Maryland Pregnancy Risk Assessment Monitoring System: population-based surveillan

描述（由申请人提供）：项目摘要马里兰州妊娠风险评估监测系统（PRAMS）项目总五年资助期：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日项目描述妊娠风险评估监测系统或PRAMS是疾病控制和预防中心（CDC）支持与各州卫生部门合作的监测倡议，收集各州特定的、基于人口的关于孕产妇在怀孕之前、期间和之后不久的态度和经历的数据。目标是利用生成的数据确定预防孕产妇和婴儿死亡和发病的方法。目的和方法马里兰州PRAMS调查大约2,000名新妈妈，每年分娩后2-9个月的因素（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，慢性病史），可能会对妊娠结局产生影响。马里兰州的PRAMS调查小册子每月都会寄给一批新妈妈，沿着一份奖励（一份袖珍计划书）。人类受试者培训每年对所有PRAMS工作人员进行一次，最后一次于2010年6月完成。马里兰州PRAMS项目获得了马里兰州DHMH和CDC IRB的批准。截至2011年1月，自PRAMS调查开始以来，马里兰州已有24,256名新妈妈收到了调查邮件。自2001年出生以来，年度加权答复率超过69%。PRAMS在行政上设在妇幼保健中心（CMCH）内。CMCH与生命统计管理局密切合作，实施马里兰州PRAMS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）提供实物支助。人口动态统计局局长（0.1个全职人员）及其一名工作人员（0.1个全职人员）也提供实物支助。我们要求CDC为额外的工作人员提供资金，包括数据管理员（1.0 FTE），数据分析员（0.2 FTE）和语言翻译/数据分析员（0.1 FTE）。马里兰州PRAMS目前与清水研究公司签订合同。在调查的电话访问阶段。每年对数据进行分析，目前包括2001年至2009年出生年份的报告。2010年完成的方案简报包括“酒精使用和酗酒”（2010年4月）、“医疗补助覆盖范围”（2010年5月）和“PRAMS母亲的意见”（2010年6月）。2011年已接受两份出版物-关于怀孕期间饮酒的书籍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.