Transcript Document

Learning from
our Success:
Building a
Parent-Only RRFSS
3rd Annual RRFSS Workshop, June 23, 2004
Ruth Sanderson
Middlesex-London Health Unit
[email protected]
Outline
 Background on MLHU Parent Survey
 Breastfeeding Example
 Next Steps & Implications
Current Situation
• Parent-Only Survey at MLHU.
• RRFSS-like.
• Built on success of RRFSS
– same infra-structure, same modules, flexibility/
responsiveness, staff acceptability/familiarity etc.).
Why do this?
• Challenge to monitor local-level change
related to child health
– E.g. positive-parenting, breast-feeding duration.
• More ECD funding in 2003 for “traditional
surveys” related to child health.
• Couldn’t buy “time” on RRFSS – thought we’d
buy “sample”.
What was Done?
• Jan/ Feb 2003
– Special Request to augment MLHU’s RRFSS
sample of parents of children < 12 years old.
– 22% of RRFSS sample parents of children <12 yrs.
• 2003
– Consultation with ISR led to separate RRFSS-like
Parent Survey, piloted, negotiated cost.
• Mar/Nov 2004
– Conducting Parent Survey.
Eligibility Questions
• Children under 12 in
household.
• Completely or partially
responsible for raising
and looking after a child
in this household.
Content
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Reproductive Health (Prenatal Care, Folic Acid Use)
Breastfeeding
Breastfeeding Policy and Awareness
Bike Helmet
Childhood Injury Prevention: Beliefs and
Perceptions (added Campaign Awareness)*
• Car Seat Safety  Booster Seat*
• Positive Parenting*
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Content (Demographics)
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Age
Income
Ethnicity
Marital Status
Child demographics
Relationship to child (parent etc.)
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Modifications to RRFSS
• Minimal development time
required.
• Parent pre-selection required
some modifications in the
existing RRFSS modules to
reflect that interviewer knows
that these people are already
parents of a child under 12.
– E.g. bike helmet safety, positiveparenting /one index child
Parent Survey Details
• Sample frame
– Households with children under 12 in MiddlesexLondon and adults that indicate they have
responsibility for raising a child.
• Sample size
– Approximately 100 / month for 900 total.
• Time frame
– Mar.– Nov. 2004.
• Interview Length
– 12.6 minutes.
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Response Rates
• Eligible households =14% of phone numbers
– 843 eligible households with parents of child under
12 years old of 6,081 phone calls (June 11, 2004)
• Response rate =62%
– 520 completions of 843 total estimated eligible
• Participation Rate =95%
– 520 completions of 547 complete and refusals
Sample Characteristics
• Relationship to Child:
– Parent (92%), step-parent (3%),
guardian/grandparent/other (4%).
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Gender: 61% female.
Marital Status: 82% married/ living with partner.
City or County: 75% City of London.
Age Group:
– 18-24 yrs (4%), 25-34 yrs (33%), 35-44 yrs (49%),
45-54 yrs (12%), 55+ (1%).
Example: Breastfeeding
• To increase to 50% the percentage of infants
breastfed up to six months by the year 2010
(MHPSG, 1997).
• 47% (42.8-51.2) in MLHU area in 1998
breastfed for 6 months or more (n=535).
Example: Breastfeeding
• Very difficult to measure improvement
(difficult to have sufficient sample size for
reasonable estimate).
• 6% of RRFSS sample eligible
– 70 females aged 18-49 years old reported having
had children in past 5 years out of total adult
sample of 1209 for MLHU (RRFSS 2002).
Example: Breastfeeding
• 30% of Parent Survey sample eligible
– 143 females aged 18-49 years old reported having
had children in past 5 years out of total parent
sample of 476 for MLHU .
(Parent Survey, March-May 2004)
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Example: Breastfeeding
• With an anticipated sample of 290 by year
end we would be able to detect a difference if
duration rate increased to 57%
– 57% (95% C.I. 51.3-62.7) from
47% (95% C.I. 42.8-51.2).
Breastfeeding Results
• 46% (37.9-54.3) breastfed > 6 months
– Females (18-49) who reported having had a baby
in the past 5 years (59/ 142 one no answer).
• 56.2% of those that initiated breastfeeding
breastfed for > 6 months
– Females 18-49 years old excluding those currently
breastfeeding (59/105).
(Parent Survey, March-May 2004)
What’s Next?
• MLHU is considering repeating Parent
Survey in 2006.
• Encourage longer-term planning and coordination for information needs
– Managers considering pooling resources.
Implications
• RRFSS infra-structure is solid base for other
surveys.
• General RRFSS may not be sufficient to
monitor change in public health indicators
particularly for child health or other subpopulations.
Public Health Question
Do we need an
ongoing RRFSS-like
survey that can
monitor specific
issues for children
and families on the
local level?