Component A South Dakota PRAMS

项目概要/摘要 2017年，南达科他州的婴儿死亡率排名第47位，新生儿死亡率排名第49位， 尽管是低出生体重分娩率最低的国家之一， （<2500克; 2018年排名第2）和早产（<37周; 2018年排名第16）。总督特别工作组 婴儿死亡率委员会成立于2011年，第一夫人担任主席。几 提出了建议，包括一项关于加强州和县一级数据的建议 关于怀孕经历、风险、障碍、结果和婴儿护理做法。 从历史上看，关于影响健康行为的因素的数据很少， 南达科他州母亲在怀孕期间的态度。南达科他州 卫生部（SDDOH）认识到，PRAMS调查是一种工具， 信息，并在2013年与南达科他州州立大学（SDSU）签约，提供 妇幼保健（MCH）流行病学服务，并进行第一次全州范围的SD 2014年和2016年的PRAMS类调查。自2017年以来，SDDOH和SDSU成功地 参与CDC资助的PRAMS，持续获得高于 百分之六十四SD PRAMS数据已在同行评审文献和 信息图表的形式;它也将被用来解决国家目标的一部分，即将到来的 MCH Title V Block Grant更新。家庭暴力数据被性暴力调查局利用， 暴力/强奸预防教育组，吸烟和饮酒的数据被使用的 慢性病预防和健康促进办公室，以及有关美国 印度母亲正在开发，以分配给各个部落和大平原 部落主席健康委员会和大平原部落流行病学中心。当前 一项提案是将南达科他州作为CDC的核心监测点（A部分 PRAMS。SD PRAMS将按母体人种（非西班牙裔白色、美国人）分层采样 印度人和其他种族），以获得种族特异性患病率， 解决发生在南达科他州的种族差异。需求很大，数据正在 使用，我们有很好的全州参与率。

PROJECT SUMMARY/ABSTRACT In 2017 South Dakota ranked #47 in infant mortality, #49 in neonatal mortality, and #31 in postneonatal mortality despite having one of the lowest rates of low birthweight deliveries (<2500g; #2 in 2018) and preterm births (<37 weeks; #16 in 2018). A Governor’s Task Force on Infant Mortality was formed in 2011 with the First Lady serving as the Chairperson. Several recommendations resulted, including a recommendation to enhance state and county-level data regarding pregnancy experiences, risk, barriers, outcomes and infant care practices. Historically, there have been little data available on factors that influence health behaviors and attitudes of South Dakota mothers around the time of pregnancy. The South Dakota Department of Health (SDDOH) recognized that the PRAMS survey is a tool to provide that information and in 2013 contracted with South Dakota State University (SDSU) to provide Maternal and Child Health (MCH) epidemiological services and to conduct the first statewide SD PRAMS-like surveys in 2014 and 2016. Since 2017 SDDOH and SDSU have successfully participated in the CDC-funded PRAMS, consistently obtaining response rates greater than 64%. SD PRAMS data have been disseminated widely in both peer-reviewed literature and in the form of infographics; it also will be used to address state objectives as part of the upcoming MCH Title V Block Grant renewal. Domestic violence data are utilized by the Sexual Violence/Rape Prevention Education group, data on smoking and alcohol use are used by the Office on Chronic Disease Prevention and Health Promotion, and reports concerning American Indian mothers are being developed for distribution to individual Tribes and the Great Plains Tribal Chairmen’s Health Board and Great Plains Tribal Epidemiology Center. The current proposal is for South Dakota to serve as a Core Surveillance site (Component A) in the CDC PRAMS. The SD PRAMS will stratify sampling by maternal race (non-Hispanic white, American Indian, and other races) in order to obtain race specific prevalence rates that can be used to address racial disparities that occur in South Dakota. The need is significant, the data are being used, and we have had excellent statewide participation rates.