Children's participation in activities may be influenced by the availability of amenities in their neighborhoods such as sidewalks, playgrounds, community centers, and libraries, which provide children with opportunities for recreation, education, and socializing without going far from home. Whether or not they have special health care needs, just under half (about 48 percent) of children have access to all four of these amenities in their neighborhoods.
While access to neighborhood amenities does not vary significantly by household income, CSHCN in some racial and ethnic groups are more likely to live in neighborhoods with these amenities. More than half of Hispanic CSHCN in English-speaking households and Black CSHCN (57.7 and 52.9 percent, respectively) have access to all four neighborhood amenities. Some of these differences may be attributable to racial/ethnic differences among CSHCN living in urban versus suburban/rural areas.