|
 |
|
|||||||
|
|||||||||
Institute for Health Policy Studies, University of California, San Francisco 94109.
BACKGROUND. Using data from the 1988 National Health Interview Survey, this article presents national estimates of the prevalence and impact of childhood chronic conditions. METHODS. Proxy responses to a checklist of child health conditions administered for 17,110 children under 18 years of age were used. Conditions were classified as chronic if they were first noticed more than 3 months prior to the interview or if they were the type that would ordinarily be of extended duration, such as arthritis. RESULTS. An estimated 31% of children were affected by chronic conditions. Among these children, highly prevalent conditions included respiratory allergies 9.7 per 100, repeated ear infections 8.3 per 100 and asthma 4.3 per 100. These children can be divided into three groups: 66% with mild conditions that result in little or no bother or activity limitation; 29% with conditions of moderate severity that result in some bother or limitation of activity, but not both; and 5% with severe conditions that cause frequent bother and limitation of activity. The 5% with severe conditions accounted for 19% of physician contacts and 33% of hospital days related to chronic illness. CONCLUSIONS. Childhood chronic conditions have highly variable impacts on children's activities and use of health care.
This article has been cited by other articles:
|
|
 |
|
  T. D. Simon, S. Lamb, N. A. Murphy, B. Hom, M. L. Walker, and E. B. Clark Who Will Care for Me Next? Transitioning to Adulthood With Hydrocephalus Pediatrics, November 1, 2009; 124(5): 1431 - 1437. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D A Walker and D Pearman Therapeutic recreation camps: an effective intervention for children and young people with chronic illness? Arch. Dis. Child., May 1, 2009; 94(5): 401 - 406. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. S. Czaja, J. J. Zimmerman, and A. B. Nathens Readmission and Late Mortality After Pediatric Severe Sepsis Pediatrics, March 1, 2009; 123(3): 849 - 857. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. W. Millard, P. T. Johnson, A. Hilton, and M. Hart Children With Asthma Miss More School: Fact or Fiction? Chest, February 1, 2009; 135(2): 303 - 306. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 B. C. T. Flapper, E. J. Duiverman, J. Gerritsen, K. Postema, and C. P. van der Schans Happiness to be gained in paediatric asthma care Eur. Respir. J., December 1, 2008; 32(6): 1555 - 1562. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. A. Limbers, D. A. Newman, and J. W. Varni Factorial Invariance of Child Self-report Across Healthy and Chronic Health Condition Groups: A Confirmatory Factor Analysis Utilizing the PedsQLTM 4.0 Generic Core Scales J. Pediatr. Psychol., July 1, 2008; 33(6): 630 - 639. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. B. Repetto, R. W. Gibson, J. Lubbers, S. Gritz, and J. Reiss A Statewide Study of Knowledge and Attitudes Regarding Health Care Transition Career Development for Exceptional Individuals, May 1, 2008; 31(1): 5 - 13. [Abstract] [PDF]
|
|
|
|
|
|
K. Musallam, M. D. Cappellini, and A. Taher Challenges Associated With Prolonged Survival of Patients With Thalassemia: Transitioning From Childhood to Adulthood Pediatrics, May 1, 2008; 121(5): e1426 - e1429. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. A. Cvengros, D. Harper, and M. Shevell Pediatric Headache: An Examination of Process Variables in Treatment J Child Neurol, October 1, 2007; 22(10): 1172 - 1181. [Abstract] [PDF]
|
|
|
|
 |
|
 M. M. Davis and J. P. Brosco Being Specific About Being Special: Defining Children's Conditions and Special Health Care Needs Arch Pediatr Adolesc Med, October 1, 2007; 161(10): 1003 - 1005. [Full Text] [PDF]
|
|
|
|
 |
|
 J. H. van der Lee, L. B. Mokkink, M. A. Grootenhuis, H. S. Heymans, and M. Offringa Definitions and Measurement of Chronic Health Conditions in Childhood: A Systematic Review JAMA, June 27, 2007; 297(24): 2741 - 2751. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. L. Wood, J. Lim, B. D. Miller, P. A. Cheah, S. Simmens, T. Stern, J. Waxmonsky, and M. Ballow Family Emotional Climate, Depression, Emotional Triggering of Asthma, and Disease Severity in Pediatric Asthma: Examination of Pathways of Effect J. Pediatr. Psychol., June 1, 2007; 32(5): 542 - 551. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. E. Logan, R. M. Coakley, and L. Scharff Teachers' Perceptions of and Responses to Adolescents with Chronic Pain Syndromes J. Pediatr. Psychol., March 1, 2007; 32(2): 139 - 149. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. Brna, J. Dooley, K. Gordon, and T. Dewan The Prognosis of Childhood Headache: A 20-Year Follow-up Arch Pediatr Adolesc Med, December 1, 2005; 159(12): 1157 - 1160. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Council on Children With Disabilities Care Coordination in the Medical Home: Integrating Health and Related Systems of Care for Children With Special Health Care Needs Pediatrics, November 1, 2005; 116(5): 1238 - 1244. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 L. S. Wilson, J. T. Moskowitz, M. Acree, M. B. Heyman, P. Harmatz, S. J. Ferrando, and S. Folkman The Economic Burden of Home Care for Children with HIV and Other Chronic Illnesses Am J Public Health, August 1, 2005; 95(8): 1445 - 1452. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. M Viner and M. Barker Young people's health: the need for action BMJ, April 16, 2005; 330(7496): 901 - 903. [Full Text] [PDF]
|
|
|
|
|
|
A. Roth-Isigkeit, U. Thyen, H. Stoven, J. Schwarzenberger, and P. Schmucker Pain Among Children and Adolescents: Restrictions in Daily Living and Triggering Factors Pediatrics, February 1, 2005; 115(2): e152 - e162. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
W. C. Cooley and and Committee on Children with Disabilities Providing a Primary Care Medical Home for Children and Youth With Cerebral Palsy Pediatrics, October 1, 2004; 114(4): 1106 - 1113. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. C. van Dyck, M. D. Kogan, M. G. McPherson, G. R. Weissman, and P. W. Newacheck Prevalence and Characteristics of Children With Special Health Care Needs Arch Pediatr Adolesc Med, September 1, 2004; 158(9): 884 - 890. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. V. Williams, E. M. Schone, N. D. Archibald, and J. W. Thompson A National Assessment of Children With Special Health Care Needs: Prevalence of Special Needs and Use of Health Care Services Among Children in the Military Health System Pediatrics, August 1, 2004; 114(2): 384 - 393. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. W. Newacheck, M. Inkelas, and S. E. Kim Health Services Use and Health Care Expenditures for Children With Disabilities Pediatrics, July 1, 2004; 114(1): 79 - 85. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. S. Palfrey, L. A. Sofis, E. J. Davidson, J. Liu, L. Freeman, and M. L. Ganz The Pediatric Alliance for Coordinated Care: Evaluation of a Medical Home Model Pediatrics, May 1, 2004; 113(5/S1): 1507 - 1516. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. D. Duggan, F. J. Medway, and V. L. Bunke Training Educators to Address the Needs and Issues of Students with Chronic Illnesses: Examining their Knowledge, Confidence Levels, and Perceptions Canadian Journal of School Psychology, January 1, 2004; 19(1-2): 149 - 165. [Abstract] [PDF]
|
|
|
|
|
|
C. J. Stille, W. A. Primack, and J. A. Savageau Generalist-Subspecialist Communication for Children With Chronic Conditions: A Regional Physician Survey Pediatrics, December 1, 2003; 112(6): 1314 - 1320. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. M. Ditmyer, J. H. Price, S. K. Telljohann, and F. Rogalski Pediatricians' Perceptions and Practices Regarding Prevention and Treatment of Type 2 Diabetes Mellitus in Children and Adolescents Arch Pediatr Adolesc Med, September 1, 2003; 157(9): 913 - 918. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. Braden, S. Swanson, and C. Di Scala Injuries to Children Who Had Preinjury Cognitive Impairment: A 10-Year Retrospective Review Arch Pediatr Adolesc Med, April 1, 2003; 157(4): 336 - 340. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. E. Msall, R. C. Avery, M. R. Tremont, J. C. Lima, M. L. Rogers, and D. P. Hogan Functional Disability and School Activity Limitations in 41 300 School-Age Children: Relationship to Medical Impairments Pediatrics, March 1, 2003; 111(3): 548 - 553. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. Sharpe and L. Rossiter Siblings of Children With a Chronic Illness: A Meta-Analysis J. Pediatr. Psychol., December 1, 2002; 27(8): 699 - 710. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Reiss and R. Gibson Health Care Transition: Destinations Unknown Pediatrics, December 1, 2002; 110(6): 1307 - 1314. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. Scal Transition for Youth With Chronic Conditions: Primary Care Physicians' Approaches Pediatrics, December 1, 2002; 110(6): 1315 - 1321. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 L. J. Spence and L. Kaiser Companion Animals and Adaptation in Chronically Ill Children West J Nurs Res, October 1, 2002; 24(6): 639 - 656. [Abstract] [PDF]
|
|
|
|
|
|
J. M. Neff, J. Valentine, A. Park, J. Hicks-Thomson, D. A. Christakis, J. Muldoon, and S. Churchill Trends in Pediatric Hospitalizations of Children in Washington State by Insurance and Chronic Condition Status, 1991-1998 Arch Pediatr Adolesc Med, July 1, 2002; 156(7): 703 - 709. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. Neuharth-Pritchett and Y. Q. Getch Asthma and the School Teacher: The Status of Teacher Preparedness and Training The Journal of School Nursing, December 1, 2001; 17(6): 323 - 328. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. E. Miller Predictors of Asthma in Young Children: Does Reporting Source Affect Our Conclusions? Am. J. Epidemiol., August 1, 2001; 154(3): 245 - 250. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. H. Young, J. M. McMenamy, and E. C. Perrin Parent Advisory Groups in Pediatric Practices: Parents' and Professionals' Perceptions Arch Pediatr Adolesc Med, June 1, 2001; 155(6): 692 - 698. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. B. Mitchell, G. Khatutsky, and N. L. Swigonski Impact of the Oregon Health Plan on Children With Special Health Care Needs Pediatrics, April 1, 2001; 107(4): 736 - 743. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. A. Taylor, W. Hobbie, H. Carlino, J. Deatrick, J. Fergusson, and T. Lipman Describing the Value of Specialized Distance Education in Pediatric Oncology Nursing Journal of Pediatric Oncology Nursing, January 1, 2001; 18(1): 26 - 36. [Abstract] [PDF]
|
|
|
|
 |
|
 I. Seiffge-Krenke Diversity in Romantic Relations of Adolescents with Varying Health Status: Links to Intimacy in Close Friendships Journal of Adolescent Research, November 1, 2000; 15(6): 611 - 636. [Abstract] [PDF]
|
|
|
|
|
|
L. Leslie, P. Rappo, H. Abelson, R. R. Jenkins, S. R. Sewall, H. J. Mulvey, E. R. Alden, J. L. Simon, and R. W. Chesney Final Report of the FOPE II Pediatric Generalists of the Future Workgroup Pediatrics, November 1, 2000; 106(5): 1199e - 1199. [Abstract] [Full Text]
|
|
|
|
|
|
T. K. McInerny, P. G. Szilagyi, G. E. Childs, R. C. Wasserman, and K. J. Kelleher Uninsured Children With Psychosocial Problems: Primary Care Management Pediatrics, October 1, 2000; 106(4): 930 - 936. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Hack, H. G. Taylor, N. Klein, and N. Mercuri-Minich Functional Limitations and Special Health Care Needs of 10- to 14-Year-Old Children Weighing Less Than 750 Grams at Birth Pediatrics, September 1, 2000; 106(3): 554 - 560. [Abstract] [Full Text]
|
|
|
|
|
|
M. Aromaa, M. Sillanpää, P. Rautava, and H. Helenius Pain Experience of Children With Headache and Their Families: A Controlled Study Pediatrics, August 1, 2000; 106(2): 270 - 275. [Abstract] [Full Text]
|
|
|
|
|
|
A. Bassili, A. Zaki, S. R. Zaher, I. H. El-Sawy, M. H. Ahmed, M. Omar, T. Omar, R. N. Bedwani, C. Davies, G. Tognoni, et al. Quality of Care of Children With Chronic Diseases in Alexandria, Egypt: The Models of Asthma, Type I Diabetes, Epilepsy, and Rheumatic Heart Disease Pediatrics, July 1, 2000; 106(1): 12e - 12. [Abstract] [Full Text]
|
|
|
|
|
|
K. J. Kelleher, T. K. McInerny, W. P. Gardner, G. E. Childs, and R. C. Wasserman Increasing Identification of Psychosocial Problems: 1979-1996 Pediatrics, June 1, 2000; 105(6): 1313 - 1321. [Abstract] [Full Text]
|
|
|
|
 |
|
 J. E. McDonagh, H. E. Foster, M. A. Hall, and M. A. Chamberlain Audit of rheumatology services for adolescents and young adults in the UK Rheumatology, June 1, 2000; 39(6): 596 - 602. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Kempe, B. Beaty, B. P. Englund, R. J. Roark, N. Hester, and J. F. Steiner Quality of Care and Use of the Medical Home in a State-Funded Capitated Primary Care Plan For Low-Income Children Pediatrics, May 1, 2000; 105(5): 1020 - 1028. [Abstract] [Full Text]
|
|
|
|
|
|
P. W. Newacheck and N. Halfon Prevalence, Impact, and Trends in Childhood Disability Due to Asthma Arch Pediatr Adolesc Med, March 1, 2000; 154(3): 287 - 293. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. C. Sneed, W. L. May, and C. S. Stencel Training of Pediatricians in Care of Physical Disabilities in Children With Special Health Needs: Results of a Two-State Survey of Practicing Pediatricians and National Resident Training Programs Pediatrics, March 1, 2000; 105(3): 554 - 561. [Abstract] [Full Text]
|
|
|
|
|
|
The Future of Pediatric Education II: Organizing Pediatric Education to Meet the Needs of Infants, Children, Adolescents, and Young Adults in the 21st Century Pediatrics, January 1, 2000; 105(1): 163 - 212. [Full Text]
|
|
|
|
|
|
E. C. Perrin, C. Lewkowicz, and M. H. Young Shared Vision: Concordance Among Fathers, Mothers, and Pediatricians About Unmet Needs of Children With Chronic Health Conditions Pediatrics, January 1, 2000; 105(1): 277 - 285. [Abstract] [Full Text]
|
|
|
|
|
|
W. O. Cooper, G. B. Hickson, C. L. Gray, and W. A. Ray Changes in Continuity of Enrollment Among High-Risk Children Following Implementation of TennCare Arch Pediatr Adolesc Med, November 1, 1999; 153(11): 1145 - 1149. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Committee on Children With Disabilities Care Coordination: Integrating Health and Related Systems of Care for Children With Special Health Care Needs Pediatrics, October 1, 1999; 104(4): 978 - 981. [Abstract] [Full Text]
|
|
|
|
|
|
R. Viner Transition from paediatric to adult care. Bridging the gaps or passing the buck? Arch. Dis. Child., September 1, 1999; 81(3): 271 - 275. [Full Text]
|
|
|
|
|
|
J. H. Silber, S. P. Gleeson, and H. Zhao The Influence of Chronic Disease on Resource Utilization in Common Acute Pediatric Conditions: Financial Concerns for Children's Hospitals Arch Pediatr Adolesc Med, February 1, 1999; 153(2): 169 - 179. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. E. K. Stein and E. J. Silver Operationalizing a Conceptually Based Noncategorical Definition: A First Look at US Children With Chronic Conditions Arch Pediatr Adolesc Med, January 1, 1999; 153(1): 68 - 74. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. S. Liptak, C. M. Burns, P. W. Davidson, and E. R. McAnarney Effects of Providing Comprehensive Ambulatory Services to Children With Chronic Conditions Arch Pediatr Adolesc Med, October 1, 1998; 152(10): 1003 - 1008. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. Weinreb, R. Goldberg, E. Bassuk, and J. Perloff Determinants of Health and Service Use Patterns in Homeless and Low-income Housed Children Pediatrics, September 1, 1998; 102(3): 554 - 562. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. L. Carraccio, K. S. Dettmer, M. L. duPont, and A. D. Sacchetti Family Member Knowledge of Children's Medical Problems: The Need for Universal Application of an Emergency Data Set Pediatrics, August 1, 1998; 102(2): 367 - 370. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. W. Newacheck, B. Strickland, J. P. Shonkoff, J. M. Perrin, M. McPherson, M. McManus, C. Lauver, H. Fox, and P. Arango An Epidemiologic Profile of Children With Special Health Care Needs Pediatrics, July 1, 1998; 102(1): 117 - 123. [Abstract] [Full Text]
|
|
|
|
 |
|
 R. Stanley and J. Ng Primary health care provision for people with learning disabilities: a survey of parents J Intellect Disabil., June 1, 1998; 2(2): 71 - 78. [Abstract] [PDF]
|
|
|
|
|
|
L. E. Westbrook, E. J. Silver, and R. E. K. Stein Implications for Estimates of Disability in Children: A Comparison of Definitional Components Pediatrics, June 1, 1998; 101(6): 1025 - 1030. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. Calmes, B. D. Leake, and D. M. Carlisle Adverse Asthma Outcomes Among Children Hospitalized With Asthma in California Pediatrics, May 1, 1998; 101(5): 845 - 850. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. G. Williams, L. D. Stein, L. K. Leslie;, and C. Berkowitz Training Pediatricians for the Evolving Generalist-Specialist Interface in the Managed Care Era Pediatrics, April 1, 1998; 101(4): 779 - 784. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. J. Bauman, D. Drotar, J. M. Leventhal, E. C. Perrin, and I. B. Pless A Review of Psychosocial Interventions for Children With Chronic Health Conditions Pediatrics, August 1, 1997; 100(2): 244 - 251. [Full Text] [PDF]
|
|
|
|
|
|
C. B. Forrest, L. Simpson, and C. Clancy Child Health Services Research: Challenges and Opportunities JAMA, June 11, 1997; 277(22): 1787 - 1793. [Abstract] [PDF]
|
|
|
|
 |
|
 B. Holaday, J. H. Swan, and A. Turner-Henson Images of the Neighborhood and Activity Patterns of Chronically Ill Schoolage Children Environment and Behavior, May 1, 1997; 29(3): 348 - 373. [Abstract]
|
|
|
|
|
|
R. E. K. Stein, L. E. Westbrook, and L. J. Bauman The Questionnaire for Identifying Children with Chronic Conditions: A Measure Based on a Noncategorical Approach Pediatrics, April 1, 1997; 99(4): 513 - 521. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. S. Andrews, G. F. Anderson, C. Han, and J. M. Neff Pediatric Carve Outs: The Use of Disease-Specific Conditions as Risk Adjusters in Capitated Payment Systems Arch Pediatr Adolesc Med, March 1, 1997; 151(3): 236 - 242. [Abstract] [PDF]
|
|
|
|
|
|
A. L. Albright Spasticity and Movement Disorders in Cerebral Palsy J Child Neurol, November 1, 1996; 11(1_suppl): S1 - S4. [PDF]
|
|
|
|
|
|
J. Patterson and R. W. Blum Risk and Resilience Among Children and Youth With Disabilities Arch Pediatr Adolesc Med, July 1, 1996; 150(7): 692 - 698. [Abstract] [PDF]
|
|
|
|
 |
|
 D. B. Angst and J. A. Deatrick Involvement in Health Care Decisions: Parents and Children with Chronic Illness Journal of Family Nursing, May 1, 1996; 2(2): 174 - 194. [Abstract] [PDF]
|
|
|
|
 |
|
 J.M. Daly, J. Biederman, J.Q. Bostic, A.M. Maraganore, E. Lelon, M. Jellinek, and A. Lapey The relationship between childhood asthma and Attention Deficit Hyperactivity Disorder: A review of the literature J Atten Disord, April 1, 1996; 1(1): 31 - 40. [Abstract]
|
|
|
|
|
|
J. M. Neff and G. Anderson Protecting Children With Chronic Illness in a Competitive Marketplace JAMA, December 20, 1995; 274(23): 1866 - 1869. [Abstract] [PDF]
|
|
|
|
|
|
D. J. Jessop and R. E. K. Stein Consistent but Not the Same: Effect of Method on Chronic Condition Rates Arch Pediatr Adolesc Med, October 1, 1995; 149(10): 1105 - 1110. [Abstract] [PDF]
|
|
|
|
|
|
R. Bussing, N. Halfon, B. Benjamin, and K. B. Wells Prevalence of Behavior Problems in US Children With Asthma Arch Pediatr Adolesc Med, May 1, 1995; 149(5): 565 - 572. [Abstract] [PDF]
|
|
|
|
|
|
P. W. Newacheck Poverty and Childhood Chronic Illness Arch Pediatr Adolesc Med, November 1, 1994; 148(11): 1143 - 1149. [Abstract] [PDF]
|
|
|
|
|
|
J. J. Hisnanick, D. A. Coddington, and P. J. Gergen Trends in Asthma-Related Admissions Among American Indian and Alaskan Native Children From 1979 to 1989: Universal Health Care in the Face of Poverty Arch Pediatr Adolesc Med, April 1, 1994; 148(4): 357 - 363. [Abstract] [PDF]
|
|
|
|
 |
|
 K.C.K. Kuban and A. Leviton Cerebral Palsy N. Engl. J. Med., January 20, 1994; 330(3): 188 - 195. [Full Text]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |