The Parent-Child Relationship
Parents of children aged 6-17 years were asked how well they and their children share ideas or talk about things that really matter. The parents of 62.6 percent of CSHCN reported that their children shared ideas with them very well or somewhat well, compared to the parents of 71.9 percent of children without special health care needs. Both of these percentages have declined since 2003, when 68.9 percent of CSHCN and 76.9 percent of non-CSHCN were reported to share ideas well with their parents. Differences in sharing ideas remained present even after statistical adjustment for other sociodemographic differences between CSHCN and non-CSHCN.
CSHCN with more complex service needs were less likely than CSHCN with less complex service needs to share ideas well with their parents: 57.1 percent were reported to do so.
Sharing ideas with parents is more common among younger children, regardless of the presence of special health care needs. The discrepancy between children with and without special health care needs is greater among children aged 6-11 years; in this age group, 67.2 percent of CSHCN are reported to share ideas with their parents, compared to 77.8 percent of non-CSHCN. Among adolescents aged 12-17, 58.5 percent of those with special health care needs shared ideas, compared to 66.3 percent of those without special health care needs. CSHCN with emotional, behavioral, or developmental conditions are particularly likely to face barriers to sharing ideas with their parents; 52.1 percent of CSHCN with these problems did so, compared to 71.8 percent of CSHCN without these conditions (data not shown).