FINAL SET – LIFE COURSE INDICATORS Identifier Thematic Category Indicator Name Brief Description Formula Numerator Formula Denominator Data Source LC-1 Childhood Experiences Adverse Childhood Experiences Among Adults Prevalence of adverse childhood experiences Weighted number of adults ages 18 and older responding to the Behavioral Risk Factor Surveillance System (BRFSS) survey who report that they experienced 3 or more adverse childhood experiences (ACE) Number of adults 18 and older Behavioral Risk Factor Surveillance System (BRFSS) LC-2 Childhood Experiences Prevalence of Adverse Childhood Experiences Among Children Prevalence of adverse childhood experiences among children Weighted number of children whose parents responded to the NSCH that their children were exposed to adverse childhood experiences (9 questions related to ACEs) Total number of children National Survey of Children’s Health (NSCH) LC-3 Childhood Experiences Substantiated Child Maltreatment Substantiated child maltreatment including experience of physical abuse, neglect or deprivation of necessities, medical neglect, sexual abuse, psychological or emotional maltreatment Number of children with reports of maltreatment types that include physical abuse, neglect or deprivation of necessities, medical neglect, sexual abuse, psychological or emotional maltreatment and the report is considered substantiated. Number of children under 17 years of age in the state. National Child Abuse and Neglect Data System (NCANDS) LC-4 Community Health Policy Breastfeeding Support - Baby Friendly Hospitals Proportion of births occurring in baby friendly hospitals Number of births at Baby-Friendly designated hospitals for a given year Number of births in State for a given year Annual CDC Breastfeeding Report Card LC-5 Community Health Policy Fluoridation Proportion of population served by community water systems that received optimally fluoridated water. Population on community water systems that received optimally fluoridated drinking water in a calendar year. Population on community water systems in a calendar year Water Fluoridation Reporting System
LC-11 Community Wellbeing Small for Gestational Age Proportion of singleton live-born infants whose birth weight is at or below the 10th percentile for a given gestational age Singleton live-born infants whose birth weight is at or below the 10th percentile for a given gestational age Total number of singleton live births National Vital Statistics System (NVSS) Records LC-12 Discrimination and Segregation Bullying Percent of 9-12th graders who reported being bullied on school property or electronically bullied Number of 9th through 12th grade students (12-17 years) who reported having been bullied on school property or electronically during the past 12 months. 9th through 12th grade student population (12-17 years) Youth Risk Behavior Surveillance System (YRBSS) LC-13 Discrimination and Segregation Experiences of Discrimination or Racism among Women Percent of women who experienced discrimination right before or during pregnancy. Number of women who answer Yes to the question “During the 12 months before your new baby was born, did you feel emotionally upset (for example, angry, sad or frustrated) as a result of how you were treated based on your race?” Total number of women who recently had a live birth Pregnancy Risk Assessment Monitoring System (PRAMS) LC-14 Discrimination and Segregation Perceived Experiences of Discrimination Among Children Percent of children who experienced discrimination in the past year (parent report) Number of children age 0-17 years who (somewhat or very) often experience racial discrimination in the past year, as reported by their parent Total number of children National Survey of Children’s Health (NSCH) LC-15 Discrimination and Segregation Perceived Experiences of Racial Discrimination in Healthcare among Adults Percent of adults reporting racial discrimination in healthcare Adults 18 and over reporting perceived racial discrimination in health care Total adults 18 and over Behavioral Risk Factor Surveillance System (BRFSS) LC-16 Discrimination and Segregation Racial Residential Segregation, by Community Differential distribution of individuals by race or other social or income factors (Dissimilarity Index). Number of counties with dissimilarity index (DI) > .6 (very segregated) It is standard to view cities or other geographic areas with a DI under .3 as well integrated, those with a DI value between .3 and .6 as moderately segregated, and those with values above .6 as very segregated (10). See Notes for Calculation for formula Total number of counties American Community Survey (ACS) 17
LC-17 Early Life Services Early Intervention Proportion of children aged 0-3 years who received EI services of all children aged 0-3 years Children aged 0-3 years receiving EI services in a given state All children aged 0-3 years IDEA 618 Child Count LC-18 Early Life Services WIC Nutrition Services Proportion of children aged 2-5 years receiving WIC services compared to proportion of children <185% FPL Children aged 2-5 years participating in the WIC program Total children aged 2-5 years whose income is below 185% FPL. WIC program data LC-19 Early Life Services Early Childhood Health Screening - EPSDT Percent of Medicaid-enrolled children who received at least one initial or periodic screen in past calendar year Number of Medicaid enrollees ages 0-21 (enrolled for 90+ continuous days) receiving at least one initial or periodic screen Total children ages 0-21 enrolled for 90+ continuous days CMS - Annual Medicaid EPSDT Participation Report LC-20 Economic Experiences High School Graduation Rate High school graduation rate (4 year cohort) as measured by the Adjusted Cohort Graduation Rate. Number of students who graduate in four years with a regular high school diploma Number of students who form the adjusted cohort for the graduating class National Center for Education Statistics LC-21 Economic Experiences Mother's Education Level at Birth Percent of births by maternal education levels Number of women delivering a live birth with <HS, HS, & some college All live births National Vital Statistics System (NVSS) Records LC-22 Economic Experiences Unemployment Prevalence of unemployment Number of persons age 16 and older in the labor force who are unemployed (and actively seeking work) Number of persons age 16 and older American Community Survey (ACS) LC-23 Family Wellbeing Adolescent Smoking Percent of adolescents who smoked cigarettes in the past 30 days Total 9th-12th graders who smoked cigarettes ≥ 1 day during the past 30 days Total population of 9th – 12th graders Youth Risk Behavior Surveillance System (YRBSS) enrolled
LC-57 Social Capital 4th Grade Proficiency Percent of 4th graders scoring proficient or above on math and reading Number of 4th graders scoring proficient or above on math and reading Total 4th graders in public schools National Assessment of Educational Progress (NAEP) LC-58A Social Capital Incarceration Rate Prevalence of juveniles ages 13-17 male or female, detained in residential placement Number of juveniles ages 13-17 male or female, detained in residential placement Total population of 13-17 year olds National Center for Juvenile Justice, Office of Juvenile Justice and Delinquency LC-58B Social Capital Incarceration Rate Prevalence of adults incarcerated Number of adults age 18 or over imprisoned per 100,000 residents Total population of adults age 18 or over Bureau of Justice Statistics, National Prisoner Statistics Program LC-59 Social Capital Voter Registration Voter registration Number of adults registered to vote Total eligible population Current Population Survey (CPS)