Maryland Pregnancy Risk Assessment Monitoring System: population-based surveillan

项目描述(由申请人提供)：项目摘要马里兰州怀孕风险评估监测系统(PRMS)项目总的五年资助期：2011年4月15日至2016年4月14日第一年预算期：2011年4月15日至2012年4月14日项目描述怀孕风险评估监测系统(PRMS)是由疾病控制和预防中心(CDC)支持的监测倡议，它与州卫生部门合作，收集关于怀孕前、怀孕期间和怀孕后不久的特定州、基于人口的母亲态度和经历的数据。目标是使用生成的数据来确定预防孕产妇和婴儿死亡率和发病率的方法。目的和方法马里兰州PRMS每年在分娩后2-9个月对大约2000名新妈妈进行调查，了解可能对妊娠结局产生影响的因素(如吸烟、饮酒、伴侣暴力、医疗保险、抑郁、压力源、辅助生殖、感染、口腔健康、慢性病病史)。马里兰州婴儿车调查手册每月与奖励(口袋计划器)一起发送给新妈妈的样本。人类科目培训每年为PRMS的所有工作人员提供，上一次完成培训是在2010年6月。马里兰州PRMS项目获得了马里兰州DHMH和CDC IRB的批准。截至2011年1月，马里兰州已有24,256名新妈妈收到了PRMS调查问卷。自2001年以来，每年的出生加权应答率都在69%以上。母婴健康中心(CMCH)行政管理地安置了婴幼儿保健院。CMCH与生命统计管理局密切合作，实施马里兰州PRMS项目。该项目主要由一名项目协调员(1.0 FTE)、一名项目主任(0.4 FTE)和一名流行病学家(0.4 FTE)提供实物支持。生命统计管理局局长(0.1 FTE)和她的一名工作人员(0.1 FTE)也提供实物支助。我们要求疾控中心为增加的工作人员提供经费，包括一名数据管理员(1.0 FTE)、数据分析师(0.2 FTE)和语言翻译/数据分析师(0.1 FTE)。马里兰州PRMS目前与Clearwater Research，Inc.签订了调查电话采访阶段的合同。数据每年分析一次，目前包括2001年至2009年出生年份的报告。2010年完成的计划简报包括“酗酒和酗酒”(2010年4月)、“医疗补助覆盖范围”(2010年5月)和“婴儿车妈妈的评论”(2010年6月)。2011年接受了两份出版物--关于怀孕期间酒精使用的一本书的章节和期刊研究文章。

DESCRIPTION (provided by applicant): Project Summary Maryland Pregnancy Risk Assessment Monitoring System (PRAMS) Project Total Five-Year Grant Period: 04/15/2011 to 04/14/2016 First Year Budget Period: 04/15/2011 to 04/14/2012 Project Description The Pregnancy Risk Assessment Monitoring System or PRAMS is a Centers for Disease Control and Prevention (CDC) supported surveillance initiative that works with state health departments to collect state-specific, population-based data on maternal attitudes and experiences before, during, and shortly after pregnancy. The goal is to use generated data to identify ways to prevent maternal and infant mortality and morbidity. Objectives and Methods Maryland PRAMS surveys approximately 2,000 new mothers a year 2-9 months after delivery about factors (such as smoking, drinking, partner violence, health care coverage, depression, stressors, assisted reproduction, infections, oral health, chronic disease history) that may have an impact on pregnancy outcome. The Maryland PRAMS survey booklet is sent monthly to a sample of new mothers along with an incentive (a pocket planner). Human Subjects Training occurs annually for all PRAMS staff and was last completed in June 2010. The Maryland PRAMS Project has Maryland DHMH and CDC IRB approval. As of January 2011, 24,256 new mothers in Maryland have been mailed the PRAMS survey since its inception. Annual weighted response rates since 2001 births have been over 69%. PRAMS is administratively housed within the Center for Maternal and Child Health (CMCH). CMCH works closely with the Vital Statistics Administration to implement the Maryland PRAMS project. The Project is primarily staffed with in-kind support from a project coordinator (1.0 FTE), a project director (0.4 FTE), and an epidemiologist (0.4 FTE). In-kind support is also provided by the Director of the Vital Statistics Administration (0.1 FTE) and one of her staff (0.1 FTE). We request that the CDC provide funding for additional staff including a data manager (1.0 FTE), data analyst (0.2 FTE), and language translator/data analyst (0.1 FTE). Maryland PRAMS currently contracts with Clearwater Research, Inc. for the telephone interview phase of the surveys. Data are analyzed annually and currently include reports from 2001 to 2009 birth years. Program briefs completed in 2010 include "Alcohol Use and Binge Drinking" (April 2010), "Medicaid Coverage" (May 2010), and "Comments from PRAMS Mothers" (June 2010). Two publications have been accepted for 2011 - a book chapter and journal research article on alcohol use during pregnancy.