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America's Children: Key National Indicators of Well-Being, 2017

Health Care Figures

Indicator HC1: Percentage of children ages 0–17 by health insurance coverage status at the time of interview, 1993–2015
Indicator HC1: Percentage of children ages 0–17 by health insurance coverage status at the time of interview, 1993–2015

NOTE: A child was considered to be uninsured if he or she did not have any private health insurance, Medicare, Medicaid, Children's Health Insurance Program (CHIP), state-sponsored or other government-sponsored health plan, or a military plan. A child was also defined as uninsured if he or she had only Indian Health Service coverage or had only a private plan that paid for one type of service such as accidents or dental care. Private health insurance includes children covered by any comprehensive private insurance plan (including health maintenance organizations and preferred provider organizations). These plans include those obtained through an employer, purchased directly, or obtained through local or community programs. Public health insurance includes children who do not have private coverage, but who have Medicaid or other state-sponsored health plans, including CHIP.

SOURCE: National Center for Health Statistics, National Health Interview Survey.

Indicator HC2: Percentage of children ages 0–17 with no usual source of health care by type of health insurance, 1993–2015
Indicator HC2: Percentage of children ages 0–17 with no usual source of health care by type of health insurance, 1993–2015

NOTE: Children with both public and private insurance coverage are placed in the private insurance group. Usual source of health care is based on the following question: "Is there a place that [child's name] USUALLY goes when [he/she] is sick or needs advice about [his/her] health?" A follow-up question specifies that these places may be a walk-in clinic, doctor's office, clinic, health center, health maintenance organization (HMO), outpatient clinic, or military or Veterans Administration health care facility. Emergency rooms are excluded as a usual source of care. A break is shown in the lines because in 1997 the National Health Interview Survey was redesigned. Data for 1997–2015 are not strictly comparable with earlier data.

SOURCE: National Center for Health Statistics, National Health Interview Survey.

Indicator HC3.A: Percentage of children ages 19–35 months with completed 4:3:1:3*:3:1:4 combined series of vaccinations by poverty status, 2009–2015
Indicator HC3.A: Percentage of children ages 19–35 months with completed 4:3:1:3*:3:1:4 combined series of vaccinations by poverty status, 2009–2015

NOTE: The 4:3:1:3*:3:1:4 series consists of 4 doses (or more) of diphtheria, tetanus toxoids, and pertussis (DTP) vaccines, diphtheria and tetanus toxoids (DT), or diphtheria, tetanus toxoids, and any acellular pertussis (DTaP) vaccines; 3 doses (or more) of poliovirus vaccines; 1 dose (or more) of any measles-containing vaccine; the full series of Hib vaccines (3 or 4 doses, depending on product type); 3 doses (or more) of hepatitis B vaccines; 1 dose (or more) of varicella vaccine; and 4 doses (or more) of pneumococcal conjugate vaccines (PCV). Collecting coverage estimates for this combined seven-vaccine series began in 2009 and is part of the HP2020 objectives. The 2009 and 2010 seven-vaccine series estimates were affected by a Hib vaccine shortage, and the interim Advisory Committee on Immunization Practices (ACIP) recommendation suspended the booster dose for healthy children from December 2007 to June 2009, a time when most children in the 2009 National Immunization Survey would have been eligible for the booster dose of the Hib vaccine. The recommended immunization schedule for children is available at http://www.cdc.gov/vaccines/schedules/easy-to-read/child.html.

SOURCE: Centers for Disease Control and Prevention, National Center for Immunization and Respiratory Diseases, National Immunization Survey.

Indicator HC3.B: Percentage of adolescents ages 13–17 with the routinely recommended-for-age vaccinations, 2006–2015
Indicator HC3.B: Percentage of adolescents ages 13–17 with the routinely recommended-for-age vaccinations, 2006–2015

NOTE: Data collection for the 2006 and 2007 survey was only performed during the fourth quarter. The routine recommendation of vaccines for administration beginning with children ages 11–12 include tetanus-diphtheria-acellular pertussis (Tdap) vaccines, meningococcal conjugate (MenACWY) vaccines (1 dose each), and human papillo- mavirus (HPV) vaccines (3 doses). The recommended immunization schedule for adolescents is available at http://www.cdc.gov/vaccines/ schedules/easy-to-read/preteen-teen.html.

SOURCE: Centers for Disease Control and Prevention, National Center for Immunization and Respiratory Diseases, National Immunization Survey—Teen.

Indicator HC4.A: Percentage of children ages 5–17 with a dental visit in the past year by age and poverty status, 1999–2015
Indicator HC4.A: Percentage of children ages 5–17 with a dental visit in the past year by age and poverty status, 1999–2015

NOTE: From 1999 to 2000, children were identified as having a dental visit in the past year by asking parents "About how long has it been since your child last saw or talked to a dentist?" In 2001 and later years, the question was "About how long has it been since your child last saw a dentist?" Parents were directed to include all types of dentists, such as orthodontists, oral surgeons, and all other dental specialists, as well as dental hygienists.

SOURCE: National Center for Health Statistics, National Health Interview Survey.

Indicator HC4.B: Percentage of children ages 2–4 with a dental visit in the past year by poverty status, 1999–2015
Indicator HC4.B: Percentage of children ages 2–4 with a dental visit in the past year by poverty status, 1999–2015

NOTE: From 1999 to 2000, children were identified as having a dental visit in the past year by asking parents "About how long has it been since your child last saw or talked to a dentist?" In 2001 and later years, the question was "About how long has it been since your child last saw a dentist?" Parents were directed to include all types of dentists, such as orthodontists, oral surgeons, and all other dental specialists, as well as dental hygienists.

SOURCE: National Center for Health Statistics, National Health Interview Survey.

Indicator HC4.C: Percentage of children ages 5–17 with untreated dental caries (cavities) by age and poverty status, 1988–1994, 1999–2004, 2005–2008, 2009–2010, 2011–2012, and 2013–2014
Indicator HC4.C: Percentage of children ages 5–17 with untreated dental caries (cavities) by age and poverty status, 1988–1994, 1999–2004, 2005–2008, 2009–2010, 2011–2012, and 2013–2014

SOURCE: National Center for Health Statistics, National Health and Nutrition Examination Survey.