Nebraska Pregnancy Risk Assessment Monitoring System

内布拉斯加州怀孕风险评估监测系统

• 批准号: 10393474
• 负责人: JENNIFER SEVERE-OFORAH
• 金额: $ 15.8万
• 依托单位: NEBRASKA ST DEPT OF HEALTH & HUMAN SERVS
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-05-01 至 2026-04-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10393474
• 关键词: Nebraska; Pregnancy; Risk; Assessment; Monitoring

Project Summary Nebraska Pregnancy Risk Assessment Monitoring System (NE PRAMS) has provided quality and comprehensive data on maternal and child health risks and behaviors since 1999, and has become a major participant in the state’s strengthened public health system. PRAMS complements the vital records database adding nuances that only self-reported data can do. On the surface, Nebraska appears to have very good pregnancy outcomes. However, the large percentage (69.6% in 2017-2018) of White births drives state averages, and masks considerable disparity when outcomes are examined by maternal race and ethnicity. The Lifespan Health Services Unit is home not only to Maternal and Child Health (MCH) Epidemiology and NE PRAMS, but also to the rest of the MCH-related programs. These programs have been among the strongest supporters of PRAMS and users of the data; being housed in the same unit makes PRAMS data and staff easily accessible to those programs. PRAMS data has been integrated into the official MCH priorities. High-quality, Nebraska specific, population-level data are scarce on key factors such as behavioral risks, and mothers’ experiences with and perceptions of health care. Thus, the birth certificate registry is limited in its ability to provide detailed information for program planning and evaluation. NE PRAMS is currently the only readily-accessible source for population-level data on important issues such as pregnancy intendedness, reasons for patterns of prenatal care use, nutritional status of the mother, preconception health, and for postnatal behaviors such as depression, infant sleep position, and breastfeeding. Importantly, PRAMS data allow valid statements to be made about “new Nebraska mothers” rather than only for selected populations or program recipients. NE PRAMS stratifies by race/ethnicity and will continue to provide data to plan strategies to address these issues and for evaluation.

项目摘要 内布拉斯加州妊娠风险评估监测系统（NE PRAMS）提供了质量 自1999年以来， 成为国家加强公共卫生系统的主要参与者。童车 补充了生命记录数据库，增加了只有自我报告数据才能做到的细微差别。 从表面上看，内布拉斯加州似乎有非常好的怀孕结果。然而，大 白色出生率（2017-2018年为69.6%）推动了州平均水平， 当按产妇种族和族裔审查结果时，存在相当大的差异。的 Lifespan Health Services Unit不仅是妇幼保健（MCH） 流行病学和NE PRAMS，但也适用于其他与妇幼保健有关的方案。这些 方案一直是PRAMS和数据用户的最强有力的支持者之一; 在同一个单元中，使PRAMS数据和工作人员很容易访问这些程序。 PRAMS数据已纳入官方妇幼保健优先事项。 高质量的，内布拉斯加州的具体，人口水平的数据是稀缺的关键因素，如 行为风险，以及母亲对医疗保健的经验和看法。因此， 证书注册表在为计划规划提供详细信息方面的能力有限， 评价NE PRAMS是目前唯一容易获得的人口数据来源 关于怀孕意向、产前护理使用模式的原因等重要问题， 母亲的营养状况，孕前健康状况，以及产后行为， 抑郁症、婴儿睡眠姿势和母乳喂养。重要的是，PRAMS数据允许有效 关于“新内布拉斯加州母亲”的声明，而不仅仅是针对选定的人口 或方案接受者。NE PRAMS按种族/民族分层，并将继续提供数据， 规划解决这些问题的战略并进行评估。