2018 PRC Child & Adolescent Health Needs Assessment
Executive Report
2018 PRC Child & Adolescent Health Needs Assessment
Total Service Area
Broward, Collier, Lee, Miami-Dade, Monroe & Palm Beach Counties, Florida
Prepared for: Nicklaus Children's Hospital
By: Professional Research Consultants, Inc. 11326 P Street Omaha, NE 68137-2316
2018-1144-02 ? December 2018
CHILD & ADOLESCENT HEALTH NEEDS ASSESSMENT
Table of Contents
Introduction
6
Project Overview
7
Project Goals
7
Methodology
7
IRS Form 990, Schedule H Compliance
15
Summary of Findings
16
Significant Health Needs of the Community
16
Summary Tables: Comparisons With Benchmark Data
20
Summary of Key Informant Perceptions
40
Community Description
41
Age
42
Linguistic Isolation
43
Children in Low-Income Households
44
Perceptions of Top Health Issues
46
Child Health
47
Perceived Top Health Issues
47
Perceived Availability of Resources
48
Adolescent Health
49
Perceived Top Health Issues
49
Perceived Availability of Resources
50
Health Status
51
Overall Health Status
52
Evaluations of Child's Overall Health
52
Activity Limitations
54
Loss of Productivity
56
Mental Health
59
Evaluation of Child's Mental Health
59
Depression
61
Suicide Attempts (Adolescents)
64
Anxiety
65
Sleep Difficulties
68
Cognitive & Behavioral Disorders
69
Key Informant Input: Cognitive & Behavioral Conditions
74
Mental Health Services & Treatment
78
Key Informant Input: Mental and Emotional Health
86
2
CHILD & ADOLESCENT HEALTH NEEDS ASSESSMENT
Chronic Disease & Special Health Needs
Prevalence of Selected Medical Conditions Vision, Hearing & Speech Allergies Neurological Conditions Bone, Joint & Muscle Problems Asthma Diabetes Cancer Condition Requiring Prescriptions or Special Therapy Use of Prescribed Medications
Special Health Needs Prevalence of Special Health Needs Parents' Greatest Needs for Child
Prenatal & Postnatal Care
Prenatal Care Lack of Prenatal Care Difficulties Getting Prenatal Care Prenatal Healthcare Planning
Births to Teen Mothers Low-Weight Births Vaccinations
Immunization Prevalence Vaccinating Newborns Breastfeeding & Breast Milk Ever Breast-Fed Exclusive Breastfeeding for Six Months Infant Health Key Informant Input: Infant Health
Mortality
Infant Mortality Child & Adolescent Deaths
Mortality Rates Leading Causes of Child Deaths
Modifiable Health Risks
Nutrition Fruits & Vegetables Fast Food Family Meals
90
91 91 98 103 108 110 115 118 118 120 121 121 122
123
124 124 126 128 130 132 134 134 134 136 136 136 138 138
140
141 143 143 145
146
147 148 151 153
3
CHILD & ADOLESCENT HEALTH NEEDS ASSESSMENT
Physical Activity Recommended Physical Activity Vigorous Physical Activity Screen Time
Weight Status Childhood Overweight & Obesity Perceptions of Overweight
Tobacco, Alcohol & Other Drugs Exposure to Environmental Tobacco Smoke Tobacco Use (Adolescents) Alcohol (Adolescents) Drug Use (Adolescents) Awareness of Substance Abuse Resources
Injury & Safety Prevalence of Injuries Motor Vehicle Injuries Head Injuries Child Abuse Prevalence Neighborhood Safety School Safety
Sexual Activity Chlamydia & Gonorrhea Sexual Activity Among Adolescents Human Papillomavirus (HPV) Vaccine
Access to Health Services
Health Insurance Coverage Type of Health Insurance Coverage Lack of Health Insurance Coverage
Difficulties Accessing Healthcare Barriers to Healthcare Access Loss of Productivity
Access to Specialty Care Outmigration for Children's Healthcare Primary Care Services
Access to Child Healthcare Specific Source of Ongoing Care Receipt of Routine Medical Care Previous Child Health Care Visit Dental Care Vision & Hearing
155 155 157 157 163 163 166 170 170 171 174 176 179 184 184 187 189 193 193 195 202 202 202 204
209
210 210 210 214 215 217 220 223 225 225 226 228 230 231 237
4
CHILD & ADOLESCENT HEALTH NEEDS ASSESSMENT
Emergent & Urgent Care Emergency Room Utilization Urgent Care Centers/Walk-In Clinics
Health Education & Outreach
Primary Source of Healthcare Information Willingness to Use Personalized Medicine Likely Participation in Clinical Research Trials
Resources
Resources Available to Address the Significant Health Needs
Appendix
Nicklaus Children's Hospital: 2015-2018 Implementation Plan Program Evaluation
Nutrition, Physical Activity & Weight Mental Health Access to Healthcare Services Diabetes Injury & Violence Asthma & Other Respiratory Conditions Oral Health Potentially Disabling Conditions
242 242 244
246
247 249 250
253
254
258
259 259 262 264 267 268 269 270 271
5
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