Hawaii Pregnancy Risk Assessment Monitoring System (PRAMS): Component A - Core Surveillance

夏威夷怀孕风险评估监测系统 (PRAMS)：A 部分 - 核心监测

• 批准号: 9267039
• 负责人: Matthew J Shim
• 金额: $ 15.75万
• 依托单位: HAWAII STATE DEPARTMENT OF HEALTH
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-05-01 至 2021-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9267039
• 关键词: Hawaii; Pregnancy; Risk; Assessment; Monitoring

Hawaii PRAMS Project Abstract The Hawaii Pregnancy Risk Assessment Monitoring System (PRAMS) program is a population-based surveillance system designed to identify and monitor maternal experiences, attitudes and behaviors from preconception through pregnancy and including the inter-conception period. PRAMS provides ongoing monitoring of maternal behaviors to determine how to reduce infant deaths, decrease low birth weights and improve the overall health of the population in Hawaii. The overall goal of the Hawaii PRAMS program is to reduce infant morbidity and mortality by impacting maternal and child health programs, policies, and maternal behaviors during pregnancy and early infancy. There are four PRAMS objectives to: 1) Collect high quality, population-based data on maternal behaviors before, during and after pregnancy and during the early life of the infant; 2) Conduct epidemiological analysis and study of maternal behaviors and experiences during pregnancy and early infancy and the relationship to health outcomes; 3) Translate data analyses into useable information for program planning, monitoring and evaluation; and 4) Increase public awareness of health pregnancy behaviors to improve maternal health across the life span. A PRAMS questionnaire is mailed to approximately 200 new mothers per month on all the major islands of Hawaii. The new mothers are identified by the Hawaii Department of Health (HDOH, Office of Health Status Monitoring) from the birth certificates of recently born infants. The Hawaii questionnaire includes questions asked by PRAMS programs in all states as well as standard questions selected for inclusion by the Hawaii PRAMS program in partnership with the Hawaii PRAMS Steering Committee, other HDOH program staff, and local healthcare providers. The questionnaire addresses priority maternal and infant health issues such as unintended pregnancies, contraception, smoking and alcohol use during pregnancy, insurance at the time of pregnancy, post-partum depression and domestic violence. Hawaii PRAMS standard questions address topics such as breastfeeding, dental care, drug use, general health, and maternal health conditions. Hawaii PRAMS data will be used to identify high risk populations and assist with directing resources, implementing effective interventions, and improving services to women, infants and their families. Data will help to address priority areas identified for Hawaii’s Title V Maternal and Child (MCH) Health Block Grant Needs Assessment (tied to state and national MCH priorities and Healthy People 2020 Objectives), including: 1) Reduce the rate of unintended pregnancy; 2) Increase abstinence from alcohol use during pregnancy; 3) Reduce smoking during the third trimester of pregnancy; 4) Promote breastfeeding; 5) Promote safe sleeping behaviors; 6) Promote utilization of oral health services during pregnancy, and 7) Promote Preconception/Interconception care.

夏威夷PRAMS项目摘要 夏威夷怀孕风险评估监测系统（PRAMS）计划是一项基于人口的 监测系统，旨在确定和监测产妇的经验，态度和行为， 通过怀孕和包括受孕间期的孕前。PRAMS提供持续的 * 监测产妇行为，以确定如何减少婴儿死亡，减少出生体重不足， 改善夏威夷人口的整体健康状况。 夏威夷PRAMS计划的总体目标是通过影响婴儿的健康， 孕产妇和儿童健康计划，政策和母亲在怀孕期间和婴儿早期的行为。 PRAMS有四个目标：1）收集关于孕产妇行为的高质量、基于人群的数据 在怀孕前、怀孕期间和怀孕后以及婴儿的早期生活中; 2）进行流行病学分析 研究母亲在怀孕期间和婴儿早期的行为和经历， 健康结果; 3）将数据分析转化为可用的信息，用于计划规划，监测和 4）提高公众对健康怀孕行为的认识，以改善孕产妇健康。 寿命。 每月向大约200名新妈妈邮寄PRAMS调查问卷， 夏威夷的岛屿。这些新妈妈是由夏威夷卫生部（HDOH， 健康状况监测）来自最近出生的婴儿的出生证明。夏威夷的调查问卷包括 所有州的PRAMS项目提出的问题以及由 与夏威夷PRAMS指导委员会合作的夏威夷PRAMS计划，其他HDOH计划 工作人员和当地医疗服务提供者。调查表涉及孕产妇和婴儿健康的优先问题 例如意外怀孕、避孕、怀孕期间吸烟和饮酒、 怀孕时间、产后抑郁症和家庭暴力。夏威夷PRAMS标准问题 讨论诸如母乳喂养、牙科保健、药物使用、一般健康和产妇健康状况等主题。 夏威夷的PRAMS数据将用于识别高风险人群，并协助指导资源， 实施有效的干预措施，改善对妇女、婴儿及其家庭的服务。数据将 帮助解决为夏威夷的标题五妇幼（MCH）健康块赠款确定的优先领域 需求评估（与州和国家妇幼保健优先事项和2020年健康人目标挂钩），包括： 1)降低意外怀孕率; 2）增加怀孕期间戒酒; 3） 减少怀孕晚期吸烟; 4）促进母乳喂养; 5）促进安全睡眠 行为; 6）促进怀孕期间口腔保健服务的利用，以及7）促进 孕前/孕间护理。