Maryland Pregnancy Risk Assessment Monitoring System: population-based surveillan

项目概述（由申请人提供）：马里兰州妊娠风险评估监测系统（PRAMS）项目五年资助期：2011年4月15日至2016年4月14日第一年预算期：妊娠风险评估监测系统（PRAMS）是美国疾病控制与预防中心（CDC）支持的一项监测倡议，它与各州卫生部门合作，收集孕妇在怀孕前、怀孕期间和怀孕后不久的态度和经历方面的特定州、基于人群的数据。目标是利用生成的数据确定预防孕产妇和婴儿死亡率和发病率的方法。目的和方法马里兰州PRAMS每年对大约2000名分娩后2-9个月的新妈妈进行调查，了解可能影响妊娠结局的因素（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）。马里兰州的PRAMS调查手册每月发给新妈妈样本，并附带一个奖励（一个袖珍记事本）。人类受试者培训每年对所有PRAMS员工进行，最后一次培训于2010年6月完成。马里兰州PRAMS项目已获得马里兰州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PRAMS调查的邮件。自2001年出生以来，年加权应答率超过69%。PRAMS在行政上隶属于妇幼保健中心。CMCH与生命统计管理局密切合作，实施马里兰州PRAMS项目。该项目主要由项目协调员（1.0 FTE）、项目主任（0.4 FTE）和流行病学家（0.4 FTE）提供实物支持。生命统计署署长及一名职员亦会提供实物支援。我们要求CDC为额外的工作人员提供资金，包括数据经理（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PRAMS目前与Clearwater研究公司签订了调查电话访谈阶段的合同。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年完成的项目简报包括“酒精使用和酗酒”（2010年4月）、“医疗补助覆盖”（2010年5月）和“PRAMS母亲的评论”（2010年6月）。2011年的两篇出版物已被接受——一篇关于怀孕期间饮酒的书籍章节和一篇关于怀孕期间饮酒的期刊研究文章。

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.