Data on Health and Well-being of American Indians, Alaska Natives, and Other Native Americans. Pediatric Nutrition Surveillance System (PedNSS)

12/01/2006

Sponsor: U.S. Department of Health and Human Services (DHHS)/Centers for Disease Control and Prevention (CDC)/National Center for Chronic Disease Prevention and Health Promotion/Division of Nutrition and Physical Activity/Maternal and Child Nutrition Branch
Description: The Pediatric Nutrition Surveillance System (PedNSS) is a child-based public health surveillance system that monitors the nutritional status of low-income children in federally funded maternal and child health programs. Data on birthweight, breastfeeding, anemia, short stature, underweight, and overweight are collected for children who attend public health clinics for routine care, nutrition education, and supplemental food. Data are collected at the clinic level then aggregated at the state level and submitted to CDC for analysis. Online national PedNSS data are available as published tables. State-level online tables are also available for both California and West Virginia in addition to online national-level tables.
Relevant Policy Issues: Measurement of Health Status, Disease-specific Measurements, Health Disparities, and Measures of Well-being for Children.
Data Type(s): Program reporting data. Data are collected from children enrolled in federally funded programs that serve low-income children, including the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) and non-WIC programs that include the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Program and the Title V Maternal and Child Health Program.
Unit of Analysis: Individual (unique child records)
Identification of AI/AN/NA: Data include the following racial/ethnic categories:
  • White, not Hispanic
  • Black, not Hispanic
  • Hispanic
  • American Indian/Alaska Native (AI/AN)
  • Asian/Pacific Islander
  • All Other
AI/AN/NA Population in Data Set: For 2004, the total number of individual children was 6,822,769. Of these, 77,915 were identified as AI/AN.
AI/AN/NA Subpopulations: State data are broken out by race and include some tribe identifiers: Cheyenne River Sioux (SD), InterTribal Council of Arizona, Rosebud Sioux Tribe (SD), Chickasaw Nation (OK), Wichita-Caddo-Delaware (OK), Navajo Nation (AZ), Standing Rock Sioux Tribe (ND).
Geographic Scope: PedNSS is a national surveillance system. PedNSS Surveillance data are reported from contributors (defined as a state, U.S. territory, or tribal government). In 2004, a total of 48 contributors, including 40 states, the District of Columbia, Puerto Rico, and 7 tribal governments, participated in PedNSS. PedNSS is a voluntary surveillance system.

Online geographic analysis is possible through review of published tables of national data and for two states at the websites listed below:

California has its data available at the following website: http://www.dhs.ca.gov/pcfh/cms/onlinearchive/pdf/chdp/informationnotices/2003/chdpin03q/contents.htm.

West Virginia provides state-specific data from 1996 - present: http://www.wvdhhr.org/ons/surveillance.asp.

Date or Frequency: Trend data tables present data from 1995 2004.
Data Collection Methodology: Federally funded health clinics serving low-income children participate on a voluntary basis and report data to state-level agencies, which in turn submit data to the CDC. These data are combined for annual reporting.
Participation: Optional, without incentives
Strengths: Registry contains a large number of AI/AN/NA respondents. Data are collected on key policy issues, including health and child welfare. There are multiple years of data available.
Limitations: Pacific Islanders are not separated from Asians. Not all states, or federally funded clinics within states, participate in this surveillance system; therefore, data are not representative of all children served by programs such as the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC); Early and Periodic Screening, Diagnostic, and Treatment Services (EPSDT); and other Maternal and Child Health Bureau programs.
Access Requirements and Use Restrictions: National data set is not available to the public, but published tables and reports are available.
Contact Information: National PedNSS data tables can be accessed through the following website: http://www.cdc.gov/pednss. State-level data for California and West Virginia are available. See above for information on Internet locations of these data.

 

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