We mapped two social risk factors to the social and community context domain: low social support and discrimination. The NSCH measures neighborhood support based on responses to three statements: “People in the neighborhood help each other out”; “We watch out for each other’s children in this neighborhood”; and “When we encounter difficulties, we know where to go for help in our community.” Only surveys with valid responses to all three questions were included in the denominator for the “neighborhood support” variable. If the caregiver did not respond “definitely agree” to at least one of the items and “somewhat agree” or “definitely agree” to the other two items, we categorized the child as having low social support.
The NSCH also inquires about 9 adverse childhood experiences, one of which is “the child was treated or judged unfairly because of his/her race or ethnic group.” If the caregiver responded “Yes” to this specific adverse childhood experience, we considered the child to have experienced discrimination.
The NSCH also inquires about 9 adverse childhood experiences, one of which is “the child was treated or judged unfairly because of his/her race or ethnic group.” If the caregiver responded “Yes” to this specific adverse childhood experience, we considered the child to have experienced discrimination.
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