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. Author manuscript; available in PMC: 2025 Mar 1.
Published in final edited form as: Clin J Pain. 2024 Mar 1;40(3):174–181. doi: 10.1097/AJP.0000000000001179

Table 1.

Survey questions, response options, and categorization of responses related to neighborhood characteristics captured in the 2020-2021 National Survey of Children’s Health (NSCH).

Neighborhood characteristic Survey description Survey questions Survey response NSCH categorization of survey responses
Neighborhood support Does this child live in a supportive neighborhood? 1) People in this neighborhood help each other out
2) We watch out for each other’s children in this neighborhood
3) When we encounter difficulties, we know where to go for help in our community
Definitely agree
Somewhat agree
Somewhat disagree
Definitely disagree
1)Yes
2)No
In the NSCH, children are considered to live in supportive neighborhoods if their parents reported “definitely agree” to at least one of the items and “somewhat agree” or “definitely agree” to the other two items.
Neighborhood safety Does this child live in a safe neighborhood? This child is safe in our neighborhood Definitely agree
Somewhat agree
Somewhat disagree
Definitely disagree
Safe: Definitely agree or somewhat agree

Not safe: Somewhat/Definitely disagree
School safety Is this child safe at school? This child is safe at school Definitely agree
Somewhat agree
Somewhat disagree
Definitely disagree
Safe: Definitely agree or somewhat agree

Not safe: Somewhat/Definitely disagree
Neighborhood amenities Does this child live in a neighborhood that contains certain amenities -- parks, recreation centers, sidewalks, or libraries? In your neighborhood are there:
• Sidewalks or walking paths?
• A park or playground?
• A recreation center, community center, or boys’ and girls’ club?
• A library or bookmobile?
Yes/No to each question

This measure counts how many of four amenities are present in the child’s neighborhood
Number of amenities:
1)All 4 amenities
2) 3 amenities
3) 2 amenities
4) 1 amenity
5) None
Neighborhood detracting elements Does this child live in a neighborhood where there is litter or garbage on the street or sidewalk, poorly kept or rundown housing, or vandalism such as broken windows and graffiti? In your neighborhood are there:
• Litter or garbage on the street/sidewalk?
• Poorly kept or rundown housing?
• Vandalism such as broken windows or graffiti?
Yes/No to each question

This measure counts how many of three detracting elements are present in the child’s neighborhood
Number of detracting elements:
1)None
2) 1 detracting element
3) 2 detracting elements
4) All 3 detracting elements