The State and Local Area Integrated Telephone Survey

1. The Stateand Local AreaIntegrated Telephone Survey Marcie Cynamon Chief, Survey Planning and Special Surveys Branch National Center for Health Statistics

2. SLAITS: The State and Local Area Integrated Telephone Survey • System developed by CDC/NCHS • DHHS survey consolidation • Efficient use of NIS sampling frame • Addresses need for subnational data • Sponsor driven content and design

3. Customized Surveys • Uses existing questions (when available) for comparability • Develops/tests new questions to address emergent topics • Focuses on policy relevant topics • Health insurance • Health care utilization • Unmet health care needs • Child well-being • Family functioning • Program participation

4. Flexible Sample Selection • Large NIS sampling frame allows for: • Targeting subnational geographic areas • Targeting policy-relevant populations • Data of seasonal interest • Quick turnaround surveys • Methodological research

5. AdditionalFeatures of SLAITS • Centralized data collection • Advance letters • Interviewing in many languages • Sampling weights account for households without telephones • Potential to combine SLAITS data with data from other surveys (e.g., NHIS, NSFG) for dual-frame estimation (e.g. small areas, rare occurrences, mode issues)

6. Recent SLAITS Modules • National Survey of Early Childhood Health • National Survey of Children with Special Health Care Needs X 2 • National Asthma Survey • National Survey of Children’s Health

7. National Survey ofEarly Childhood Health, 2000 • Sponsored by: • American Academy of Pediatrics • Gerber Foundation • Maternal and Child Health Bureau • AAP Friends of Children Fund

8. National Survey ofEarly Childhood Health, 2000 • Parent’s perceptions of pediatric care • One child aged 4-35 months randomly selected as target of detailed interview • National sample size: • 1,208 children selected randomly • 860 additional minority children • Special supplement to Pediatrics (June 2004)

9. National Survey ofEarly Childhood Health, 2000 • Questionnaire Topics • Health Care Utilization • Parental Perceptions of Pediatric Care • Interactions with Health Care Providers • Family Interactions and Home Safety • Parental and Child Health • Financial Welfare and Health Insurance

10. National Survey of Children with Special Health Care Needs, 2001 • Produced national and state-based estimates on the prevalence and impact of children with special health care needs (CSHCN) • Repeated in 2005 – 2006

11. National Survey of CSHCNInterviewProcess • Screened 2.5-3 million telephone lines to identify households with children <18 • Screened all children • Detailed questionnaire for ≈39,000 CSHCN (750 per state in ’01; 850 in ’05-06) ♦♦♦♦♦ • Health insurance coverage for an additional 176,296 children without special health care needs • Eligible but uninsured module

12. National Survey of CSHCN • Questionnaire Topics • CSHCN Screening • Health and Functional Status • Access to Care: Met/Unmet Needs • Care Coordination • Satisfaction with Care • Health Insurance Coverage • Adequacy of CSHCN Health Care Coverage • Impact on the Family

13. National Asthma Survey, 2003 • To produce estimates of the prevalence of asthma and its successful management Centers for Disease Control and Prevention National Center for Environmental Health

14. National Asthma SurveyInterview Process • National sample • Randomly selected one person in each household for prevalence • Four state samples (AL, CA, IL, TX) • Screened all household members Randomly selected up to one adult and one child with asthma for detailed questionnaire

15. National Asthma Survey, 2003 • Questionnaire Topics • Asthma Screening • History of Asthma: Symptoms and Episodes • Health Care Utilization • Knowledge of Asthma/Management Plan • Modifications to Environment • Medication Use • Family History of Asthma

16. National Survey ofChildren’s Health, 2003 and 2007 • National and state-based estimates on the health and well-being of children, families, and communities • National sample size ≈ 102,000 children

17. National Survey ofChildren’s Health • Questionnaire Topics • Health and Functional Status • Health Insurance Coverage • Health Care Access and Utilization • Medical Home • Child Well-Being • Family Functioning and Parental Health • Neighborhood Characteristics

18. Analytic Opportunities • SLAITS website • www.cdc.gov/nchs/slaits.htm • Public Use Data Files • Data Resource Center for Child and Adolescent Health • www.cshcndata.org • www.nschdata.org • Crosstabs at your fingertips

19. http://www.cshcndata.org

20. New SLAITS modules in 2007 • National Survey of Adoptive Parents • Follow up survey to NSCH • Domestic Private, Foster, International • 2,000 children • Adolescent Immunization • Similar in format to NIS • Teenagers • New immunizations and recommendations

21. Examples ofSLAITS Methods Research Impact of… • incentives on refusal conversion and response rates • touch-tone data entry on estimates for HIV/STD-related sexual behaviors • proxy reporting on adult asthma prevalence estimates • question wording on children’s health insurance estimates • wireless substitution on RDD surveys

22. SLAITS and Public Health Policy • Congressional Report on SCHIP • Child Well-Being • Autism • Asthma • Healthy People 2010 • Title V Funding and Block Grants • Health Disparities Reports

23. SLAITS Sessions at DUC • 4 NIS/SLAITS • 7 Overview • 14 Asthma Presentation • 18 Hands On Tutorial for Beginners • 29, 42 Data resource Center Hands On Tutorial • 36, 65 Advanced Hands On Tutorial • 51 Health Care Quality • 55 Current and Future Content • 62 Analyzing SLAITS Data

24. On behalf of the SLAITS team, thanks for your interest!www.cdc.gov/nchs/slaits.htmSLAITS@cdc.gov