 0-5 years 

who received care from someone other than a parent were asked whether 

they had had to make different child 

care arrangements in the past month 

due to circumstances beyond their 

control and whether anyone in the 

family had had to quit a job, not take 

a job, or greatly change their job 

because of child care problems within 

the past year. Among parents with 

children receiving care, 30.7 percent 

reported at least one of these child 

care issues.

Parents of Black and multiracial 

children were most likely to have reported at least one child care problem 

(35.8 and 35.5 percent, respectively), 

compared to 30.4 percent of White 

children and 30.0 percent of children 

of other races. Parents of Hispanic 

children were least likely to have 

reported child care problems (27.8 

percent).

Problems with child care appear to 

be more common among families with 

single mothers than among two-parent 

families or families of other structures: 

the parents of 38.9 percent of children 

of single mothers reported at least one 

child care problem. Among children 

with two biological or adoptive parents, 

parents of 29.2 percent had child 

care problems, while 29.9 percent of 

those with a two-parent stepfamily 

did so. Among children in families 

with other structures, the parents of 

30.7 percent experienced at least one 

child care problem.

Children Aged 0-5 Years 

Whose Families Experienced

Child Care Problems

One or More 

Child Care 

Issues Reported 

30.7%

No Child Care

 Issues Reported 

69.3%

10

20

30

40

50

Other 

Races*

MultiracialWhite Black Hispanic

Children Whose Families Experienced

One or More Child Care Problems,

by Race and Ethnicity

Percent of Children

*Includes Asian/Pacific Islanders and American Indian/

Alaksa Natives.

30.0

35.5

27.8

35.8

30.4

Children Whose Families Experienced

One or More Child Care Problems,

by Family Structure

Percent of Children

29.2

29.9

38.9

30.7

8 16 24 32 40

Other Family

 Structures

Single Mother,

 No Father

 Present

Two-Parent

Stepfamily

Two-Parent

Family,

Biological

or Adoptive
The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

47

The Child and Family’s 

Neighborhood

A child’s safety in the neighborhood and at school, the amount of support families feel they receive from their neighbors, 

the amenities offered in and the physical condition of the neighborhood, and the availability of child care all affect a family’s 

comfort in their community and in the child’s freedom within the neighborhood. A number of questions within the survey 

were used to develop indicators that reflect the family-friendliness of the child and family’s neighborhood.
The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

48

Name

Uscidunt volor amcommolore mod 

do esto dolor susto consed magna 

coreet aut ut la augait dolor se magnisi bla facipit la augait alit wis ad te 

del dit, conse vulla faccum enisci tis 

eraesto enim alismodit, vel esequating eugait non vel dolorper ad magna 

commy nulluptat, con vullame tummod ming et, veros dolore doluptat 

ipit nulla faciliq uiscipit lum dunt 

at et la cons nos acillan utpat iuscin 

eugiam zzrilit augiamconum eugait 

veniam, sustrud mod dunt velesto 

dolor autatum eliquipiscin heniscilisl 

ulputet ad min henibh erostrud er sit, 

volenit aci ex esed eliquam et dolorpe 

riurem acillan endip et, corpero dip 

exer aliquatio core ea facil in velis at, 

commodo dunt lor sum quate dolum 

nulputpat.

Nit am aliquam, venit, si tat ad 

tem iuscipit lan vel et lore diam dunt 

nummod tat vel ipsusto odolobor ipis 

ad magnit augait praestie mincidunt 

vulputpat pratin vero dolenim et, corperosto consequip eugue facipisi.

Enim diatinci ex elis nulpute 

feugiat. Vulput wiscing elesto dolor 

ad min volor aliscil iuscin erillutat. 

Onsequissi tem zzrilisi tatum niat ad 

dit utat luptatum ad erci blam nulla 

faccumsandre vel exer ing exero essitHenit lorem euguero coreet dipit 

laoreri llaore duiscipit adipsum inci 

blam velenisl incin erat dolore diamcons niat eraestrud tat euguero ea 

feugait vent prat, commy nim nos exercil issequis er augiam accum volore 

cor sustrud minim quiscilla commolor 

sequipis eumsan venisi.It la feu facip 

eum ver sis dolestrud modigna feuis 

nos diam, vel duiscinci ea aliquat acin 

volobore dionse dionseq uatumsandre 

cor sed tisim digna consequis ad ting 

el utpat, vero od dolore ea faccumm 

odolestin vullum dignibh ecte eugiam 

verilis at. Accumsa ndigna alit alit 

augiamc onumsandio exer inibh exer 

alit velis adionulla facidunt ad molutpat volore duipsusto cons dolore 

dion vero od el ipissectet, sum in ulla 

commy nons ad do commy nonulla 

aciliquis ate te dipsuscinci tem nos 

nulputp atueratem nim aliquat. Rostrud eum dolutat.

Delissequisi blamet alit, venibh et 

vendio digna facilla augait am, se facilla feuismodions et aute verat ullolum 

iliquiscin veliquissis do et, quat.

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

The Child and Family’s Neighborhood >Neighborhood Amenities

Neighborhood 

Amenities

The availability of neighborhood 

amenities, such as playgrounds, community centers, and libraries, provide 

children with opportunities for recreation, education, and socializing without going far from home. Overall, 73.3 

percent of children were reported to 

live in neighborhoods with sidewalks 

or walking paths; 80.8 percent had a 

park or playground in their neighborhood; 86.0 percent had a library or 

bookmobile in the community; and 

65.0 percent had a recreation center, 

community center, or Boys’ and Girls’ 

club. Only 4.6 percent of children 

were reported to live in neighborhoods with none of these amenities, 

while 48.2 percent of children lived 

in neighborhoods with all of these 

amenities (data not shown).

Children’s Access to

Neighborhood Amenities

Percent of Children

80.8

73.3

86.0

65.0

4.6

20 40 60 80 100

No Neighborhood 

Amenities

Recreation Center,

 Community Center,

 or Boys' and Girls'

 Club in Community

Library or

 Bookmobile

 in Community

Sidewalks or

 Walking Paths

 in Neighborhood

Parks or

 Playgrounds

 in Neighborhood
The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

49

Name

Uscidunt volor amcommolore mod 

do esto dolor susto consed magna 

coreet aut ut la augait dolor se magnisi bla facipit la augait alit wis ad te 

del dit, conse vulla faccum enisci tis 

eraesto enim alismodit, vel esequating eugait non vel dolorper ad magna 

commy nulluptat, con vullame tummod ming et, veros dolore doluptat 

ipit nulla faciliq uiscipit lum dunt 

at et la cons nos acillan utpat iuscin 

eugiam zzrilit augiamconum eugait 

veniam, sustrud mod dunt velesto 

dolor autatum eliquipiscin heniscilisl 

ulputet ad min henibh erostrud er sit, 

volenit aci ex esed eliquam et dolorpe 

riurem acillan endip et, corpero dip 

exer aliquatio core ea facil in velis at, 

commodo dunt lor sum quate dolum 

nulputpat.

Nit am aliquam, venit, si tat ad 

tem iuscipit lan vel et lore diam dunt 

nummod tat vel ipsusto odolobor ipis 

ad magnit augait praestie mincidunt 

vulputpat pratin vero dolenim et, corperosto consequip eugue facipisi.

Enim diatinci ex elis nulpute 

feugiat. Vulput wiscing elesto dolor 

ad min volor aliscil iuscin erillutat. 

Onsequissi tem zzrilisi tatum niat ad 

dit utat luptatum ad erci blam nulla 

faccumsandre vel exer ing exero essitHenit lorem euguero coreet dipit 

laoreri llaore duiscipit adipsum inci 

blam velenisl incin erat dolore diamcons niat eraestrud tat euguero ea 

feugait vent prat, commy nim nos exercil issequis er augiam accum volore 

cor sustrud minim quiscilla commolor 

sequipis eumsan venisi.It la feu facip 

eum ver sis dolestrud modigna feuis 

nos diam, vel duiscinci ea aliquat acin 

volobore dionse dionseq uatumsandre 

cor sed tisim digna consequis ad ting 

el utpat, vero od dolore ea faccumm 

odolestin vullum dignibh ecte eugiam 

verilis at. Accumsa ndigna alit alit 

augiamc onumsandio exer inibh exer 

alit velis adionulla facidunt ad molutpat volore duipsusto cons dolore 

dion vero od el ipissectet, sum in ulla 

commy nons ad do commy nonulla 

aciliquis ate te dipsuscinci tem nos 

nulputp atueratem nim aliquat. Rostrud eum dolutat.

Delissequisi blamet alit, venibh et 

vendio digna facilla augait am, se facilla feuismodions et aute verat ullolum 

iliquiscin veliquissis do et, quat.

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

The Child and Family’s Neighborhood > Neighborhood Conditions

Neighborhood 

Conditions

The physical environment can affect the physical health, safety, social 

opportunities, and development of a 

child. Poor neighborhood conditions, 

such as dilapidated housing, evidence 

of vandalism, and litter or garbage on 

the street may contribute adversely, 

either directly or indirectly, to a child’s 

overall well-being.

Parents of 17.0 percent of children 

reported that they lived in neighborhoods with litter or garbage on the 

street or sidewalk, while 14.6 percent 

of children were reported to live in 

neighborhoods with poorly kept or 

dilapidated housing, and 11.6 percent 

lived in neighborhoods with evidence 

of vandalism, such as broken windows or graffiti. Overall, 71.4 percent 

of children were reported to live in 

neighborhoods with none of these 

conditions, while the remaining 28.6 

percent lived in neighborhoods with 

at least one of these conditions (data 

not shown).

Condition of Children’s

Neighborhoods

Percent of Children

17.0

14.6

11.6

71.4

16 32 48 64 80

None of

 These

 Conditions

Vandalism

 (Broken

 Windows

 or Graffiti)

Poorly Kept or

 Dilapidated

Housing

Litter or Garbage

 on Street or

 Sidewalk
The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

50

Name

Uscidunt volor amcommolore mod 

do esto dolor susto consed magna 

coreet aut ut la augait dolor se magnisi bla facipit la augait alit wis ad te 

del dit, conse vulla faccum enisci tis 

eraesto enim alismodit, vel esequating eugait non vel dolorper ad magna 

commy nulluptat, con vullame tummod ming et, veros dolore doluptat 

ipit nulla faciliq uiscipit lum dunt 

at et la cons nos acillan utpat iuscin 

eugiam zzrilit augiamconum eugait 

veniam, sustrud mod dunt velesto 

dolor autatum eliquipiscin heniscilisl 

ulputet ad min henibh erostrud er sit, 

volenit aci ex esed eliquam et dolorpe 

riurem acillan endip et, corpero dip 

exer aliquatio core ea facil in velis at, 

commodo dunt lor sum quate dolum 

nulputpat.

Nit am aliquam, venit, si tat ad 

tem iuscipit lan vel et lore diam dunt 

nummod tat vel ipsusto odolobor ipis 

ad magnit augait praestie mincidunt 

vulputpat pratin vero dolenim et, corperosto consequip eugue facipisi.

Enim diatinci ex elis nulpute 

feugiat. Vulput wiscing elesto dolor 

ad min volor aliscil iuscin erillutat. 

Onsequissi tem zzrilisi tatum niat ad 

dit utat luptatum ad erci blam nulla 

faccumsandre vel exer ing exero essitHenit lorem euguero coreet dipit 

laoreri llaore duiscipit adipsum inci 

blam velenisl incin erat dolore diamcons niat eraestrud tat euguero ea 

feugait vent prat, commy nim nos exercil issequis er augiam accum volore 

cor sustrud minim quiscilla commolor 

sequipis eumsan venisi.It la feu facip 

eum ver sis dolestrud modigna feuis 

nos diam, vel duiscinci ea aliquat acin 

volobore dionse dionseq uatumsandre 

cor sed tisim digna consequis ad ting 

el utpat, vero od dolore ea faccumm 

odolestin vullum dignibh ecte eugiam 

verilis at. Accumsa ndigna alit alit 

augiamc onumsandio exer inibh exer 

alit velis adionulla facidunt ad molutpat volore duipsusto cons dolore 

dion vero od el ipissectet, sum in ulla 

commy nons ad do commy nonulla 

aciliquis ate te dipsuscinci tem nos 

nulputp atueratem nim aliquat. Rostrud eum dolutat.

Delissequisi blamet alit, venibh et 

vendio digna facilla augait am, se facilla feuismodions et aute verat ullolum 

iliquiscin veliquissis do et, quat.

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

The Child and Family’s Neighborhood > Supportive Neighborhoods

Supportive 

Neighborhoods

To assess whether or not families 

and children are supported in their 

neighborhoods, parents were asked 

whether they agreed with the following statements:

• People in the neighborhood help 

each other out. 

• We watch out for each other’s 

children. 

• There are people I can count on in 

the neighborhood. 

• If my child were outside playing 

and got hurt or scared, there are 

adults nearby whom I trust to help 

my child. 

Families were considered to live 

in supportive neighborhoods if 

they answered “definitely agree” or 

“somewhat agree” to each of the four 

statements. Overall, parents of 83.2 

percent of children reported that they 

live in supportive neighborhoods.

Parents of children in higherincome households are more likely 

to feel that their neighborhoods 

are supportive. Among children in 

households with incomes below 100 

percent of the Federal poverty level 

(FPL), the parents of 70.7 percent 

reported that their neighborhoods are 

supportive, compared to 79.0 percent 

of children in households with incomes between 100 and 199 percent 

of poverty. Of children with household incomes between 200 and 399 

percent of FPL, 86.0 percent lived in 

supportive neighborhoods, as did 91.2 

percent of children with household 

incomes of 400 percent or more of FPL.

The likelihood of parents reporting 

that children live in supportive neighborhoods also varied by race and ethnicity. Parents of White children were 

more likely to perceive neighborhoods 

as supportive, compared to parents in 

other racial and ethnic groups. Among 

White children, 88.8 percent were 

reported to live in supportive neighborhoods, followed by 85.1 percent 

of children of other races and 80.9 

percent of multiracial children. More 

than 76 percent of Hispanic and 71.0 

percent of Black children also lived in 

supportive neighborhoods.

Children Living in 

Supportive Neighborhoods

Do Not Live in 

a Supportive 

Neighborhood 

16.8%

Live in a Supportive 

Neighborhood 

83.2%

20

40

60

80

100

400% or 

More FPL

200-399%

 FPL

100-199%

 FPL

<100%

 FPL*

Children in Supportive Neighborhoods, 

by Poverty Status

Percent of Children

91.2

86.0

79.0

70.7

*Federal poverty level was $20,650 for a family of four in 2007.

20

40

60

80

100

Other

Races*

MultiracialWhite Black Hispanic

Children in Supportive Neighborhoods,

by Race and Ethnicity

Percent of Children

*Includes Asian/Pacific Islanders and American Indian/

Alaksa Natives.

85.1

80.9

76.1

71.0

88.8
The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

51

Name

Uscidunt volor amcommolore mod 

do esto dolor susto consed magna 

coreet aut ut la augait dolor se magnisi bla facipit la augait alit wis ad te 

del dit, conse vulla faccum enisci tis 

eraesto enim alismodit, vel esequating eugait non vel dolorper ad magna 

commy nulluptat, con vullame tummod ming et, veros dolore doluptat 

ipit nulla faciliq uiscipit lum dunt 

at et la cons nos acillan utpat iuscin 

eugiam zzrilit augiamconum eugait 

veniam, sustrud mod dunt velesto 

dolor autatum eliquipiscin heniscilisl 

ulputet ad min henibh erostrud er sit, 

volenit aci ex esed eliquam et dolorpe 

riurem acillan endip et, corpero dip 

exer aliquatio core ea facil in velis at, 

commodo dunt lor sum quate dolum 

nulputpat.

Nit am aliquam, venit, si tat ad 

tem iuscipit lan vel et lore diam dunt 

nummod tat vel ipsusto odolobor ipis 

ad magnit augait praestie mincidunt 

vulputpat pratin vero dolenim et, corperosto consequip eugue facipisi.

Enim diatinci ex elis nulpute 

feugiat. Vulput wiscing elesto dolor 

ad min volor aliscil iuscin erillutat. 

Onsequissi tem zzrilisi tatum niat ad 

dit utat luptatum ad erci blam nulla 

faccumsandre vel exer ing exero essitHenit lorem euguero coreet dipit 

laoreri llaore duiscipit adipsum inci 

blam velenisl incin erat dolore diamcons niat eraestrud tat euguero ea 

feugait vent prat, commy nim nos exercil issequis er augiam accum volore 

cor sustrud minim quiscilla commolor 

sequipis eumsan venisi.It la feu facip 

eum ver sis dolestrud modigna feuis 

nos diam, vel duiscinci ea aliquat acin 

volobore dionse dionseq uatumsandre 

cor sed tisim digna consequis ad ting 

el utpat, vero od dolore ea faccumm 

odolestin vullum dignibh ecte eugiam 

verilis at. Accumsa ndigna alit alit 

augiamc onumsandio exer inibh exer 

alit velis adionulla facidunt ad molutpat volore duipsusto cons dolore 

dion vero od el ipissectet, sum in ulla 

commy nons ad do commy nonulla 

aciliquis ate te dipsuscinci tem nos 

nulputp atueratem nim aliquat. Rostrud eum dolutat.

Delissequisi blamet alit, venibh et 

vendio digna facilla augait am, se facilla feuismodions et aute verat ullolum 

iliquiscin veliquissis do et, quat.

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

The Child and Family’s Neighborhood > Safety of Child in the 

 Neighborhood

Safety of Child in 

the Neighborhood

Families are more likely to feel 

comfortable in a neighborhood if 

they feel that their children are safe. 

Parents were asked how often they 

felt that their child was safe in their 

community or neighborhood—never, 

sometimes, usually, or always. Overall, 

parents of 86.1 percent of children 

report that they feel that their child is 

usually or always safe in their neighborhood.

Parents of White and multiracial 

children were more likely to report 

that their children are safe in their 

neighborhoods, compared to parents 

of children of other racial and ethnic 

groups. Nearly 93 percent of White 

children were reported to be usually 

or always safe in their neighborhoods, 

as were 86.9 percent of multiracial 

children. In contrast, parents of 77.5 

percent of Hispanic and 74.0 percent 

of Black children felt that their children are safe in their neighborhoods. 

Parents’ assessments of neighborhood safety vary by income as well. 

Of children with household incomes 

below the poverty level, 72.1 percent 

were reported to be safe in their 

neighborhoods, compared to 81.8 

percent of children with household incomes between 100 and 199 percent 

of the Federal poverty level (FPL). 

Of children with household incomes 

between 200 and 399 percent of FPL, 

89.8 percent lived in safe neighborhoods, as did 94.0 percent of children 

with household incomes of 400 percent 

or more of FPL.

Safety of Children in

Their Neighborhood

Never 2.5%

Sometimes 

11.4%

Usually 

32.6% Always 

53.5%

20

40

60

80

100

Other

Races*

MultiracialWhite Black Hispanic

Children Who Are Usually or 

Always Safe in Neighborhood, 

by Race and Ethnicity

Percent of Children

*Includes Asian/Pacific Islanders and American Indian/

Alaksa Natives.

82.6

86.9

77.5 74.0

92.5

20

40

60

80

100

400% or

 More FPL

200-399%

 FPL

100-199%

 FPL

<100%

 FPL*

Children Who Are Usually or 

Always Safe in Neighborhood, 

by Poverty Status

Percent of Children

94.0

89.8

81.8

72.1

*Federal poverty level was $20,650 for a family of four in 2007.
The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

52

Name

Uscidunt volor amcommolore mod 

do esto dolor susto consed magna 

coreet aut ut la augait dolor se magnisi bla facipit la augait alit wis ad te 

del dit, conse vulla faccum enisci tis 

eraesto enim alismodit, vel esequating eugait non vel dolorper ad magna 

commy nulluptat, con vullame tummod ming et, veros dolore doluptat 

ipit nulla faciliq uiscipit lum dunt 

at et la cons nos acillan utpat iuscin 

eugiam zzrilit augiamconum eugait 

veniam, sustrud mod dunt velesto 

dolor autatum eliquipiscin heniscilisl 

ulputet ad min henibh erostrud er sit, 

volenit aci ex esed eliquam et dolorpe 

riurem acillan endip et, corpero dip 

exer aliquatio core ea facil in velis at, 

commodo dunt lor sum quate dolum 

nulputpat.

Nit am aliquam, venit, si tat ad 

tem iuscipit lan vel et lore diam dunt 

nummod tat vel ipsusto odolobor ipis 

ad magnit augait praestie mincidunt 

vulputpat pratin vero dolenim et, corperosto consequip eugue facipisi.

Enim diatinci ex elis nulpute 

feugiat. Vulput wiscing elesto dolor 

ad min volor aliscil iuscin erillutat. 

Onsequissi tem zzrilisi tatum niat ad 

dit utat luptatum ad erci blam nulla 

faccumsandre vel exer ing exero essitHenit lorem euguero coreet dipit 

laoreri llaore duiscipit adipsum inci 

blam velenisl incin erat dolore diamcons niat eraestrud tat euguero ea 

feugait vent prat, commy nim nos exercil issequis er augiam accum volore 

cor sustrud minim quiscilla commolor 

sequipis eumsan venisi.It la feu facip 

eum ver sis dolestrud modigna feuis 

nos diam, vel duiscinci ea aliquat acin 

volobore dionse dionseq uatumsandre 

cor sed tisim digna consequis ad ting 

el utpat, vero od dolore ea faccumm 

odolestin vullum dignibh ecte eugiam 

verilis at. Accumsa ndigna alit alit 

augiamc onumsandio exer inibh exer 

alit velis adionulla facidunt ad molutpat volore duipsusto cons dolore 

dion vero od el ipissectet, sum in ulla 

commy nons ad do commy nonulla 

aciliquis ate te dipsuscinci tem nos 

nulputp atueratem nim aliquat. Rostrud eum dolutat.

Delissequisi blamet alit, venibh et 

vendio digna facilla augait am, se facilla feuismodions et aute verat ullolum 

iliquiscin veliquissis do et, quat.

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

The Child and Family’s Neighborhood > Safety of Child at School

Safety of Child at 

School

Parents of school-aged children 

(aged 6-17 years) were also asked 

how often they felt that their children 

were safe in school. Overall, parents of 

89.6 percent of children reported that 

their children are usually or always 

safe in school.

Younger school-aged children (aged 

6-11 years) were more likely to be 

reported to be usually or always safe 

in school (93.0 percent) than were 

adolescents aged 12-17 years (86.4 

percent).

Parents of children in higherincome households were also more 

likely to report that their children are 

safe in school. Parents of 79.2 percent 

of children with household incomes 

below the poverty level reported that 

their children were usually or always 

safe in school, compared to 84.4 

percent of children with household incomes between 100 and 199 percent 

of poverty and more than 92 percent 

of children in households with incomes above 200 percent of poverty.

Safety of Children 

Aged 6-17 Years In School

Never 1.1%

Sometimes 

9.4%

Usually 

31.5%

Always 

58.1%

*Percentages may not add to 100 due to rounding.

20

40

60

80

100

6-11 Years 12-17 Years

Children Aged 6-17 Years 

Who Are Usually or Always Safe

 in School, by Age

Percent of Children 

86.4

93.0

20

40

60

80

100

400% or

 More FPL

200-399%

 FPL

100-199%

 FPL

<100%

 FPL*

Children Aged 6-17 Years

 Who Are Usually or Always Safe

 in School, by Poverty Status

Percent of Children 

96.2

92.1

84.4

79.2

*Federal poverty level was $20,650 for a family of four in 2007.
The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

53

State-Level Data

The National Survey of Children’s Health provides information on the health and well-being of children in the 50 States 

and the District of Columbia. This section presents the survey’s findings for each State and D.C., including indicators relating 

to the child’s health, health care, and activities; the child’s family; and the child’s and family’s neighborhood. Because of the 

small size of many subpopulations within the states, these indicators are shown only for the State’s population as a whole.

Key indicators of the health and well-being of the child, the child’s family, and the child’s and family’s neighborhood are 

presented in comparison with the National statistics presented in the previous section.
54

Indicator Explanation National % State %

Health Status

Child Health Status percent of children in excellent or very good health

Oral Health Status percent of children with excellent or very good oral health 

Injury percent of children aged 0-5 with injuries requiring medical attention in the past year 

Breastfeeding percent of children aged 0-5 who were ever breastfed 

Risk of Developmental or percent of children aged 4 months to 5 years determined to be at moderate 

Behavioral Problems or high risk based on parents’ specific concerns 

Social Skills percent of children aged 6-17 who exhibit two or more positive social behaviors

Missed School Days percent of children aged 6-17 who missed 11 or more days of school in the past year

Health Care

Current Health Insurance percent of children currently insured

Insurance Coverage Consistency percent of children lacking consistent insurance coverage in past year

Preventive Health Care percent of children with a preventive medical visit in the past year

*Preventive Dental Care percent of children with a preventive dental visit in the past year

*Developmental Screening percent of children aged 10 months to 5 years receiving a standardized 

screening for developmental or behavioral problems

Mental Health Care percent of children aged 2-17 with problems requiring counseling 

who received mental health care

*Medical Home percent of children who received care within a medical home

School and Activities

*School Engagement percent of children aged 6-17 who are adequately engaged in school

Repeating a Grade percent of children aged 6-17 who have repeated at least one grade

Activities Outside of School percent of children aged 6-17 who participate in activities outside of school

*Screen Time percent of children aged 1-5 who watched more than one hour of TV 

or video during a weekday

Child’s Family

Reading to Young Children percent of children aged 0-5 whose families read to them every day

*Singing and Telling Stories percent of children aged 0-5 whose families sing or tell stories 

 to Young Children to them every day

Religious Services percent of children who attend religious services at least weekly

Mother’s Health of children who live with their mothers, the percentage whose mothers are 

in excellent or very good physical and emotional health

Father’s Health of children who live with their fathers, the percentage whose fathers are 

in excellent or very good physical and emotional health

Smoking in the Household percent of children who live in households where someone smokes

Child Care percent of children aged 0-5 whose parents made emergency child care 

arrangements last month and/or a job change for child care reasons last year

Child and Family’s Neighborhood

*Neighborhood Amenities percent of children who live in neighborhoods with a park, sidewalks, a library, 

and a community center

*Neighborhood Conditions percent of children who live in neighborhoods with poorly kept or dilapidated housing

Supportive Neighborhoods percent of children living in neighborhoods that are supportive

Safety of Child in Neighborhood percent of children living in neighborhoods that are usually or always safe

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

Alabama

All statistics are based on parental reports.

The Health and Well-Being of Children: A Portrait of States and the Nation 2007

*New or revised indicator for 2007. Indicator cannot or should not be compared with 2003 findings.

84.4

70.7

10.4

75.5 

26.4

93.6

5.8

90.9

15.1

88.5

78.4 

19.5 

60.0

57.5

80.5

10.6

80.7 

54.4

47.8 

59.1

53.7 

56.9 

62.7

26.2 

30.7

48.2

14.6

83.2

86.1

84.6

73.2

13.5

56.3 

32.0

89.9

6.5

92.3

15.1

87.4

78.4 

12.1 

61.7

56.1

79.5

16.6

79.1 

55.3

51.4 

61.2

69.2 

54.2 

63.0

32.8 

33.9

31.0

15.4

85.4

88.1
55

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

Alaska

All statistics are based on parental reports.

The Health and Well-Being of Children: A Portrait of States and the Nation 2007

Indicator Explanation National % State %

Health Status

Child Health Status percent of children in excellent or very good health

Oral Health Status percent of children with excellent or very good oral health 

Injury percent of children aged 0-5 with injuries requiring medical attention in the past year 

Breastfeeding percent of children aged 0-5 who were ever breastfed 

Risk of Developmental or percent of children aged 4 months to 5 years determined to be at moderate 

Behavioral Problems or high risk based on parents’ specific concerns 

Social Skills percent of children aged 6-17 who exhibit two or more positive social behaviors

Missed School Days percent of children aged 6-17 who missed 11 or more days of school in the past year

Health Care

Current Health Insurance percent of children currently insured

Insurance Coverage Consistency percent of children lacking consistent insurance coverage in past year

Preventive Health Care percent of children with a preventive medical visit in the past year

*Preventive Dental Care percent of children with a preventive dental visit in the past year

*Developmental Screening percent of children aged 10 months to 5 years receiving a standardized 

screening for developmental or behavioral problems

Mental Health Care percent of children aged 2-17 with problems requiring counseling 

who received mental health care

*Medical Home percent of children who received care within a medical home

School and Activities

*School Engagement percent of children aged 6-17 who are adequately engaged in school

Repeating a Grade percent of children aged 6-17 who have repeated at least one grade

Activities Outside of School percent of children aged 6-17 who participate in activities outside of school

*Screen Time percent of children aged 1-5 who watched more than one hour of TV 

or video during a weekday

Child’s Family

Reading to Young Children percent of children aged 0-5 whose families read to them every day

*Singing and Telling Stories percent of children aged 0-5 whose families sing or tell stories 

 to Young Children to them every day

Religious Services percent of children who attend religious services at least weekly

Mother’s Health of children who live with their mothers, the percentage whose mothers are 

in excellent or very good physical and emotional health

Father’s Health of children who live with their fathers, the percentage whose fathers are 

in excellent or very good physical and emotional health

Smoking in the Household percent of children who live in households where someone smokes

Child Care percent of children aged 0-5 whose parents made emergency child care 

arrangements last month and/or a job change for child care reasons last year

Child and Family’s Neighborhood

*Neighborhood Amenities percent of children who live in neighborhoods with a park, sidewalks, a library, 

and a community center

*Neighborhood Conditions percent of children who live in neighborhoods with poorly kept or dilapidated housing

Supportive Neighborhoods percent of children living in neighborhoods that are supportive

Safety of Child in Neighborhood percent of children living in neighborhoods that are usually or always safe

*New or revised indicator for 2007. Indicator cannot or should not be compared with 2003 findings.

84.4

70.7

10.4

75.5 

26.4

93.6

5.8

90.9

15.1

88.5

78.4 

19.5 

60.0

57.5

80.5

10.6

80.7 

54.4

47.8 

59.1

53.7 

56.9 

62.7

26.2 

30.7

48.2

14.6

83.2

86.1

88.9

74.1

12.6

87.6 

27.3

95.0

6.5

87.2

18.5

85.1

80.5 

20.7 

63.0

52.3

75.2

6.7

86.3 

48.2

49.3 

61.8

43.5 

57.1 

64.7

30.9 

34.1

49.4

23.4

85.5

92.5
56

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

Arizona

All statistics are based on parental reports.

The Health and Well-Being of Children: A Portrait of States and the Nation 2007

Indicator Explanation National % State %

Health Status

Child Health Status percent of children in excellent or very good health

Oral Health Status percent of children with excellent or very good oral health 

Injury percent of children aged 0-5 with injuries requiring medical attention in the past year 

Breastfeeding percent of children aged 0-5 who were ever breastfed 

Risk of Developmental or percent of children aged 4 months to 5 years determined to be at moderate 

Behavioral Problems or high risk based on parents’ specific concerns 

Social Skills percent of children aged 6-17 who exhibit two or more positive social behaviors

Missed School Days percent of children aged 6-17 who missed 11 or more days of school in the past year

Health Care

Current Health Insurance percent of children currently insured

Insurance Coverage Consistency percent of children lacking consistent insurance coverage in past year

Preventive Health Care percent of children with a preventive medical visit in the past year

*Preventive Dental Care percent of children with a preventive dental visit in the past year

*Developmental Screening percent of children aged 10 months to 5 years receiving a standardized 

screening for developmental or behavioral problems

Mental Health Care percent of children aged 2-17 with problems requiring counseling 

who received mental health care

*Medical Home percent of children who received care within a medical home

School and Activities

*School Engagement percent of children aged 6-17 who are adequately engaged in school

Repeating a Grade percent of children aged 6-17 who have repeated at least one grade

Activities Outside of School percent of children aged 6-17 who participate in activities outside of school

*Screen Time percent of children aged 1-5 who watched more than one hour of TV 

or video during a weekday

Child’s Family

Reading to Young Children percent of children aged 0-5 whose families read to them every day

*Singing and Telling Stories percent of children aged 0-5 whose families sing or tell stories 

 to Young Children to them every day

Religious Services percent of children who attend religious services at least weekly

Mother’s Health of children who live with their mothers, the percentage whose mothers are 

in excellent or very good physical and emotional health

Father’s Health of children who live with their fathers, the percentage whose fathers are 

in excellent or very good physical and emotional health

Smoking in the Household percent of children who live in households where someone smokes

Child Care percent of children aged 0-5 whose parents made emergency child care 

arrangements last month and/or a job change for child care reasons last year

Child and Family’s Neighborhood

*Neighborhood Amenities percent of children who live in neighborhoods with a park, sidewalks, a library, 

and a community center

*Neighborhood Conditions percent of children who live in neighborhoods with poorly kept or dilapidated housing

Supportive Neighborhoods percent of children living in neighborhoods that are supportive

Safety of Child in Neighborhood percent of children living in neighborhoods that are usually or always safe

*New or revised indicator for 2007. Indicator cannot or should not be compared with 2003 findings.

84.4

70.7

10.4

75.5 

26.4

93.6

5.8

90.9

15.1

88.5

78.4 

19.5 

60.0

57.5

80.5

10.6

80.7 

54.4

47.8 

59.1

53.7 

56.9 

62.7

26.2 

30.7

48.2

14.6

83.2

86.1

80.7

63.8

8.4

82.7 

27.7

94.8

7.9

83.8

22.4

83.9

75.5 

17.3 

62.1

50.0

80.7

10.5

76.8 

58.7

40.7 

54.9

50.3 

52.6 

59.8

24.1 

30.6

46.0

14.9

79.0

82.7
57

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

Arkansas

All statistics are based on parental reports.

The Health and Well-Being of Children: A Portrait of States and the Nation 2007

Indicator Explanation National % State %

Health Status

Child Health Status percent of children in excellent or very good health

Oral Health Status percent of children with excellent or very good oral health 

Injury percent of children aged 0-5 with injuries requiring medical attention in the past year 

Breastfeeding percent of children aged 0-5 who were ever breastfed 

Risk of Developmental or percent of children aged 4 months to 5 years determined to be at moderate 

Behavioral Problems or high risk based on parents’ specific concerns 

Social Skills percent of children aged 6-17 who exhibit two or more positive social behaviors

Missed School Days percent of children aged 6-17 who missed 11 or more days of school in the past year

Health Care

Current Health Insurance percent of children currently insured

Insurance Coverage Consistency percent of children lacking consistent insurance coverage in past year

Preventive Health Care percent of children with a preventive medical visit in the past year

*Preventive Dental Care percent of children with a preventive dental visit in the past year

*Developmental Screening percent of children aged 10 months to 5 years receiving a standardized 

screening for developmental or behavioral problems

Mental Health Care percent of children aged 2-17 with problems requiring counseling 

who received mental health care

*Medical Home percent of children who received care within a medical home

School and Activities

*School Engagement percent of children aged 6-17 who are adequately engaged in school

Repeating a Grade percent of children aged 6-17 who have repeated at least one grade

Activities Outside of School percent of children aged 6-17 who participate in activities outside of school

*Screen Time percent of children aged 1-5 who watched more than one hour of TV 

or video during a weekday

Child’s Family

Reading to Young Children percent of children aged 0-5 whose families read to them every day

*Singing and Telling Stories percent of children aged 0-5 whose families sing or tell stories 

 to Young Children to them every day

Religious Services percent of children who attend religious services at least weekly

Mother’s Health of children who live with their mothers, the percentage whose mothers are 

in excellent or very good physical and emotional health

Father’s Health of children who live with their fathers, the percentage whose fathers are 

in excellent or very good physical and emotional health

Smoking in the Household percent of children who live in households where someone smokes

Child Care percent of children aged 0-5 whose parents made emergency child care 

arrangements last month and/or a job change for child care reasons last year

Child and Family’s Neighborhood

*Neighborhood Amenities percent of children who live in neighborhoods with a park, sidewalks, a library, 

and a community center

*Neighborhood Conditions percent of children who live in neighborhoods with poorly kept or dilapidated housing

Supportive Neighborhoods percent of children living in neighborhoods that are supportive

Safety of Child in Neighborhood percent of children living in neighborhoods that are usually or always safe

*New or revised indicator for 2007. Indicator cannot or should not be compared with 2003 findings.

84.4

70.7

10.4

75.5 

26.4

93.6

5.8

90.9

15.1

88.5

78.4 

19.5 

60.0

57.5

80.5

10.6

80.7 

54.4

47.8 

59.1

53.7 

56.9 

62.7

26.2 

30.7

48.2

14.6

83.2

86.1

82.2

68.1

10.6

65.9 

32.1

91.9

6.9

92.9

11.4

83.5

74.7 

15.9 

56.5

60.7

75.7

13.7

79.0 

61.2

47.2 

63.0

70.6 

53.9 

62.1

31.5 

32.3

32.8

19.2

85.0

89.3
58

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

California

All statistics are based on parental reports.

The Health and Well-Being of Children: A Portrait of States and the Nation 2007

Indicator Explanation National % State %

Health Status

Child Health Status percent of children in excellent or very good health

Oral Health Status percent of children with excellent or very good oral health 

Injury percent of children aged 0-5 with injuries requiring medical attention in the past year 

Breastfeeding percent of children aged 0-5 who were ever breastfed 

Risk of Developmental or percent of children aged 4 months to 5 years determined to be at moderate 

Behavioral Problems or high risk based on parents’ specific concerns 

Social Skills percent of children aged 6-17 who exhibit two or more positive social behaviors

Missed School Days percent of children aged 6-17 who missed 11 or more days of school in the past year

Health Care

Current Health Insurance percent of children currently insured

Insurance Coverage Consistency percent of children lacking consistent insurance coverage in past year

Preventive Health Care percent of children with a preventive medical visit in the past year

*Preventive Dental Care percent of children with a preventive dental visit in the past year

*Developmental Screening percent of children aged 10 months to 5 years receiving a standardized 

screening for developmental or behavioral problems

Mental Health Care percent of children aged 2-17 with problems requiring counseling 

who received mental health care

*Medical Home percent of children who received care within a medical home

School and Activities

*School Engagement percent of children aged 6-17 who are adequately engaged in school

Repeating a Grade percent of children aged 6-17 who have repeated at least one grade

Activities Outside of School percent of children aged 6-17 who participate in activities outside of school

*Screen Time percent of children aged 1-5 who watched more than one hour of TV 

or video during a weekday

Child’s Family

Reading to Young Children percent of children aged 0-5 whose families read to them every day

*Singing and Telling Stories percent of children aged 0-5 whose families sing or tell stories 

 to Young Children to them every day

Religious Services percent of children who attend religious services at least weekly

Mother’s Health of children who live with their mothers, the percentage whose mothers are 

in excellent or very good physical and emotional health

Father’s Health of children who live with their fathers, the percentage whose fathers are 

in excellent or very good physical and emotional health

Smoking in the Household percent of children who live in households where someone smokes

Child Care percent of children aged 0-5 whose parents made emergency child care 

arrangements last month and/or a job change for child care reasons last year

Child and Family’s Neighborhood

*Neighborhood Amenities percent of children who live in neighborhoods with a park, sidewalks, a library, 

and a community center

*Neighborhood Conditions percent of children who live in neighborhoods with poorly kept or dilapidated housing

Supportive Neighborhoods percent of children living in neighborhoods that are supportive

Safety of Child in Neighborhood percent of children living in neighborhoods that are usually or always safe

*New or revised indicator for 2007. Indicator cannot or should not be compared with 2003 findings.

84.4

70.7

10.4

75.5 

26.4

93.6

5.8

90.9

15.1

88.5

78.4 

19.5 

60.0

57.5

80.5

10.6

80.7 

54.4

47.8 

59.1

53.7 

56.9 

62.7

26.2 

30.7

48.2

14.6

83.2

86.1

77.7

63.5

8.7

87.6 

30.5

95.3

6.0

90.4

16.1

87.2

78.4 

14.0 

53.5

49.6

76.6

10.2

73.0 

46.4

36.5 

47.1

46.7 

52.1 

54.8

19.4 

32.3

62.3

12.9

80.9

84.0
59

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

Colorado

All statistics are based on parental reports.

The Health and Well-Being of Children: A Portrait of States and the Nation 2007

Indicator Explanation National % State %

Health Status

Child Health Status percent of children in excellent or very good health

Oral Health Status percent of children with excellent or very good oral health 

Injury percent of children aged 0-5 with injuries requiring medical attention in the past year 

Breastfeeding percent of children aged 0-5 who were ever breastfed 

Risk of Developmental or percent of children aged 4 months to 5 years determined to be at moderate 

Behavioral Problems or high risk based on parents’ specific concerns 

Social Skills percent of children aged 6-17 who exhibit two or more positive social behaviors

Missed School Days percent of children aged 6-17 who missed 11 or more days of school in the past year

Health Care

Current Health Insurance percent of children currently insured

Insurance Coverage Consistency percent of children lacking consistent insurance coverage in past year

Preventive Health Care percent of children with a preventive medical visit in the past year

*Preventive Dental Care percent of children with a preventive dental visit in the past year

*Developmental Screening percent of children aged 10 months to 5 years receiving a standardized 

screening for developmental or behavioral problems

Mental Health Care percent of children aged 2-17 with problems requiring counseling 

who received mental health care

*Medical Home percent of children who received care within a medical home

School and Activities

*School Engagement percent of children aged 6-17 who are adequately engaged in school

Repeating a Grade percent of children aged 6-17 who have repeated at least one grade

Activities Outside of School percent of children aged 6-17 who participate in activities outside of school

*Screen Time percent of children aged 1-5 who watched more than one hour of TV 

or video during a weekday

Child’s Family

Reading to Young Children percent of children aged 0-5 whose families read to them every day

*Singing and Telling Stories percent of children aged 0-5 whose families sing or tell stories 

 to Young Children to them every day

Religious Services percent of children who attend religious services at least weekly

Mother’s Health of children who live with their mothers, the percentage whose mothers are 

in excellent or very good physical and emotional health

Father’s Health of children who live with their fathers, the percentage whose fathers are 

in excellent or very good physical and emotional health

Smoking in the Household percent of children who live in households where someone smokes

Child Care percent of children aged 0-5 whose parents made emergency child care 

arrangements last month and/or a job change for child care reasons last year

Child and Family’s Neighborhood

*Neighborhood Amenities percent of children who live in neighborhoods with a park, sidewalks, a library, 

and a community center

*Neighborhood Conditions percent of children who live in neighborhoods with poorly kept or dilapidated housing

Supportive Neighborhoods percent of children living in neighborhoods that are supportive

Safety of Child in Neighborhood percent of children living in neighborhoods that are usually or always safe

*New or revised indicator for 2007. Indicator cannot or should not be compared with 2003 findings.

84.4

70.7

10.4

75.5 

26.4

93.6

5.8

90.9

15.1

88.5

78.4 

19.5 

60.0

57.5

80.5

10.6

80.7 

54.4

47.8 

59.1

53.7 

56.9 

62.7

26.2 

30.7

48.2

14.6

83.2

86.1

84.3

70.0

9.8

76.4 

19.2

95.0

4.6

88.0

17.9

88.2

77.0 

25.9 

64.8

59.3

82.9

6.7

86.6 

48.4

52.9 

62.6

49.7 

60.8 

66.1

22.2 

25.8

65.9

10.4

84.3

90.0
60

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

Connecticut

All statistics are based on parental reports.

The Health and Well-Being of Children: A Portrait of States and the Nation 2007

Indicator Explanation National % State %

Health Status

Child Health Status percent of children in excellent or very good health

Oral Health Status percent of children with excellent or very good oral health 

Injury percent of children aged 0-5 with injuries requiring medical attention in the past year 

Breastfeeding percent of children aged 0-5 who were ever breastfed 

Risk of Developmental or percent of children aged 4 months to 5 years determined to be at moderate 

Behavioral Problems or high risk based on parents’ specific concerns 

Social Skills percent of children aged 6-17 who exhibit two or more positive social behaviors

Missed School Days percent of children aged 6-17 who missed 11 or more days of school in the past year

Health Care

Current Health Insurance percent of children currently insured

Insurance Coverage Consistency percent of children lacking consistent insurance coverage in past year

Preventive Health Care percent of children with a preventive medical visit in the past year

*Preventive Dental Care percent of children with a preventive dental visit in the past year

*Developmental Screening percent of children aged 10 months to 5 years receiving a standardized 

screening for developmental or behavioral problems

Mental Health Care percent of children aged 2-17 with problems requiring counseling 

who received mental health care

*Medical Home percent of children who received care within a medical home

School and Activities

*School Engagement percent of children aged 6-17 who are adequately engaged in school

Repeating a Grade percent of children aged 6-17 who have repeated at least one grade

Activities Outside of School percent of children aged 6-17 who participate in activities outside of school

*Screen Time percent of children aged 1-5 who watched more than one hour of TV 

or video during a weekday

Child’s Family

Reading to Young Children percent of children aged 0-5 whose families read to them every day

*Singing and Telling Stories percent of children aged 0-5 whose families sing or tell stories 

 to Young Children to them every day

Religious Services percent of children who attend religious services at least weekly

Mother’s Health of children who live with their mothers, the percentage whose mothers are 

in excellent or very good physical and emotional health

Father’s Health of children who live with their fathers, the percentage whose fathers are 

in excellent or very good physical and emotional health

Smoking in the Household percent of children who live in households where someone smokes

Child Care percent of children aged 0-5 whose parents made emergency child care 

arrangements last month and/or a job change for child care reasons last year

Child and Family’s Neighborhood

*Neighborhood Amenities percent of children who live in neighborhoods with a park, sidewalks, a library, 

and a community center

*Neighborhood Conditions percent of children who live in neighborhoods with poorly kept or dilapidated housing

Supportive Neighborhoods percent of children living in neighborhoods that are supportive

Safety of Child in Neighborhood percent of children living in neighborhoods that are usually or always safe

*New or revised indicator for 2007. Indicator cannot or should not be compared with 2003 findings.

84.4

70.7

10.4

75.5 

26.4

93.6

5.8

90.9

15.1

88.5

78.4 

19.5 

60.0

57.5

80.5

10.6

80.7 

54.4

47.8 

59.1

53.7 

56.9 

62.7

26.2 

30.7

48.2

14.6

83.2

86.1

88.2

76.4

10.2

79.2 

22.7

96.0

4.6

94.6

9.1

95.2

84.9 

16.6 

78.8

62.4

82.7

8.9

89.2 

63.1

59.5 

66.8

43.2 

63.6 

69.1

20.2 

35.1

51.7

10.5

82.1

87.1
61

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

Delaware

All statistics are based on parental reports.

The Health and Well-Being of Children: A Portrait of States and the Nation 2007

Indicator Explanation National % State %

Health Status

Child Health Status percent of children in excellent or very good health

Oral Health Status percent of children with excellent or very good oral health 

Injury percent of children aged 0-5 with injuries requiring medical attention in the past year 

Breastfeeding percent of children aged 0-5 who were ever breastfed 

Risk of Developmental or percent of children aged 4 months to 5 years determined to be at moderate 

Behavioral Problems or high risk based on parents’ specific concerns 

Social Skills percent of children aged 6-17 who exhibit two or more positive social behaviors

Missed School Days percent of children aged 6-17 who missed 11 or more days of school in the past year

Health Care

Current Health Insurance percent of children currently insured

Insurance Coverage Consistency percent of children lacking consistent insurance coverage in past year

Preventive Health Care percent of children with a preventive medical visit in the past year

*Preventive Dental Care percent of children with a preventive dental visit in the past year

*Developmental Screening percent of children aged 10 months to 5 years receiving a standardized 

screening for developmental or behavioral problems

Mental Health Care percent of children aged 2-17 with problems requiring counseling 

who received mental health care

*Medical Home percent of children who received care within a medical home

School and Activities

*School Engagement percent of children aged 6-17 who are adequately engaged in school

Repeating a Grade percent of children aged 6-17 who have repeated at least one grade

Activities Outside of School percent of children aged 6-17 who participate in activities outside of school

*Screen Time percent of children aged 1-5 who watched more than one hour of TV 

or video during a weekday

Child’s Family

Reading to Young Children percent of children aged 0-5 whose families read to them every day

*Singing and Telling Stories percent of children aged 0-5 whose families sing or tell stories 

 to Young Children to them every day

Religious Services percent of children who attend religious services at least weekly

Mother’s Health of children who live with their mothers, the percentage whose mothers are 

in excellent or very good physical and emotional health

Father’s Health of children who live with their fathers, the percentage whose fathers are 

in excellent or very good physical and emotional health

Smoking in the Household percent of children who live in households where someone smokes

Child Care percent of children aged 0-5 whose parents made emergency child care 

arrangements last month and/or a job change for child care reasons last year

Child and Family’s Neighborhood

*Neighborhood Amenities percent of children who live in neighborhoods with a park, sidewalks, a library, 

and a community center

*Neighborhood Conditions percent of children who live in neighborhoods with poorly kept or dilapidated housing

Supportive Neighborhoods percent of children living in neighborhoods that are supportive

Safety of Child in Neighborhood percent of children living in neighborhoods that are usually or always safe

*New or revised indicator for 2007. Indicator cannot or should not be compared with 2003 findings.

84.4

70.7

10.4

75.5 

26.4

93.6

5.8

90.9

15.1

88.5

78.4 

19.5 

60.0

57.5

80.5

10.6

80.7 

54.4

47.8 

59.1

53.7 

56.9 

62.7

26.2 

30.7

48.2

14.6

83.2

86.1

84.5

72.4

9.2

72.3 

25.8

90.7

6.2

93.9

12.8

92.8

76.8 

10.9 

76.9

59.9

78.8

14.6

83.0 

56.0

50.6 

61.9

46.9 

57.1 

67.2

30.8 

29.3

42.3

12.8

79.1

84.9
62

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

District of Columbia

All statistics are based on parental reports.

The Health and Well-Being of Children: A Portrait of States and the Nation 2007

Indicator Explanation National % State %

Health Status

Child Health Status percent of children in excellent or very good health

Oral Health Status percent of children with excellent or very good oral health 

Injury percent of children aged 0-5 with injuries requiring medical attention in the past year 

Breastfeeding percent of children aged 0-5 who were ever breastfed 

Risk of Developmental or percent of children aged 4 months to 5 years determined to be at moderate 

Behavioral Problems or high risk based on parents’ specific concerns 

Social Skills percent of children aged 6-17 who exhibit two or more positive social behaviors

Missed School Days percent of children aged 6-17 who missed 11 or more days of school in the past year

Health Care

Current Health Insurance percent of children currently insured

Insurance Coverage Consistency percent of children lacking consistent insurance coverage in past year

Preventive Health Care percent of children with a preventive medical visit in the past year

*Preventive Dental Care percent of children with a preventive dental visit in the past year

*Developmental Screening percent of children aged 10 months to 5 years receiving a standardized 

screening for developmental or behavioral problems

Mental Health Care percent of children aged 2-17 with problems requiring counseling 

who received mental health care

*Medical Home percent of children who received care within a medical home

School and Activities

*School Engagement percent of children aged 6-17 who are adequately engaged in school

Repeating a Grade percent of children aged 6-17 who have repeated at least one grade

Activities Outside of School percent of children aged 6-17 who participate in activities outside of school

*Screen Time percent of children aged 1-5 who watched more than one hour of TV 

or video during a weekday

Child’s Family

Reading to Young Children percent of children aged 0-5 whose families read to them every day

*Singing and Telling Stories percent of children aged 0-5 whose families sing or tell stories 

 to Young Children to them every day

Religious Services percent of children who attend religious services at least weekly

Mother’s Health of children who live with their mothers, the percentage whose mothers are 

in excellent or very good physical and emotional health

Father’s Health of children who live with their fathers, the percentage whose fathers are 

in excellent or very good physical and emotional health

Smoking in the Household percent of children who live in households where someone smokes

Child Care percent of children aged 0-5 whose parents made emergency child care 

arrangements last month and/or a job change for child care reasons last year

Child and Family’s Neighborhood

*Neighborhood Amenities percent of children who live in neighborhoods with a park, sidewalks, a library, 

and a community center

*Neighborhood Conditions percent of children who live in neighborhoods with poorly kept or dilapidated housing

Supportive Neighborhoods percent of children living in neighborhoods that are supportive

Safety of Child in Neighborhood percent of children living in neighborhoods that are usually or always safe

*New or revised indicator for 2007. Indicator cannot or should not be compared with 2003 findings.

84.4

70.7

10.4

75.5 

26.4

93.6

5.8

90.9

15.1

88.5

78.4 

19.5 

60.0

57.5

80.5

10.6

80.7 

54.4

47.8 

59.1

53.7 

56.9 

62.7

26.2 

30.7

48.2

14.6

83.2

86.1

84.1

65.8

9.5

68.7 

30.1

86.5

4.7

96.5

9.3

97.6

81.7 

14.3 

56.5

49.7

75.2

19.7

80.9 

44.1

48.9 

59.2

46.2 

56.4 

64.0

26.2 

41.4

65.7

25.7

67.6

66.5
63

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

Florida

All statistics are based on parental reports.

The Health and Well-Being of Children: A Portrait of States and the Nation 2007

Indicator Explanation National % State %

Health Status

Child Health Status percent of children in excellent or very good health

Oral Health Status percent of children with excellent or very good oral health 

Injury percent of children aged 0-5 with injuries requiring medical attention in the past year 

Breastfeeding percent of children aged 0-5 who were ever breastfed 

Risk of Developmental or percent of children aged 4 months to 5 years determined to be at moderate 

Behavioral Problems or high risk based on parents’ specific concerns 

Social Skills percent of children aged 6-17 who exhibit two or more positive social behaviors

Missed School Days percent of children aged 6-17 who missed 11 or more days of school in the past year

Health Care

Current Health Insurance percent of children currently insured

Insurance Coverage Consistency percent of children lacking consistent insurance coverage in past year

Preventive Health Care percent of children with a preventive medical visit in the past year

*Preventive Dental Care percent of children with a preventive dental visit in the past year

*Developmental Screening percent of children aged 10 months to 5 years receiving a standardized 

screening for developmental or behavioral problems

Mental Health Care percent of children aged 2-17 with problems requiring counseling 

who received mental health care

*Medical Home percent of children who received care within a medical home

School and Activities

*School Engagement percent of children aged 6-17 who are adequately engaged in school

Repeating a Grade percent of children aged 6-17 who have repeated at least one grade

Activities Outside of School percent of children aged 6-17 who participate in activities outside of school

*Screen Time percent of children aged 1-5 who watched more than one hour of TV 

or video during a weekday

Child’s Family

Reading to Young Children percent of children aged 0-5 whose families read to them every day

*Singing and Telling Stories percent of children aged 0-5 whose families sing or tell stories 

 to Young Children to them every day

Religious Services percent of children who attend religious services at least weekly

Mother’s Health of children who live with their mothers, the percentage whose mothers are 

in excellent or very good physical and emotional health

Father’s Health of children who live with their fathers, the percentage whose fathers are 

in excellent or very good physical and emotional health

Smoking in the Household percent of children who live in households where someone smokes

Child Care percent of children aged 0-5 whose parents made emergency child care 

arrangements last month and/or a job change for child care reasons last year

Child and Family’s Neighborhood

*Neighborhood Amenities percent of children who live in neighborhoods with a park, sidewalks, a library, 

and a community center

*Neighborhood Conditions percent of children who live in neighborhoods with poorly kept or dilapidated housing

Supportive Neighborhoods percent of children living in neighborhoods that are supportive

Safety of Child in Neighborhood percent of children living in neighborhoods that are usually or always safe

*New or revised indicator for 2007. Indicator cannot or should not be compared with 2003 findings.

84.4

70.7

10.4

75.5 

26.4

93.6

5.8

90.9

15.1

88.5

78.4 

19.5 

60.0

57.5

80.5

10.6

80.7 

54.4

47.8 

59.1

53.7 

56.9 

62.7

26.2 

30.7

48.2

14.6

83.2

86.1

88.9

71.9

7.4

79.8 

27.6

92.2

4.0

88.0

21.5

91.5

68.5 

17.1 

52.0

56.8

82.8

15.8

79.9 

57.4

47.1 

63.6

54.2 

60.7 

67.6

26.1 

38.3

44.2

12.5

80.6

84.0
64

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

Georgia

All statistics are based on parental reports.

The Health and Well-Being of Children: A Portrait of States and the Nation 2007

Indicator Explanation National % State %

Health Status

Child Health Status percent of children in excellent or very good health

Oral Health Status percent of children with excellent or very good oral health 

Injury percent of children aged 0-5 with injuries requiring medical attention in the past year 

Breastfeeding percent of children aged 0-5 who were ever breastfed 

Risk of Developmental or percent of children aged 4 months to 5 years determined to be at moderate 

Behavioral Problems or high risk based on parents’ specific concerns 

Social Skills percent of children aged 6-17 who exhibit two or more positive social behaviors

Missed School Days percent of children aged 6-17 who missed 11 or more days of school in the past year

Health Care

Current Health Insurance percent of children currently insured

Insurance Coverage Consistency percent of children lacking consistent insurance coverage in past year

Preventive Health Care percent of children with a preventive medical visit in the past year

*Preventive Dental Care percent of children with a preventive dental visit in the past year

*Developmental Screening percent of children aged 10 months to 5 years receiving a standardized 

screening for developmental or behavioral problems

Mental Health Care percent of children aged 2-17 with problems requiring counseling 

who received mental health care

*Medical Home percent of children who received care within a medical home

School and Activities

*School Engagement percent of children aged 6-17 who are adequately engaged in school

Repeating a Grade percent of children aged 6-17 who have repeated at least one grade

Activities Outside of School percent of children aged 6-17 who participate in activities outside of school

*Screen Time percent of children aged 1-5 who watched more than one hour of TV 

or video during a weekday

Child’s Family

Reading to Young Children percent of children aged 0-5 whose families read to them every day

*Singing and Telling Stories percent of children aged 0-5 whose families sing or tell stories 

 to Young Children to them every day

Religious Services percent of children who attend religious services at least weekly

Mother’s Health of children who live with their mothers, the percentage whose mothers are 

in excellent or very good physical and emotional health

Father’s Health of children who live with their fathers, the percentage whose fathers are 

in excellent or very good physical and emotional health

Smoking in the Household percent of children who live in households where someone smokes

Child Care percent of children aged 0-5 whose parents made emergency child care 

arrangements last month and/or a job change for child care reasons last year

Child and Family’s Neighborhood

*Neighborhood Amenities percent of children who live in neighborhoods with a park, sidewalks, a library, 

and a community center

*Neighborhood Conditions percent of children who live in neighborhoods with poorly kept or dilapidated housing

Supportive Neighborhoods percent of children living in neighborhoods that are supportive

Safety of Child in Neighborhood percent of children living in neighborhoods that are usually or always safe

*New or revised indicator for 2007. Indicator cannot or should not be compared with 2003 findings.

84.4

70.7

10.4

75.5 

26.4

93.6

5.8

90.9

15.1

88.5

78.4 

19.5 

60.0

57.5

80.5

10.6

80.7 

54.4

47.8 

59.1

53.7 

56.9 

62.7

26.2 

30.7

48.2

14.6

83.2

86.1

86.2

72.0

10.7

74.1 

26.6

94.6

3.2

90.0

17.3

88.3

80.3 

22.7 

51.3

58.5

80.4

9.2

81.1 

57.3

45.9 

63.1

62.7 

58.6 

63.2

26.7 

25.2

35.9

11.1

82.5

86.4
65

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

Hawaii

All statistics are based on parental reports.

The Health and Well-Being of Children: A Portrait of States and the Nation 2007

Indicator Explanation National % State %

Health Status

Child Health Status percent of children in excellent or very good health

Oral Health Status percent of children with excellent or very good oral health 

Injury percent of children aged 0-5 with injuries requiring medical attention in the past year 

Breastfeeding percent of children aged 0-5 who were ever breastfed 

Risk of Developmental or percent of children aged 4 months to 5 years determined to be at moderate 

Behavioral Problems or high risk based on parents’ specific concerns 

Social Skills percent of children aged 6-17 who exhibit two or more positive social behaviors

Missed School Days percent of children aged 6-17 who missed 11 or more days of school in the past year

Health Care

Current Health Insurance percent of children currently insured

Insurance Coverage Consistency percent of children lacking consistent insurance coverage in past year

Preventive Health Care percent of children with a preventive medical visit in the past year

*Preventive Dental Care percent of children with a preventive dental visit in the past year

*Developmental Screening percent of children aged 10 months to 5 years receiving a standardized 

screening for developmental or behavioral problems

Mental Health Care percent of children aged 2-17 with problems requiring counseling 

who received mental health care

*Medical Home percent of children who received care within a medical home

School and Activities

*School Engagement percent of children aged 6-17 who are adequately engaged in school

Repeating a Grade percent of children aged 6-17 who have repeated at least one grade

Activities Outside of School percent of children aged 6-17 who participate in activities outside of school

*Screen Time percent of children aged 1-5 who watched more than one hour of TV 

or video during a weekday

Child’s Family

Reading to Young Children percent of children aged 0-5 whose families read to them every day

*Singing and Telling Stories percent of children aged 0-5 whose families sing or tell stories 

 to Young Children to them every day

Religious Services percent of children who attend religious services at least weekly

Mother’s Health of children who live with their mothers, the percentage whose mothers are 

in excellent or very good physical and emotional health

Father’s Health of children who live with their fathers, the percentage whose fathers are 

in excellent or very good physical and emotional health

Smoking in the Household percent of children who live in households where someone smokes

Child Care percent of children aged 0-5 whose parents made emergency child care 

arrangements last month and/or a job change for child care reasons last year

Child and Family’s Neighborhood

*Neighborhood Amenities percent of children who live in neighborhoods with a park, sidewalks, a library, 

and a community center

*Neighborhood Conditions percent of children who live in neighborhoods with poorly kept or dilapidated housing

Supportive Neighborhoods percent of children living in neighborhoods that are supportive

Safety of Child in Neighborhood percent of children living in neighborhoods that are usually or always safe

*New or revised indicator for 2007. Indicator cannot or should not be compared with 2003 findings.

84.4

70.7

10.4

75.5 

26.4

93.6

5.8

90.9

15.1

88.5

78.4 

19.5 

60.0

57.5

80.5

10.6

80.7 

54.4

47.8 

59.1

53.7 

56.9 

62.7

26.2 

30.7

48.2

14.6

83.2

86.1

86.7

77.0

9.1

85.0 

27.6

94.9

5.7

96.2

7.2

90.2

86.9 

27.3 

62.8

60.1

79.6

6.4

86.8 

55.9

59.7 

66.2

46.6 

61.8 

64.0

26.3 

32.6

61.4

19.9

86.1

84.6
66

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

Idaho

All statistics are based on parental reports.

The Health and Well-Being of Children: A Portrait of States and the Nation 2007

Indicator Explanation National % State %

Health Status

Child Health Status percent of children in excellent or very good health

Oral Health Status percent of children with excellent or very good oral health 

Injury percent of children aged 0-5 with injuries requiring medical attention in the past year 

Breastfeeding percent of children aged 0-5 who were ever breastfed 

Risk of Developmental or percent of children aged 4 months to 5 years determined to be at moderate 

Behavioral Problems or high risk based on parents’ specific concerns 

Social Skills percent of children aged 6-17 who exhibit two or more positive social behaviors

Missed School Days percent of children aged 6-17 who missed 11 or more days of school in the past year

Health Care

Current Health Insurance percent of children currently insured

Insurance Coverage Consistency percent of children lacking consistent insurance coverage in past year

Preventive Health Care percent of children with a preventive medical visit in the past year

*Preventive Dental Care percent of children with a preventive dental visit in the past year

*Developmental Screening percent of children aged 10 months to 5 years receiving a standardized 

screening for developmental or behavioral problems

Mental Health Care percent of children aged 2-17 with problems requiring counseling 

who received mental health care

*Medical Home percent of children who received care within a medical home

School and Activities

*School Engagement percent of children aged 6-17 who are adequately engaged in school

Repeating a Grade percent of children aged 6-17 who have repeated at least one grade

Activities Outside of School percent of children aged 6-17 who participate in activities outside of school

*Screen Time percent of children aged 1-5 who watched more than one hour of TV 

or video during a weekday

Child’s Family

Reading to Young Children percent of children aged 0-5 whose families read to them every day

*Singing and Telling Stories percent of children aged 0-5 whose families sing or tell stories 

 to Young Children to them every day

Religious Services percent of children who attend religious services at least weekly

Mother’s Health of children who live with their mothers, the percentage whose mothers are 

in excellent or very good physical and emotional health

Father’s Health of children who live with their fathers, the percentage whose fathers are 

in excellent or very good physical and emotional health

Smoking in the Household percent of children who live in households where someone smokes

Child Care percent of children aged 0-5 whose parents made emergency child care 

arrangements last month and/or a job change for child care reasons last year

Child and Family’s Neighborhood

*Neighborhood Amenities percent of children who live in neighborhoods with a park, sidewalks, a library, 

and a community center

*Neighborhood Conditions percent of children who live in neighborhoods with poorly kept or dilapidated housing

Supportive Neighborhoods percent of children living in neighborhoods that are supportive

Safety of Child in Neighborhood percent of children living in neighborhoods that are usually or always safe

*New or revised indicator for 2007. Indicator cannot or should not be compared with 2003 findings.

84.4

70.7

10.4

75.5 

26.4

93.6

5.8

90.9

15.1

88.5

78.4 

19.5 

60.0

57.5

80.5

10.6

80.7 

54.4

47.8 

59.1

53.7 

56.9 

62.7

26.2 

30.7

48.2

14.6

83.2

86.1

86.1

73.5

11.1

87.1 

23.3

92.9

6.2

89.4

16.1

76.7

76.6 

18.1 

63.4

56.1

78.2

6.8

84.6 

49.7

47.8 

55.1

59.4 

60.9 

65.1

21.5 

25.4

40.9

17.7

90.3

91.9
67

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

Illinois

All statistics are based on parental reports.

The Health and Well-Being of Children: A Portrait of States and the Nation 2007

Indicator Explanation National % State %

Health Status

Child Health Status percent of children in excellent or very good health

Oral Health Status percent of children with excellent or very good oral health 

Injury percent of children aged 0-5 with injuries requiring medical attention in the past year 

Breastfeeding percent of children aged 0-5 who were ever breastfed 

Risk of Developmental or percent of children aged 4 months to 5 years determined to be at moderate 

Behavioral Problems or high risk based on parents’ specific concerns 

Social Skills percent of children aged 6-17 who exhibit two or more positive social behaviors

Missed School Days percent of children aged 6-17 who missed 11 or more days of school in the past year

Health Care

Current Health Insurance percent of children currently insured

Insurance Coverage Consistency percent of children lacking consistent insurance coverage in past year

Preventive Health Care percent of children with a preventive medical visit in the past year

*Preventive Dental Care percent of children with a preventive dental visit in the past year

*Developmental Screening percent of children aged 10 months to 5 years receiving a standardized 

screening for developmental or behavioral problems

Mental Health Care percent of children aged 2-17 with problems requiring counseling 

who received mental health care

*Medical Home percent of children who received care within a medical home

School and Activities

*School Engagement percent of children aged 6-17 who are adequately engaged in school

Repeating a Grade percent of children aged 6-17 who have repeated at least one grade

Activities Outside of School percent of children aged 6-17 who participate in activities outside of school

*Screen Time percent of children aged 1-5 who watched more than one hour of TV 

or video during a weekday

Child’s Family

Reading to Young Children percent of children aged 0-5 whose families read to them every day

*Singing and Telling Stories percent of children aged 0-5 whose families sing or tell stories 

 to Young Children to them every day

Religious Services percent of children who attend religious services at least weekly

Mother’s Health of children who live with their mothers, the percentage whose mothers are 

in excellent or very good physical and emotional health

Father’s Health of children who live with their fathers, the percentage whose fathers are 

in excellent or very good physical and emotional health

Smoking in the Household percent of children who live in households where someone smokes

Child Care percent of children aged 0-5 whose parents made emergency child care 

arrangements last month and/or a job change for child care reasons last year

Child and Family’s Neighborhood

*Neighborhood Amenities percent of children who live in neighborhoods with a park, sidewalks, a library, 

and a community center

*Neighborhood Conditions percent of children who live in neighborhoods with poorly kept or dilapidated housing

Supportive Neighborhoods percent of children living in neighborhoods that are supportive

Safety of Child in Neighborhood percent of children living in neighborhoods that are usually or always safe

*New or revised indicator for 2007. Indicator cannot or should not be compared with 2003 findings.

84.4

70.7

10.4

75.5 

26.4

93.6

5.8

90.9

15.1

88.5

78.4 

19.5 

60.0

57.5

80.5

10.6

80.7 

54.4

47.8 

59.1

53.7 

56.9 

62.7

26.2 

30.7

48.2

14.6

83.2

86.1

84.9

71.1

9.4

71.1 

26.2

93.9

5.5

94.0

9.2

90.3

80.5 

21.1 

53.0

55.9

82.2

8.7

81.2 

55.8

46.1 

56.4

54.0 

58.1 

62.5

26.0 

33.3

61.0

12.5

83.4

83.1
68

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

Indiana

All statistics are based on parental reports.

The Health and Well-Being of Children: A Portrait of States and the Nation 2007

Indicator Explanation National % State %

Health Status

Child Health Status percent of children in excellent or very good health

Oral Health Status percent of children with excellent or very good oral health 

Injury percent of children aged 0-5 with injuries requiring medical attention in the past year 

Breastfeeding percent of children aged 0-5 who were ever breastfed 

Risk of Developmental or percent of children aged 4 months to 5 years determined to be at moderate 

Behavioral Problems or high risk based on parents’ specific concerns 

Social Skills percent of children aged 6-17 who exhibit two or more positive social behaviors

Missed School Days percent of children aged 6-17 who missed 11 or more days of school in the past year

Health Care

Current Health Insurance percent of children currently insured

Insurance Coverage Consistency percent of children lacking consistent insurance coverage in past year

Preventive Health Care percent of children with a preventive medical visit in the past year

*Preventive Dental Care percent of children with a preventive dental visit in the past year

*Developmental Screening percent of children aged 10 months to 5 years receiving a standardized 

screening for developmental or behavioral problems

Mental Health Care percent of children aged 2-17 with problems requiring counseling 

who received mental health care

*Medical Home percent of children who received care within a medical home

School and Activities

*School Engagement percent of children aged 6-17 who are adequately engaged in school

Repeating a Grade percent of children aged 6-17 who have repeated at least one grade

Activities Outside of School percent of children aged 6-17 who participate in activities outside of school

*Screen Time percent of children aged 1-5 who watched more than one hour of TV 

or video during a weekday

Child’s Family

Reading to Young Children percent of children aged 0-5 whose families read to them every day

*Singing and Telling Stories percent of children aged 0-5 whose families sing or tell stories 

 to Young Children to them every day

Religious Services percent of children who attend religious services at least weekly

Mother’s Health of children who live with their mothers, the percentage whose mothers are 

in excellent or very good physical and emotional health

Father’s Health of children who live with their fathers, the percentage whose fathers are 

in excellent or very good physical and emotional health

Smoking in the Household percent of children who live in households where someone smokes

Child Care percent of children aged 0-5 whose parents made emergency child care 

arrangements last month and/or a job change for child care reasons last year

Child and Family’s Neighborhood

*Neighborhood Amenities percent of children who live in neighborhoods with a park, sidewalks, a library, 

and a community center

*Neighborhood Conditions percent of children who live in neighborhoods with poorly kept or dilapidated housing

Supportive Neighborhoods percent of children living in neighborhoods that are supportive

Safety of Child in Neighborhood percent of children living in neighborhoods that are usually or always safe

*New or revised indicator for 2007. Indicator cannot or should not be compared with 2003 findings.

84.4

70.7

10.4

75.5 

26.4

93.6

5.8

90.9

15.1

88.5

78.4 

19.5 

60.0

57.5

80.5

10.6

80.7 

54.4

47.8 

59.1

53.7 

56.9 

62.7

26.2 

30.7

48.2

14.6

83.2

86.1

85.3

72.6

13.0

71.4 

22.5

92.2

6.5

92.2

14.7

86.3

79.4 

19.4 

64.3

61.8

80.6

10.2

84.3 

57.6

51.7 

60.0

56.4 

58.5 

64.2

31.6 

33.4

43.0

16.7

84.4

85.7
69

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

Iowa

All statistics are based on parental reports.

The Health and Well-Being of Children: A Portrait of States and the Nation 2007

Indicator Explanation National % State %

Health Status

Child Health Status percent of children in excellent or very good health

Oral Health Status percent of children with excellent or very good oral health 

Injury percent of children aged 0-5 with injuries requiring medical attention in the past year 

Breastfeeding percent of children aged 0-5 who were ever breastfed 

Risk of Developmental or percent of children aged 4 months to 5 years determined to be at moderate 

Behavioral Problems or high risk based on parents’ specific concerns 

Social Skills percent of children aged 6-17 who exhibit two or more positive social behaviors

Missed School Days percent of children aged 6-17 who missed 11 or more days of school in the past year

Health Care

Current Health Insurance percent of children currently insured

Insurance Coverage Consistency percent of children lacking consistent insurance coverage in past year

Preventive Health Care percent of children with a preventive medical visit in the past year

*Preventive Dental Care percent of children with a preventive dental visit in the past year

*Developmental Screening percent of children aged 10 months to 5 years receiving a standardized 

screening for developmental or behavioral problems

Mental Health Care percent of children aged 2-17 with problems requiring counseling 

who received mental health care

*Medical Home percent of children who received care within a medical home

School and Activities

*School Engagement percent of children aged 6-17 who are adequately engaged in school

Repeating a Grade percent of children aged 6-17 who have repeated at least one grade

Activities Outside of School percent of children aged 6-17 who participate in activities outside of school

*Screen Time percent of children aged 1-5 who watched more than one hour of TV 

or video during a weekday

Child’s Family

Reading to Young Children percent of children aged 0-5 whose families read to them every day

*Singing and Telling Stories percent of children aged 0-5 whose families sing or tell stories 

 to Young Children to them every day

Religious Services percent of children who attend religious services at least weekly

Mother’s Health of children who live with their mothers, the percentage whose mothers are 

in excellent or very good physical and emotional health

Father’s Health of children who live with their fathers, the percentage whose fathers are 

in excellent or very good physical and emotional health

Smoking in the Household percent of children who live in households where someone smokes

Child Care percent of children aged 0-5 whose parents made emergency child care 

arrangements last month and/or a job change for child care reasons last year

Child and Family’s Neighborhood

*Neighborhood Amenities percent of children who live in neighborhoods with a park, sidewalks, a library, 

and a community center

*Neighborhood Conditions percent of children who live in neighborhoods with poorly kept or dilapidated housing

Supportive Neighborhoods percent of children living in neighborhoods that are supportive

Safety of Child in Neighborhood percent of children living in neighborhoods that are usually or always safe

*New or revised indicator for 2007. Indicator cannot or should not be compared with 2003 findings.

84.4

70.7

10.4

75.5 

26.4

93.6

5.8

90.9

15.1

88.5

78.4 

19.5 

60.0

57.5

80.5

10.6

80.7 

54.4

47.8 

59.1

53.7 

56.9 

62.7

26.2 

30.7

48.2

14.6

83.2

86.1

87.4

77.7

8.0

74.7 

21.2

94.9

6.3

94.4

9.2

87.9

84.8 

18.7 

74.5

66.9

81.6

6.1

88.2 

52.8

54.3 

56.0

56.9 

60.2 

67.7

28.0 

30.6

51.3

15.5

89.1

92.2
70

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

Kansas

All statistics are based on parental reports.

The Health and Well-Being of Children: A Portrait of States and the Nation 2007

Indicator Explanation National % State %

Health Status

Child Health Status percent of children in excellent or very good health

Oral Health Status percent of children with excellent or very good oral health 

Injury percent of children aged 0-5 with injuries requiring medical attention in the past year 

Breastfeeding percent of children aged 0-5 who were ever breastfed 

Risk of Developmental or percent of children aged 4 months to 5 years determined to be at moderate 

Behavioral Problems or high risk based on parents’ specific concerns 

Social Skills percent of children aged 6-17 who exhibit two or more positive social behaviors

Missed School Days percent of children aged 6-17 who missed 11 or more days of school in the past year

Health Care

Current Health Insurance percent of children currently insured

Insurance Coverage Consistency percent of children lacking consistent insurance coverage in past year

Preventive Health Care percent of children with a preventive medical visit in the past year

*Preventive Dental Care percent of children with a preventive dental visit in the past year

*Developmental Screening percent of children aged 10 months to 5 years receiving a standardized 

screening for developmental or behavioral problems

Mental Health Care percent of children aged 2-17 with problems requiring counseling 

who received mental health care

*Medical Home percent of children who received care within a medical home

School and Activities

*School Engagement percent of children aged 6-17 who are adequately engaged in school

Repeating a Grade percent of children aged 6-17 who have repeated at least one grade

Activities Outside of School percent of children aged 6-17 who participate in activities outside of school

*Screen Time percent of children aged 1-5 who watched more than one hour of TV 

or video during a weekday

Child’s Family

Reading to Young Children percent of children aged 0-5 whose families read to them every day

*Singing and Telling Stories percent of children aged 0-5 whose families sing or tell stories 

 to Young Children to them every day

Religious Services percent of children who attend religious services at least weekly

Mother’s Health of children who live with their mothers, the percentage whose mothers are 

in excellent or very good physical and emotional health

Father’s Health of children who live with their fathers, the percentage whose fathers are 

in excellent or very good physical and emotional health

Smoking in the Household percent of children who live in households where someone smokes

Child Care percent of children aged 0-5 whose parents made emergency child care 

arrangements last month and/or a job change for child care reasons last year

Child and Family’s Neighborhood

*Neighborhood Amenities percent of children who live in neighborhoods with a park, sidewalks, a library, 

and a community center

*Neighborhood Conditions percent of children who live in neighborhoods with poorly kept or dilapidated housing

Supportive Neighborhoods percent of children living in neighborhoods that are supportive

Safety of Child in Neighborhood percent of children living in neighborhoods that are usually or always safe

*New or revised indicator for 2007. Indicator cannot or should not be compared with 2003 findings.

84.4

70.7

10.4

75.5 

26.4

93.6

5.8

90.9

15.1

88.5

78.4 

19.5 

60.0

57.5

80.5

10.6

80.7 

54.4

47.8 

59.1

53.7 

56.9 

62.7

26.2 

30.7

48.2

14.6

83.2

86.1

85.3

71.3

10.2

76.8 

27.4

94.2

7.0

89.8

14.6

90.4

78.8 

24.7 

72.3

61.3

81.4

4.9

86.9 

55.0

48.7 

53.8

57.0 

61.3 

63.8

26.4 

34.5

48.8

18.3

86.7

90.2
71

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

Kentucky

All statistics are based on parental reports.

The Health and Well-Being of Children: A Portrait of States and the Nation 2007

Indicator Explanation National % State %

Health Status

Child Health Status percent of children in excellent or very good health

Oral Health Status percent of children with excellent or very good oral health 

Injury percent of children aged 0-5 with injuries requiring medical attention in the past year 

Breastfeeding percent of children aged 0-5 who were ever breastfed 

Risk of Developmental or percent of children aged 4 months to 5 years determined to be at moderate 

Behavioral Problems or high risk based on parents’ specific concerns 

Social Skills percent of children aged 6-17 who exhibit two or more positive social behaviors

Missed School Days percent of children aged 6-17 who missed 11 or more days of school in the past year

Health Care

Current Health Insurance percent of children currently insured

Insurance Coverage Consistency percent of children lacking consistent insurance coverage in past year

Preventive Health Care percent of children with a preventive medical visit in the past year

*Preventive Dental Care percent of children with a preventive dental visit in the past year

*Developmental Screening percent of children aged 10 months to 5 years receiving a standardized 

screening for developmental or behavioral problems

Mental Health Care percent of children aged 2-17 with problems requiring counseling 

who received mental health care

*Medical Home percent of children who received care within a medical home

School and Activities

*School Engagement percent of children aged 6-17 who are adequately engaged in school

Repeating a Grade percent of children aged 6-17 who have repeated at least one grade

Activities Outside of School percent of children aged 6-17 who participate in activities outside of school

*Screen Time percent of children aged 1-5 who watched more than one hour of TV 

or video during a weekday

Child’s Family

Reading to Young Children percent of children aged 0-5 whose families read to them every day

*Singing and Telling Stories percent of children aged 0-5 whose families sing or tell stories 

 to Young Children to them every day

Religious Services percent of children who attend religious services at least weekly

Mother’s Health of children who live with their mothers, the percentage whose mothers are 

in excellent or very good physical and emotional health

Father’s Health of children who live with their fathers, the percentage whose fathers are 

in excellent or very good physical and emotional health

Smoking in the Household percent of children who live in households where someone smokes

Child Care percent of children aged 0-5 whose parents made emergency child care 

arrangements last month and/or a job change for child care reasons last year

Child and Family’s Neighborhood

*Neighborhood Amenities percent of children who live in neighborhoods with a park, sidewalks, a library, 

and a community center

*Neighborhood Conditions percent of children who live in neighborhoods with poorly kept or dilapidated housing

Supportive Neighborhoods percent of children living in neighborhoods that are supportive

Safety of Child in Neighborhood percent of children living in neighborhoods that are usually or always safe

*New or revised indicator for 2007. Indicator cannot or should not be compared with 2003 findings.

84.4

70.7

10.4

75.5 

26.4

93.6

5.8

90.9

15.1

88.5

78.4 

19.5 

60.0

57.5

80.5

10.6

80.7 

54.4

47.8 

59.1

53.7 

56.9 

62.7

26.2 

30.7

48.2

14.6

83.2

86.1

86.3

73.6

10.5

58.0 

26.2

94.0

6.9

93.3

10.5

88.1

78.4 

15.5 

65.5

61.8

81.9

16.1

78.5 

53.5

48.8 

65.3

61.8 

56.0 

64.2

39.5 

36.8

28.7

20.5

85.1

88.5
72

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

Louisiana

All statistics are based on parental reports.

The Health and Well-Being of Children: A Portrait of States and the Nation 2007

Indicator Explanation National % State %

Health Status

Child Health Status percent of children in excellent or very good health

Oral Health Status percent of children with excellent or very good oral health 

Injury percent of children aged 0-5 with injuries requiring medical attention in the past year 

Breastfeeding percent of children aged 0-5 who were ever breastfed 

Risk of Developmental or percent of children aged 4 months to 5 years determined to be at moderate 

Behavioral Problems or high risk based on parents’ specific concerns 

Social Skills percent of children aged 6-17 who exhibit two or more positive social behaviors

Missed School Days percent of children aged 6-17 who missed 11 or more days of school in the past year

Health Care

Current Health Insurance percent of children currently insured

Insurance Coverage Consistency percent of children lacking consistent insurance coverage in past year

Preventive Health Care percent of children with a preventive medical visit in the past year

*Preventive Dental Care percent of children with a preventive dental visit in the past year

*Developmental Screening percent of children aged 10 months to 5 years receiving a standardized 

screening for developmental or behavioral problems

Mental Health Care percent of children aged 2-17 with problems requiring counseling 

who received mental health care

*Medical Home percent of children who received care within a medical home

School and Activities

*School Engagement percent of children aged 6-17 who are adequately engaged in school

Repeating a Grade percent of children aged 6-17 who have repeated at least one grade

Activities Outside of School percent of children aged 6-17 who participate in activities outside of school

*Screen Time percent of children aged 1-5 who watched more than one hour of TV 

or video during a weekday

Child’s Family

Reading to Young Children percent of children aged 0-5 whose families read to them every day

*Singing and Telling Stories percent of children aged 0-5 whose families sing or tell stories 

 to Young Children to them every day

Religious Services percent of children who attend religious services at least weekly

Mother’s Health of children who live with their mothers, the percentage whose mothers are 

in excellent or very good physical and emotional health

Father’s Health of children who live with their fathers, the percentage whose fathers are 

in excellent or very good physical and emotional health

Smoking in the Household percent of children who live in households where someone smokes

Child Care percent of children aged 0-5 whose parents made emergency child care 

arrangements last month and/or a job change for child care reasons last year

Child and Family’s Neighborhood

*Neighborhood Amenities percent of children who live in neighborhoods with a park, sidewalks, a library, 

and a community center

*Neighborhood Conditions percent of children who live in neighborhoods with poorly kept or dilapidated housing

Supportive Neighborhoods percent of children living in neighborhoods that are supportive

Safety of Child in Neighborhood percent of children living in neighborhoods that are usually or always safe

*New or revised indicator for 2007. Indicator cannot or should not be compared with 2003 findings.

84.4

70.7

10.4

75.5 

26.4

93.6

5.8

90.9

15.1

88.5

78.4 

19.5 

60.0

57.5

80.5

10.6

80.7 

54.4

47.8 

59.1

53.7 

56.9 

62.7

26.2 

30.7

48.2

14.6

83.2

86.1

80.4

69.5

9.2

55.9 

35.2

89.9

6.8

94.8

9.4

88.6

76.5 

28.7 

55.3

55.3

75.9

25.4

75.0 

60.7

42.2 

62.0

68.3 

53.9 

60.6

33.4 

39.7

33.2

19.1

82.7

82.6
73

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

Maine

All statistics are based on parental reports.

The Health and Well-Being of Children: A Portrait of States and the Nation 2007

Indicator Explanation National % State %

Health Status

Child Health Status percent of children in excellent or very good health

Oral Health Status percent of children with excellent or very good oral health 

Injury percent of children aged 0-5 with injuries requiring medical attention in the past year 

Breastfeeding percent of children aged 0-5 who were ever breastfed 

Risk of Developmental or percent of children aged 4 months to 5 years determined to be at moderate 

Behavioral Problems or high risk based on parents’ specific concerns 

Social Skills percent of children aged 6-17 who exhibit two or more positive social behaviors

Missed School Days percent of children aged 6-17 who missed 11 or more days of school in the past year

Health Care

Current Health Insurance percent of children currently insured

Insurance Coverage Consistency percent of children lacking consistent insurance coverage in past year

Preventive Health Care percent of children with a preventive medical visit in the past year

*Preventive Dental Care percent of children with a preventive dental visit in the past year

*Developmental Screening percent of children aged 10 months to 5 years receiving a standardized 

screening for developmental or behavioral problems

Mental Health Care percent of children aged 2-17 with problems requiring counseling 

who received mental health care

*Medical Home percent of children who received care within a medical home

School and Activities

*School Engagement percent of children aged 6-17 who are adequately engaged in school

Repeating a Grade percent of children aged 6-17 who have repeated at least one grade

Activities Outside of School percent of children aged 6-17 who participate in activities outside of school

*Screen Time percent of children aged 1-5 who watched more than one hour of TV 

or video during a weekday

Child’s Family

Reading to Young Children percent of children aged 0-5 whose families read to them every day

*Singing and Telling Stories percent of children aged 0-5 whose families sing or tell stories 

 to Young Children to them every day

Religious Services percent of children who attend religious services at least weekly

Mother’s Health of children who live with their mothers, the percentage whose mothers are 

in excellent or very good physical and emotional health

Father’s Health of children who live with their fathers, the percentage whose fathers are 

in excellent or very good physical and emotional health

Smoking in the Household percent of children who live in households where someone smokes

Child Care percent of children aged 0-5 whose parents made emergency child care 

arrangements last month and/or a job change for child care reasons last year

Child and Family’s Neighborhood

*Neighborhood Amenities percent of children who live in neighborhoods with a park, sidewalks, a library, 

and a community center

*Neighborhood Conditions percent of children who live in neighborhoods with poorly kept or dilapidated housing

Supportive Neighborhoods percent of children living in neighborhoods that are supportive

Safety of Child in Neighborhood percent of children living in neighborhoods that are usually or always safe

*New or revised indicator for 2007. Indicator cannot or should not be compared with 2003 findings.

84.4

70.7

10.4

75.5 

26.4

93.6

5.8

90.9

15.1

88.5

78.4 

19.5 

60.0

57.5

80.5

10.6

80.7 

54.4

47.8 

59.1

53.7 

56.9 

62.7

26.2 

30.7

48.2

14.6

83.2

86.1

90.9

79.7

11.1

78.2 

18.6

95.2

5.6

95.1

9.0

92.2

80.9 

21.5 

70.8

65.5

80.2

10.4

87.3 

49.5

68.6 

67.5

31.4 

64.2 

66.3

27.6 

35.8

40.5

23.7

85.0

93.3
74

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

Maryland All statistics are based on parental reports.

The Health and Well-Being of Children: A Portrait of States and the Nation 2007

Indicator Explanation National % State %

Health Status

Child Health Status percent of children in excellent or very good health

Oral Health Status percent of children with excellent or very good oral health 

Injury percent of children aged 0-5 with injuries requiring medical attention in the past year 

Breastfeeding percent of children aged 0-5 who were ever breastfed 

Risk of Developmental or percent of children aged 4 months to 5 years determined to be at moderate 

Behavioral Problems or high risk based on parents’ specific concerns 

Social Skills percent of children aged 6-17 who exhibit two or more positive social behaviors

Missed School Days percent of children aged 6-17 who missed 11 or more days of school in the past year

Health Care

Current Health Insurance percent of children currently insured

Insurance Coverage Consistency percent of children lacking consistent insurance coverage in past year

Preventive Health Care percent of children with a preventive medical visit in the past year

*Preventive Dental Care percent of children with a preventive dental visit in the past year

*Developmental Screening percent of children aged 10 months to 5 years receiving a standardized 

screening for developmental or behavioral problems

Mental Health Care percent of children aged 2-17 with problems requiring counseling 

who received mental health care

*Medical Home percent of children who received care within a medical home

School and Activities

*School Engagement percent of children aged 6-17 who are adequately engaged in school

Repeating a Grade percent of children aged 6-17 who have repeated at least one grade

Activities Outside of School percent of children aged 6-17 who participate in activities outside of school

*Screen Time percent of children aged 1-5 who watched more than one hour of TV 

or video during a weekday

Child’s Family

Reading to Young Children percent of children aged 0-5 whose families read to them every day

*Singing and Telling Stories percent of children aged 0-5 whose families sing or tell stories 

 to Young Children to them every day

Religious Services percent of children who attend religious services at least weekly

Mother’s Health of children who live with their mothers, the percentage whose mothers are 

in excellent or very good physical and emotional health

Father’s Health of children who live with their fathers, the percentage whose fathers are 

in excellent or very good physical and emotional health

Smoking in the Household percent of children who live in households where someone smokes

Child Care percent of children aged 0-5 whose parents made emergency child care 

arrangements last month and/or a job change for child care reasons last year

Child and Family’s Neighborhood

*Neighborhood Amenities percent of children who live in neighborhoods with a park, sidewalks, a library, 

and a community center

*Neighborhood Conditions percent of children who live in neighborhoods with poorly kept or dilapidated housing

Supportive Neighborhoods percent of children living in neighborhoods that are supportive

Safety of Child in Neighborhood percent of children living in neighborhoods that are usually or always safe

*New or revised indicator for 2007. Indicator cannot or should not be compared with 2003 findings.

84.4

70.7

10.4

75.5 

26.4

93.6

5.8

90.9

15.1

88.5

78.4 

19.5 

60.0

57.5

80.5

10.6

80.7 

54.4

47.8 

59.1

53.7 

56.9 

62.7

26.2 

30.7

48.2

14.6

83.2

86.1

90.1

77.1

14.2

78.6 

27.7

92.2

5.2

94.2

11.0

93.5

79.1 

22.3 

59.4

58.6

79.5

10.0

84.5 

55.3

50.3 

64.6

51.6 

63.3 

66.8

23.2 

35.2

50.5

9.8

83.0

86.6
75

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

Massachusetts

All statistics are based on parental reports.

The Health and Well-Being of Children: A Portrait of States and the Nation 2007

Indicator Explanation National % State %

Health Status

Child Health Status percent of children in excellent or very good health

Oral Health Status percent of children with excellent or very good oral health 

Injury percent of children aged 0-5 with injuries requiring medical attention in the past year 

Breastfeeding percent of children aged 0-5 who were ever breastfed 

Risk of Developmental or percent of children aged 4 months to 5 years determined to be at moderate 

Behavioral Problems or high risk based on parents’ specific concerns 

Social Skills percent of children aged 6-17 who exhibit two or more positive social behaviors

Missed School Days percent of children aged 6-17 who missed 11 or more days of school in the past year

Health Care

Current Health Insurance percent of children currently insured

Insurance Coverage Consistency percent of children lacking consistent insurance coverage in past year

Preventive Health Care percent of children with a preventive medical visit in the past year

*Preventive Dental Care percent of children with a preventive dental visit in the past year

*Developmental Screening percent of children aged 10 months to 5 years receiving a standardized 

screening for developmental or behavioral problems

Mental Health Care percent of children aged 2-17 with problems requiring counseling 

who received mental health care

*Medical Home percent of children who received care within a medical home

School and Activities

*School Engagement percent of children aged 6-17 who are adequately engaged in school

Repeating a Grade percent of children aged 6-17 who have repeated at least one grade

Activities Outside of School percent of children aged 6-17 who participate in activities outside of school

*Screen Time percent of children aged 1-5 who watched more than one hour of TV 

or video during a weekday

Child’s Family

Reading to Young Children percent of children aged 0-5 whose families read to them every day

*Singing and Telling Stories percent of children aged 0-5 whose families sing or tell stories 

 to Young Children to them every day

Religious Services percent of children who attend religious services at least weekly

Mother’s Health of children who live with their mothers, the percentage whose mothers are 

in excellent or very good physical and emotional health

Father’s Health of children who live with their fathers, the percentage whose fathers are 

in excellent or very good physical and emotional health

Smoking in the Household percent of children who live in households where someone smokes

Child Care percent of children aged 0-5 whose parents made emergency child care 

arrangements last month and/or a job change for child care reasons last year

Child and Family’s Neighborhood

*Neighborhood Amenities percent of children who live in neighborhoods with a park, sidewalks, a library, 

and a community center

*Neighborhood Conditions percent of children who live in neighborhoods with poorly kept or dilapidated housing

Supportive Neighborhoods percent of children living in neighborhoods that are supportive

Safety of Child in Neighborhood percent of children living in neighborhoods that are usually or always safe

*New or revised indicator for 2007. Indicator cannot or should not be compared with 2003 findings.

84.4

70.7

10.4

75.5 

26.4

93.6

5.8

90.9

15.1

88.5

78.4 

19.5 

60.0

57.5

80.5

10.6

80.7 

54.4

47.8 

59.1

53.7 

56.9 

62.7

26.2 

30.7

48.2

14.6

83.2

86.1

88.3

79.5

11.2

80.0 

22.1

96.8

7.7

97.3

5.7

96.6

83.8 

16.4 

66.6

66.2

86.1

10.0

88.1 

52.5

64.2 

69.1

37.2 

65.4 

68.5

21.7 

38.2

56.1

8.6

83.3

91.5
76

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

Michigan All statistics are based on parental reports.

The Health and Well-Being of Children: A Portrait of States and the Nation 2007

Indicator Explanation National % State %

Health Status

Child Health Status percent of children in excellent or very good health

Oral Health Status percent of children with excellent or very good oral health 

Injury percent of children aged 0-5 with injuries requiring medical attention in the past year 

Breastfeeding percent of children aged 0-5 who were ever breastfed 

Risk of Developmental or percent of children aged 4 months to 5 years determined to be at moderate 

Behavioral Problems or high risk based on parents’ specific concerns 

Social Skills percent of children aged 6-17 who exhibit two or more positive social behaviors

Missed School Days percent of children aged 6-17 who missed 11 or more days of school in the past year

Health Care

Current Health Insurance percent of children currently insured

Insurance Coverage Consistency percent of children lacking consistent insurance coverage in past year

Preventive Health Care percent of children with a preventive medical visit in the past year

*Preventive Dental Care percent of children with a preventive dental visit in the past year

*Developmental Screening percent of children aged 10 months to 5 years receiving a standardized 

screening for developmental or behavioral problems

Mental Health Care percent of children aged 2-17 with problems requiring counseling 

who received mental health care

*Medical Home percent of children who received care within a medical home

School and Activities

*School Engagement percent of children aged 6-17 who are adequately engaged in school

Repeating a Grade percent of children aged 6-17 who have repeated at least one grade

Activities Outside of School percent of children aged 6-17 who participate in activities outside of school

*Screen Time percent of children aged 1-5 who watched more than one hour of TV 

or video during a weekday

Child’s Family

Reading to Young Children percent of children aged 0-5 whose families read to them every day

*Singing and Telling Stories percent of children aged 0-5 whose families sing or tell stories 

 to Young Children to them every day

Religious Services percent of children who attend religious services at least weekly

Mother’s Health of children who live with their mothers, the percentage whose mothers are 

in excellent or very good physical and emotional health

Father’s Health of children who live with their fathers, the percentage whose fathers are 

in excellent or very good physical and emotional health

Smoking in the Household percent of children who live in households where someone smokes

Child Care percent of children aged 0-5 whose parents made emergency child care 

arrangements last month and/or a job change for child care reasons last year

Child and Family’s Neighborhood

*Neighborhood Amenities percent of children who live in neighborhoods with a park, sidewalks, a library, 

and a community center

*Neighborhood Conditions percent of children who live in neighborhoods with poorly kept or dilapidated housing

Supportive Neighborhoods percent of children living in neighborhoods that are supportive

Safety of Child in Neighborhood percent of children living in neighborhoods that are usually or always safe

*New or revised indicator for 2007. Indicator cannot or should not be compared with 2003 findings.

84.4

70.7

10.4

75.5 

26.4

93.6

5.8

90.9

15.1

88.5

78.4 

19.5 

60.0

57.5

80.5

10.6

80.7 

54.4

47.8 

59.1

53.7 

56.9 

62.7

26.2 

30.7

48.2

14.6

83.2

86.1

86.4

73.3

12.5

72.0 

23.7

91.9

6.0

94.0

10.4

88.6

83.0 

18.2 

60.4

62.6

79.1

8.3

83.9 

54.1

52.7 

66.8

51.2 

57.7 

63.9

29.7 

21.5

50.9

17.1

85.5

87.5
77

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

Minnesota

All statistics are based on parental reports.

The Health and Well-Being of Children: A Portrait of States and the Nation 2007

Indicator Explanation National % State %

Health Status

Child Health Status percent of children in excellent or very good health

Oral Health Status percent of children with excellent or very good oral health 

Injury percent of children aged 0-5 with injuries requiring medical attention in the past year 

Breastfeeding percent of children aged 0-5 who were ever breastfed 

Risk of Developmental or percent of children aged 4 months to 5 years determined to be at moderate 

Behavioral Problems or high risk based on parents’ specific concerns 

Social Skills percent of children aged 6-17 who exhibit two or more positive social behaviors

Missed School Days percent of children aged 6-17 who missed 11 or more days of school in the past year

Health Care

Current Health Insurance percent of children currently insured

Insurance Coverage Consistency percent of children lacking consistent insurance coverage in past year

Preventive Health Care percent of children with a preventive medical visit in the past year

*Preventive Dental Care percent of children with a preventive dental visit in the past year

*Developmental Screening percent of children aged 10 months to 5 years receiving a standardized 

screening for developmental or behavioral problems

Mental Health Care percent of children aged 2-17 with problems requiring counseling 

who received mental health care

*Medical Home percent of children who received care within a medical home

School and Activities

*School Engagement percent of children aged 6-17 who are adequately engaged in school

Repeating a Grade percent of children aged 6-17 who have repeated at least one grade

Activities Outside of School percent of children aged 6-17 who participate in activities outside of school

*Screen Time percent of children aged 1-5 who watched more than one hour of TV 

or video during a weekday

Child’s Family

Reading to Young Children percent of children aged 0-5 whose families read to them every day

*Singing and Telling Stories percent of children aged 0-5 whose families sing or tell stories 

 to Young Children to them every day

Religious Services percent of children who attend religious services at least weekly

Mother’s Health of children who live with their mothers, the percentage whose mothers are 

in excellent or very good physical and emotional health

Father’s Health of children who live with their fathers, the percentage whose fathers are 

in excellent or very good physical and emotional health

Smoking in the Household percent of children who live in households where someone smokes

Child Care percent of children aged 0-5 whose parents made emergency child care 

arrangements last month and/or a job change for child care reasons last year

Child and Family’s Neighborhood

*Neighborhood Amenities percent of children who live in neighborhoods with a park, sidewalks, a library, 

and a community center

*Neighborhood Conditions percent of children who live in neighborhoods with poorly kept or dilapidated housing

Supportive Neighborhoods percent of children living in neighborhoods that are supportive

Safety of Child in Neighborhood percent of children living in neighborhoods that are usually or always safe

*New or revised indicator for 2007. Indicator cannot or should not be compared with 2003 findings.

84.4

70.7

10.4

75.5 

26.4

93.6

5.8

90.9

15.1

88.5

78.4 

19.5 

60.0

57.5

80.5

10.6

80.7 

54.4

47.8 

59.1

53.7 

56.9 

62.7

26.2 

30.7

48.2

14.6

83.2

86.1

91.4

78.1

10.8

83.3 

18.6

97.1

4.7

94.0

13.0

83.6

79.6 

41.6 

67.0

63.0

83.6

4.2

90.5 

40.9

56.5 

65.4

53.9 

68.0 

69.8

23.4 

30.4

52.9

11.0

89.0

91.2
78

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

Mississippi

All statistics are based on parental reports.

The Health and Well-Being of Children: A Portrait of States and the Nation 2007

Indicator Explanation National % State %

Health Status

Child Health Status percent of children in excellent or very good health

Oral Health Status percent of children with excellent or very good oral health 

Injury percent of children aged 0-5 with injuries requiring medical attention in the past year 

Breastfeeding percent of children aged 0-5 who were ever breastfed 

Risk of Developmental or percent of children aged 4 months to 5 years determined to be at moderate 

Behavioral Problems or high risk based on parents’ specific concerns 

Social Skills percent of children aged 6-17 who exhibit two or more positive social behaviors

Missed School Days percent of children aged 6-17 who missed 11 or more days of school in the past year

Health Care

Current Health Insurance percent of children currently insured

Insurance Coverage Consistency percent of children lacking consistent insurance coverage in past year

Preventive Health Care percent of children with a preventive medical visit in the past year

*Preventive Dental Care percent of children with a preventive dental visit in the past year

*Developmental Screening percent of children aged 10 months to 5 years receiving a standardized 

screening for developmental or behavioral problems

Mental Health Care percent of children aged 2-17 with problems requiring counseling 

who received mental health care

*Medical Home percent of children who received care within a medical home

School and Activities

*School Engagement percent of children aged 6-17 who are adequately engaged in school

Repeating a Grade percent of children aged 6-17 who have repeated at least one grade

Activities Outside of School percent of children aged 6-17 who participate in activities outside of school

*Screen Time percent of children aged 1-5 who watched more than one hour of TV 

or video during a weekday

Child’s Family

Reading to Young Children percent of children aged 0-5 whose families read to them every day

*Singing and Telling Stories percent of children aged 0-5 whose families sing or tell stories 

 to Young Children to them every day

Religious Services percent of children who attend religious services at least weekly

Mother’s Health of children who live with their mothers, the percentage whose mothers are 

in excellent or very good physical and emotional health

Father’s Health of children who live with their fathers, the percentage whose fathers are 

in excellent or very good physical and emotional health

Smoking in the Household percent of children who live in households where someone smokes

Child Care percent of children aged 0-5 whose parents made emergency child care 

arrangements last month and/or a job change for child care reasons last year

Child and Family’s Neighborhood

*Neighborhood Amenities percent of children who live in neighborhoods with a park, sidewalks, a library, 

and a community center

*Neighborhood Conditions percent of children who live in neighborhoods with poorly kept or dilapidated housing

Supportive Neighborhoods percent of children living in neighborhoods that are supportive

Safety of Child in Neighborhood percent of children living in neighborhoods that are usually or always safe

*New or revised indicator for 2007. Indicator cannot or should not be compared with 2003 findings.

84.4

70.7

10.4

75.5 

26.4

93.6

5.8

90.9

15.1

88.5

78.4 

19.5 

60.0

57.5

80.5

10.6

80.7 

54.4

47.8 

59.1

53.7 

56.9 

62.7

26.2 

30.7

48.2

14.6

83.2

86.1

82.2

66.8

8.2

52.7 

32.8

86.8

6.1

90.7

21.0

82.3

75.5 

20.0 

43.0

51.6

76.6

21.3

75.0 

62.1

37.4 

54.8

73.3 

50.4 

60.4

35.1 

33.7

23.5

19.2

85.0

87.0
79

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

Missouri

All statistics are based on parental reports.

The Health and Well-Being of Children: A Portrait of States and the Nation 2007

Indicator Explanation National % State %

Health Status

Child Health Status percent of children in excellent or very good health

Oral Health Status percent of children with excellent or very good oral health 

Injury percent of children aged 0-5 with injuries requiring medical attention in the past year 

Breastfeeding percent of children aged 0-5 who were ever breastfed 

Risk of Developmental or percent of children aged 4 months to 5 years determined to be at moderate 

Behavioral Problems or high risk based on parents’ specific concerns 

Social Skills percent of children aged 6-17 who exhibit two or more positive social behaviors

Missed School Days percent of children aged 6-17 who missed 11 or more days of school in the past year

Health Care

Current Health Insurance percent of children currently insured

Insurance Coverage Consistency percent of children lacking consistent insurance coverage in past year

Preventive Health Care percent of children with a preventive medical visit in the past year

*Preventive Dental Care percent of children with a preventive dental visit in the past year

*Developmental Screening percent of children aged 10 months to 5 years receiving a standardized 

screening for developmental or behavioral problems

Mental Health Care percent of children aged 2-17 with problems requiring counseling 

who received mental health care

*Medical Home percent of children who received care within a medical home

School and Activities

*School Engagement percent of children aged 6-17 who are adequately engaged in school

Repeating a Grade percent of children aged 6-17 who have repeated at least one grade

Activities Outside of School percent of children aged 6-17 who participate in activities outside of school

*Screen Time percent of children aged 1-5 who watched more than one hour of TV 

or video during a weekday

Child’s Family

Reading to Young Children percent of children aged 0-5 whose families read to them every day

*Singing and Telling Stories percent of children aged 0-5 whose families sing or tell stories 

 to Young Children to them every day

Religious Services percent of children who attend religious services at least weekly

Mother’s Health of children who live with their mothers, the percentage whose mothers are 

in excellent or very good physical and emotional health

Father’s Health of children who live with their fathers, the percentage whose fathers are 

in excellent or very good physical and emotional health

Smoking in the Household percent of children who live in households where someone smokes

Child Care percent of children aged 0-5 whose parents made emergency child care 

arrangements last month and/or a job change for child care reasons last year

Child and Family’s Neighborhood

*Neighborhood Amenities percent of children who live in neighborhoods with a park, sidewalks, a library, 

and a community center

*Neighborhood Conditions percent of children who live in neighborhoods with poorly kept or dilapidated housing

Supportive Neighborhoods percent of children living in neighborhoods that are supportive

Safety of Child in Neighborhood percent of children living in neighborhoods that are usually or always safe

*New or revised indicator for 2007. Indicator cannot or should not be compared with 2003 findings.

84.4

70.7

10.4

75.5 

26.4

93.6

5.8

90.9

15.1

88.5

78.4 

19.5 

60.0

57.5

80.5

10.6

80.7 

54.4

47.8 

59.1

53.7 

56.9 

62.7

26.2 

30.7

48.2

14.6

83.2

86.1

87.3

72.1

10.6

67.9 

24.2

92.0

5.8

94.4

11.2

87.1

75.4 

19.0 

73.9

64.8

80.4

8.8

81.3 

53.6

51.2 

57.8

58.1 

56.8 

66.9

34.4 

35.4

44.7

19.3

83.9

88.6
80

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

Montana

All statistics are based on parental reports.

The Health and Well-Being of Children: A Portrait of States and the Nation 2007

Indicator Explanation National % State %

Health Status

Child Health Status percent of children in excellent or very good health

Oral Health Status percent of children with excellent or very good oral health 

Injury percent of children aged 0-5 with injuries requiring medical attention in the past year 

Breastfeeding percent of children aged 0-5 who were ever breastfed 

Risk of Developmental or percent of children aged 4 months to 5 years determined to be at moderate 

Behavioral Problems or high risk based on parents’ specific concerns 

Social Skills percent of children aged 6-17 who exhibit two or more positive social behaviors

Missed School Days percent of children aged 6-17 who missed 11 or more days of school in the past year

Health Care

Current Health Insurance percent of children currently insured

Insurance Coverage Consistency percent of children lacking consistent insurance coverage in past year

Preventive Health Care percent of children with a preventive medical visit in the past year

*Preventive Dental Care percent of children with a preventive dental visit in the past year

*Developmental Screening percent of children aged 10 months to 5 years receiving a standardized 

screening for developmental or behavioral problems

Mental Health Care percent of children aged 2-17 with problems requiring counseling 

who received mental health care

*Medical Home percent of children who received care within a medical home

School and Activities

*School Engagement percent of children aged 6-17 who are adequately engaged in school

Repeating a Grade percent of children aged 6-17 who have repeated at least one grade

Activities Outside of School percent of children aged 6-17 who participate in activities outside of school

*Screen Time percent of children aged 1-5 who watched more than one hour of TV 

or video during a weekday

Child’s Family

Reading to Young Children percent of children aged 0-5 whose families read to them every day

*Singing and Telling Stories percent of children aged 0-5 whose families sing or tell stories 

 to Young Children to them every day

Religious Services percent of children who attend religious services at least weekly

Mother’s Health of children who live with their mothers, the percentage whose mothers are 

in excellent or very good physical and emotional health

Father’s Health of children who live with their fathers, the percentage whose fathers are 

in excellent or very good physical and emotional health

Smoking in the Household percent of children who live in households where someone smokes

Child Care percent of children aged 0-5 whose parents made emergency child care 

arrangements last month and/or a job change for child care reasons last year

Child and Family’s Neighborhood

*Neighborhood Amenities percent of children who live in neighborhoods with a park, sidewalks, a library, 

and a community center

*Neighborhood Conditions percent of children who live in neighborhoods with poorly kept or dilapidated housing

Supportive Neighborhoods percent of children living in neighborhoods that are supportive

Safety of Child in Neighborhood percent of children living in neighborhoods that are usually or always safe

*New or revised indicator for 2007. Indicator cannot or should not be compared with 2003 findings.

84.4

70.7

10.4

75.5 

26.4

93.6

5.8

90.9

15.1

88.5

78.4 

19.5 

60.0

57.5

80.5

10.6

80.7 

54.4

47.8 

59.1

53.7 

56.9 

62.7

26.2 

30.7

48.2

14.6

83.2

86.1

88.3

74.5

8.7

85.5 

22.1

94.1

9.8

86.8

19.8

80.5

76.5 

16.7 

67.9

61.5

81.5

9.2

88.9 

47.5

56.8 

68.3

46.7 

59.9 

66.1

26.8 

35.1

41.9

23.8

87.4

92.1
81

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

Nebraska

All statistics are based on parental reports.

The Health and Well-Being of Children: A Portrait of States and the Nation 2007

Indicator Explanation National % State %

Health Status

Child Health Status percent of children in excellent or very good health

Oral Health Status percent of children with excellent or very good oral health 

Injury percent of children aged 0-5 with injuries requiring medical attention in the past year 

Breastfeeding percent of children aged 0-5 who were ever breastfed 

Risk of Developmental or percent of children aged 4 months to 5 years determined to be at moderate 

Behavioral Problems or high risk based on parents’ specific concerns 

Social Skills percent of children aged 6-17 who exhibit two or more positive social behaviors

Missed School Days percent of children aged 6-17 who missed 11 or more days of school in the past year

Health Care

Current Health Insurance percent of children currently insured

Insurance Coverage Consistency percent of children lacking consistent insurance coverage in past year

Preventive Health Care percent of children with a preventive medical visit in the past year

*Preventive Dental Care percent of children with a preventive dental visit in the past year

*Developmental Screening percent of children aged 10 months to 5 years receiving a standardized 

screening for developmental or behavioral problems

Mental Health Care percent of children aged 2-17 with problems requiring counseling 

who received mental health care

*Medical Home percent of children who received care within a medical home

School and Activities

*School Engagement percent of children aged 6-17 who are adequately engaged in school

Repeating a Grade percent of children aged 6-17 who have repeated at least one grade

Activities Outside of School percent of children aged 6-17 who participate in activities outside of school

*Screen Time percent of children aged 1-5 who watched more than one hour of TV 

or video during a weekday

Child’s Family

Reading to Young Children percent of children aged 0-5 whose families read to them every day

*Singing and Telling Stories percent of children aged 0-5 whose families sing or tell stories 

 to Young Children to them every day

Religious Services percent of children who attend religious services at least weekly

Mother’s Health of children who live with their mothers, the percentage whose mothers are 

in excellent or very good physical and emotional health

Father’s Health of children who live with their fathers, the percentage whose fathers are 

in excellent or very good physical and emotional health

Smoking in the Household percent of children who live in households where someone smokes

Child Care percent of children aged 0-5 whose parents made emergency child care 

arrangements last month and/or a job change for child care reasons last year

Child and Family’s Neighborhood

*Neighborhood Amenities percent of children who live in neighborhoods with a park, sidewalks, a library, 

and a community center

*Neighborhood Conditions percent of children who live in neighborhoods with poorly kept or dilapidated housing

Supportive Neighborhoods percent of children living in neighborhoods that are supportive

Safety of Child in Neighborhood percent of children living in neighborhoods that are usually or always safe

*New or revised indicator for 2007. Indicator cannot or should not be compared with 2003 findings.

84.4

70.7

10.4

75.5 

26.4

93.6

5.8

90.9

15.1

88.5

78.4 

19.5 

60.0

57.5

80.5

10.6

80.7 

54.4

47.8 

59.1

53.7 

56.9 

62.7

26.2 

30.7

48.2

14.6

83.2

86.1

86.3

76.2

8.1

75.9 

23.6

94.8

4.3

91.0

13.5

84.8

79.5 

18.8 

71.0

69.1

80.3

5.6

87.6 

51.4 

50.5 

61.0

58.2 

63.6 

72.1

27.9 

25.4

52.2

14.6

87.9

88.7
82

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

Nevada

All statistics are based on parental reports.

The Health and Well-Being of Children: A Portrait of States and the Nation 2007

Indicator Explanation National % State %

Health Status

Child Health Status percent of children in excellent or very good health

Oral Health Status percent of children with excellent or very good oral health 

Injury percent of children aged 0-5 with injuries requiring medical attention in the past year 

Breastfeeding percent of children aged 0-5 who were ever breastfed 

Risk of Developmental or percent of children aged 4 months to 5 years determined to be at moderate 

Behavioral Problems or high risk based on parents’ specific concerns 

Social Skills percent of children aged 6-17 who exhibit two or more positive social behaviors

Missed School Days percent of children aged 6-17 who missed 11 or more days of school in the past year

Health Care

Current Health Insurance percent of children currently insured

Insurance Coverage Consistency percent of children lacking consistent insurance coverage in past year

Preventive Health Care percent of children with a preventive medical visit in the past year

*Preventive Dental Care percent of children with a preventive dental visit in the past year

*Developmental Screening percent of children aged 10 months to 5 years receiving a standardized 

screening for developmental or behavioral problems

Mental Health Care percent of children aged 2-17 with problems requiring counseling 

who received mental health care

*Medical Home percent of children who received care within a medical home

School and Activities

*School Engagement percent of children aged 6-17 who are adequately engaged in school

Repeating a Grade percent of children aged 6-17 who have repeated at least one grade

Activities Outside of School percent of children aged 6-17 who participate in activities outside of school

*Screen Time percent of children aged 1-5 who watched more than one hour of TV 

or video during a weekday

Child’s Family

Reading to Young Children percent of children aged 0-5 whose families read to them every day

*Singing and Telling Stories percent of children aged 0-5 whose families sing or tell stories 

 to Young Children to them every day

Religious Services percent of children who attend religious services at least weekly

Mother’s Health of children who live with their mothers, the percentage whose mothers are 

in excellent or very good physical and emotional health

Father’s Health of children who live with their fathers, the percentage whose fathers are 

in excellent or very good physical and emotional health

Smoking in the Household percent of children who live in households where someone smokes

Child Care percent of children aged 0-5 whose parents made emergency child care 

arrangements last month and/or a job change for child care reasons last year

Child and Family’s Neighborhood

*Neighborhood Amenities percent of children who live in neighborhoods with a park, sidewalks, a library, 

and a community center

*Neighborhood Conditions percent of children who live in neighborhoods with poorly kept or dilapidated housing

Supportive Neighborhoods percent of children living in neighborhoods that are supportive

Safety of Child in Neighborhood percent of children living in neighborhoods that are usually or always safe

*New or revised indicator for 2007. Indicator cannot or should not be compared with 2003 findings.

84.4

70.7

10.4

75.5 

26.4

93.6

5.8

90.9

15.1

88.5

78.4 

19.5 

60.0

57.5

80.5

10.6

80.7 

54.4

47.8 

59.1

53.7 

56.9 

62.7

26.2 

30.7

48.2

14.6

83.2

86.1

79.8

66.3

9.1

82.1 

31.3

94.0

6.1

80.6

25.5

79.1

73.1 

18.6 

53.1

45.4

83.2

7.0

73.6 

65.1

44.6 

58.7

47.9 

54.3 

57.4

25.4 

26.7

56.3

11.6

74.4

82.7
83

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

New Hampshire

All statistics are based on parental reports.

The Health and Well-Being of Children: A Portrait of States and the Nation 2007

Indicator Explanation National % State %

Health Status

Child Health Status percent of children in excellent or very good health

Oral Health Status percent of children with excellent or very good oral health 

Injury percent of children aged 0-5 with injuries requiring medical attention in the past year 

Breastfeeding percent of children aged 0-5 who were ever breastfed 

Risk of Developmental or percent of children aged 4 months to 5 years determined to be at moderate 

Behavioral Problems or high risk based on parents’ specific concerns 

Social Skills percent of children aged 6-17 who exhibit two or more positive social behaviors

Missed School Days percent of children aged 6-17 who missed 11 or more days of school in the past year

Health Care

Current Health Insurance percent of children currently insured

Insurance Coverage Consistency percent of children lacking consistent insurance coverage in past year

Preventive Health Care percent of children with a preventive medical visit in the past year

*Preventive Dental Care percent of children with a preventive dental visit in the past year

*Developmental Screening percent of children aged 10 months to 5 years receiving a standardized 

screening for developmental or behavioral problems

Mental Health Care percent of children aged 2-17 with problems requiring counseling 

who received mental health care

*Medical Home percent of children who received care within a medical home

School and Activities

*School Engagement percent of children aged 6-17 who are adequately engaged in school

Repeating a Grade percent of children aged 6-17 who have repeated at least one grade

Activities Outside of School percent of children aged 6-17 who participate in activities outside of school

*Screen Time percent of children aged 1-5 who watched more than one hour of TV 

or video during a weekday

Child’s Family

Reading to Young Children percent of children aged 0-5 whose families read to them every day

*Singing and Telling Stories percent of children aged 0-5 whose families sing or tell stories 

 to Young Children to them every day

Religious Services percent of children who attend religious services at least weekly

Mother’s Health of children who live with their mothers, the percentage whose mothers are 

in excellent or very good physical and emotional health

Father’s Health of children who live with their fathers, the percentage whose fathers are 

in excellent or very good physical and emotional health

Smoking in the Household percent of children who live in households where someone smokes

Child Care percent of children aged 0-5 whose parents made emergency child care 

arrangements last month and/or a job change for child care reasons last year

Child and Family’s Neighborhood

*Neighborhood Amenities percent of children who live in neighborhoods with a park, sidewalks, a library, 

and a community center

*Neighborhood Conditions percent of children who live in neighborhoods with poorly kept or dilapidated housing

Supportive Neighborhoods percent of children living in neighborhoods that are supportive

Safety of Child in Neighborhood percent of children living in neighborhoods that are usually or always safe

*New or revised indicator for 2007. Indicator cannot or should not be compared with 2003 findings.

84.4

70.7

10.4

75.5 

26.4

93.6

5.8

90.9

15.1

88.5

78.4 

19.5 

60.0

57.5

80.5

10.6

80.7 

54.4

47.8 

59.1

53.7 

56.9 

62.7

26.2 

30.7

48.2

14.6

83.2

86.1

90.6

81.5

12.4

78.3 

22.1

95.8

5.6

95.7

9.7

94.5

84.2 

18.1 

63.0

69.3

82.1

6.7

89.1 

47.4

67.4 

74.8

29.8 

64.6 

70.4

26.9 

36.2

40.1

11.4

86.9

93.0
84

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

New Jersey

All statistics are based on parental reports.

The Health and Well-Being of Children: A Portrait of States and the Nation 2007

Indicator Explanation National % State %

Health Status

Child Health Status percent of children in excellent or very good health

Oral Health Status percent of children with excellent or very good oral health 

Injury percent of children aged 0-5 with injuries requiring medical attention in the past year 

Breastfeeding percent of children aged 0-5 who were ever breastfed 

Risk of Developmental or percent of children aged 4 months to 5 years determined to be at moderate 

Behavioral Problems or high risk based on parents’ specific concerns 

Social Skills percent of children aged 6-17 who exhibit two or more positive social behaviors

Missed School Days percent of children aged 6-17 who missed 11 or more days of school in the past year

Health Care

Current Health Insurance percent of children currently insured

Insurance Coverage Consistency percent of children lacking consistent insurance coverage in past year

Preventive Health Care percent of children with a preventive medical visit in the past year

*Preventive Dental Care percent of children with a preventive dental visit in the past year

*Developmental Screening percent of children aged 10 months to 5 years receiving a standardized 

screening for developmental or behavioral problems

Mental Health Care percent of children aged 2-17 with problems requiring counseling 

who received mental health care

*Medical Home percent of children who received care within a medical home

School and Activities

*School Engagement percent of children aged 6-17 who are adequately engaged in school

Repeating a Grade percent of children aged 6-17 who have repeated at least one grade

Activities Outside of School percent of children aged 6-17 who participate in activities outside of school

*Screen Time percent of children aged 1-5 who watched more than one hour of TV 

or video during a weekday

Child’s Family

Reading to Young Children percent of children aged 0-5 whose families read to them every day

*Singing and Telling Stories percent of children aged 0-5 whose families sing or tell stories 

 to Young Children to them every day

Religious Services percent of children who attend religious services at least weekly

Mother’s Health of children who live with their mothers, the percentage whose mothers are 

in excellent or very good physical and emotional health

Father’s Health of children who live with their fathers, the percentage whose fathers are 

in excellent or very good physical and emotional health

Smoking in the Household percent of children who live in households where someone smokes

Child Care percent of children aged 0-5 whose parents made emergency child care 

arrangements last month and/or a job change for child care reasons last year

Child and Family’s Neighborhood

*Neighborhood Amenities percent of children who live in neighborhoods with a park, sidewalks, a library, 

and a community center

*Neighborhood Conditions percent of children who live in neighborhoods with poorly kept or dilapidated housing

Supportive Neighborhoods percent of children living in neighborhoods that are supportive

Safety of Child in Neighborhood percent of children living in neighborhoods that are usually or always safe

*New or revised indicator for 2007. Indicator cannot or should not be compared with 2003 findings.

84.4

70.7

10.4

75.5 

26.4

93.6

5.8

90.9

15.1

88.5

78.4 

19.5 

60.0

57.5

80.5

10.6

80.7 

54.4

47.8 

59.1

53.7 

56.9 

62.7

26.2 

30.7

48.2

14.6

83.2

86.1

85.7

73.0

9.9

77.2 

26.7

96.5

5.2

91.9

12.4

95.0

78.7 

12.7 

55.2

56.8

82.6

5.4

85.7 

62.7 

45.1 

61.0

48.7 

61.5 

64.9

19.7 

32.0

56.9

10.9

81.8

84.2
85

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

New Mexico

All statistics are based on parental reports.

The Health and Well-Being of Children: A Portrait of States and the Nation 2007

Indicator Explanation National % State %

Health Status

Child Health Status percent of children in excellent or very good health

Oral Health Status percent of children with excellent or very good oral health 

Injury percent of children aged 0-5 with injuries requiring medical attention in the past year 

Breastfeeding percent of children aged 0-5 who were ever breastfed 

Risk of Developmental or percent of children aged 4 months to 5 years determined to be at moderate 

Behavioral Problems or high risk based on parents’ specific concerns 

Social Skills percent of children aged 6-17 who exhibit two or more positive social behaviors

Missed School Days percent of children aged 6-17 who missed 11 or more days of school in the past year

Health Care

Current Health Insurance percent of children currently insured

Insurance Coverage Consistency percent of children lacking consistent insurance coverage in past year

Preventive Health Care percent of children with a preventive medical visit in the past year

*Preventive Dental Care percent of children with a preventive dental visit in the past year

*Developmental Screening percent of children aged 10 months to 5 years receiving a standardized 

screening for developmental or behavioral problems

Mental Health Care percent of children aged 2-17 with problems requiring counseling 

who received mental health care

*Medical Home percent of children who received care within a medical home

School and Activities

*School Engagement percent of children aged 6-17 who are adequately engaged in school

Repeating a Grade percent of children aged 6-17 who have repeated at least one grade

Activities Outside of School percent of children aged 6-17 who participate in activities outside of school

*Screen Time percent of children aged 1-5 who watched more than one hour of TV 

or video during a weekday

Child’s Family

Reading to Young Children percent of children aged 0-5 whose families read to them every day

*Singing and Telling Stories percent of children aged 0-5 whose families sing or tell stories 

 to Young Children to them every day

Religious Services percent of children who attend religious services at least weekly

Mother’s Health of children who live with their mothers, the percentage whose mothers are 

in excellent or very good physical and emotional health

Father’s Health of children who live with their fathers, the percentage whose fathers are 

in excellent or very good physical and emotional health

Smoking in the Household percent of children who live in households where someone smokes

Child Care percent of children aged 0-5 whose parents made emergency child care 

arrangements last month and/or a job change for child care reasons last year

Child and Family’s Neighborhood

*Neighborhood Amenities percent of children who live in neighborhoods with a park, sidewalks, a library, 

and a community center

*Neighborhood Conditions percent of children who live in neighborhoods with poorly kept or dilapidated housing

Supportive Neighborhoods percent of children living in neighborhoods that are supportive

Safety of Child in Neighborhood percent of children living in neighborhoods that are usually or always safe

*New or revised indicator for 2007. Indicator cannot or should not be compared with 2003 findings.

84.4

70.7

10.4

75.5 

26.4

93.6

5.8

90.9

15.1

88.5

78.4 

19.5 

60.0

57.5

80.5

10.6

80.7 

54.4

47.8 

59.1

53.7 

56.9 

62.7

26.2 

30.7

48.2

14.6

83.2

86.1

85.1

65.4

9.0

80.0 

22.7

95.0

5.7

88.1

19.1

87.2

79.3 

29.7 

53.5

49.0

81.7

11.5

74.9 

48.9

43.5 

57.2

57.2 

50.8 

60.0

25.0 

31.7

42.3

23.5

80.9

82.7
86

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

New York

All statistics are based on parental reports.

The Health and Well-Being of Children: A Portrait of States and the Nation 2007

Indicator Explanation National % State %

Health Status

Child Health Status percent of children in excellent or very good health

Oral Health Status percent of children with excellent or very good oral health 

Injury percent of children aged 0-5 with injuries requiring medical attention in the past year 

Breastfeeding percent of children aged 0-5 who were ever breastfed 

Risk of Developmental or percent of children aged 4 months to 5 years determined to be at moderate 

Behavioral Problems or high risk based on parents’ specific concerns 

Social Skills percent of children aged 6-17 who exhibit two or more positive social behaviors

Missed School Days percent of children aged 6-17 who missed 11 or more days of school in the past year

Health Care

Current Health Insurance percent of children currently insured

Insurance Coverage Consistency percent of children lacking consistent insurance coverage in past year

Preventive Health Care percent of children with a preventive medical visit in the past year

*Preventive Dental Care percent of children with a preventive dental visit in the past year

*Developmental Screening percent of children aged 10 months to 5 years receiving a standardized 

screening for developmental or behavioral problems

Mental Health Care percent of children aged 2-17 with problems requiring counseling 

who received mental health care

*Medical Home percent of children who received care within a medical home

School and Activities

*School Engagement percent of children aged 6-17 who are adequately engaged in school

Repeating a Grade percent of children aged 6-17 who have repeated at least one grade

Activities Outside of School percent of children aged 6-17 who participate in activities outside of school

*Screen Time percent of children aged 1-5 who watched more than one hour of TV 

or video during a weekday

Child’s Family

Reading to Young Children percent of children aged 0-5 whose families read to them every day

*Singing and Telling Stories percent of children aged 0-5 whose families sing or tell stories 

 to Young Children to them every day

Religious Services percent of children who attend religious services at least weekly

Mother’s Health of children who live with their mothers, the percentage whose mothers are 

in excellent or very good physical and emotional health

Father’s Health of children who live with their fathers, the percentage whose fathers are 

in excellent or very good physical and emotional health

Smoking in the Household percent of children who live in households where someone smokes

Child Care percent of children aged 0-5 whose parents made emergency child care 

arrangements last month and/or a job change for child care reasons last year

Child and Family’s Neighborhood

*Neighborhood Amenities percent of children who live in neighborhoods with a park, sidewalks, a library, 

and a community center

*Neighborhood Conditions percent of children who live in neighborhoods with poorly kept or dilapidated housing

Supportive Neighborhoods percent of children living in neighborhoods that are supportive

Safety of Child in Neighborhood percent of children living in neighborhoods that are usually or always safe

*New or revised indicator for 2007. Indicator cannot or should not be compared with 2003 findings.

84.4

70.7

10.4

75.5 

26.4

93.6

5.8

90.9

15.1

88.5

78.4 

19.5 

60.0

57.5

80.5

10.6

80.7 

54.4

47.8 

59.1

53.7 

56.9 

62.7

26.2 

30.7

48.2

14.6

83.2

86.1

83.4

71.6

9.3

72.5 

28.6

93.6

6.5

94.4

13.1

96.2

80.8 

11.7 

61.1

56.9

80.5

8.6

84.3 

56.9

51.5 

58.8

48.2 

57.1 

61.8

24.9 

31.0

52.1

15.7

81.9

80.4
87

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

North Carolina

All statistics are based on parental reports.

The Health and Well-Being of Children: A Portrait of States and the Nation 2007

Indicator Explanation National % State %

Health Status

Child Health Status percent of children in excellent or very good health

Oral Health Status percent of children with excellent or very good oral health 

Injury percent of children aged 0-5 with injuries requiring medical attention in the past year 

Breastfeeding percent of children aged 0-5 who were ever breastfed 

Risk of Developmental or percent of children aged 4 months to 5 years determined to be at moderate 

Behavioral Problems or high risk based on parents’ specific concerns 

Social Skills percent of children aged 6-17 who exhibit two or more positive social behaviors

Missed School Days percent of children aged 6-17 who missed 11 or more days of school in the past year

Health Care

Current Health Insurance percent of children currently insured

Insurance Coverage Consistency percent of children lacking consistent insurance coverage in past year

Preventive Health Care percent of children with a preventive medical visit in the past year

*Preventive Dental Care percent of children with a preventive dental visit in the past year

*Developmental Screening percent of children aged 10 months to 5 years receiving a standardized 

screening for developmental or behavioral problems

Mental Health Care percent of children aged 2-17 with problems requiring counseling 

who received mental health care

*Medical Home percent of children who received care within a medical home

School and Activities

*School Engagement percent of children aged 6-17 who are adequately engaged in school

Repeating a Grade percent of children aged 6-17 who have repeated at least one grade

Activities Outside of School percent of children aged 6-17 who participate in activities outside of school

*Screen Time percent of children aged 1-5 who watched more than one hour of TV 

or video during a weekday

Child’s Family

Reading to Young Children percent of children aged 0-5 whose families read to them every day

*Singing and Telling Stories percent of children aged 0-5 whose families sing or tell stories 

 to Young Children to them every day

Religious Services percent of children who attend religious services at least weekly

Mother’s Health of children who live with their mothers, the percentage whose mothers are 

in excellent or very good physical and emotional health

Father’s Health of children who live with their fathers, the percentage whose fathers are 

in excellent or very good physical and emotional health

Smoking in the Household percent of children who live in households where someone smokes

Child Care percent of children aged 0-5 whose parents made emergency child care 

arrangements last month and/or a job change for child care reasons last year

Child and Family’s Neighborhood

*Neighborhood Amenities percent of children who live in neighborhoods with a park, sidewalks, a library, 

and a community center

*Neighborhood Conditions percent of children who live in neighborhoods with poorly kept or dilapidated housing

Supportive Neighborhoods percent of children living in neighborhoods that are supportive

Safety of Child in Neighborhood percent of children living in neighborhoods that are usually or always safe

*New or revised indicator for 2007. Indicator cannot or should not be compared with 2003 findings.

84.4

70.7

10.4

75.5 

26.4

93.6

5.8

90.9

15.1

88.5

78.4 

19.5 

60.0

57.5

80.5

10.6

80.7 

54.4

47.8 

59.1

53.7 

56.9 

62.7

26.2 

30.7

48.2

14.6

83.2

86.1

86.6

73.2

11.7

69.0 

26.9

92.9

5.9

91.7

12.0

88.3

78.3 

47.0 

61.7

60.9

78.9

14.1

77.6 

52.4

54.6 

64.4

61.8 

57.9 

66.5

28.9 

28.9

32.6

14.3

83.6

88.6
88

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

North Dakota

All statistics are based on parental reports.

The Health and Well-Being of Children: A Portrait of States and the Nation 2007

Indicator Explanation National % State %

Health Status

Child Health Status percent of children in excellent or very good health

Oral Health Status percent of children with excellent or very good oral health 

Injury percent of children aged 0-5 with injuries requiring medical attention in the past year 

Breastfeeding percent of children aged 0-5 who were ever breastfed 

Risk of Developmental or percent of children aged 4 months to 5 years determined to be at moderate 

Behavioral Problems or high risk based on parents’ specific concerns 

Social Skills percent of children aged 6-17 who exhibit two or more positive social behaviors

Missed School Days percent of children aged 6-17 who missed 11 or more days of school in the past year

Health Care

Current Health Insurance percent of children currently insured

Insurance Coverage Consistency percent of children lacking consistent insurance coverage in past year

Preventive Health Care percent of children with a preventive medical visit in the past year

*Preventive Dental Care percent of children with a preventive dental visit in the past year

*Developmental Screening percent of children aged 10 months to 5 years receiving a standardized 

screening for developmental or behavioral problems

Mental Health Care percent of children aged 2-17 with problems requiring counseling 

who received mental health care

*Medical Home percent of children who received care within a medical home

School and Activities

*School Engagement percent of children aged 6-17 who are adequately engaged in school

Repeating a Grade percent of children aged 6-17 who have repeated at least one grade

Activities Outside of School percent of children aged 6-17 who participate in activities outside of school

*Screen Time percent of children aged 1-5 who watched more than one hour of TV 

or video during a weekday

Child’s Family

Reading to Young Children percent of children aged 0-5 whose families read to them every day

*Singing and Telling Stories percent of children aged 0-5 whose families sing or tell stories 

 to Young Children to them every day

Religious Services percent of children who attend religious services at least weekly

Mother’s Health of children who live with their mothers, the percentage whose mothers are 

in excellent or very good physical and emotional health

Father’s Health of children who live with their fathers, the percentage whose fathers are 

in excellent or very good physical and emotional health

Smoking in the Household percent of children who live in households where someone smokes

Child Care percent of children aged 0-5 whose parents made emergency child care 

arrangements last month and/or a job change for child care reasons last year

Child and Family’s Neighborhood

*Neighborhood Amenities percent of children who live in neighborhoods with a park, sidewalks, a library, 

and a community center

*Neighborhood Conditions percent of children who live in neighborhoods with poorly kept or dilapidated housing

Supportive Neighborhoods percent of children living in neighborhoods that are supportive

Safety of Child in Neighborhood percent of children living in neighborhoods that are usually or always safe

*New or revised indicator for 2007. Indicator cannot or should not be compared with 2003 findings.

84.4

70.7

10.4

75.5 

26.4

93.6

5.8

90.9

15.1

88.5

78.4 

19.5 

60.0

57.5

80.5

10.6

80.7 

54.4

47.8 

59.1

53.7 

56.9 

62.7

26.2 

30.7

48.2

14.6

83.2

86.1

90.6

74.7

10.5

73.6 

22.7

95.6

3.9

91.6

13.6

78.9

77.2 

17.6 

72.4

64.0

83.1

6.3

89.5 

50.7

53.9 

62.1

60.3 

65.1 

69.8

26.9 

33.0

48.6

15.3

89.9

94.0
89

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

Ohio

All statistics are based on parental reports.

The Health and Well-Being of Children: A Portrait of States and the Nation 2007

Indicator Explanation National % State %

Health Status

Child Health Status percent of children in excellent or very good health

Oral Health Status percent of children with excellent or very good oral health 

Injury percent of children aged 0-5 with injuries requiring medical attention in the past year 

Breastfeeding percent of children aged 0-5 who were ever breastfed 

Risk of Developmental or percent of children aged 4 months to 5 years determined to be at moderate 

Behavioral Problems or high risk based on parents’ specific concerns 

Social Skills percent of children aged 6-17 who exhibit two or more positive social behaviors

Missed School Days percent of children aged 6-17 who missed 11 or more days of school in the past year

Health Care

Current Health Insurance percent of children currently insured

Insurance Coverage Consistency percent of children lacking consistent insurance coverage in past year

Preventive Health Care percent of children with a preventive medical visit in the past year

*Preventive Dental Care percent of children with a preventive dental visit in the past year

*Developmental Screening percent of children aged 10 months to 5 years receiving a standardized 

screening for developmental or behavioral problems

Mental Health Care percent of children aged 2-17 with problems requiring counseling 

who received mental health care

*Medical Home percent of children who received care within a medical home

School and Activities

*School Engagement percent of children aged 6-17 who are adequately engaged in school

Repeating a Grade percent of children aged 6-17 who have repeated at least one grade

Activities Outside of School percent of children aged 6-17 who participate in activities outside of school

*Screen Time percent of children aged 1-5 who watched more than one hour of TV 

or video during a weekday

Child’s Family

Reading to Young Children percent of children aged 0-5 whose families read to them every day

*Singing and Telling Stories percent of children aged 0-5 whose families sing or tell stories 

 to Young Children to them every day

Religious Services percent of children who attend religious services at least weekly

Mother’s Health of children who live with their mothers, the percentage whose mothers are 

in excellent or very good physical and emotional health

Father’s Health of children who live with their fathers, the percentage whose fathers are 

in excellent or very good physical and emotional health

Smoking in the Household percent of children who live in households where someone smokes

Child Care percent of children aged 0-5 whose parents made emergency child care 

arrangements last month and/or a job change for child care reasons last year

Child and Family’s Neighborhood

*Neighborhood Amenities percent of children who live in neighborhoods with a park, sidewalks, a library, 

and a community center

*Neighborhood Conditions percent of children who live in neighborhoods with poorly kept or dilapidated housing

Supportive Neighborhoods percent of children living in neighborhoods that are supportive

Safety of Child in Neighborhood percent of children living in neighborhoods that are usually or always safe

*New or revised indicator for 2007. Indicator cannot or should not be compared with 2003 findings.

84.4

70.7

10.4

75.5 

26.4

93.6

5.8

90.9

15.1

88.5

78.4 

19.5 

60.0

57.5

80.5

10.6

80.7 

54.4

47.8 

59.1

53.7 

56.9 

62.7

26.2 

30.7

48.2

14.6

83.2

86.1

86.4

74.6

8.4

65.9 

22.9

92.0

8.0

92.9

11.2

89.7

78.7 

20.8 

66.2

66.2

78.7

12.8

83.5 

54.6

49.8 

64.8

50.7 

58.2 

64.4

36.6 

26.1

50.4

16.3

82.8

87.1
90

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

Oklahoma

All statistics are based on parental reports.

The Health and Well-Being of Children: A Portrait of States and the Nation 2007

Indicator Explanation National % State %

Health Status

Child Health Status percent of children in excellent or very good health

Oral Health Status percent of children with excellent or very good oral health 

Injury percent of children aged 0-5 with injuries requiring medical attention in the past year 

Breastfeeding percent of children aged 0-5 who were ever breastfed 

Risk of Developmental or percent of children aged 4 months to 5 years determined to be at moderate 

Behavioral Problems or high risk based on parents’ specific concerns 

Social Skills percent of children aged 6-17 who exhibit two or more positive social behaviors

Missed School Days percent of children aged 6-17 who missed 11 or more days of school in the past year

Health Care

Current Health Insurance percent of children currently insured

Insurance Coverage Consistency percent of children lacking consistent insurance coverage in past year

Preventive Health Care percent of children with a preventive medical visit in the past year

*Preventive Dental Care percent of children with a preventive dental visit in the past year

*Developmental Screening percent of children aged 10 months to 5 years receiving a standardized 

screening for developmental or behavioral problems

Mental Health Care percent of children aged 2-17 with problems requiring counseling 

who received mental health care

*Medical Home percent of children who received care within a medical home

School and Activities

*School Engagement percent of children aged 6-17 who are adequately engaged in school

Repeating a Grade percent of children aged 6-17 who have repeated at least one grade

Activities Outside of School percent of children aged 6-17 who participate in activities outside of school

*Screen Time percent of children aged 1-5 who watched more than one hour of TV 

or video during a weekday

Child’s Family

Reading to Young Children percent of children aged 0-5 whose families read to them every day

*Singing and Telling Stories percent of children aged 0-5 whose families sing or tell stories 

 to Young Children to them every day

Religious Services percent of children who attend religious services at least weekly

Mother’s Health of children who live with their mothers, the percentage whose mothers are 

in excellent or very good physical and emotional health

Father’s Health of children who live with their fathers, the percentage whose fathers are 

in excellent or very good physical and emotional health

Smoking in the Household percent of children who live in households where someone smokes

Child Care percent of children aged 0-5 whose parents made emergency child care 

arrangements last month and/or a job change for child care reasons last year

Child and Family’s Neighborhood

*Neighborhood Amenities percent of children who live in neighborhoods with a park, sidewalks, a library, 

and a community center

*Neighborhood Conditions percent of children who live in neighborhoods with poorly kept or dilapidated housing

Supportive Neighborhoods percent of children living in neighborhoods that are supportive

Safety of Child in Neighborhood percent of children living in neighborhoods that are usually or always safe

*New or revised indicator for 2007. Indicator cannot or should not be compared with 2003 findings.

84.4

70.7

10.4

75.5 

26.4

93.6

5.8

90.9

15.1

88.5

78.4 

19.5 

60.0

57.5

80.5

10.6

80.7 

54.4

47.8 

59.1

53.7 

56.9 

62.7

26.2 

30.7

48.2

14.6

83.2

86.1

85.8

71.0

14.4

67.4 

26.2

94.6

6.9

89.9

16.8

83.5

78.2 

20.8 

53.6

55.7

78.6

16.0

80.4 

58.8

47.2 

58.5

62.6 

53.3 

60.9

36.5 

30.7

33.5

21.7

83.4

87.2
91

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

Oregon All statistics are based on parental reports.

The Health and Well-Being of Children: A Portrait of States and the Nation 2007

Indicator Explanation National % State %

Health Status

Child Health Status percent of children in excellent or very good health

Oral Health Status percent of children with excellent or very good oral health 

Injury percent of children aged 0-5 with injuries requiring medical attention in the past year 

Breastfeeding percent of children aged 0-5 who were ever breastfed 

Risk of Developmental or percent of children aged 4 months to 5 years determined to be at moderate 

Behavioral Problems or high risk based on parents’ specific concerns 

Social Skills percent of children aged 6-17 who exhibit two or more positive social behaviors

Missed School Days percent of children aged 6-17 who missed 11 or more days of school in the past year

Health Care

Current Health Insurance percent of children currently insured

Insurance Coverage Consistency percent of children lacking consistent insurance coverage in past year

Preventive Health Care percent of children with a preventive medical visit in the past year

*Preventive Dental Care percent of children with a preventive dental visit in the past year

*Developmental Screening percent of children aged 10 months to 5 years receiving a standardized 

screening for developmental or behavioral problems

Mental Health Care percent of children aged 2-17 with problems requiring counseling 

who received mental health care

*Medical Home percent of children who received care within a medical home

School and Activities

*School Engagement percent of children aged 6-17 who are adequately engaged in school

Repeating a Grade percent of children aged 6-17 who have repeated at least one grade

Activities Outside of School percent of children aged 6-17 who participate in activities outside of school

*Screen Time percent of children aged 1-5 who watched more than one hour of TV 

or video during a weekday

Child’s Family

Reading to Young Children percent of children aged 0-5 whose families read to them every day

*Singing and Telling Stories percent of children aged 0-5 whose families sing or tell stories 

 to Young Children to them every day

Religious Services percent of children who attend religious services at least weekly

Mother’s Health of children who live with their mothers, the percentage whose mothers are 

in excellent or very good physical and emotional health

Father’s Health of children who live with their fathers, the percentage whose fathers are 

in excellent or very good physical and emotional health

Smoking in the Household percent of children who live in households where someone smokes

Child Care percent of children aged 0-5 whose parents made emergency child care 

arrangements last month and/or a job change for child care reasons last year

Child and Family’s Neighborhood

*Neighborhood Amenities percent of children who live in neighborhoods with a park, sidewalks, a library, 

and a community center

*Neighborhood Conditions percent of children who live in neighborhoods with poorly kept or dilapidated housing

Supportive Neighborhoods percent of children living in neighborhoods that are supportive

Safety of Child in Neighborhood percent of children living in neighborhoods that are usually or always safe

*New or revised indicator for 2007. Indicator cannot or should not be compared with 2003 findings.

84.4

70.7

10.4

75.5 

26.4

93.6

5.8

90.9

15.1

88.5

78.4 

19.5 

60.0

57.5

80.5

10.6

80.7 

54.4

47.8 

59.1

53.7 

56.9 

62.7

26.2 

30.7

48.2

14.6

83.2

86.1

86.6

71.9

9.4

89.2 

19.4

93.5

6.4

87.8

17.8

79.7

75.7 

13.5 

46.2

63.4

78.1

4.2

83.6 

46.1

54.9 

60.8

39.7 

58.5 

62.1

22.8 

26.9

51.6

16.4

83.5

88.7
92

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

Pennsylvania

All statistics are based on parental reports.

The Health and Well-Being of Children: A Portrait of States and the Nation 2007

Indicator Explanation National % State %

Health Status

Child Health Status percent of children in excellent or very good health

Oral Health Status percent of children with excellent or very good oral health 

Injury percent of children aged 0-5 with injuries requiring medical attention in the past year 

Breastfeeding percent of children aged 0-5 who were ever breastfed 

Risk of Developmental or percent of children aged 4 months to 5 years determined to be at moderate 

Behavioral Problems or high risk based on parents’ specific concerns 

Social Skills percent of children aged 6-17 who exhibit two or more positive social behaviors

Missed School Days percent of children aged 6-17 who missed 11 or more days of school in the past year

Health Care

Current Health Insurance percent of children currently insured

Insurance Coverage Consistency percent of children lacking consistent insurance coverage in past year

Preventive Health Care percent of children with a preventive medical visit in the past year

*Preventive Dental Care percent of children with a preventive dental visit in the past year

*Developmental Screening percent of children aged 10 months to 5 years receiving a standardized 

screening for developmental or behavioral problems

Mental Health Care percent of children aged 2-17 with problems requiring counseling 

who received mental health care

*Medical Home percent of children who received care within a medical home

School and Activities

*School Engagement percent of children aged 6-17 who are adequately engaged in school

Repeating a Grade percent of children aged 6-17 who have repeated at least one grade

Activities Outside of School percent of children aged 6-17 who participate in activities outside of school

*Screen Time percent of children aged 1-5 who watched more than one hour of TV 

or video during a weekday

Child’s Family

Reading to Young Children percent of children aged 0-5 whose families read to them every day

*Singing and Telling Stories percent of children aged 0-5 whose families sing or tell stories 

 to Young Children to them every day

Religious Services percent of children who attend religious services at least weekly

Mother’s Health of children who live with their mothers, the percentage whose mothers are 

in excellent or very good physical and emotional health

Father’s Health of children who live with their fathers, the percentage whose fathers are 

in excellent or very good physical and emotional health

Smoking in the Household percent of children who live in households where someone smokes

Child Care percent of children aged 0-5 whose parents made emergency child care 

arrangements last month and/or a job change for child care reasons last year

Child and Family’s Neighborhood

*Neighborhood Amenities percent of children who live in neighborhoods with a park, sidewalks, a library, 

and a community center

*Neighborhood Conditions percent of children who live in neighborhoods with poorly kept or dilapidated housing

Supportive Neighborhoods percent of children living in neighborhoods that are supportive

Safety of Child in Neighborhood percent of children living in neighborhoods that are usually or always safe

*New or revised indicator for 2007. Indicator cannot or should not be compared with 2003 findings.

84.4

70.7

10.4

75.5 

26.4

93.6

5.8

90.9

15.1

88.5

78.4 

19.5 

60.0

57.5

80.5

10.6

80.7 

54.4

47.8 

59.1

53.7 

56.9 

62.7

26.2 

30.7

48.2

14.6

83.2

86.1

88.7

74.6

13.2

68.1 

26.2

92.6

5.6

93.3

12.2

93.0

82.7 

10.7 

81.5

61.9

83.7

9.5

83.4 

60.9

52.9 

64.8

48.9 

60.2 

65.1

32.6 

28.6

44.9

14.9

86.3

88.3
93

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

Rhode Island

All statistics are based on parental reports.

The Health and Well-Being of Children: A Portrait of States and the Nation 2007

Indicator Explanation National % State %

Health Status

Child Health Status percent of children in excellent or very good health

Oral Health Status percent of children with excellent or very good oral health 

Injury percent of children aged 0-5 with injuries requiring medical attention in the past year 

Breastfeeding percent of children aged 0-5 who were ever breastfed 

Risk of Developmental or percent of children aged 4 months to 5 years determined to be at moderate 

Behavioral Problems or high risk based on parents’ specific concerns 

Social Skills percent of children aged 6-17 who exhibit two or more positive social behaviors

Missed School Days percent of children aged 6-17 who missed 11 or more days of school in the past year

Health Care

Current Health Insurance percent of children currently insured

Insurance Coverage Consistency percent of children lacking consistent insurance coverage in past year

Preventive Health Care percent of children with a preventive medical visit in the past year

*Preventive Dental Care percent of children with a preventive dental visit in the past year

*Developmental Screening percent of children aged 10 months to 5 years receiving a standardized 

screening for developmental or behavioral problems

Mental Health Care percent of children aged 2-17 with problems requiring counseling 

who received mental health care

*Medical Home percent of children who received care within a medical home

School and Activities

*School Engagement percent of children aged 6-17 who are adequately engaged in school

Repeating a Grade percent of children aged 6-17 who have repeated at least one grade

Activities Outside of School percent of children aged 6-17 who participate in activities outside of school

*Screen Time percent of children aged 1-5 who watched more than one hour of TV 

or video during a weekday

Child’s Family

Reading to Young Children percent of children aged 0-5 whose families read to them every day

*Singing and Telling Stories percent of children aged 0-5 whose families sing or tell stories 

 to Young Children to them every day

Religious Services percent of children who attend religious services at least weekly

Mother’s Health of children who live with their mothers, the percentage whose mothers are 

in excellent or very good physical and emotional health

Father’s Health of children who live with their fathers, the percentage whose fathers are 

in excellent or very good physical and emotional health

Smoking in the Household percent of children who live in households where someone smokes

Child Care percent of children aged 0-5 whose parents made emergency child care 

arrangements last month and/or a job change for child care reasons last year

Child and Family’s Neighborhood

*Neighborhood Amenities percent of children who live in neighborhoods with a park, sidewalks, a library, 

and a community center

*Neighborhood Conditions percent of children who live in neighborhoods with poorly kept or dilapidated housing

Supportive Neighborhoods percent of children living in neighborhoods that are supportive

Safety of Child in Neighborhood percent of children living in neighborhoods that are usually or always safe

*New or revised indicator for 2007. Indicator cannot or should not be compared with 2003 findings.

84.4

70.7

10.4

75.5 

26.4

93.6

5.8

90.9

15.1

88.5

78.4 

19.5 

60.0

57.5

80.5

10.6

80.7 

54.4

47.8 

59.1

53.7 

56.9 

62.7

26.2 

30.7

48.2

14.6

83.2

86.1

86.1

79.1

6.4

73.3 

26.5

94.7

5.4

94.4

10.6

97.7

86.5 

14.5 

76.0

63.6

82.0

10.4

86.0 

48.3

58.2 

65.7

46.1 

60.3 

67.4

25.5 

33.1

58.3

11.7

81.3

85.9
94

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

South Carolina

All statistics are based on parental reports.

The Health and Well-Being of Children: A Portrait of States and the Nation 2007

Indicator Explanation National % State %

Health Status

Child Health Status percent of children in excellent or very good health

Oral Health Status percent of children with excellent or very good oral health 

Injury percent of children aged 0-5 with injuries requiring medical attention in the past year 

Breastfeeding percent of children aged 0-5 who were ever breastfed 

Risk of Developmental or percent of children aged 4 months to 5 years determined to be at moderate 

Behavioral Problems or high risk based on parents’ specific concerns 

Social Skills percent of children aged 6-17 who exhibit two or more positive social behaviors

Missed School Days percent of children aged 6-17 who missed 11 or more days of school in the past year

Health Care

Current Health Insurance percent of children currently insured

Insurance Coverage Consistency percent of children lacking consistent insurance coverage in past year

Preventive Health Care percent of children with a preventive medical visit in the past year

*Preventive Dental Care percent of children with a preventive dental visit in the past year

*Developmental Screening percent of children aged 10 months to 5 years receiving a standardized 

screening for developmental or behavioral problems

Mental Health Care percent of children aged 2-17 with problems requiring counseling 

who received mental health care

*Medical Home percent of children who received care within a medical home

School and Activities

*School Engagement percent of children aged 6-17 who are adequately engaged in school

Repeating a Grade percent of children aged 6-17 who have repeated at least one grade

Activities Outside of School percent of children aged 6-17 who participate in activities outside of school

*Screen Time percent of children aged 1-5 who watched more than one hour of TV 

or video during a weekday

Child’s Family

Reading to Young Children percent of children aged 0-5 whose families read to them every day

*Singing and Telling Stories percent of children aged 0-5 whose families sing or tell stories 

 to Young Children to them every day

Religious Services percent of children who attend religious services at least weekly

Mother’s Health of children who live with their mothers, the percentage whose mothers are 

in excellent or very good physical and emotional health

Father’s Health of children who live with their fathers, the percentage whose fathers are 

in excellent or very good physical and emotional health

Smoking in the Household percent of children who live in households where someone smokes

Child Care percent of children aged 0-5 whose parents made emergency child care 

arrangements last month and/or a job change for child care reasons last year

Child and Family’s Neighborhood

*Neighborhood Amenities percent of children who live in neighborhoods with a park, sidewalks, a library, 

and a community center

*Neighborhood Conditions percent of children who live in neighborhoods with poorly kept or dilapidated housing

Supportive Neighborhoods percent of children living in neighborhoods that are supportive

Safety of Child in Neighborhood percent of children living in neighborhoods that are usually or always safe

*New or revised indicator for 2007. Indicator cannot or should not be compared with 2003 findings.

84.4

70.7

10.4

75.5 

26.4

93.6

5.8

90.9

15.1

88.5

78.4 

19.5 

60.0

57.5

80.5

10.6

80.7 

54.4

47.8 

59.1

53.7 

56.9 

62.7

26.2 

30.7

48.2

14.6

83.2

86.1

84.5

72.7

9.7

61.6 

26.5

90.0

4.9

90.2

15.4

87.0

82.0 

19.1 

62.7

58.8

80.5

16.1

78.1 

56.8

49.6 

61.6

68.4 

58.7 

63.1

27.3 

31.9

26.6

16.9

83.3

86.7
95

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

South Dakota

All statistics are based on parental reports.

The Health and Well-Being of Children: A Portrait of States and the Nation 2007

Indicator Explanation National % State %

Health Status

Child Health Status percent of children in excellent or very good health

Oral Health Status percent of children with excellent or very good oral health 

Injury percent of children aged 0-5 with injuries requiring medical attention in the past year 

Breastfeeding percent of children aged 0-5 who were ever breastfed 

Risk of Developmental or percent of children aged 4 months to 5 years determined to be at moderate 

Behavioral Problems or high risk based on parents’ specific concerns 

Social Skills percent of children aged 6-17 who exhibit two or more positive social behaviors

Missed School Days percent of children aged 6-17 who missed 11 or more days of school in the past year

Health Care

Current Health Insurance percent of children currently insured

Insurance Coverage Consistency percent of children lacking consistent insurance coverage in past year

Preventive Health Care percent of children with a preventive medical visit in the past year

*Preventive Dental Care percent of children with a preventive dental visit in the past year

*Developmental Screening percent of children aged 10 months to 5 years receiving a standardized 

screening for developmental or behavioral problems

Mental Health Care percent of children aged 2-17 with problems requiring counseling 

who received mental health care

*Medical Home percent of children who received care within a medical home

School and Activities

*School Engagement percent of children aged 6-17 who are adequately engaged in school

Repeating a Grade percent of children aged 6-17 who have repeated at least one grade

Activities Outside of School percent of children aged 6-17 who participate in activities outside of school

*Screen Time percent of children aged 1-5 who watched more than one hour of TV 

or video during a weekday

Child’s Family

Reading to Young Children percent of children aged 0-5 whose families read to them every day

*Singing and Telling Stories percent of children aged 0-5 whose families sing or tell stories 

 to Young Children to them every day

Religious Services percent of children who attend religious services at least weekly

Mother’s Health of children who live with their mothers, the percentage whose mothers are 

in excellent or very good physical and emotional health

Father’s Health of children who live with their fathers, the percentage whose fathers are 

in excellent or very good physical and emotional health

Smoking in the Household percent of children who live in households where someone smokes

Child Care percent of children aged 0-5 whose parents made emergency child care 

arrangements last month and/or a job change for child care reasons last year

Child and Family’s Neighborhood

*Neighborhood Amenities percent of children who live in neighborhoods with a park, sidewalks, a library, 

and a community center

*Neighborhood Conditions percent of children who live in neighborhoods with poorly kept or dilapidated housing

Supportive Neighborhoods percent of children living in neighborhoods that are supportive

Safety of Child in Neighborhood percent of children living in neighborhoods that are usually or always safe

*New or revised indicator for 2007. Indicator cannot or should not be compared with 2003 findings.

84.4

70.7

10.4

75.5 

26.4

93.6

5.8

90.9

15.1

88.5

78.4 

19.5 

60.0

57.5

80.5

10.6

80.7 

54.4

47.8 

59.1

53.7 

56.9 

62.7

26.2 

30.7

48.2

14.6

83.2

86.1

90.1

76.5

10.2

81.2 

28.5

94.3

5.4

92.2

10.2

80.0

80.7 

18.8 

69.3

63.3

83.8

5.3

86.3 

47.0

49.1 

60.0

62.4 

67.9 

70.8

25.0 

31.3

49.4

17.4

88.2

92.9
96

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

Tennessee

All statistics are based on parental reports.

The Health and Well-Being of Children: A Portrait of States and the Nation 2007

Indicator Explanation National % State %

Health Status

Child Health Status percent of children in excellent or very good health

Oral Health Status percent of children with excellent or very good oral health 

Injury percent of children aged 0-5 with injuries requiring medical attention in the past year 

Breastfeeding percent of children aged 0-5 who were ever breastfed 

Risk of Developmental or percent of children aged 4 months to 5 years determined to be at moderate 

Behavioral Problems or high risk based on parents’ specific concerns 

Social Skills percent of children aged 6-17 who exhibit two or more positive social behaviors

Missed School Days percent of children aged 6-17 who missed 11 or more days of school in the past year

Health Care

Current Health Insurance percent of children currently insured

Insurance Coverage Consistency percent of children lacking consistent insurance coverage in past year

Preventive Health Care percent of children with a preventive medical visit in the past year

*Preventive Dental Care percent of children with a preventive dental visit in the past year

*Developmental Screening percent of children aged 10 months to 5 years receiving a standardized 

screening for developmental or behavioral problems

Mental Health Care percent of children aged 2-17 with problems requiring counseling 

who received mental health care

*Medical Home percent of children who received care within a medical home

School and Activities

*School Engagement percent of children aged 6-17 who are adequately engaged in school

Repeating a Grade percent of children aged 6-17 who have repeated at least one grade

Activities Outside of School percent of children aged 6-17 who participate in activities outside of school

*Screen Time percent of children aged 1-5 who watched more than one hour of TV 

or video during a weekday

Child’s Family

Reading to Young Children percent of children aged 0-5 whose families read to them every day

*Singing and Telling Stories percent of children aged 0-5 whose families sing or tell stories 

 to Young Children to them every day

Religious Services percent of children who attend religious services at least weekly

Mother’s Health of children who live with their mothers, the percentage whose mothers are 

in excellent or very good physical and emotional health

Father’s Health of children who live with their fathers, the percentage whose fathers are 

in excellent or very good physical and emotional health

Smoking in the Household percent of children who live in households where someone smokes

Child Care percent of children aged 0-5 whose parents made emergency child care 

arrangements last month and/or a job change for child care reasons last year

Child and Family’s Neighborhood

*Neighborhood Amenities percent of children who live in neighborhoods with a park, sidewalks, a library, 

and a community center

*Neighborhood Conditions percent of children who live in neighborhoods with poorly kept or dilapidated housing

Supportive Neighborhoods percent of children living in neighborhoods that are supportive

Safety of Child in Neighborhood percent of children living in neighborhoods that are usually or always safe

*New or revised indicator for 2007. Indicator cannot or should not be compared with 2003 findings.

84.4

70.7

10.4

75.5 

26.4

93.6

5.8

90.9

15.1

88.5

78.4 

19.5 

60.0

57.5

80.5

10.6

80.7 

54.4

47.8 

59.1

53.7 

56.9 

62.7

26.2 

30.7

48.2

14.6

83.2

86.1

84.3

72.9

12.0

63.7 

28.9

91.4

4.8

91.8

12.0

87.4

78.8 

29.0 

64.1

61.4

78.6

14.0

77.8 

61.7

47.2 

64.7

66.8 

55.0 

61.7

33.5 

31.4

36.2

15.9

83.2

86.7
97

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

Texas

All statistics are based on parental reports.

The Health and Well-Being of Children: A Portrait of States and the Nation 2007

Indicator Explanation National % State %

Health Status

Child Health Status percent of children in excellent or very good health

Oral Health Status percent of children with excellent or very good oral health 

Injury percent of children aged 0-5 with injuries requiring medical attention in the past year 

Breastfeeding percent of children aged 0-5 who were ever breastfed 

Risk of Developmental or percent of children aged 4 months to 5 years determined to be at moderate 

Behavioral Problems or high risk based on parents’ specific concerns 

Social Skills percent of children aged 6-17 who exhibit two or more positive social behaviors

Missed School Days percent of children aged 6-17 who missed 11 or more days of school in the past year

Health Care

Current Health Insurance percent of children currently insured

Insurance Coverage Consistency percent of children lacking consistent insurance coverage in past year

Preventive Health Care percent of children with a preventive medical visit in the past year

*Preventive Dental Care percent of children with a preventive dental visit in the past year

*Developmental Screening percent of children aged 10 months to 5 years receiving a standardized 

screening for developmental or behavioral problems

Mental Health Care percent of children aged 2-17 with problems requiring counseling 

who received mental health care

*Medical Home percent of children who received care within a medical home

School and Activities

*School Engagement percent of children aged 6-17 who are adequately engaged in school

Repeating a Grade percent of children aged 6-17 who have repeated at least one grade

Activities Outside of School percent of children aged 6-17 who participate in activities outside of school

*Screen Time percent of children aged 1-5 who watched more than one hour of TV 

or video during a weekday

Child’s Family

Reading to Young Children percent of children aged 0-5 whose families read to them every day

*Singing and Telling Stories percent of children aged 0-5 whose families sing or tell stories 

 to Young Children to them every day

Religious Services percent of children who attend religious services at least weekly

Mother’s Health of children who live with their mothers, the percentage whose mothers are 

in excellent or very good physical and emotional health

Father’s Health of children who live with their fathers, the percentage whose fathers are 

in excellent or very good physical and emotional health

Smoking in the Household percent of children who live in households where someone smokes

Child Care percent of children aged 0-5 whose parents made emergency child care 

arrangements last month and/or a job change for child care reasons last year

Child and Family’s Neighborhood

*Neighborhood Amenities percent of children who live in neighborhoods with a park, sidewalks, a library, 

and a community center

*Neighborhood Conditions percent of children who live in neighborhoods with poorly kept or dilapidated housing

Supportive Neighborhoods percent of children living in neighborhoods that are supportive

Safety of Child in Neighborhood percent of children living in neighborhoods that are usually or always safe

*New or revised indicator for 2007. Indicator cannot or should not be compared with 2003 findings.

84.4

70.7

10.4

75.5 

26.4

93.6

5.8

90.9

15.1

88.5

78.4 

19.5 

60.0

57.5

80.5

10.6

80.7 

54.4

47.8 

59.1

53.7 

56.9 

62.7

26.2 

30.7

48.2

14.6

83.2

86.1

78.2

61.5

11.4

77.1 

25.5

93.7

5.5

82.9

26.3

85.6

74.0 

19.2 

41.7

50.3

82.7

12.9

74.9 

56.2

41.3 

52.4

60.9 

46.8 

57.4

23.8 

24.2

44.5

16.2

82.1

83.3
98

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

Utah

All statistics are based on parental reports.

The Health and Well-Being of Children: A Portrait of States and the Nation 2007

Indicator Explanation National % State %

Health Status

Child Health Status percent of children in excellent or very good health

Oral Health Status percent of children with excellent or very good oral health 

Injury percent of children aged 0-5 with injuries requiring medical attention in the past year 

Breastfeeding percent of children aged 0-5 who were ever breastfed 

Risk of Developmental or percent of children aged 4 months to 5 years determined to be at moderate 

Behavioral Problems or high risk based on parents’ specific concerns 

Social Skills percent of children aged 6-17 who exhibit two or more positive social behaviors

Missed School Days percent of children aged 6-17 who missed 11 or more days of school in the past year

Health Care

Current Health Insurance percent of children currently insured

Insurance Coverage Consistency percent of children lacking consistent insurance coverage in past year

Preventive Health Care percent of children with a preventive medical visit in the past year

*Preventive Dental Care percent of children with a preventive dental visit in the past year

*Developmental Screening percent of children aged 10 months to 5 years receiving a standardized 

screening for developmental or behavioral problems

Mental Health Care percent of children aged 2-17 with problems requiring counseling 

who received mental health care

*Medical Home percent of children who received care within a medical home

School and Activities

*School Engagement percent of children aged 6-17 who are adequately engaged in school

Repeating a Grade percent of children aged 6-17 who have repeated at least one grade

Activities Outside of School percent of children aged 6-17 who participate in activities outside of school

*Screen Time percent of children aged 1-5 who watched more than one hour of TV 

or video during a weekday

Child’s Family

Reading to Young Children percent of children aged 0-5 whose families read to them every day

*Singing and Telling Stories percent of children aged 0-5 whose families sing or tell stories 

 to Young Children to them every day

Religious Services percent of children who attend religious services at least weekly

Mother’s Health of children who live with their mothers, the percentage whose mothers are 

in excellent or very good physical and emotional health

Father’s Health of children who live with their fathers, the percentage whose fathers are 

in excellent or very good physical and emotional health

Smoking in the Household percent of children who live in households where someone smokes

Child Care percent of children aged 0-5 whose parents made emergency child care 

arrangements last month and/or a job change for child care reasons last year

Child and Family’s Neighborhood

*Neighborhood Amenities percent of children who live in neighborhoods with a park, sidewalks, a library, 

and a community center

*Neighborhood Conditions percent of children who live in neighborhoods with poorly kept or dilapidated housing

Supportive Neighborhoods percent of children living in neighborhoods that are supportive

Safety of Child in Neighborhood percent of children living in neighborhoods that are usually or always safe

*New or revised indicator for 2007. Indicator cannot or should not be compared with 2003 findings.

84.4

70.7

10.4

75.5 

26.4

93.6

5.8

90.9

15.1

88.5

78.4 

19.5 

60.0

57.5

80.5

10.6

80.7 

54.4

47.8 

59.1

53.7 

56.9 

62.7

26.2 

30.7

48.2

14.6

83.2

86.1

90.1

76.2

14.3

89.3 

21.9

94.6

4.7

87.7

16.7

80.2

79.1 

20.6 

66.8

63.0

80.8

1.8

85.8 

54.7

48.4 

59.8

74.4 

64.6 

71.3

10.8 

26.9

65.1

11.3

92.9

92.2
99

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

Vermont

All statistics are based on parental reports.

The Health and Well-Being of Children: A Portrait of States and the Nation 2007

Indicator Explanation National % State %

Health Status

Child Health Status percent of children in excellent or very good health

Oral Health Status percent of children with excellent or very good oral health 

Injury percent of children aged 0-5 with injuries requiring medical attention in the past year 

Breastfeeding percent of children aged 0-5 who were ever breastfed 

Risk of Developmental or percent of children aged 4 months to 5 years determined to be at moderate 

Behavioral Problems or high risk based on parents’ specific concerns 

Social Skills percent of children aged 6-17 who exhibit two or more positive social behaviors

Missed School Days percent of children aged 6-17 who missed 11 or more days of school in the past year

Health Care

Current Health Insurance percent of children currently insured

Insurance Coverage Consistency percent of children lacking consistent insurance coverage in past year

Preventive Health Care percent of children with a preventive medical visit in the past year

*Preventive Dental Care percent of children with a preventive dental visit in the past year

*Developmental Screening percent of children aged 10 months to 5 years receiving a standardized 

screening for developmental or behavioral problems

Mental Health Care percent of children aged 2-17 with problems requiring counseling 

who received mental health care

*Medical Home percent of children who received care within a medical home

School and Activities

*School Engagement percent of children aged 6-17 who are adequately engaged in school

Repeating a Grade percent of children aged 6-17 who have repeated at least one grade

Activities Outside of School percent of children aged 6-17 who participate in activities outside of school

*Screen Time percent of children aged 1-5 who watched more than one hour of TV 

or video during a weekday

Child’s Family

Reading to Young Children percent of children aged 0-5 whose families read to them every day

*Singing and Telling Stories percent of children aged 0-5 whose families sing or tell stories 

 to Young Children to them every day

Religious Services percent of children who attend religious services at least weekly

Mother’s Health of children who live with their mothers, the percentage whose mothers are 

in excellent or very good physical and emotional health

Father’s Health of children who live with their fathers, the percentage whose fathers are 

in excellent or very good physical and emotional health

Smoking in the Household percent of children who live in households where someone smokes

Child Care percent of children aged 0-5 whose parents made emergency child care 

arrangements last month and/or a job change for child care reasons last year

Child and Family’s Neighborhood

*Neighborhood Amenities percent of children who live in neighborhoods with a park, sidewalks, a library, 

and a community center

*Neighborhood Conditions percent of children who live in neighborhoods with poorly kept or dilapidated housing

Supportive Neighborhoods percent of children living in neighborhoods that are supportive

Safety of Child in Neighborhood percent of children living in neighborhoods that are usually or always safe

*New or revised indicator for 2007. Indicator cannot or should not be compared with 2003 findings.

84.4

70.7

10.4

75.5 

26.4

93.6

5.8

90.9

15.1

88.5

78.4 

19.5 

60.0

57.5

80.5

10.6

80.7 

54.4

47.8 

59.1

53.7 

56.9 

62.7

26.2 

30.7

48.2

14.6

83.2

86.1

92.4

80.7

10.2

82.2 

21.8

93.6

6.2

95.3

8.3

91.4

86.1 

17.9 

69.3

67.2

77.2

8.1

88.3 

35.3

67.5 

70.5

25.5 

65.9 

67.8

25.0 

37.1

38.2

22.4

91.1

95.2
100

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

Virginia

All statistics are based on parental reports.

The Health and Well-Being of Children: A Portrait of States and the Nation 2007

Indicator Explanation National % State %

Health Status

Child Health Status percent of children in excellent or very good health

Oral Health Status percent of children with excellent or very good oral health 

Injury percent of children aged 0-5 with injuries requiring medical attention in the past year 

Breastfeeding percent of children aged 0-5 who were ever breastfed 

Risk of Developmental or percent of children aged 4 months to 5 years determined to be at moderate 

Behavioral Problems or high risk based on parents’ specific concerns 

Social Skills percent of children aged 6-17 who exhibit two or more positive social behaviors

Missed School Days percent of children aged 6-17 who missed 11 or more days of school in the past year

Health Care

Current Health Insurance percent of children currently insured

Insurance Coverage Consistency percent of children lacking consistent insurance coverage in past year

Preventive Health Care percent of children with a preventive medical visit in the past year

*Preventive Dental Care percent of children with a preventive dental visit in the past year

*Developmental Screening percent of children aged 10 months to 5 years receiving a standardized 

screening for developmental or behavioral problems

Mental Health Care percent of children aged 2-17 with problems requiring counseling 

who received mental health care

*Medical Home percent of children who received care within a medical home

School and Activities

*School Engagement percent of children aged 6-17 who are adequately engaged in school

Repeating a Grade percent of children aged 6-17 who have repeated at least one grade

Activities Outside of School percent of children aged 6-17 who participate in activities outside of school

*Screen Time percent of children aged 1-5 who watched more than one hour of TV 

or video during a weekday

Child’s Family

Reading to Young Children percent of children aged 0-5 whose families read to them every day

*Singing and Telling Stories percent of children aged 0-5 whose families sing or tell stories 

 to Young Children to them every day

Religious Services percent of children who attend religious services at least weekly

Mother’s Health of children who live with their mothers, the percentage whose mothers are 

in excellent or very good physical and emotional health

Father’s Health of children who live with their fathers, the percentage whose fathers are 

in excellent or very good physical and emotional health

Smoking in the Household percent of children who live in households where someone smokes

Child Care percent of children aged 0-5 whose parents made emergency child care 

arrangements last month and/or a job change for child care reasons last year

Child and Family’s Neighborhood

*Neighborhood Amenities percent of children who live in neighborhoods with a park, sidewalks, a library, 

and a community center

*Neighborhood Conditions percent of children who live in neighborhoods with poorly kept or dilapidated housing

Supportive Neighborhoods percent of children living in neighborhoods that are supportive

Safety of Child in Neighborhood percent of children living in neighborhoods that are usually or always safe

*New or revised indicator for 2007. Indicator cannot or should not be compared with 2003 findings.

84.4

70.7

10.4

75.5 

26.4

93.6

5.8

90.9

15.1

88.5

78.4 

19.5 

60.0

57.5

80.5

10.6

80.7 

54.4

47.8 

59.1

53.7 

56.9 

62.7

26.2 

30.7

48.2

14.6

83.2

86.1

88.0

75.2

10.5

74.6 

25.7

94.9

4.2

92.8

12.4

88.1

79.0 

18.2 

72.2

58.8

81.7

8.7

83.7 

53.6

55.9 

65.2

49.9 

59.7 

66.0 

25.8 

30.0 

44.9

11.4

85.3

89.8
101

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

Washington All statistics are based on parental reports.

The Health and Well-Being of Children: A Portrait of States and the Nation 2007

Indicator Explanation National % State %

Health Status

Child Health Status percent of children in excellent or very good health

Oral Health Status percent of children with excellent or very good oral health 

Injury percent of children aged 0-5 with injuries requiring medical attention in the past year 

Breastfeeding percent of children aged 0-5 who were ever breastfed 

Risk of Developmental or percent of children aged 4 months to 5 years determined to be at moderate 

Behavioral Problems or high risk based on parents’ specific concerns 

Social Skills percent of children aged 6-17 who exhibit two or more positive social behaviors

Missed School Days percent of children aged 6-17 who missed 11 or more days of school in the past year

Health Care

Current Health Insurance percent of children currently insured

Insurance Coverage Consistency percent of children lacking consistent insurance coverage in past year

Preventive Health Care percent of children with a preventive medical visit in the past year

*Preventive Dental Care percent of children with a preventive dental visit in the past year

*Developmental Screening percent of children aged 10 months to 5 years receiving a standardized 

screening for developmental or behavioral problems

Mental Health Care percent of children aged 2-17 with problems requiring counseling 

who received mental health care

*Medical Home percent of children who received care within a medical home

School and Activities

*School Engagement percent of children aged 6-17 who are adequately engaged in school

Repeating a Grade percent of children aged 6-17 who have repeated at least one grade

Activities Outside of School percent of children aged 6-17 who participate in activities outside of school

*Screen Time percent of children aged 1-5 who watched more than one hour of TV 

or video during a weekday

Child’s Family

Reading to Young Children percent of children aged 0-5 whose families read to them every day

*Singing and Telling Stories percent of children aged 0-5 whose families sing or tell stories 

 to Young Children to them every day

Religious Services percent of children who attend religious services at least weekly

Mother’s Health of children who live with their mothers, the percentage whose mothers are 

in excellent or very good physical and emotional health

Father’s Health of children who live with their fathers, the percentage whose fathers are 

in excellent or very good physical and emotional health

Smoking in the Household percent of children who live in households where someone smokes

Child Care percent of children aged 0-5 whose parents made emergency child care 

arrangements last month and/or a job change for child care reasons last year

Child and Family’s Neighborhood

*Neighborhood Amenities percent of children who live in neighborhoods with a park, sidewalks, a library, 

and a community center

*Neighborhood Conditions percent of children who live in neighborhoods with poorly kept or dilapidated housing

Supportive Neighborhoods percent of children living in neighborhoods that are supportive

Safety of Child in Neighborhood percent of children living in neighborhoods that are usually or always safe

*New or revised indicator for 2007. Indicator cannot or should not be compared with 2003 findings.

84.4

70.7

10.4

75.5 

26.4

93.6

5.8

90.9

15.1

88.5

78.4 

19.5 

60.0

57.5

80.5

10.6

80.7 

54.4

47.8 

59.1

53.7 

56.9 

62.7

26.2 

30.7

48.2

14.6

83.2

86.1

85.8

74.3

15.8

89.6 

23.3

94.5

7.3

90.4

14.4

84.3

81.3 

25.6 

62.4

59.9

80.2

8.3

82.6 

52.4

60.5 

64.3

42.9 

59.0 

64.6

19.1 

29.9

50.5

16.0

83.7

88.6
102

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

West Virginia

All statistics are based on parental reports.

The Health and Well-Being of Children: A Portrait of States and the Nation 2007

Indicator Explanation National % State %

Health Status

Child Health Status percent of children in excellent or very good health

Oral Health Status percent of children with excellent or very good oral health 

Injury percent of children aged 0-5 with injuries requiring medical attention in the past year 

Breastfeeding percent of children aged 0-5 who were ever breastfed 

Risk of Developmental or percent of children aged 4 months to 5 years determined to be at moderate 

Behavioral Problems or high risk based on parents’ specific concerns 

Social Skills percent of children aged 6-17 who exhibit two or more positive social behaviors

Missed School Days percent of children aged 6-17 who missed 11 or more days of school in the past year

Health Care

Current Health Insurance percent of children currently insured

Insurance Coverage Consistency percent of children lacking consistent insurance coverage in past year

Preventive Health Care percent of children with a preventive medical visit in the past year

*Preventive Dental Care percent of children with a preventive dental visit in the past year

*Developmental Screening percent of children aged 10 months to 5 years receiving a standardized 

screening for developmental or behavioral problems

Mental Health Care percent of children aged 2-17 with problems requiring counseling 

who received mental health care

*Medical Home percent of children who received care within a medical home

School and Activities

*School Engagement percent of children aged 6-17 who are adequately engaged in school

Repeating a Grade percent of children aged 6-17 who have repeated at least one grade

Activities Outside of School percent of children aged 6-17 who participate in activities outside of school

*Screen Time percent of children aged 1-5 who watched more than one hour of TV 

or video during a weekday

Child’s Family

Reading to Young Children percent of children aged 0-5 whose families read to them every day

*Singing and Telling Stories percent of children aged 0-5 whose families sing or tell stories 

 to Young Children to them every day

Religious Services percent of children who attend religious services at least weekly

Mother’s Health of children who live with their mothers, the percentage whose mothers are 

in excellent or very good physical and emotional health

Father’s Health of children who live with their fathers, the percentage whose fathers are 

in excellent or very good physical and emotional health

Smoking in the Household percent of children who live in households where someone smokes

Child Care percent of children aged 0-5 whose parents made emergency child care 

arrangements last month and/or a job change for child care reasons last year

Child and Family’s Neighborhood

*Neighborhood Amenities percent of children who live in neighborhoods with a park, sidewalks, a library, 

and a community center

*Neighborhood Conditions percent of children who live in neighborhoods with poorly kept or dilapidated housing

Supportive Neighborhoods percent of children living in neighborhoods that are supportive

Safety of Child in Neighborhood percent of children living in neighborhoods that are usually or always safe

*New or revised indicator for 2007. Indicator cannot or should not be compared with 2003 findings.

84.4

70.7

10.4

75.5 

26.4

93.6

5.8

90.9

15.1

88.5

78.4 

19.5 

60.0

57.5

80.5

10.6

80.7 

54.4

47.8 

59.1

53.7 

56.9 

62.7

26.2 

30.7

48.2

14.6

83.2

86.1

86.8

75.4

13.9

57.0 

20.4

93.2

8.0

94.1

9.5

91.4

80.4 

31.9 

72.0

64.7

81.0

13.9

80.7 

64.0

57.1 

66.1

57.9 

57.0 

62.3

38.2 

26.8

26.3

24.3

87.7

92.3
103

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

Wisconsin

All statistics are based on parental reports.

The Health and Well-Being of Children: A Portrait of States and the Nation 2007

Indicator Explanation National % State %

Health Status

Child Health Status percent of children in excellent or very good health

Oral Health Status percent of children with excellent or very good oral health 

Injury percent of children aged 0-5 with injuries requiring medical attention in the past year 

Breastfeeding percent of children aged 0-5 who were ever breastfed 

Risk of Developmental or percent of children aged 4 months to 5 years determined to be at moderate 

Behavioral Problems or high risk based on parents’ specific concerns 

Social Skills percent of children aged 6-17 who exhibit two or more positive social behaviors

Missed School Days percent of children aged 6-17 who missed 11 or more days of school in the past year

Health Care

Current Health Insurance percent of children currently insured

Insurance Coverage Consistency percent of children lacking consistent insurance coverage in past year

Preventive Health Care percent of children with a preventive medical visit in the past year

*Preventive Dental Care percent of children with a preventive dental visit in the past year

*Developmental Screening percent of children aged 10 months to 5 years receiving a standardized 

screening for developmental or behavioral problems

Mental Health Care percent of children aged 2-17 with problems requiring counseling 

who received mental health care

*Medical Home percent of children who received care within a medical home

School and Activities

*School Engagement percent of children aged 6-17 who are adequately engaged in school

Repeating a Grade percent of children aged 6-17 who have repeated at least one grade

Activities Outside of School percent of children aged 6-17 who participate in activities outside of school

*Screen Time percent of children aged 1-5 who watched more than one hour of TV 

or video during a weekday

Child’s Family

Reading to Young Children percent of children aged 0-5 whose families read to them every day

*Singing and Telling Stories percent of children aged 0-5 whose families sing or tell stories 

 to Young Children to them every day

Religious Services percent of children who attend religious services at least weekly

Mother’s Health of children who live with their mothers, the percentage whose mothers are 

in excellent or very good physical and emotional health

Father’s Health of children who live with their fathers, the percentage whose fathers are 

in excellent or very good physical and emotional health

Smoking in the Household percent of children who live in households where someone smokes

Child Care percent of children aged 0-5 whose parents made emergency child care 

arrangements last month and/or a job change for child care reasons last year

Child and Family’s Neighborhood

*Neighborhood Amenities percent of children who live in neighborhoods with a park, sidewalks, a library, 

and a community center

*Neighborhood Conditions percent of children who live in neighborhoods with poorly kept or dilapidated housing

Supportive Neighborhoods percent of children living in neighborhoods that are supportive

Safety of Child in Neighborhood percent of children living in neighborhoods that are usually or always safe

*New or revised indicator for 2007. Indicator cannot or should not be compared with 2003 findings.

84.4

70.7

10.4

75.5 

26.4

93.6

5.8

90.9

15.1

88.5

78.4 

19.5 

60.0

57.5

80.5

10.6

80.7 

54.4

47.8 

59.1

53.7 

56.9 

62.7

26.2 

30.7

48.2

14.6

83.2

86.1

87.3

75.5

11.6

73.7 

22.8

93.8

6.8

94.3

10.4

84.2

80.3 

25.9 

61.4

62.9

81.7

4.4

85.7 

46.1

49.6 

53.1

48.9 

60.5 

67.5

28.5 

31.4

47.0

11.7

86.3

89.0
104

The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

Wyoming

All statistics are based on parental reports.

The Health and Well-Being of Children: A Portrait of States and the Nation 2007

Indicator Explanation National % State %

Health Status

Child Health Status percent of children in excellent or very good health

Oral Health Status percent of children with excellent or very good oral health 

Injury percent of children aged 0-5 with injuries requiring medical attention in the past year 

Breastfeeding percent of children aged 0-5 who were ever breastfed 

Risk of Developmental or percent of children aged 4 months to 5 years determined to be at moderate 

Behavioral Problems or high risk based on parents’ specific concerns 

Social Skills percent of children aged 6-17 who exhibit two or more positive social behaviors

Missed School Days percent of children aged 6-17 who missed 11 or more days of school in the past year

Health Care

Current Health Insurance percent of children currently insured

Insurance Coverage Consistency percent of children lacking consistent insurance coverage in past year

Preventive Health Care percent of children with a preventive medical visit in the past year

*Preventive Dental Care percent of children with a preventive dental visit in the past year

*Developmental Screening percent of children aged 10 months to 5 years receiving a standardized 

screening for developmental or behavioral problems

Mental Health Care percent of children aged 2-17 with problems requiring counseling 

who received mental health care

*Medical Home percent of children who received care within a medical home

School and Activities

*School Engagement percent of children aged 6-17 who are adequately engaged in school

Repeating a Grade percent of children aged 6-17 who have repeated at least one grade

Activities Outside of School percent of children aged 6-17 who participate in activities outside of school

*Screen Time percent of children aged 1-5 who watched more than one hour of TV 

or video during a weekday

Child’s Family

Reading to Young Children percent of children aged 0-5 whose families read to them every day

*Singing and Telling Stories percent of children aged 0-5 whose families sing or tell stories 

 to Young Children to them every day

Religious Services percent of children who attend religious services at least weekly

Mother’s Health of children who live with their mothers, the percentage whose mothers are 

in excellent or very good physical and emotional health

Father’s Health of children who live with their fathers, the percentage whose fathers are 

in excellent or very good physical and emotional health

Smoking in the Household percent of children who live in households where someone smokes

Child Care percent of children aged 0-5 whose parents made emergency child care 

arrangements last month and/or a job change for child care reasons last year

Child and Family’s Neighborhood

*Neighborhood Amenities percent of children who live in neighborhoods with a park, sidewalks, a library, 

and a community center

*Neighborhood Conditions percent of children who live in neighborhoods with poorly kept or dilapidated housing

Supportive Neighborhoods percent of children living in neighborhoods that are supportive

Safety of Child in Neighborhood percent of children living in neighborhoods that are usually or always safe

*New or revised indicator for 2007. Indicator cannot or should not be compared with 2003 findings.

84.4

70.7

10.4

75.5 

26.4

93.6

5.8

90.9

15.1

88.5

78.4 

19.5 

60.0

57.5

80.5

10.6

80.7 

54.4

47.8 

59.1

53.7 

56.9 

62.7

26.2 

30.7

48.2

14.6

83.2

86.1

87.7

74.3

11.4

85.1 

24.0

94.7

8.0

89.9

17.3

85.4

78.0 

20.2 

67.6

59.3

78.0

9.3

87.6 

49.0

55.0 

63.0

47.7 

57.8 

67.1

31.2 

28.5

56.8

20.3

86.1

93.1
The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

106

Technical Appendix

About the Survey

The National Survey of Children’s 

Health (NSCH) was fielded using 

the State and Local Area Integrated 

Telephone Survey (SLAITS) mechanism. SLAITS is conducted by the 

National Center for Health Statistics 

(NCHS), Centers for Disease Control 

and Prevention (CDC). It uses the 

same large-scale random-digit-dial 

sampling frame as the CDC’s National 

Immunization Survey.9

Approximately 2.8 million telephone numbers were randomly 

generated for inclusion in the NSCH. 

After eliminating numbers that were 

determined to be nonresidential or 

nonworking, the remaining numbers 

were called to identify households 

with children less than 18 years of 

age. From each household with children, one was randomly selected to be 

focus of the interview. 

The respondent was the parent or 

guardian in the household who was 

knowledgeable about the health and 

health care of the randomly selected 

child. For 73.5 percent of the children, 

the respondent was the mother. Respondents for the remaining children 

were fathers (20.5 percent), grandparents (4.2 percent), or other relatives 

or guardians (1.8 percent). 

Surveys were conducted in English, Spanish, Mandarin, Cantonese, 

Vietnamese, and Korean. Overall, 5.3 

percent of the interviews were completed in Spanish, and 0.2 percent of 

the interviews were conducted in one 

of the four Asian languages. 

Data Collection

Data collection began on April 5, 

2007 and ended on July 27, 2008, with 

interviews conducted from telephone 

centers in Chicago, Illinois and Las Vegas, Nevada. A computer-assisted telephone interviewing system was used 

to collect the data. A total of 91,642 

interviews were fully or partially completed for the NSCH, with 79 percent 

of the interviews completed in 2007. 

The number of completed interviews 

varied by state, ranging from 1,725 in 

Vermont to 1,932 in Illinois.

The interview completion rate, 

which is the proportion of interviews 

completed after a household was determined to include a child under age 18, 

was 66.0 percent. The overall response 

rate, which is the product of the resolution rate (the proportion of telephone 

numbers identified as residential or 

nonresidential), the screener completion rate (the proportion of households 

successfully screened for children), and 

the interview completion rate, was 51.2 

percent. This rate is based on the assumption that telephone numbers that 

were busy or rang with no answer on 

all attempts were nonresidential. 

Overall response rates ranged from 

39.4 percent in New Jersey to 61.9 percent in North Dakota. Several efforts 

were made to increase response rates, 

including sending letters to households 

in advance to introduce the survey, 

toll-free numbers left on potential 

respondents’ answering machines to 

allow them to call back, and small monetary incentives for those households 

with children who initially declined to 

participate.

Data Analysis

For producing the populationbased estimates in this report, the 

data records for each interview were 

assigned a sampling weight. These 

weights are based on the probability of selection of each household 

telephone number within each State, 

with adjustments that compensate 

for households that have multiple 

telephone numbers, for households 

without telephones, and for nonresponse. 

With data from the U.S. Bureau of 

the Census, the weights were also 

adjusted by age, sex, race, ethnicity, household size, and educational 

attainment of the most educated 

household member to provide a 

dataset that was more representative of each State’s population of 

noninstitutionalized children less 

than 18 years of age. Analyses were 

conducted using statistical software 

that accounts for the weights and the 

complex survey design.

Responses of “don’t know” and 

“refuse to answer” were considered 

to be missing data. Records with 

missing data on the variables of interest were excluded from all analyses, with one exception. For households with missing data for income 

or household size, the household 

income relative to the federal poverty 

level was multiply imputed. 

Racial and ethnic groups are mutually exclusive; that is, data reported 

for White, Black, multiracial and 

children of other races do not include 

Hispanics, who may be of any race.
The National Survey of Children’s Health 2007

The Health and Well-Being of Children: A Portrait of States and the Nation 2009

107

References

1. McPherson M, Arango P et al. A new 

definition of children with special health 

care needs. Pediatrics 1998; 102(1): 137-

140.

2. Hagan JF, Shaw JS, Duncan PM, eds. 

Bright Futures: Guidelines for Health 

Supervision of Infants, Children, and Adolescents. Third edition. Elk Grove Village, 

IL: American Academy of Pediatrics, 2008.

3. Stingore J A and Claudio L. Disparities 

in the use of urgent health care services 

among asthmatic children. Annals of 

Allergy, Asthma, and Immunology 2006; 

97(2): 244-50.

4. Centers for Disease Control and Prevention. Mental Health in the United States: 

Prevalence of diagnosis and medication 

treatment for attention-deficit/hyperactivity disorder – United States, 2003. 

MMWR 2005: 54:842-847.

5. American Academy of Pediatrics, Section on Breastfeeding. Breastfeeding and 

the Use of Human Milk. Pediatrics 2005; 

115(2) 496-506.

6. Glascoe FP. Parents’ Evaluation of Developmental Status. Nashville, TN: Ellsworth 

& Vandermeer Press LLC, 2006.

7. Bethell C, Reuland C, Schor E. Assessing 

health system provision of well-child care: 

The Promoting Healthy Development Survey. Pediatrics 2001; 107(5): 1084-94.

8. Centers for Disease Control and Prevention, Tobacco Information and Prevention 

Source. Secondhand Smoke Fact Sheet. 

February 2004.

9. Zell ER, Ezzati-Rice TM, Battaglia 

MP, Wright RA. National immunization 

survey: The methodology of a vaccination 

surveillance system. Public Health Reports 

115:65-77. 2000.

10. Blumberg SJ, Foster EB, Frasier AM, et 

al. Design and Operation of the National 

Survey of Children’s Health, 2007. National 

Center for Health Statistics. Vital Health 

Stat 1. 2009.

Accuracy of the Results

The data from the NSCH are subject 

to the usual variability associated 

with sample surveys. Small differences between survey estimates may 

be due to random survey error and 

not to true differences among children 

or across States.

The precision of the survey estimates is based on the sample size and 

the measure of interest. Estimates at 

the national level will be more precise 

than estimates at the State level. 

Estimates for all children will be more 

precise than estimates for subgroups 

of children (for example, children 0-5 

years of age or children with the same 

race). For national estimates of the 

health and health care for all children, 

the maximum margin of error is 0.8 

percentage points. For the State-level 

indicators for all children, the maximum margin of error is 4.5 percentage points.

Availability of the Data

Except for data suppressed to 

protect the confidentiality of the 

survey subjects, all data collected in 

the NSCH are available to the public 

on the NCHS and MCHB websites. 

Data documentation and additional 

details on the methodology10 are 

available from the National Center 

for Health Statistics (www.cdc.gov/

nchs/slaits.htm).

Interactive data queries are possible through the Data Resource 

Center for the NSCH (www.childhealthdata.org). The Data Resource 

Center provides immediate access 

to the survey data, as well as resources and assistance for interpreting and reporting findings.
Suggested citation:

U.S. Department of Health and Human Services,

Health Resources and Services Administration,

Maternal and Child Health Bureaus.

The National Survey of Children’s Health 2007.

Rockville, Maryland: U.S. Department of 

Health and Human Services, 2009.

Individual copies of this report are available

at no cost from the HRSA Information Center,

P.O. Box 2910, Merrifield, VA 22116;

1-888-ASK-HRSA; or ask@hrsa.gov.

The publication is also available online at

www.mchb.hrsa.gov and www.cdc/nchs/slaits.htm