In Reply We thank Gao and Adesman for their insightful comments regarding our Research Letter.1 In their Letter to the Editor, they brought up 4 points that could enhance interpretation of findings from our analysis of the 2016 National Survey of Children’s Health (NSCH) and stated that “a more nuanced analysis and discussion would have been helpful.” We agree, and we do not dispute that an extensive analysis and discussion of these findings in the context of the state of the existing literature would be valuable to the JAMA Pediatrics readership. However, we were limited to the format and length constraints of the Research Letter, which did not allow for a more nuanced analysis or discussion. Nevertheless, they raise several valid points, some of which we can respond to herein.