Post on 14-Mar-2016
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The National Children’s Study in St. Louis City:
An Update to the Mayor’s Commission on Children, Youth and Families
PLouise Flick, DrPH, MSN, MPESaint Louis UniversitySchool of Public Health
Vetta Sanders-Thompson, PhDWashington University in St. LouisThe Brown School/Institute of Public Health
February 9, 2012
Aims of Presentation
• NCS Study Goals• The Gateway Study Center• The Vanguard Study - NCS Pilot Phase• Recruitment Activities• The Main Study
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NCS Study Goal
• To study effects of environment on child growth, development and health
•Environment: physical, chemical, social •Existing studies not
- Early enough- Large enough- Long enough
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NCS Study Design
• Longitudinal, observational study of children, pre-birth through age 21.
• Pilot stage • Main study • 105 counties in the US• Goal: more than 100,000 babies
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The Gateway Study Center
A consortium of local partners:•Saint Louis University•Battelle Memorial Institute•Southern Illinois University Edwardsville•Southern Illinois University Carbondale•Washington University
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National Children’s Study
The Gateway Study Center team at the St. Louis City Field Office7
GSC counties•St. Louis City, MO (Active)•Jefferson County, MO (Inactive)•Macoupin County, IL (Inactive)•Johnson, Union, & Williamson Counties, IL (Inactive)
The Gateway Study Center
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The Vanguard Study,the NCS pilot phase
• Vanguard study assesses the cost, feasibility and acceptability of 3 possible recruitment strategies
• Our recruitment strategy: Enhanced Household-Based Recruitment
• Local recruitment of pregnant and pre-pregnant women began in 2010.
• Complete recruitment by March 1, 2012.• Study visits and data analysis continue.
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Recruitment Activities
•Households Targeted 13,850*•Contacted HH 95%•Enumerations Completed 3,300•Age-Eligible Women Found 2,150•Study-Eligible Women Found 200
*All figures except percentages are rounded to nearest 50 to protect confidentiality.
Recruitment Activities
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•Study Eligible WomenWho Consent 65%
•Women Who Have Joined the Study 100• 60% pregnant/40% trying
•Number of Babies Born about 50
Age of Mothers
NCS St.Louis Participants1 City2
•Less than 18 n/a 6%•Age 18-24 33% 37%•Age 25-29 21% 27%•Age 30-34 21% 20%•Age 35-40 18% 8%•Age 41-49 7% 2%
1NCS Biweekly Report (September 28, 2011)2Missouri Birth MICA (2009)
Race, Ethnicity & Language
NCS St.Louis Participants City•African-American 42%57%•Asian/Nat. Haw./Pac. Isl. 3%3%•White/Caucasian 38%39%•Multiple or Other Racial Backgrounds 13%1%*•Unknown/Missing 3%0.4%•Hispanic 8%5%•Spanish-Speaking Households 4%n/a
*MICA does not include ‘Multiple Racial Backgrounds,’ only ‘Other’
Educational Attainment
NCS St. LouisParticipants City
•Less Than High School Degree/GED24% 23%•High School Degree/GED
33% 32%•More than High School/GED
41% 43%•Unknown/Missing
2% 2%
National Recruitment Status (as of 12/15/2011)
Recruitment Stage Total Rate*
Age-eligible Women Identified 80,550
Pregnancy Screening Completed 65,750
Pregnant or Trying 9,650
Women enrolled 6,750 70%
Babies Enrolled 2,200*Respondents further determined to be ineligible are excluded from the
denominator in computing response rates. Source: NCS Update NICHD, Steven Hirschfeld, MD, PhD
The Main Study
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What’s Coming Next…..•6-Month and 12-Month Study Visits for the growing Vanguard babies.•Evaluation of recruitment strategies..•Protocol development for the Main Study.•Continued community outreach•Main study start: Late 2012/Early 2013
The National Children’s Study
Thank you for your support!
Please contact us:314-880-3640 x204ncs@slu.eduwww.nationalchildrensstudy.gov/
1 SOURCE: NCS Alternate Recruitment Substudy, Vanguard Study, Data for the City of St. Louis as of October 12, 2011. From document: EH_StLouisCity_MO_20110928_BiweeklyReport, Saint Louis University. NOTE: NCS Rounding Rules applied.