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The Child
The National Survey of Children’s Health took several approaches to monitoring the health and well-being of children. This section presents information on children’s health status, their health care, and their activities in and outside of school. Taken together, these measures present a snapshot of children’s health and well-being that reflects a wide range of aspects of their lives.

Children’s health status was measured through parents’ reports of their children’s overall health status as well as whether they were affected by specific conditions, such as asthma. In addition, parents were asked about their concerns about their children’s development and behavior, and about the impact of their children’s health conditions on the child and the family as a whole.

Children’s access to health care and parents’ satisfaction with the health care their children receive were measured through questions about children’s health insurance coverage, their use of preventive medical and dental services, their access to needed mental health services, and the communication skills and cultural sensitivity of their children’s health care providers. Several survey questions were also combined to assess whether children had a “medical home,” a source of primary care that is accessible, family-centered, continuous, comprehensive, coordinated, compassionate, and culturally effective.

Children’s participation in activities in school and in the community represents another important aspect of their well-being. The survey addressed whether young children went to preschool or kindergarten, and whether school-aged children had ever repeated a grade. In addition, parents were asked about their children’s participation in activities such as reading for pleasure, volunteering, working for pay, and other activities outside of school.

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This chartbook is based on data from the National Survey of Children's Health. Suggested citation: U.S. Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau. The National Survey of Children's Health 2003. Rockville, Maryland: U.S. Department of Health and Human Services, 2005.