title: Healthy people 2010 leading health indicators: how children with special health care needs fared.
abstract: OBJECTIVE
  We compared estimates for children with and without special health care needs (SHCN) at 2 time periods for national health objectives related to the Healthy People 2010 leading health indicators (LHIs).
  
  
  METHODS
  Data were from the 2003 and 2007 National Surveys of Children's Health. Seven survey items were relevant to the LHIs and available in both survey years: physical activity, obesity, household tobacco use, current insurance, personal health care provider, past-month depressive symptoms, and past-year emergency department visits.
  
  
  RESULTS
  In 2003 and 2007, children with SHCN fared worse than those without SHCN with respect to physical activity, obesity, household tobacco exposure, depressive symptomology, and emergency department visits, but fared better on current insurance and having a personal health care provider. Physical activity and access to a personal health care provider increased for all children, whereas the absolute disparity in personal provider access decreased 4.9%.
  
  
  CONCLUSIONS
  Significant disparities exist for key population health indicators between children with and without SHCN. Analyses illustrated how population-based initiatives could be used to frame health challenges among vulnerable populations.
authors.affiliation: Office of Epidemiology and Research, Maternal and Child Health Bureau, Health Resources and Services Administration, US Department of Health and Human Services, Rockville, MD 20857, USA. rghandour@hrsa.gov
authors.forename: Reem M
authors.initials: RM
authors.lastname: Ghandour
authors.forename: Holly A
authors.initials: HA
authors.lastname: Grason
authors.forename: Ashley H
authors.initials: AH
authors.lastname: Schempf
authors.forename: Bonnie B
authors.initials: BB
authors.lastname: Strickland
authors.forename: Michael D
authors.initials: MD
authors.lastname: Kogan
authors.forename: Jessica R
authors.initials: JR
authors.lastname: Jones
authors.forename: Debra
authors.initials: D
authors.lastname: Nichols
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D019988:Children with Disabilities / Q000706:statistics & numerical data*; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data; D015444:Exercise; D006297:Health Services Accessibility / Q000706:statistics & numerical data; D054624:Health Status Disparities; D006306:Health Surveys; D054625:Healthcare Disparities; D040361:Healthy People Programs / Q000706:statistics & numerical data*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007348:Insurance, Health / Q000706:statistics & numerical data; D008603:Mental Health / Q000706:statistics & numerical data; D009765:Obesity / Q000453:epidemiology; D019984:Quality Indicators, Health Care / Q000706:statistics & numerical data*; D014028:Tobacco Smoke Pollution; D014481:United States
chemical_list: D014028:Tobacco Smoke Pollution