The Child Health Profile Initiative ​ in NB and PEI​

1. The Child Health Profile Initiative
in NB and PEI
Carole Tranchant, Université de Moncton
for the Quick Strike II Research Team
WJ Montelpare (UPEI), M Bélanger (CFMNB), B Miedema
(Dalhousie),
D Bouchard, M Sénéchal (UNB), L Dalpé, C Jose (MSSU), D Barre
(CBU),
J Bryanton (UPEI), S Sparks, P Malinski (trainees),
M Holland, K Rogers, JT McDonald (NB-IRDT)

2. To identify and evaluate selected
administrative datasets (AD) from
NB and PEI to create an intra-
provincial Child Health Profile
Research objectives
To establish the foundation
for a population-based birth
cohort database using
existing AD not previously
linked
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NB Child
Health Profile
PEI Child
Health Profile
NB Birth Cohort
PEI Birth Cohort
Provincial-level
Administrative
Datasets
Provincial-level
Administrative
Datasets

3. Collaboration between the NB and PEI SPOR Networks in
Primary and Integrated Health Care Innovations (PIHCI),
informed by the needs expressed by knowledge users and
stakeholders
Methods
‒ Integrated knowledge translation
approach
‒ Consultations, workshops
‒ Description of the data, data access
requests
‒ Data preparation, transfer, linkage
NB Association of Family
Resource Centres
PEI Family Resource
Centre
3

4. Core Health System and Early Years Databases
of Primary Interest
(currently accessible  or not  )
Age at entry NB PEI
1. Healthy Toddler Assessment, including: 18 months 
1.1 Ages & Stages Questionnaire 18 months  
1.2 NutriSTEP (Nutrition Screening Tool) 18 months  
1.3 Edinburgh Postnatal Depression Scale, mothers 18 months  
2. Hospital Discharge Abstract Data (DAD) Newborn  
3. Citizen Database Newborn  
4. PCCF+ derived variables Various  
5. Physician Billing Various  
6. NB Perinatal Database, PEI Reproductive Care
Perinatal Database, newborn and parental info Newborn  
7. NB Public Health Priority Assessment (PHPA),
PEI Public Health Nursing Database Various  
8. Early Years Evaluation - Direct Assessment
(EYE-DA) 3 to 5 years  
9. Early Years Evaluation - Teacher Assessment
(EYE- TA) 3 to 5 years  
Data access, preparation and linkage through
NB-IRDT
Data access through Health
PEI
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Healthy Toddler Assessment (HTA)
Hospital Discharge Abstract Data (DAD)
Physician Billing

5. Organisation of the Child Health Profile
(CHP)
Main areas Indicators
Individu
al(child,
18
months)
Health and well-
being
• Low birth weight
• Gestational age
• Weight and growth
indices
• Hearing
• Dentist*
• Vision
• Immunizations*
• Nutrition
Child development
• Personal/social scores
• Communication
• Motor skills
• Behaviour
Family
Parental health and
well-being
• Maternal/paternal age
• C-section
• Folic acid
• Breastfeeding*
• Drug
use/smoking/drinking
• Maternal nutrition
• Maternal psychiatric
health
Socioeconomic
status
• Postal code
• Education level
• Financial support
Individu
al&
family
Health services
utilization
• Maternal and baby
lengths of stay at birth
event
• # of hospital stays during
the 1st to 3rd year of life
• # of physician visits
in the 1st to 3rd y of
life*
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6. 6
Percentage of toddlers up-to-date on their
immunizations (HTA data, NB, march 2013-may
2016)
Yes No Missing
81%
11.5%
Preliminary findings

7. 7
Percentage of children exclusively breastfed
for 6 months (HTA data, NB, 2013-2016)
Yes No Missing
25.4%
48%

8. 8
Percentages of children at risk of dental caries
and vision problems (HTA data, NB, 2013-2016)
Yes No Missing
Vision
Yes No Missing
Dental
41.9%
30.4%
10.6%

9. 9
Physician visits during 1st, 2nd and 3rd year of life
(Physician Billing linked to HTA, NB)
Censored
C
Mean 3.6 ± 4.4
Median 3
Mean 5.4 ± 4.3
Median 4
Mean 8.5 ± 4.2
Median 8

10. ‒ Consolidate the findings and finalize the first Child Health
Profile
‒ Data analysis of PEI administrative data (newly transferred)
‒ Create a roadmap for the development of a birth cohort
within each province based on the admin. datasets currently
accessible
Next steps
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