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U.S. Department of Health and Human Services Office of Disease Prevention and Health Promotion

Increase the proportion of adolescents who speak privately with a provider at a preventive medical visit — AH‑02 Data Methodology and Measurement

On this page:  About this objective  |  Methodology  |  History

About this objective

Data

Data Source:  National Survey of Children's Health (NSCH), HRSA/MCHB

National baseline: 38.4 percent of adolescents aged 12 to 17 years spoke privately with a physician or other health care provider without another adult in the room during a preventive medical visit in the past 12 months in 2016-17

National target: 43.3 percent

Numerator
Number of adolescents aged 12 through 17 years who had private time with the physician or other health care provider during the last preventive health check-up visit.
Denominator
Number of adolescents aged 12 through 17 years who had a preventive health check-up visit in the past 12 months.
National target-setting method
Percentage point improvement
National target-setting method details
Percentage point improvement from the baseline using Cohen's h effect size of 0.10.
1
National target-setting method justification
Trend data were not available for this objective. A percentage point improvement was calculated using Cohen's h effect size of 0.1. This method was used because it was a statistically significant improvement from the baseline. The target is consistent with the guidance by the Health Resources and Services Administration's Maternal and Child Health Bureau for all objectives derived from National Survey of Children's Health data.
National data collection frequency
Annual

Methodology

Questions used to obtain the national baseline data

(For additional information, please visit the data source page linked above.)

From the 2016 National Survey of Children's Health:

Numerator and Denominator:
At his or her last preventive check-up, did this child have a chance to speak with a doctor or other health care provider privately, without you or another adult in the room?
  1. Yes
  2. No

Methodology notes

This measure is based on the parent's/guardian's response to the survey question regarding their adolescent child.

Please interpret with caution any estimate with a 95 percent confidence interval width exceeding 20 percentage points or 1.2 times the estimate.

History

Revision History
Revised. 

Due to imputation and weighting revisions of the 2016 through 2021 NSCH data, all years of data for this measure have been revised accordingly.
Trend issues
2018-2019 data are not provided due to a survey question change which rendered 2018 data not comparable to 2016-2017 or 2019. The survey question was restored to its original version in 2019 and is comparable to 2016-2017 and all subsequent years.

1. Effect size h=0.1 was chosen to correspond with 10% improvement from a baseline of 50%.