The State and Local Area Integrated Telephone Survey Marcie Cynamon Chief, Survey Planning and Special Surveys Branch National Center for Health Statistics

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

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

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

Additional Features 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)

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

National Survey of Early Childhood Health, 2000  Sponsored by: – American Academy of Pediatrics – Gerber Foundation – Maternal and Child Health Bureau – AAP Friends of Children Fund

National Survey of Early 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)

National Survey of Early 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

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

National Survey of CSHCN Interview Process  Screened 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

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

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

National Asthma Survey Interview 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

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

National Survey of Children’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

National Survey of Children’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

Analytic Opportunities  SLAITS website – – Public Use Data Files  Data Resource Center for Child and Adolescent Health – – – Crosstabs at your fingertips

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

Examples of SLAITS 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

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

SLAITS Sessions at DUC  4NIS/SLAITS  7Overview  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

On behalf of the SLAITS team, thanks for your interest! On behalf of the SLAITS team, thanks for your interest!