ADVERSE CHILDHOODEXPERIENCES
Adverse Childhood Experiences (ACEs)(Total Service Area Children Age 0-17, 2018)
Sources: ● 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Items 338-345]
Notes: ● Asked of all respondents about a randomly selected child in the household.
For more information see: The State of Children’s Health in the Kansas City Region, 2019, https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment
Adverse Childhood Experiences (ACEs)(Total Service Area Children Age 0-17)
Sources: ● 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Items 338-345]Notes: ● Asked of all respondents about a randomly selected child in the household.For more information see: The State of Children’s Health in the Kansas City Region, 2019,https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment
17.6% 15.8%9.6% 8.5% 5.9% 7.8%
4.4% 1.7%
27.3% 24.8%
15.2%12.4% 10.7% 9.1% 9.0% 7.5%
FinancialStrife
ParentalDivorce/
Separation
HouseholdMental Illness
HouseholdSubstance
Abuse
ParentalDomesticViolence
ParentalIncarceration
NeighborhoodViolence
ParentalDeath
0%
20%
40%
60%
80%
100%
2015 2018
53.0%
22.3%
8.4%
62.7%
15.8%
4.2%
24.8%
9.7%
21.9%
9.4%11.9%
44.9%
23.8% 24.9%
0%
10%
20%
30%
40%
50%
60%
70%
0 ACEs 1 ACE 2 ACEs 3 or More ACEs
Total Service Area
Clay County
Jackson County
Johnson County
Wyandotte County
Sources: ● 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Item 365]
Notes: ● Asked of all respondents about a randomly selected child in the household.
For more information see: The State of Children’s Health in the Kansas City Region, 2019, https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment
8.0% in 2015
0 ACEs 1 ACE 2 ACE 3 or more ACEs
Total Service Area 53.0% 22.3% 8.4% 16.2%
Clay County 62.7% 15.8% 4.2% 17.3%
Jackson County 48.3% 24.8% 9.7% 17.3%
Johnson County 56.9% 21.9% 9.4% 11.9%
Wyandotte County 44.9% 23.8% 6.3% 24.9%
Total Number of Adverse Childhood Experiences (ACEs) by County
(Total Service Area Children Age 0-17, 2018)
53.0%
22.3%
8.4%
62.7%
15.8%
4.2%
24.8%
9.7%
21.9%
9.4%11.9%
44.9%
23.8% 24.9%
0%
10%
20%
30%
40%
50%
60%
70%
0 ACEs 1 ACE 2 ACEs 3 or More ACEs
Total Service Area
Ages 0-5
Ages 6-10
Ages 11-14
Ages 15-17
Sources: ● 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Item 365]
Notes: ● Asked of all respondents about a randomly selected child in the household.
https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment
0 ACEs 1 ACE 2 ACE 3 or more ACEs
Total Service Area 53.0% 22.3% 8.4% 16.2%
Ages 0-5 58.1% 17.7% 7.4% 16.8%
Ages 6-10 53.8% 22.5% 11.5% 12.1%
Ages 11-14 50.3% 25.8% 7.6% 16.2%
Ages 15-17 45.7% 25.9% 6.2% 22.2%
Total Number of Adverse Childhood Experiences (ACEs) by Age
(Total Service Area Children Age 0-17, 2018)
HOUSING and
NEIGHBORHOOD CONDITIONS
Neighborhood Characteristics(Total Service Area, 2018)
9.3% 10.3%
5.6%
22.7%25.1%
20.9%
11.7%
25.6%
8.3% 8.1%3.8%
11.0%
35.1%31.8%
21.2%
43.7%
18.0%16.0%
9.1%
21.9%
Litter/Loose Garbage on Street Rundown Housing Signs of Vandalism No Sidewalks or Walking Paths
0%
20%
40%
60%
80%
100%
Clay County Jackson County Johnson County Wyandotte County Total Service Area
Sources: ●. 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Items 348-351]
Notes: ● Reflects the total sample of respondents.
For more information see: The State of Children’s Health in the Kansas City Region, 2019, https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment
One 14.1%
Two 3.3%
Three/More 3.7%
None 78.9%
Sources: ● 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Item 352]
Notes: ● Asked of all respondents.
For more information see: The State of Children’s Health in the Kansas City Region, 2019, https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment
Moved Residences Past Year (Total Service Area, 2018)
16.5%
24.6%
17.9%
25.0%21.1%
0%
20%
40%
60%
80%
100%
ClayCounty
JacksonCounty
JohnsonCounty
WyandotteCounty
Total ServiceArea
11.2%16.2%
21.1%
2012 2015 2018
Frequency of Worry or StressOver Paying Rent/Mortgage in the Past Year
(Total Service Area, 2018)
Always 8.5%
Usually 6.1%
Sometimes 26.6%
Never 58.9%
Sources: ● 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Item 355]
Notes: ● Asked of all respondents.
https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment
Year Home Was Built(Households With Children; Total Service Area, 2018)
6.6%
15.5%9.0%
25.8%
12.8%
27.8%31.3% 29.6%
44.9%
31.5%
65.6%
53.2%
61.3%
29.2%
55.7%
ClayCounty
JacksonCounty
JohnsonCounty
WyandotteCounty
Total Service Area
0%
20%
40%
60%
80%
100%
Before 1950 Between 1950 and 1978 1979 or Later
Sources: ● 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Item 356]
Notes: ● Reflects the total sample of respondents.
For more information see: The State of Children’s Health in the Kansas City Region, 2019, https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment
House Has Peeling Paint on Interior or Exterior
9.6%
16.5%13.0%
19.1%14.5%
0%
20%
40%
60%
80%
100%
ClayCounty
JacksonCounty
JohnsonCounty
WyandotteCounty
Total ServiceArea
Sources: ● 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Item 357]
Notes: ● Asked of all respondents
https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment
8.9%
14.5%
2015 2018
Total Service Area
Recent Signs of Mice, Rats, or Other Rodents Inside the Home
13.3%
24.1%
16.6%
26.3%
20.2%
0%
20%
40%
60%
80%
100%
ClayCounty
JacksonCounty
JohnsonCounty
WyandotteCounty
Total ServiceArea
Sources: ● 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Item 358]
Notes: ● Asked of all respondents
https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment
14.2%
20.2%
2015 2018
Total Service Area
Someone Smokes Tobacco Inside the House(Total Service Area, 2018)
Sources: ● 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Item 102]● 2017 PRC National Child & Adolescent Health Survey, Professional Research Consultants, Inc.
Notes: ● Asked of all respondents.
For more information see: The State of Children’s Health in the Kansas City Region, 2019, https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment
12.4% 14.5%
6.2%
16.0%11.4%
8.0%
0%
20%
40%
60%
80%
100%
ClayCounty
JacksonCounty
JohnsonCounty
WyandotteCounty
Total ServiceArea
US
27.9% 28.9%
20.7%
38.6%
26.9%
0%
20%
40%
60%
80%
100%
ClayCounty
JacksonCounty
JohnsonCounty
WyandotteCounty
Total ServiceArea
Someone Smokes Tobacco Outside the House(Total Service Area, 2018)
Districts with Over 100 Students who Identify as Homeless*2017-18 School Year
District # Student Homeless
Kansas City, Missouri 1,200
Independence 964
Kansas City, Kansas 942
Raytown 532
North Kansas City 514
Hickman Mills 482
Fort Osage 462
Olathe 427
Shawnee Mission 346
Hogan 326
Excelsior Springs 166
Turner 137
Lee’s Summit 125
Liberty 121
Center 119
Smithville 117
Blue Valley 112Source: Kansas and Missouri Departments of Education,
*McKinney-Vento definition of homeless
For more information see: The State of Children’s Health in the Kansas City Region, 2019, https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment
8,002 students
ALL Districts in the four
counties
SY17-18
Day in the Life of a Child
Transportation to Child’s School(Total Service Area Children Age 5-17, 2018)
Sources: ● 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Item 320]
Notes: ●. Asked of all respondents with a randomly selected child age 5-17 at home; excludes those who are homeschooled
For more information see: The State of Children’s Health in the Kansas City Region, 2019, https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment
Parent Drives 44.3%
School Bus/Van 37.2%
Child Drives 7.7%
Walk to School 5.7%
Public Transportation 3.0%
Other 2.1%
School Days Missed Due to Illness or Injury or Asthma
Number of School Days Missedin the Past Year Due to ILLNESS OR
INJURY(Total Service Area Children Age 5-17, 2018)
None 32.1%
One 14.1%
Two 18.0% Three 12.4%
Four 7.4%
Five 6.1%
Six to Nine5.4%
10 or More4.5%
Number of School Days Missed Due to ASTHMA in the Past Year
(Total Service Area Children Age 5-17 with Asthma, 2018)
For more information see: The State of Children’s Health in the Kansas City Region, 2019, https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment
School Days Missed in the Past Year Because
Child Felt Unsafe at School or on the Way to/from School(Total Service Area Children Age 5-17, 2018)
Sources: ● 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Item 73]Notes: ● Asked of all respondents for whom the randomly selected child in the household is age 5-17.For more information see: The State of Children’s Health in the Kansas City Region, 2019, https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment
None 87.3%
One 2.5%Two 2.8%
Three/More 6.9%
Child Not In School 0.5%
Child Was Bullied in the Past Year(Total Service Area Children Age 5-17, 2018)
Sources: ● 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Items 74-75]● 2017 PRC National Child & Adolescent Health Survey, Professional Research Consultants, Inc.
Notes: ● Asked of those respondents for whom the randomly selected child in the household is age 5 to 17.● Cyberbullying includes electronic bullying such as through email, chat rooms, instant messaging, websites, or texting.
For more information see: The State of Children’s Health in the Kansas City Region, 2019, https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment
21.9% 23.8%26.9%
23.0% 24.6%
16.9%12.0% 11.7% 11.3% 13.0% 11.7%
4.4%
0%
20%
40%
60%
80%
100%
ClayCounty
JacksonCounty
JohnsonCounty
WyandotteCounty
Total ServiceArea
US
Bullied at School Cyberbullied
20.1% of TSA parents responded that their 13 – 17 years old were cyberbullied
in past year.
Girls were more frequently reported as the targets of cyberbullying.
2015:
16.7% 2015:
4.1%
Child Has Own Smartphone(Total Service Area Children Age 5-17, 2018)
55.5% 54.0%
47.1%
59.1%
52.3%
41.6%
0%
20%
40%
60%
80%
100%
ClayCounty
JacksonCounty
JohnsonCounty
WyandotteCounty
Total ServiceArea
US
Sources: ● 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Item 123]● 2017 PRC National Child & Adolescent Health Survey, Professional Research Consultants, Inc.
Notes: ● Asked of all respondents for whom the randomly selected child in the household is age 5-17.For more information see: The State of Children’s Health in the Kansas City Region, 2019, https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment
88% of 13 – 17 year olds have phone
57.6% girls versus boys
Child Was Physically Active for
One Hour or Longer on Every Day of the Past Week(Total Service Area Children Age 2-17, 2018)
Sources: ● 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Item 107]● 2017 PRC National Child & Adolescent Health Survey, Professional Research Consultants, Inc.
Notes: ● Asked of those respondents for whom the randomly selected child in the household is between the ages of 2 and 17. For more information see: The State of Children’s Health in the Kansas City Region, 2019, https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment
44.3%41.0% 40.0%
53.1%
42.5%45.3%
0%
20%
40%
60%
80%
100%
ClayCounty
JacksonCounty
JohnsonCounty
WyandotteCounty
Total ServiceArea
US
57.7%
56.2%
42.5%
2012 2015 2018
Total Service AreaNone6.0%
One 3.1%
Two 6.0%
Three10.6%
Four12.8%
Five13.3%
Six 5.8%
Seven42.5%
Number of Days in
the Past Week
Child Was Physically Active for
One Hour or Longer on Every Day of the Past Week(Total Service Area Children Age 2-17, 2018)
Sources: ● 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Item 107]Notes: ● Asked of those respondents for whom the randomly selected child in the household is between the ages of 2 and 17.
● Hispanics can be of any race. Other race categories are non-Hispanic categorizations (e.g., "White" reflects non-Hispanic White respondents).● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size. "Low Income" includes households with incomes 100% - 200% of the
federal poverty level; "Mid/High Income" includes households with incomes at 200% or more of the federal poverty level.For more information see: The State of Children’s Health in the Kansas City Region, 2019, https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment
44.7%40.1%
58.9%
43.5%
30.8%
38.9%
51.4%
39.3%44.0% 42.5%
36.6%40.8% 42.5%
0%
20%
40%
60%
80%
100%
Boy Girl Age0 to 4
Age5 to 12
Age13 to 17
VeryLow
Income
LowIncome
Mid/HighIncome
White Black Hispanic Other TSA
Number of Sports Teams Child Played On in the Past Year(Total Service Area Parents of Children Age 5-17, 2018)
Sources: ● 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Item 326]Notes: ● Asked of all respondents about a randomly selected child age 5 to 17 at home.For more information see: The State of Children’s Health in the Kansas City Region, 2019, https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment
None 39.9%
One 22.6%
Two 18.8%
Three 10.4%
Four/More 8.3%
Food Security(Total Service Area, 2018)
Sources: ● 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Items 329-330]● 2017 PRC National Child & Adolescent Health Survey, Professional Research Consultants, Inc.
Notes: ● Reflects the total sample of respondents.For more information see: The State of Children’s Health in the Kansas City Region, 2019, https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment
10.9%7.4%
23.4% 22.4%
65.7%70.3%
"In the past year, I worried about whether our foodwould run out before we had money to buy more."
"In the past year, the food we bought just did not last,and we did not have money for more."
0%
20%
40%
60%
80%
100%
Often True Sometimes True Never True
Often/Sometimes True
US = 29.0%
2015 = 16.0%
Often/Sometimes True
US = 35.1%
2015 = 19.5%
HEALTH CONDITIONS
9.5%
17.9%
11.5%
21.2%
14.7% 12.8%
0%
20%
40%
60%
80%
100%
ClayCounty
JacksonCounty
JohnsonCounty
WyandotteCounty
Total ServiceArea
US
Sources: ● 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Item 125]
● 2017 PRC National Child & Adolescent Health Survey, Professional Research Consultants, Inc.
Notes: ● Asked of all respondents about a randomly selected child in the household.
https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment
Child Currently Has AsthmaParent Report
(Total Service Area, 2018)
11.8% 12.6% 14.7%
2012 2015 2018
Total Service Area
None 46.0%
One 17.0%Two 12.5%
Three 9.6%
Four or More14.9%
ER/Urgent Care Visits
Sources: ● 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Item 48]
Notes: ● Asked of respondents with a child who currently has asthma (n=146).
https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment
Number of Asthma-RelatedER/Urgent Care Visits and Hospital Stays
in the Past Year, Parent Report(Total Service Area Children with Asthma, 2018)
None 68.1%
One 10.6%
Two 6.6%
Three 3.9%
Four or More10.8%
Hospital Stays
Asthma Urgent Care, Emergency Department, Inpatient Hospitalization Visits
> 4 visits of any type in any one year at Children’s Mercy
2016-2018
n= 758
https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment
Child Is Overweight or Obese(Parent Reported, Total Service Area Children Age 5-17 With a BMI in the 85th Percentile or Higher)
Sources: ● 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Item 135]● 2017 PRC National Child & Adolescent Health Survey, Professional Research Consultants, Inc.
Notes: ● Asked of those respondents for whom the randomly selected child in the household is between the ages of 5 and 17.● Overweight among children 5-17 is determined by child’s Body Mass Index status at or above the 85th percentile of US growth charts by gender and age.● *BMI was calculated slightly differently in the 2012 study: age-in-years midpoints were used to calculate BMI in 2012; in 2015 and 2018, BMI cutoffs were
based on child’s actual age in both years and months. Analysis shows that the difference between the two calculation methods is marginal.For more information see: The State of Children’s Health in the Kansas City Region, 2019, https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment
27.8%31.4%
28.3%
41.9%
30.7% 32.6%
0%
20%
40%
60%
80%
100%
ClayCounty
JacksonCounty
JohnsonCounty
WyandotteCounty
Total ServiceArea
US
31.4%37.2%
30.7%
2012* 2015 2018
Total Service Area
Child Obesity Prevalence(Parent reported, Total Service Area Children Age 5-17 with a BMI in the 95th Percentile or Higher)
Healthy People 2020 Target = 14.5% or Lower
Sources: ● 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Item 135]● 2017 PRC National Child & Adolescent Health Survey, Professional Research Consultants, Inc.● US Department of Health and Human Services. Healthy People 2020. December 2010. http://www.healthypeople.gov [Objective NWS-10.4]
Notes: ● Asked of those respondents for whom the randomly selected child in the household is between the ages of 5 and 17.● Obesity among children is determined by children’s Body Mass Index status equal to or above the 95th percentile of US growth charts by gender and age.● *BMI was calculated slightly differently in the 2012 study: age-in-years midpoints were used to calculate BMI in 2012; in 2015 and 2018, BMI cutoffs were
based on child’s actual age in both years and months. Analysis shows that the difference between the two calculation methods is marginal.For more information see: The State of Children’s Health in the Kansas City Region, 2019, https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment
17.5% 17.7%15.1%
32.9%
18.1% 18.2%
0%
20%
40%
60%
80%
100%
ClayCounty
JacksonCounty
JohnsonCounty
WyandotteCounty
Total ServiceArea
US
14.3%20.4% 18.1%
2012* 2015 2018
Total Service Area
Firearm Injuries-Fatal and Nonfatal- by Location
Seen in the Children’s Mercy Emergency Department
2016-2018
n=188
https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment
Child’s Activity When Most Seriously Injured in Past Year(Total Service Area Children Seriously Injured in the Past Year, 2018)
Sources: ● 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Item 71]Notes: ● Asked of all respondents for whom the randomly selected child in the household was seriously injured in the past year.
Sports-Organized/Team
26.1%
Don't Know/Not Sure20.1%
Falling/Tripping 17.2%
Playing 15.8%
Scooters/Rollerblades/Skateboarding 4.1%
Bike Riding 3.8%
Other (Each <3%)12.9%
https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment
MENTAL HEALTH
13.9%10.7% 11.3% 13.4% 11.7%
7.2%
0%
20%
40%
60%
80%
100%
ClayCounty
JacksonCounty
JohnsonCounty
WyandotteCounty
Total ServiceArea
US
Sources: ● 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Item 86]
● 2017 PRC National Child & Adolescent Health Survey, Professional Research Consultants, Inc.
Notes: ● Asked of respondents for whom the randomly selected child in the household is between the ages of 5 and 17.
Child Has Been Diagnosed with Depression(Total Service Area Children Age 5-17, 2018)
4.1% 5.5%11.7%
2012 2015 2018
Total Service Area
https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment
9.4% 11.0% 8.6%
18.7%
10.7%5.7%
0%
20%
40%
60%
80%
100%
ClayCounty
JacksonCounty
JohnsonCounty
WyandotteCounty
Total ServiceArea
US
Sources: ● 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Items 84-85]
●. 2017 PRC National Child & Adolescent Health Survey, Professional Research Consultants, Inc.
Notes: ● Asked of respondents for whom the randomly selected child in the household is between the ages of 5 and 17.
Child Felt Sad or Hopeless for Two or More Weeksin the Past Year and Stopped Performing Usual Activities
(Total Service Area Children Age 5-17, 2018)
3.2% 3.0%
10.7%
2012 2015 2018
Total Service Area
Sought professional
treatment for this
problem: 74.0%
https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment
20.1% 20.5% 22.5% 20.9% 21.2%
13.6%
0%
20%
40%
60%
80%
100%
ClayCounty
JacksonCounty
JohnsonCounty
WyandotteCounty
Total ServiceArea
US
Sources: ● 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Item 78]
● 2017 PRC National Child & Adolescent Health Survey, Professional Research Consultants, Inc.
Notes: ● Asked of respondents for whom the randomly selected child in the household is between the ages of 5 and 17.
Child Needed Mental Health Services in the Past Year(Total Service Area Children Age 5-17, 2018)
16.1%21.2%
2015 2018
Total Service Area
https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment
24.3%
17.8% 18.5%
25.7% 26.5% 28.0%
18.7% 20.8%
13.5%18.9%
36.7%
21.2%
0%
20%
40%
60%
80%
100%
Boy Girl Age5 to 12
Age13 to 17
Very LowIncome
LowIncome
Mid/HighIncome
White Black Hispanic Other TSA
Sources: ● 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Items 78-79]
Notes: ● Asked of respondents for whom the randomly selected child in the household is between the ages of 5 and 17.
● Hispanics can be of any race. Other race categories are non-Hispanic categorizations (e.g., "White" reflects non-Hispanic White respondents).
● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size. "Low Income" includes households with incomes up to 200% of the
federal poverty level; "Mid/High Income" includes households with incomes at 200% or more of the federal poverty level.
Child Needed Mental Health Services in the Past Year
(Total Service Area Children Age 5-17, 2018)
2.9% did not
receive treatment
or counseling.
https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment
19.1%13.4%
16.5% 17.7% 15.9%10.0%
0%
20%
40%
60%
80%
100%
ClayCounty
JacksonCounty
JohnsonCounty
WyandotteCounty
Total ServiceArea
US
Sources: ● 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Item 81]
● 2017 PRC National Child & Adolescent Health Survey, Professional Research Consultants, Inc.
Notes: ● Asked of respondents for whom the randomly selected child in the household is between the ages of 5 and 17
https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment
Child Has Ever Taken Prescription Medication for Mental Health
(Total Service Area Children Age 5-17, 2018)
7.2%
15.9%
2015 2018
Total Service Area
20.1% 20.5% 22.5% 20.9% 21.2%
13.6%
0%
20%
40%
60%
80%
100%
ClayCounty
JacksonCounty
JohnsonCounty
WyandotteCounty
Total ServiceArea
US
Sources: ● 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Item 78]
● 2017 PRC National Child & Adolescent Health Survey, Professional Research Consultants, Inc.
Notes: ● Asked of respondents for whom the randomly selected child in the household is between the ages of 5 and 17.
For more information see: The State of Children’s Health in the Kansas City Region, 2019, https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment
Child Needed Mental Health Services in the Past Year(Total Service Area Children Age 5-17, 2018)
16.1%21.2%
2015 2018
Total Service Area
24.3%
17.8% 18.5%
25.7% 26.5% 28.0%
18.7% 20.8%
13.5%18.9%
36.7%
21.2%
0%
20%
40%
60%
80%
100%
Boy Girl Age5 to 12
Age13 to 17
Very LowIncome
LowIncome
Mid/HighIncome
White Black Hispanic Other TSA
Sources: ● 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Items 78-79]
Notes: ● Asked of respondents for whom the randomly selected child in the household is between the ages of 5 and 17.
● Hispanics can be of any race. Other race categories are non-Hispanic categorizations (e.g., "White" reflects non-Hispanic White respondents).
● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size. "Low Income" includes households with incomes up to 200% of the
federal poverty level; "Mid/High Income" includes households with incomes at 200% or more of the federal poverty level.
For more information see: The State of Children’s Health in the Kansas City Region, 2019, https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment
Child Needed Mental Health Services in the Past Year
(Total Service Area Children Age 5-17, 2018)
2.9% did not
receive treatment
or counseling.
14.4% 14.6%20.0% 18.3% 16.8%
12.7%
0%
20%
40%
60%
80%
100%
ClayCounty
JacksonCounty
JohnsonCounty
WyandotteCounty
Total ServiceArea
US
Sources: ● 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Item 65]
● 2017 PRC National Child & Adolescent Health Survey, Professional Research Consultants, Inc.
Notes: ● Asked of all respondents about a randomly selected child in the household.
https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment
Child Has ADD/ADHD(Total Service Area, 2018)
8.1% 9.0%
16.8%
2012 2015 2018
Total Service Area
Never 64.4%
Once 15.2%
Two/More Times20.4%
Sources: ● 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Item 318]
Notes: ● Asked of respondents for whom the randomly selected child in the household is between the ages of 5 and 17.
For more information see: The State of Children’s Health in the Kansas City Region, 2019, https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment
Number of Times Contactedby School About Child’s Behavior in
the Past Year(Total Service Area Children Age 5-17, 2018)
CHILD AND ADOLESCENT MORTALITY
23.7
13.4 14.6
69.7
30.4
13.517.1
65.9
30.0
14.216.5
54.1
26.0
11.914.6
49.5
25.7
12.315.2
55.7
Ages 1 to 4 Ages 5 to 9 Ages 10 to 14 Ages 15 to 19
0
20
40
60
80Total Service Area MO KS US HP2020
Sources: ● CDC WONDER Online Query System. Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics. Data extracted January 2019.
● US Department of Health and Human Services. Healthy People 2020. December 2010. http://www.healthypeople.gov [Objective MICH-3.1]
Notes: ● Rates are crude rates, representing the number of deaths of children in each age group per 100,000 population.
https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment
Child & Adolescent Mortality Rates by Age Group(Annual Average Child Mortality per 100,000 Population; 2017)
29
16
11
10
Accidents
Homicide
Congenital
Conditions*
Cancer
Sources: ● CDC WONDER Online Query System. Centers for Disease Control and Prevention, Epidemiology
Program Office, Division of Public Health Surveillance and Informatics. Data extracted January 2019.
Notes: ● *Congenital conditions include congenital malformations, deformations and chromosomal abnormalities.
● **CNS stands for Central Nervous System.
For more information see: The State of Children’s Health in the Kansas City Region, 2019, https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment
Leading Causes of Death By Age Group(Number of Deaths by Cause, Total Service Area, 2013-2017)
1-4 Years Old
27
17
Cancer
(Mostly Brain or…
Accidents
5-9 Years Old
10-14 Years Old
22
12
Accidents
Suicide
100
80
76
Accidents
(68 are motor vehicle)
Suicide
(37 by firearms)
Homicide
(71 by firearms)
15-19 Years Old
INFANT HEALTH
4.7
6.5
4.0
6.2
5.4
6.5
5.9 5.8
0
1
2
3
4
5
6
7
ClayCounty
JacksonCounty
JohnsonCounty
WyandotteCounty
Total ServiceArea
MO KS US
Sources: ● CDC WONDER Online Query System. Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics. Data extracted December 2018.
● US Department of Health and Human Services. Healthy People 2020. December 2010. http://www.healthypeople.gov [Objective MICH-1.3]
Notes: ● Infant deaths include deaths of children under 1 year old.
● This indicator is relevant because high rates of infant mortality indicate the existence of broader issues pertaining to access to care and maternal and child health.
For more information see: The State of Children’s Health in the Kansas City Region, 2019, https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment
.
Infant Mortality Rate(Annual Average Infant Deaths per 1,000 Live Births, 2015-2017)
Healthy People 2020 Target = 6.0 or Lower
4.2
10.6
4.2
5.4
Total Service AreaNon-Hispanic White
Total Service AreaNon-Hispanic Black
Total Service AreaHispanic
Total Service AreaAll Races/Ethnicities
0
2
4
6
8
10
12
Sources: ● CDC WONDER Online Query System. Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics. Data extracted December 2018.
● US Department of Health and Human Services. Healthy People 2020. December 2010. http://www.healthypeople.gov [Objective MICH-1.3]
Notes: ● Infant deaths include deaths of children under 1 year old.
● This indicator is relevant because high rates of infant mortality indicate the existence of broader issues pertaining to access to care and maternal and child health.
For more information see: The State of Children’s Health in the Kansas City Region, 2019, https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment
.
Infant Mortality by Race/Ethnicity(Annual Average Infant Deaths per 1,000 Live Births, 2015-2017)
Healthy People 2020 Target = 6.0 or Lower
134
119
71
35
30
Congenital Conditions*
Low Birthweight/Short Gestation
Accidents
Sudden Infant Death Syndrome
Maternal Factors/Pregnancy Complications
Sources: ● CDC WONDER Online Query System. Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.
Data extracted January 2019.
Notes: ● *Congenital conditions include congenital malformations, deformations and chromosomal abnormalities.
https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment
Leading Causes of Infant Mortality(Total Service Area, 2013-2017)
Position for Laying Baby to Sleep(Total Service Area Parents of Infants Under One Year of Age; 2018)
Sources: ● 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Item 333]
Notes: ● Asked of all respondents whose randomly selected child is under one year of age (n = 41).
For more information see: The State of Children’s Health in the Kansas City Region, 2019, https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment
Side 7.8%
Stomach 30.2%
Back 62.0%
Yes 70.6%
No 29.4%
Sources: ● 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Item 113]
● 2017 PRC National Child & Adolescent Health Survey, Professional Research Consultants, Inc.
● US Department of Health and Human Services. Healthy People 2020. December 2010. http://www.healthypeople.gov [Objective MICH-21.1]
Notes: ● Asked of all respondents about a randomly selected child in the household.
For more information see: The State of Children’s Health in the Kansas City Region, 2019, https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment
Child Was Ever Fed Breast Milk(Total Service Area, 2018)
Healthy People 2020 Target = 81.9% or Higher
US = 72.6%
29.0%25.6% 26.8%
21.4%26.1%
29.1%
0%
20%
40%
60%
80%
100%
ClayCounty
JacksonCounty
JohnsonCounty
WyandotteCounty
Total ServiceArea
US
Sources: ● 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Item 130]
● 2017 PRC National Child & Adolescent Health Survey, Professional Research Consultants, Inc.
● US Department of Health and Human Services. Healthy People 2020. December 2010. http://www.healthypeople.gov [Objective MICH-21.5]
Notes: ● Asked of all respondents about a randomly selected child in the household.
For more information see: The State of Children’s Health in the Kansas City Region, 2019, https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment
Child Was Exclusively Breastfed for at Least 6 Months
(Total Service Area, 2018)Healthy People 2020 Target = 25.5% or Higher
28.1% 26.1%
2015 2018
Total Service Area
If Respondent Had a Newborn, Would NOT
Want Him/Her to Get All Recommended Vaccinations(Total Service Area Parents, 2018)
Sources: ● 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Items 115-116]● 2017 PRC National Child & Adolescent Health Survey, Professional Research Consultants, Inc.
Notes: ● Asked of all respondents.For more information see: The State of Children’s Health in the Kansas City Region, 2019, https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment
10.5% 12.1% 11.0% 10.2% 11.3% 12.5%
0%
20%
40%
60%
80%
100%
ClayCounty
JacksonCounty
JohnsonCounty
WyandotteCounty
Total ServiceArea
US
Primary reasons: safety concerns (33.8%); some or all perceived as unnecessary (18.7%); and prefer to delay (11.8%).
21.1%18.0% 19.1%
23.6%19.4%
0%
20%
40%
60%
80%
100%
ClayCounty
JacksonCounty
JohnsonCounty
WyandotteCounty
Total ServiceArea
Sources: ● 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Items 334-335]
Notes: ● Asked of all respondents about a randomly selected child in the household.
For more information see: The State of Children’s Health in the Kansas City Region, 2019, https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment
Person from an In-Home Visiting Program Visited the Home
(Total Service Area Parents, 2018)
13.7%19.4%
2015 2018
Total Service Area
Among the respondents who were never visited, 56.6%
say they would have used such a program if offered
HEALTH SERVICES UTILIZATION
Child Visited a Physician
for a Routine Checkup in the Past Year(Total Service Area, 2018)
Sources: ● 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Item 27]● US Department of Health and Human Services. Healthy People 2020. December 2010. http://www.healthypeople.gov [Objective AH-1]
Notes: ● Asked of all respondents about a randomly selected child in the household.● Hispanics can be of any race. Other race categories are non-Hispanic categorizations (e.g., "White" reflects non-Hispanic White respondents).● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size. "Low Income" includes households with incomes up to 200% of
the federal poverty level; "Mid/High Income" includes households with incomes at 200% or more of the federal poverty level.For more information see: The State of Children’s Health in the Kansas City Region, 2019, https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment
64.5% 65.8%
73.7%
61.8% 61.1%65.4%
60.8%65.9% 64.8%
72.1%
59.6%
66.9% 64.9%
0%
20%
40%
60%
80%
100%
Boy Girl Age0 to 4
Age5 to 12
Age13 to 17
Very LowIncome
LowIncome
Mid/HighIncome
White Black Hispanic Other TSA
Healthy People 2020 Objective AH-1:
Increase the proportion of adolescents who have had a
wellness checkup in the past 12 months to 75.6% or higher.
Barriers to Access Have
Prevented Child’s Medical Care in the Past Year(By County, 2018)
Sources: ● 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Items 17-23]Notes: ● Asked of all respondents about a randomly selected child in the household.
For more information see: The State of Children’s Health in the Kansas City Region, 2019, https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment
17.8
%
13.7
%
12.7
%
8.4% 11
.6%
5.1%
1.4%
23.1
%
19.0
%
12.7
%
14.3
%
11.0
%
14.1
%
4.5%
18.6
%
18.6
%
10.4
%
6.6% 8.9%
5.0%
6.0%
18.1
%
18.5
%
14.6
%
16.7
%
12.2
%
15.5
%
5.8%
20.2
%
18.0
%
12.1
%
11.0
%
10.5
%
9.7%
4.7%
0%
20%
40%
60%
80%
100%
Getting aDr Appointment
InconvenientOffice Hours
Findinga Doctor
Cost(Prescriptions)
Cost(Doctor Visit)
Lack ofTransportation
Cultural/Language
Clay County Jackson County Johnson County Wyandotte County Total Service Area
Experienced Difficulties or Delays of Some Kind
in Receiving Child’s Needed Healthcare in the Past Year(Total Service Area, 2018)
Sources: ● 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Item 138]Notes: ● Asked of all respondents about a randomly selected child in the household.
● Represents the percentage of respondents experiencing one or more barriers to accessing their child’s healthcare in the past 12 months. ● Hispanics can be of any race. Other race categories are non-Hispanic categorizations (e.g., "White" reflects non-Hispanic White respondents).● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size. "Low Income" includes households
with incomes up to 200% of the federal poverty level; "Mid/High Income" includes households with incomes at 200% or more of the federal poverty level.https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment
41.2%35.2%
42.2%
35.5%38.6%
45.0% 45.0%
33.6% 32.5%
45.8%51.8%
38.3% 38.2%
0%
20%
40%
60%
80%
100%
Boy Girl Age0 to 4
Age5 to 12
Age13 to 17
Very LowIncome
LowIncome
Mid/HighIncome
White Black Hispanic Other TSA
Barriers to Access Have
Prevented Child’s Medical Care in the Past Year(By County, 2018)
Sources: ● 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Items 17-23]Notes: ● Asked of all respondents about a randomly selected child in the household.https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment
17.8
%
13.7
%
12.7
%
8.4% 11
.6%
5.1%
1.4%
23.1
%
19.0
%
12.7
%
14.3
%
11.0
%
14.1
%
4.5%
18.6
%
18.6
%
10.4
%
6.6% 8.9%
5.0%
6.0%
18.1
%
18.5
%
14.6
%
16.7
%
12.2
%
15.5
%
5.8%
20.2
%
18.0
%
12.1
%
11.0
%
10.5
%
9.7%
4.7%
0%
20%
40%
60%
80%
100%
Getting aDr Appointment
InconvenientOffice Hours
Findinga Doctor
Cost(Prescriptions)
Cost(Doctor Visit)
Lack ofTransportation
Cultural/Language
Clay County Jackson County Johnson County Wyandotte County Total Service Area
https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment
Child Used a Hospital
Emergency Room More Than Once in the Past Year(Total Service Area, 2018)
Sources: ● 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Items 39-40]● 2017 PRC National Child & Adolescent Health Survey, Professional Research Consultants, Inc.
Notes: ● Asked of all respondents about a randomly selected child in the household.https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment
12.9%18.5%
10.8%
24.5%
15.6%9.8%
0%
20%
40%
60%
80%
100%
ClayCounty
JacksonCounty
JohnsonCounty
WyandotteCounty
Total ServiceArea
US
10.1%14.2% 15.6%
2012 2015 2018
Total Service Area
Yes 58.2%
No 41.8%
39.1%
30.8%
19.8%
7.2%
1.5%
1.6%
0% 20% 40% 60% 80% 100%
Emergency
After Hours/Weekend
Don't Know
Access-RelatedIssues
Recommended byPrimary Care Doctor
Other (Each <1%)
Emergency Room Visits(Among Total Service Area Children With Any ER Visits in the Past Year, 2018)
Sources: ● 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Items 41-42]Notes: ● Asked of respondents for whom the randomly selected child in the household used a hospital ER in the past year.https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment
ER Visit Was for Something That MightHave Been Treated in a Doctor’s Office
Reason for Using the Hospital ERInstead of a Doctor’s Office or Clinic
(Among Those Responding "Yes" at Left)
Number of Visits to an Urgent Care Center
or Other Walk-in Clinic in the Past Year(Total Service Area, 2018)
Sources: ● 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Item 43]Notes: ● Asked of all respondents about a randomly selected child in the household.https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment
None 51.7%
One 26.0%
Two 10.6%
Three 5.5%
Four/More 6.2%
Child Used an Urgent Care Center, QuickCare Clinic,
or Other Walk-In Clinic in the Past Year(Total Service Area, 2018)
Sources: ● 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Item 43]● 2017 PRC National Child & Adolescent Health Survey, Professional Research Consultants, Inc.
Notes: ● Asked of all respondents about a randomly selected child in the household.https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment
49.2% 48.9% 50.8%
36.8%
48.3%
37.6%
0%
20%
40%
60%
80%
100%
ClayCounty
JacksonCounty
JohnsonCounty
WyandotteCounty
Total ServiceArea
US
38.2%42.5%
48.3%
2012 2015 2018
Total Service Area
Child Used a Hospital
Emergency Room More Than Once in the Past Year(Total Service Area, 2018)
Sources: ● 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Item 39]Notes: ● Asked of all respondents about a randomly selected child in the household.
● Hispanics can be of any race. Other race categories are non-Hispanic categorizations (e.g., "White" reflects non-Hispanic White respondents).● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size. "Low Income" includes households with incomes up to
200% of the federal poverty level; "Mid/High Income" includes households with incomes at 200% or more of the federal poverty level.https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment
15.9% 15.4%20.3%
13.4% 14.2%
27.3%
19.3%
12.3% 11.0%
19.7%
31.8%
13.0%15.6%
0%
20%
40%
60%
80%
100%
Boy Girl Age0 to 4
Age5 to 12
Age13 to 17
Very LowIncome
LowIncome
Mid/HighIncome
White Black Hispanic Other TSA
Child Used an Urgent Care Center, QuickCare Clinic,
or Other Walk-In Clinic in the Past Year(Total Service Area, 2018)
Sources: ● 2018 PRC Child & Adolescent Health Survey, Professional Research Consultants, Inc. [Item 43]Notes: ● Asked of all respondents about a randomly selected child in the household.
● Hispanics can be of any race. Other race categories are non-Hispanic categorizations (e.g., "White" reflects non-Hispanic White respondents).● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size. "Low Income" includes households with incomes up to 200% of the federal poverty level;
"Mid/High Income" includes households with incomes at 200% or more of the federal poverty level.
48.0% 49.0%46.2%
50.9%46.1%
39.6%42.4%
52.8%48.1%
38.1%34.8%
51.0%48.3%
0%
20%
40%
60%
80%
100%
Boy Girl Age0 to 4
Age5 to 12
Age13 to 17
Very LowIncome
LowIncome
Mid/HighIncome
White Black Hispanic Other TSA
https://www.childrensmercy.org/in-the-community/community-benefit/community-health-needs-assessment