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Condition requiring more care for child lasts 12+ months

Codes and Frequencies

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For sample children age 17 and under who need or use more medical care, mental health, or educational services than is usual for most children of the same age because of a medical, behavioral, or other health condition (CHMOCARE, CHMOCAREHC), CHMOCAREYR reports parents' responses to the question, "Is this a condition that has lasted or is expected to last for at least 12 months?" The 2002 Field Representative's Manual instructed interviewers that for questions that make reference to a specific time period, "be sure that you ask the questions exactly as worded, emphasizing the time period."

Data Collection 

CHMOCAREYR was part of the Children with Special Health Care Needs (CSHCN) Supplement included in the Sample Child Health Care Access and Utilization section of the NHIS. Before beginning this part of the survey, the interviewer read the following statement:

The next questions are about any kind of health problems, concerns, or conditions that may affect [sample child]'s behavior, learning, growth, or physical development. Some of these health problems may affect [sample child]'s abilities and activities at school or play. Some of these problems may affect the kind or amount of services needed or used.
These questions are for research purposes and may be similar to questions you have previously heard.

Purpose of Inquiry 

The 2002 Field Representative's Manual provides the following information regarding the purpose of the CSHCN Supplement:

The purpose of the Children With Special Health Care Needs Supplement is to provide prevalence estimates for this population (those who require special health care needs). The results will have great value for policy makers, epidemiologists, health service researchers, and other groups in the child health community. This set of questions includes inquiries about health problems, concerns, or conditions that may affect things like:
  • Behavior
  • Learning
  • Growth or physical development
  • Abilities and activities at school or play
  • The kind or amount of services needed or used

According to the 2002 Survey Description, the CSHCN Supplement was included in the NHIS "to compare the results of a face-to-face in-home interview as conducted by the NHIS with a random digit dial telephone interview as conducted by NCHS's State and Local Area Integrated Telephone Survey (SLAITS)." The Survey Description also notes that the special needs questions included in the 2001 SLAITS and 2002 NHIS were taken from a standardized screener developed by the Foundation for Accountability (FACCT). The Child and Adolescent Health Measurement Initiative (CAHMI), in collaboration with FACCT, provides further information on this screener on their website at, including scoring procedures used to identify children with special health care needs.

Related Variables

For more information on the other CSHCN Supplement items and for scoring procedures, see CHNEEDRX. CHMOCARE, CHMOCAREHC, and CHMOCAREYR were items in the section of the CSHCN dealing with "Medical Care, Mental Health, and Educational Services." If children had affirmative responses in all three of these variables, they also had a value of "Yes" in the IPUMS NHIS-created variable SPNEEDSERV, indicating they met the criteria for children with special health care needs in the domain "service use above that considered usual or routine."


CHMOCAREYR only occurs in 2002.


  • 2002: Sample children under age 18 who needed more medical care, mental health services, or educational services than most children of the same age, due to health condition.


  • 2002