adverse childhood experiences...adverse childhood experiences (aces) (total service area children...

ADVERSE CHILDHOODEXPERIENCES

Adverse Childhood Experiences (ACEs)(Total Service Area Children Age 0-17, 2018)

Sources: ● 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Items 338-345]

Notes: ● Asked of all respondents about a randomly selected child in the household.

For more information see: The State of Children’s Health in the Kansas City Region, 2019, https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment

https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment

Adverse Childhood Experiences (ACEs)(Total Service Area Children Age 0-17)

Sources: ● 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Items 338-345]Notes: ● Asked of all respondents about a randomly selected child in the household.For more information see: The State of Children’s Health in the Kansas City Region, 2019,https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment

17.6% 15.8%9.6% 8.5% 5.9% 7.8%

4.4% 1.7%

27.3% 24.8%

15.2%12.4% 10.7% 9.1% 9.0% 7.5%

FinancialStrife

ParentalDivorce/

Separation

HouseholdMental Illness

HouseholdSubstance

Abuse

ParentalDomesticViolence

ParentalIncarceration

NeighborhoodViolence

ParentalDeath

0%

20%

40%

60%

80%

100%

2015 2018


53.0%

22.3%

8.4%

62.7%

15.8%

4.2%

24.8%

9.7%

21.9%

9.4%11.9%

44.9%

23.8% 24.9%

0%

10%

20%

30%

40%

50%

60%

70%

0 ACEs 1 ACE 2 ACEs 3 or More ACEs

Total Service Area

Clay County

Jackson County

Johnson County

Wyandotte County

Sources: ● 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Item 365]



8.0% in 2015

0 ACEs 1 ACE 2 ACE 3 or more ACEs

Total Service Area 53.0% 22.3% 8.4% 16.2%

Clay County 62.7% 15.8% 4.2% 17.3%

Jackson County 48.3% 24.8% 9.7% 17.3%

Johnson County 56.9% 21.9% 9.4% 11.9%

Wyandotte County 44.9% 23.8% 6.3% 24.9%

Total Number of Adverse Childhood Experiences (ACEs) by County

(Total Service Area Children Age 0-17, 2018)


53.0%

22.3%

8.4%

62.7%

15.8%

4.2%

24.8%

9.7%

21.9%

9.4%11.9%

44.9%

23.8% 24.9%

0%

10%

20%

30%

40%

50%

60%

70%

0 ACEs 1 ACE 2 ACEs 3 or More ACEs

Total Service Area

Ages 0-5

Ages 6-10

Ages 11-14

Ages 15-17




0 ACEs 1 ACE 2 ACE 3 or more ACEs

Total Service Area 53.0% 22.3% 8.4% 16.2%

Ages 0-5 58.1% 17.7% 7.4% 16.8%

Ages 6-10 53.8% 22.5% 11.5% 12.1%

Ages 11-14 50.3% 25.8% 7.6% 16.2%

Ages 15-17 45.7% 25.9% 6.2% 22.2%

Total Number of Adverse Childhood Experiences (ACEs) by Age



HOUSING and

NEIGHBORHOOD CONDITIONS

Neighborhood Characteristics(Total Service Area, 2018)

9.3% 10.3%

5.6%

22.7%25.1%

20.9%

11.7%

25.6%

8.3% 8.1%3.8%

11.0%

35.1%31.8%

21.2%

43.7%

18.0%16.0%

9.1%

21.9%

Litter/Loose Garbage on Street Rundown Housing Signs of Vandalism No Sidewalks or Walking Paths

0%

20%

40%

60%

80%

100%

Clay County Jackson County Johnson County Wyandotte County Total Service Area

Sources: ●. 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Items 348-351]

Notes: ● Reflects the total sample of respondents.



One 14.1%

Two 3.3%

Three/More 3.7%

None 78.9%


Notes: ● Asked of all respondents.


Moved Residences Past Year (Total Service Area, 2018)

16.5%

24.6%

17.9%

25.0%21.1%

0%

20%

40%

60%

80%

100%

ClayCounty

JacksonCounty

JohnsonCounty

WyandotteCounty

Total ServiceArea

11.2%16.2%

21.1%

2012 2015 2018


Frequency of Worry or StressOver Paying Rent/Mortgage in the Past Year

(Total Service Area, 2018)

Always 8.5%

Usually 6.1%

Sometimes 26.6%

Never 58.9%





Year Home Was Built(Households With Children; Total Service Area, 2018)

6.6%

15.5%9.0%

25.8%

12.8%

27.8%31.3% 29.6%

44.9%

31.5%

65.6%

53.2%

61.3%

29.2%

55.7%

ClayCounty

JacksonCounty

JohnsonCounty

WyandotteCounty

Total Service Area

0%

20%

40%

60%

80%

100%

Before 1950 Between 1950 and 1978 1979 or Later


Notes: ● Reflects the total sample of respondents.



House Has Peeling Paint on Interior or Exterior

9.6%

16.5%13.0%

19.1%14.5%

0%

20%

40%

60%

80%

100%

ClayCounty

JacksonCounty

JohnsonCounty

WyandotteCounty

Total ServiceArea


Notes: ● Asked of all respondents


8.9%

14.5%

2015 2018

Total Service Area


Recent Signs of Mice, Rats, or Other Rodents Inside the Home

13.3%

24.1%

16.6%

26.3%

20.2%

0%

20%

40%

60%

80%

100%

ClayCounty

JacksonCounty

JohnsonCounty

WyandotteCounty

Total ServiceArea


Notes: ● Asked of all respondents


14.2%

20.2%

2015 2018

Total Service Area


Someone Smokes Tobacco Inside the House(Total Service Area, 2018)

Sources: ● 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Item 102]● 2017 PRC National Child & Adolescent Health Survey, Professional Research Consultants, Inc.



12.4% 14.5%

6.2%

16.0%11.4%

8.0%

0%

20%

40%

60%

80%

100%

ClayCounty

JacksonCounty

JohnsonCounty

WyandotteCounty

Total ServiceArea

US

27.9% 28.9%

20.7%

38.6%

26.9%

0%

20%

40%

60%

80%

100%

ClayCounty

JacksonCounty

JohnsonCounty

WyandotteCounty

Total ServiceArea

Someone Smokes Tobacco Outside the House(Total Service Area, 2018)


Districts with Over 100 Students who Identify as Homeless*2017-18 School Year

District # Student Homeless

Kansas City, Missouri 1,200

Independence 964

Kansas City, Kansas 942

Raytown 532

North Kansas City 514

Hickman Mills 482

Fort Osage 462

Olathe 427

Shawnee Mission 346

Hogan 326

Excelsior Springs 166

Turner 137

Lee’s Summit 125

Liberty 121

Center 119

Smithville 117

Blue Valley 112Source: Kansas and Missouri Departments of Education,

*McKinney-Vento definition of homeless


8,002 students

ALL Districts in the four

counties

SY17-18


Day in the Life of a Child

Transportation to Child’s School(Total Service Area Children Age 5-17, 2018)


Notes: ●. Asked of all respondents with a randomly selected child age 5-17 at home; excludes those who are homeschooled


Parent Drives 44.3%

School Bus/Van 37.2%

Child Drives 7.7%

Walk to School 5.7%

Public Transportation 3.0%

Other 2.1%


School Days Missed Due to Illness or Injury or Asthma

Number of School Days Missedin the Past Year Due to ILLNESS OR

INJURY(Total Service Area Children Age 5-17, 2018)

None 32.1%

One 14.1%

Two 18.0% Three 12.4%

Four 7.4%

Five 6.1%

Six to Nine5.4%

10 or More4.5%

Number of School Days Missed Due to ASTHMA in the Past Year

(Total Service Area Children Age 5-17 with Asthma, 2018)



School Days Missed in the Past Year Because

Child Felt Unsafe at School or on the Way to/from School(Total Service Area Children Age 5-17, 2018)

Sources: ● 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Item 73]Notes: ● Asked of all respondents for whom the randomly selected child in the household is age 5-17.For more information see: The State of Children’s Health in the Kansas City Region, 2019, https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment

None 87.3%

One 2.5%Two 2.8%

Three/More 6.9%

Child Not In School 0.5%


Child Was Bullied in the Past Year(Total Service Area Children Age 5-17, 2018)

Sources: ● 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Items 74-75]● 2017 PRC National Child & Adolescent Health Survey, Professional Research Consultants, Inc.

Notes: ● Asked of those respondents for whom the randomly selected child in the household is age 5 to 17.● Cyberbullying includes electronic bullying such as through email, chat rooms, instant messaging, websites, or texting.


21.9% 23.8%26.9%

23.0% 24.6%

16.9%12.0% 11.7% 11.3% 13.0% 11.7%

4.4%

0%

20%

40%

60%

80%

100%

ClayCounty

JacksonCounty

JohnsonCounty

WyandotteCounty

Total ServiceArea

US

Bullied at School Cyberbullied

20.1% of TSA parents responded that their 13 – 17 years old were cyberbullied

in past year.

Girls were more frequently reported as the targets of cyberbullying.

2015:

16.7% 2015:

4.1%


Child Has Own Smartphone(Total Service Area Children Age 5-17, 2018)

55.5% 54.0%

47.1%

59.1%

52.3%

41.6%

0%

20%

40%

60%

80%

100%

ClayCounty

JacksonCounty

JohnsonCounty

WyandotteCounty

Total ServiceArea

US


Notes: ● Asked of all respondents for whom the randomly selected child in the household is age 5-17.For more information see: The State of Children’s Health in the Kansas City Region, 2019, https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment

88% of 13 – 17 year olds have phone

57.6% girls versus boys


Child Was Physically Active for

One Hour or Longer on Every Day of the Past Week(Total Service Area Children Age 2-17, 2018)


Notes: ● Asked of those respondents for whom the randomly selected child in the household is between the ages of 2 and 17. For more information see: The State of Children’s Health in the Kansas City Region, 2019, https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment

44.3%41.0% 40.0%

53.1%

42.5%45.3%

0%

20%

40%

60%

80%

100%

ClayCounty

JacksonCounty

JohnsonCounty

WyandotteCounty

Total ServiceArea

US

57.7%

56.2%

42.5%

2012 2015 2018

Total Service AreaNone6.0%

One 3.1%

Two 6.0%

Three10.6%

Four12.8%

Five13.3%

Six 5.8%

Seven42.5%

Number of Days in

the Past Week


Child Was Physically Active for

One Hour or Longer on Every Day of the Past Week(Total Service Area Children Age 2-17, 2018)

Sources: ● 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Item 107]Notes: ● Asked of those respondents for whom the randomly selected child in the household is between the ages of 2 and 17.

● Hispanics can be of any race. Other race categories are non-Hispanic categorizations (e.g., "White" reflects non-Hispanic White respondents).● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size. "Low Income" includes households with incomes 100% - 200% of the

federal poverty level; "Mid/High Income" includes households with incomes at 200% or more of the federal poverty level.For more information see: The State of Children’s Health in the Kansas City Region, 2019, https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment

44.7%40.1%

58.9%

43.5%

30.8%

38.9%

51.4%

39.3%44.0% 42.5%

36.6%40.8% 42.5%

0%

20%

40%

60%

80%

100%

Boy Girl Age0 to 4

Age5 to 12

Age13 to 17

VeryLow

Income

LowIncome

Mid/HighIncome

White Black Hispanic Other TSA


Number of Sports Teams Child Played On in the Past Year(Total Service Area Parents of Children Age 5-17, 2018)

Sources: ● 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Item 326]Notes: ● Asked of all respondents about a randomly selected child age 5 to 17 at home.For more information see: The State of Children’s Health in the Kansas City Region, 2019, https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment

None 39.9%

One 22.6%

Two 18.8%

Three 10.4%

Four/More 8.3%


Food Security(Total Service Area, 2018)


Notes: ● Reflects the total sample of respondents.For more information see: The State of Children’s Health in the Kansas City Region, 2019, https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment

10.9%7.4%

23.4% 22.4%

65.7%70.3%

"In the past year, I worried about whether our foodwould run out before we had money to buy more."

"In the past year, the food we bought just did not last,and we did not have money for more."

0%

20%

40%

60%

80%

100%

Often True Sometimes True Never True

Often/Sometimes True

US = 29.0%

2015 = 16.0%

Often/Sometimes True

US = 35.1%

2015 = 19.5%


HEALTH CONDITIONS

9.5%

17.9%

11.5%

21.2%

14.7% 12.8%

0%

20%

40%

60%

80%

100%

ClayCounty

JacksonCounty

JohnsonCounty

WyandotteCounty

Total ServiceArea

US


● 2017 PRC National Child & Adolescent Health Survey, Professional Research Consultants, Inc.



Child Currently Has AsthmaParent Report

(Total Service Area, 2018)

11.8% 12.6% 14.7%

2012 2015 2018

Total Service Area


None 46.0%

One 17.0%Two 12.5%

Three 9.6%

Four or More14.9%

ER/Urgent Care Visits


Notes: ● Asked of respondents with a child who currently has asthma (n=146).


Number of Asthma-RelatedER/Urgent Care Visits and Hospital Stays

in the Past Year, Parent Report(Total Service Area Children with Asthma, 2018)

None 68.1%

One 10.6%

Two 6.6%

Three 3.9%

Four or More10.8%

Hospital Stays


Asthma Urgent Care, Emergency Department, Inpatient Hospitalization Visits

> 4 visits of any type in any one year at Children’s Mercy

2016-2018

n= 758



Child Is Overweight or Obese(Parent Reported, Total Service Area Children Age 5-17 With a BMI in the 85th Percentile or Higher)


Notes: ● Asked of those respondents for whom the randomly selected child in the household is between the ages of 5 and 17.● Overweight among children 5-17 is determined by child’s Body Mass Index status at or above the 85th percentile of US growth charts by gender and age.● *BMI was calculated slightly differently in the 2012 study: age-in-years midpoints were used to calculate BMI in 2012; in 2015 and 2018, BMI cutoffs were

based on child’s actual age in both years and months. Analysis shows that the difference between the two calculation methods is marginal.For more information see: The State of Children’s Health in the Kansas City Region, 2019, https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment

27.8%31.4%

28.3%

41.9%

30.7% 32.6%

0%

20%

40%

60%

80%

100%

ClayCounty

JacksonCounty

JohnsonCounty

WyandotteCounty

Total ServiceArea

US

31.4%37.2%

30.7%

2012* 2015 2018

Total Service Area


Child Obesity Prevalence(Parent reported, Total Service Area Children Age 5-17 with a BMI in the 95th Percentile or Higher)

Healthy People 2020 Target = 14.5% or Lower

Sources: ● 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Item 135]● 2017 PRC National Child & Adolescent Health Survey, Professional Research Consultants, Inc.● US Department of Health and Human Services. Healthy People 2020. December 2010. http://www.healthypeople.gov [Objective NWS-10.4]

Notes: ● Asked of those respondents for whom the randomly selected child in the household is between the ages of 5 and 17.● Obesity among children is determined by children’s Body Mass Index status equal to or above the 95th percentile of US growth charts by gender and age.● *BMI was calculated slightly differently in the 2012 study: age-in-years midpoints were used to calculate BMI in 2012; in 2015 and 2018, BMI cutoffs were

based on child’s actual age in both years and months. Analysis shows that the difference between the two calculation methods is marginal.For more information see: The State of Children’s Health in the Kansas City Region, 2019, https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment

17.5% 17.7%15.1%

32.9%

18.1% 18.2%

0%

20%

40%

60%

80%

100%

ClayCounty

JacksonCounty

JohnsonCounty

WyandotteCounty

Total ServiceArea

US

14.3%20.4% 18.1%

2012* 2015 2018

Total Service Area


Firearm Injuries-Fatal and Nonfatal- by Location

Seen in the Children’s Mercy Emergency Department

2016-2018

n=188



Child’s Activity When Most Seriously Injured in Past Year(Total Service Area Children Seriously Injured in the Past Year, 2018)

Sources: ● 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Item 71]Notes: ● Asked of all respondents for whom the randomly selected child in the household was seriously injured in the past year.

Sports-Organized/Team

26.1%

Don't Know/Not Sure20.1%

Falling/Tripping 17.2%

Playing 15.8%

Scooters/Rollerblades/Skateboarding 4.1%

Bike Riding 3.8%

Other (Each <3%)12.9%



MENTAL HEALTH

13.9%10.7% 11.3% 13.4% 11.7%

7.2%

0%

20%

40%

60%

80%

100%

ClayCounty

JacksonCounty

JohnsonCounty

WyandotteCounty

Total ServiceArea

US



Notes: ● Asked of respondents for whom the randomly selected child in the household is between the ages of 5 and 17.

Child Has Been Diagnosed with Depression(Total Service Area Children Age 5-17, 2018)

4.1% 5.5%11.7%

2012 2015 2018

Total Service Area



9.4% 11.0% 8.6%

18.7%

10.7%5.7%

0%

20%

40%

60%

80%

100%

ClayCounty

JacksonCounty

JohnsonCounty

WyandotteCounty

Total ServiceArea

US


●. 2017 PRC National Child & Adolescent Health Survey, Professional Research Consultants, Inc.


Child Felt Sad or Hopeless for Two or More Weeksin the Past Year and Stopped Performing Usual Activities


3.2% 3.0%

10.7%

2012 2015 2018

Total Service Area

Sought professional

treatment for this

problem: 74.0%



20.1% 20.5% 22.5% 20.9% 21.2%

13.6%

0%

20%

40%

60%

80%

100%

ClayCounty

JacksonCounty

JohnsonCounty

WyandotteCounty

Total ServiceArea

US




Child Needed Mental Health Services in the Past Year(Total Service Area Children Age 5-17, 2018)

16.1%21.2%

2015 2018

Total Service Area



24.3%

17.8% 18.5%

25.7% 26.5% 28.0%

18.7% 20.8%

13.5%18.9%

36.7%

21.2%

0%

20%

40%

60%

80%

100%

Boy Girl Age5 to 12

Age13 to 17

Very LowIncome

LowIncome

Mid/HighIncome




● Hispanics can be of any race. Other race categories are non-Hispanic categorizations (e.g., "White" reflects non-Hispanic White respondents).

● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size. "Low Income" includes households with incomes up to 200% of the

federal poverty level; "Mid/High Income" includes households with incomes at 200% or more of the federal poverty level.

Child Needed Mental Health Services in the Past Year


2.9% did not

receive treatment

or counseling.



19.1%13.4%

16.5% 17.7% 15.9%10.0%

0%

20%

40%

60%

80%

100%

ClayCounty

JacksonCounty

JohnsonCounty

WyandotteCounty

Total ServiceArea

US



Notes: ● Asked of respondents for whom the randomly selected child in the household is between the ages of 5 and 17


Child Has Ever Taken Prescription Medication for Mental Health


7.2%

15.9%

2015 2018

Total Service Area


20.1% 20.5% 22.5% 20.9% 21.2%

13.6%

0%

20%

40%

60%

80%

100%

ClayCounty

JacksonCounty

JohnsonCounty

WyandotteCounty

Total ServiceArea

US





Child Needed Mental Health Services in the Past Year(Total Service Area Children Age 5-17, 2018)

16.1%21.2%

2015 2018

Total Service Area


24.3%

17.8% 18.5%

25.7% 26.5% 28.0%

18.7% 20.8%

13.5%18.9%

36.7%

21.2%

0%

20%

40%

60%

80%

100%

Boy Girl Age5 to 12

Age13 to 17

Very LowIncome

LowIncome

Mid/HighIncome




● Hispanics can be of any race. Other race categories are non-Hispanic categorizations (e.g., "White" reflects non-Hispanic White respondents).

● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size. "Low Income" includes households with incomes up to 200% of the

federal poverty level; "Mid/High Income" includes households with incomes at 200% or more of the federal poverty level.


Child Needed Mental Health Services in the Past Year


2.9% did not

receive treatment

or counseling.


14.4% 14.6%20.0% 18.3% 16.8%

12.7%

0%

20%

40%

60%

80%

100%

ClayCounty

JacksonCounty

JohnsonCounty

WyandotteCounty

Total ServiceArea

US





Child Has ADD/ADHD(Total Service Area, 2018)

8.1% 9.0%

16.8%

2012 2015 2018

Total Service Area


Never 64.4%

Once 15.2%

Two/More Times20.4%




Number of Times Contactedby School About Child’s Behavior in

the Past Year(Total Service Area Children Age 5-17, 2018)


CHILD AND ADOLESCENT MORTALITY

23.7

13.4 14.6

69.7

30.4

13.517.1

65.9

30.0

14.216.5

54.1

26.0

11.914.6

49.5

25.7

12.315.2

55.7

Ages 1 to 4 Ages 5 to 9 Ages 10 to 14 Ages 15 to 19

0

20

40

60

80Total Service Area MO KS US HP2020

Sources: ● CDC WONDER Online Query System. Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics. Data extracted January 2019.

● US Department of Health and Human Services. Healthy People 2020. December 2010. http://www.healthypeople.gov [Objective MICH-3.1]

Notes: ● Rates are crude rates, representing the number of deaths of children in each age group per 100,000 population.


Child & Adolescent Mortality Rates by Age Group(Annual Average Child Mortality per 100,000 Population; 2017)


29

16

11

10

Accidents

Homicide

Congenital

Conditions*

Cancer

Sources: ● CDC WONDER Online Query System. Centers for Disease Control and Prevention, Epidemiology

Program Office, Division of Public Health Surveillance and Informatics. Data extracted January 2019.

Notes: ● *Congenital conditions include congenital malformations, deformations and chromosomal abnormalities.

● **CNS stands for Central Nervous System.


Leading Causes of Death By Age Group(Number of Deaths by Cause, Total Service Area, 2013-2017)

1-4 Years Old

27

17

Cancer

(Mostly Brain or…

Accidents

5-9 Years Old

10-14 Years Old

22

12

Accidents

Suicide

100

80

76

Accidents

(68 are motor vehicle)

Suicide

(37 by firearms)

Homicide

(71 by firearms)

15-19 Years Old


INFANT HEALTH

4.7

6.5

4.0

6.2

5.4

6.5

5.9 5.8

0

1

2

3

4

5

6

7

ClayCounty

JacksonCounty

JohnsonCounty

WyandotteCounty

Total ServiceArea

MO KS US

Sources: ● CDC WONDER Online Query System. Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics. Data extracted December 2018.


Notes: ● Infant deaths include deaths of children under 1 year old.

● This indicator is relevant because high rates of infant mortality indicate the existence of broader issues pertaining to access to care and maternal and child health.


.

Infant Mortality Rate(Annual Average Infant Deaths per 1,000 Live Births, 2015-2017)

Healthy People 2020 Target = 6.0 or Lower


4.2

10.6

4.2

5.4

Total Service AreaNon-Hispanic White

Total Service AreaNon-Hispanic Black

Total Service AreaHispanic

Total Service AreaAll Races/Ethnicities

0

2

4

6

8

10

12

Sources: ● CDC WONDER Online Query System. Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics. Data extracted December 2018.


Notes: ● Infant deaths include deaths of children under 1 year old.

● This indicator is relevant because high rates of infant mortality indicate the existence of broader issues pertaining to access to care and maternal and child health.


.

Infant Mortality by Race/Ethnicity(Annual Average Infant Deaths per 1,000 Live Births, 2015-2017)

Healthy People 2020 Target = 6.0 or Lower


134

119

71

35

30

Congenital Conditions*

Low Birthweight/Short Gestation

Accidents

Sudden Infant Death Syndrome

Maternal Factors/Pregnancy Complications

Sources: ● CDC WONDER Online Query System. Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.

Data extracted January 2019.

Notes: ● *Congenital conditions include congenital malformations, deformations and chromosomal abnormalities.


Leading Causes of Infant Mortality(Total Service Area, 2013-2017)


Position for Laying Baby to Sleep(Total Service Area Parents of Infants Under One Year of Age; 2018)


Notes: ● Asked of all respondents whose randomly selected child is under one year of age (n = 41).


Side 7.8%

Stomach 30.2%

Back 62.0%


Yes 70.6%

No 29.4%






Child Was Ever Fed Breast Milk(Total Service Area, 2018)

Healthy People 2020 Target = 81.9% or Higher

US = 72.6%


29.0%25.6% 26.8%

21.4%26.1%

29.1%

0%

20%

40%

60%

80%

100%

ClayCounty

JacksonCounty

JohnsonCounty

WyandotteCounty

Total ServiceArea

US






Child Was Exclusively Breastfed for at Least 6 Months

(Total Service Area, 2018)Healthy People 2020 Target = 25.5% or Higher

28.1% 26.1%

2015 2018

Total Service Area


If Respondent Had a Newborn, Would NOT

Want Him/Her to Get All Recommended Vaccinations(Total Service Area Parents, 2018)


Notes: ● Asked of all respondents.For more information see: The State of Children’s Health in the Kansas City Region, 2019, https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment

10.5% 12.1% 11.0% 10.2% 11.3% 12.5%

0%

20%

40%

60%

80%

100%

ClayCounty

JacksonCounty

JohnsonCounty

WyandotteCounty

Total ServiceArea

US

Primary reasons: safety concerns (33.8%); some or all perceived as unnecessary (18.7%); and prefer to delay (11.8%).


21.1%18.0% 19.1%

23.6%19.4%

0%

20%

40%

60%

80%

100%

ClayCounty

JacksonCounty

JohnsonCounty

WyandotteCounty

Total ServiceArea




Person from an In-Home Visiting Program Visited the Home

(Total Service Area Parents, 2018)

13.7%19.4%

2015 2018

Total Service Area

Among the respondents who were never visited, 56.6%

say they would have used such a program if offered


HEALTH SERVICES UTILIZATION

Child Visited a Physician

for a Routine Checkup in the Past Year(Total Service Area, 2018)

Sources: ● 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Item 27]● US Department of Health and Human Services. Healthy People 2020. December 2010. http://www.healthypeople.gov [Objective AH-1]

Notes: ● Asked of all respondents about a randomly selected child in the household.● Hispanics can be of any race. Other race categories are non-Hispanic categorizations (e.g., "White" reflects non-Hispanic White respondents).● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size. "Low Income" includes households with incomes up to 200% of

the federal poverty level; "Mid/High Income" includes households with incomes at 200% or more of the federal poverty level.For more information see: The State of Children’s Health in the Kansas City Region, 2019, https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment

64.5% 65.8%

73.7%

61.8% 61.1%65.4%

60.8%65.9% 64.8%

72.1%

59.6%

66.9% 64.9%

0%

20%

40%

60%

80%

100%

Boy Girl Age0 to 4

Age5 to 12

Age13 to 17

Very LowIncome

LowIncome

Mid/HighIncome


Healthy People 2020 Objective AH-1:

Increase the proportion of adolescents who have had a

wellness checkup in the past 12 months to 75.6% or higher.


Barriers to Access Have

Prevented Child’s Medical Care in the Past Year(By County, 2018)

Sources: ● 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Items 17-23]Notes: ● Asked of all respondents about a randomly selected child in the household.


17.8

%

13.7

%

12.7

%

8.4% 11

.6%

5.1%

1.4%

23.1

%

19.0

%

12.7

%

14.3

%

11.0

%

14.1

%

4.5%

18.6

%

18.6

%

10.4

%

6.6% 8.9%

5.0%

6.0%

18.1

%

18.5

%

14.6

%

16.7

%

12.2

%

15.5

%

5.8%

20.2

%

18.0

%

12.1

%

11.0

%

10.5

%

9.7%

4.7%

0%

20%

40%

60%

80%

100%

Getting aDr Appointment

InconvenientOffice Hours

Findinga Doctor

Cost(Prescriptions)

Cost(Doctor Visit)

Lack ofTransportation

Cultural/Language



Experienced Difficulties or Delays of Some Kind

in Receiving Child’s Needed Healthcare in the Past Year(Total Service Area, 2018)

Sources: ● 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Item 138]Notes: ● Asked of all respondents about a randomly selected child in the household.

● Represents the percentage of respondents experiencing one or more barriers to accessing their child’s healthcare in the past 12 months. ● Hispanics can be of any race. Other race categories are non-Hispanic categorizations (e.g., "White" reflects non-Hispanic White respondents).● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size. "Low Income" includes households

with incomes up to 200% of the federal poverty level; "Mid/High Income" includes households with incomes at 200% or more of the federal poverty level.https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment

41.2%35.2%

42.2%

35.5%38.6%

45.0% 45.0%

33.6% 32.5%

45.8%51.8%

38.3% 38.2%

0%

20%

40%

60%

80%

100%

Boy Girl Age0 to 4

Age5 to 12

Age13 to 17

Very LowIncome

LowIncome

Mid/HighIncome



Barriers to Access Have

Prevented Child’s Medical Care in the Past Year(By County, 2018)

Sources: ● 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Items 17-23]Notes: ● Asked of all respondents about a randomly selected child in the household.https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment

17.8

%

13.7

%

12.7

%

8.4% 11

.6%

5.1%

1.4%

23.1

%

19.0

%

12.7

%

14.3

%

11.0

%

14.1

%

4.5%

18.6

%

18.6

%

10.4

%

6.6% 8.9%

5.0%

6.0%

18.1

%

18.5

%

14.6

%

16.7

%

12.2

%

15.5

%

5.8%

20.2

%

18.0

%

12.1

%

11.0

%

10.5

%

9.7%

4.7%

0%

20%

40%

60%

80%

100%

Getting aDr Appointment

InconvenientOffice Hours

Findinga Doctor

Cost(Prescriptions)

Cost(Doctor Visit)

Lack ofTransportation

Cultural/Language



Child Used a Hospital

Emergency Room More Than Once in the Past Year(Total Service Area, 2018)


Notes: ● Asked of all respondents about a randomly selected child in the household.https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment

12.9%18.5%

10.8%

24.5%

15.6%9.8%

0%

20%

40%

60%

80%

100%

ClayCounty

JacksonCounty

JohnsonCounty

WyandotteCounty

Total ServiceArea

US

10.1%14.2% 15.6%

2012 2015 2018

Total Service Area


Yes 58.2%

No 41.8%

39.1%

30.8%

19.8%

7.2%

1.5%

1.6%

0% 20% 40% 60% 80% 100%

Emergency

After Hours/Weekend

Don't Know

Access-RelatedIssues

Recommended byPrimary Care Doctor

Other (Each <1%)

Emergency Room Visits(Among Total Service Area Children With Any ER Visits in the Past Year, 2018)

Sources: ● 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Items 41-42]Notes: ● Asked of respondents for whom the randomly selected child in the household used a hospital ER in the past year.https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment

ER Visit Was for Something That MightHave Been Treated in a Doctor’s Office

Reason for Using the Hospital ERInstead of a Doctor’s Office or Clinic

(Among Those Responding "Yes" at Left)


Number of Visits to an Urgent Care Center

or Other Walk-in Clinic in the Past Year(Total Service Area, 2018)

Sources: ● 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Item 43]Notes: ● Asked of all respondents about a randomly selected child in the household.https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment

None 51.7%

One 26.0%

Two 10.6%

Three 5.5%

Four/More 6.2%


Child Used an Urgent Care Center, QuickCare Clinic,

or Other Walk-In Clinic in the Past Year(Total Service Area, 2018)


Notes: ● Asked of all respondents about a randomly selected child in the household.https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment

49.2% 48.9% 50.8%

36.8%

48.3%

37.6%

0%

20%

40%

60%

80%

100%

ClayCounty

JacksonCounty

JohnsonCounty

WyandotteCounty

Total ServiceArea

US

38.2%42.5%

48.3%

2012 2015 2018

Total Service Area


Child Used a Hospital

Emergency Room More Than Once in the Past Year(Total Service Area, 2018)


● Hispanics can be of any race. Other race categories are non-Hispanic categorizations (e.g., "White" reflects non-Hispanic White respondents).● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size. "Low Income" includes households with incomes up to

200% of the federal poverty level; "Mid/High Income" includes households with incomes at 200% or more of the federal poverty level.https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment

15.9% 15.4%20.3%

13.4% 14.2%

27.3%

19.3%

12.3% 11.0%

19.7%

31.8%

13.0%15.6%

0%

20%

40%

60%

80%

100%

Boy Girl Age0 to 4

Age5 to 12

Age13 to 17

Very LowIncome

LowIncome

Mid/HighIncome



Child Used an Urgent Care Center, QuickCare Clinic,

or Other Walk-In Clinic in the Past Year(Total Service Area, 2018)


● Hispanics can be of any race. Other race categories are non-Hispanic categorizations (e.g., "White" reflects non-Hispanic White respondents).● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size. "Low Income" includes households with incomes up to 200% of the federal poverty level;

"Mid/High Income" includes households with incomes at 200% or more of the federal poverty level.

48.0% 49.0%46.2%

50.9%46.1%

39.6%42.4%

52.8%48.1%

38.1%34.8%

51.0%48.3%

0%

20%

40%

60%

80%

100%

Boy Girl Age0 to 4

Age5 to 12

Age13 to 17

Very LowIncome

LowIncome

Mid/HighIncome




adverse childhood experiences...adverse childhood experiences (aces) (total service area children...

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