Bright Futures Virginia - Data and Statistics

• State Board of Health (2005) for economic benefits & prevention
• Title V Report (2005) for programs and data in Virginia
• Healthy Virginians 2010 for health status data and programs meeting 2010 goals

Summary Statistics from the National Survey of Early Childhood Health, 2000

• 93% of children 4-35 months of age have health insurance
• Nearly all children have a usual place for well-child care but fewer than 50% see a regular clinician
• Almost 32% of children in households where the mother is Hispanic go to community health centers or public health clinics
• Approximately 12% of children in households were the mother is white non-Hispanic go to community health centers or public health clinics
• Approximately 12% of parents felt they did not have enough time with the clinician during the last visit
• Parents of children who are uninsured usually have lower levels of satisfaction with their clinicians compared to other parents
• Parents report that clinicians rarely ask about violence in the community and if they are having trouble paying for basic needs

• 57% of parents with children 4-35 months of age say their child ever received a developmental assessment
• Parents whose children receive developmental assessments are more satisfied with the check-ups (88.9% vs. 84.3%); report having "adequate" time for the most recent well child visit (60% vs. 31%); and longer time with the provider (19% vs. 16%)
• Parents whose children receive developmental assessments also report more family-centered care (71.9% vs. 60.6%)

• 85% of children 4-35 months of age are in excellent or very good health.
• Parents report the following concerns about their child's development:
• Behavior (48%)
• Language (45%)
• Emotional well-being (42%)
• Getting along with others (41%)
• Parents did not discuss the following issues during well child visits:
• Guidance & discipline (44%)
• Toilet training (36%)
• Child care (33%)
• Only 46% of children have a regular well child clinician although most children have a regular place for well child care.

• Survey of families with children from 3-18 (35,938 children) - 1999 data
• 23.4% of children did not receive recommended well-child visits
• 46.8% did not receive recommended dental visits (2 visits per year)
• 21.1% had not seen a dentist in over 1 year
• 44.8% received both the recommended well-child and dental visits
• 70.9% of the children were privately insured
• Predictors for not receiving well-child exams:
• Under 10 years old
• Uninsured
• Non-Hispanic white
• Parent with less than college education
• Child in poor health
• Predictors for not receiving recommended dental care:
• Black
• Uninsured
• Low income family
• Parent with less than college education
• Postponed dental care within last year
• When compared with white children, children who are black, Hispanic, or Native American have:
• Fewer physician visits
• Longer intervals between visits
• Poorer health status
• When compared with insured children, uninsured and poor children are:
• Less likely to have a usual source of care
• More likely to go without needed medical care
• More likely to use fewer or no health services
• Adolescents are more likely to be uninsured than children under 13
• Older adolescents (15-18 years) are less likely to be insured than younger adolescents (10-14 years)