The Pregnancy Risk Assessment Monitoring System: design, questionnaire, data collection and response rates. PRAMS Working Group.
The Pregnancy Risk Assessment Monitoring System: design, questionnaire, data collection and response rates. PRAMS Working Group.
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DOI：
10.1111/j.1365-3016.1991.tb00718.x
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发表时间：
1991-07-01
影响因子：
2.8
通讯作者：
Brogan, D
中科院分区：
文献类型：
--
作者：
Adams, M M;Shulman, H B;Brogan, D
出生证明是对婴儿出生状况和怀孕期间母亲状况进行人口监测的主要工具，但提供的有关怀孕期间母亲行为的数据很少。为了收集影响妊娠结果的孕产妇行为数据，我们在七个州实施了妊娠风险评估监测系统。对于这项基于人群的监测，新妈妈们在分娩后 2 至 6 个月从出生证明中进行了抽样，并通过邮件进行联系；通过电话对未答复者进行跟踪。参与者完成了一份 10 页的调查问卷。分层允许对妊娠结局不良的妇女进行过度抽样。在 1988 年和 1989 年期间对 10,563 名女性进行抽样调查时，特定阶层的回应率在 30% 到 89% 之间。在 28 个阶层中，有 11 个阶层的回复率超过 70%。各州之间的答复率差异很大。黑人母亲、低出生体重婴儿的母亲、未婚母亲和受教育程度低于 12 年的母亲的比率较低。主动拒绝参与和邮件未送达的情况很少发生。对新妈妈进行邮件和电话监测可以在选定的人群中产生足够的反应率。需要尝试其他方法来加强黑人和弱势母亲的应对措施，例如额外的邮寄或产后住院招募。
The birth certificate, the primary tool for population-based surveillance of the condition of infants at birth and maternal status during pregnancy, provides little data about maternal behaviour during pregnancy. To collect data on maternal behaviours that influence pregnancy outcome, we implemented the Pregnancy Risk Assessment Monitoring System in seven states. For this population-based surveillance, new mothers were sampled from birth certificates 2 to 6 months after delivery and contacted by mail; follow-up of nonrespondents was by telephone. Participants completed a 10-page questionnaire. Stratification permitted over-sampling of women with adverse pregnancy outcomes. Among 10,563 women sampled during 1988 and 1989, stratum-specific response rates ranged from 30% to 89%. In 11 of the 28 strata, response rates were greater than 70%. Response rates varied considerably between states. Rates were lower for Black mothers, mothers of low birthweight infants, unmarried mothers and mothers with less than 12 years of education. Active refusal to participate and undelivered mail occurred infrequently. Mail and telephone surveillance of new mothers can yield adequate response rates in selected population groups. Trials of alternative approaches to enhancing response among Black and disadvantaged mothers, such as additional mailings or post-partum in-hospital recruitment, are needed.