Category B Pregnancy Risk Assessment Monitoring System (PRAMS)

描述(由申请人提供)：B类-现有州纽约州PRMS项目摘要纽约州怀孕风险评估监测系统(PRMS)的主要目标是收集其他来源无法获得的基于人口的高质量母婴健康数据。通过PRMS计划收集的数据将帮助纽约州解决该州预防议程和2011-2016财年母婴健康服务整体拨款中确定的几个妇幼保健服务优先事项，PRMS数据提供了重要的基线信息和持续的衡量标准，反映了纽约州在解决优先事项方面的进展，包括产前护理的可及性和障碍、孕期口腔健康、低出生体重和婴儿死亡率、怀孕期间滥用药物(酒精/烟草)、意外怀孕和母乳喂养。最近在纽约州(不包括纽约市)生下活婴儿的妇女将在分娩后2-4个月内从出生证明记录中分层随机抽样。今后五年，每月将对大约140名妇女进行抽样，每年抽样1600人。样本将按出生体重(&lt；2500克/2500克)分层，并对低出生体重儿进行过度抽样，以确保充分代表这一高危人群。PRMS工作人员将与纽约州卫生部生产系统管理局和生物识别和健康统计局合作，确保获得用于PRMS抽样的出生文件。母亲们将收到最多三份问卷邮件，对没有回答的人进行电话跟进。我们的目标是获得65%的最低应答率。该州的内部和外部合作伙伴将利用和传播PRMS分析结果，以监测预防议程和妇幼保健优先事项。此外，PRMS数据将通过纽约州卫生部公共网站上专门的PRMS监测报告传播，以支持公共卫生政策和计划的改进。这些报告包括按产妇人口统计提供的选定指标，如怀孕意向、烟草使用、母乳喂养和叶酸。

DESCRIPTION (provided by applicant): Category B - Existing States New York State PRAMS Project Abstract The primary goal of the New York State Pregnancy Risk Assessment Monitoring System (PRAMS) is to collect high quality population based data on maternal and infant health that are not available from other sources. Data collected through the PRAMS program will help New York State address several maternal and child health services priorities identified in the state's Prevention Agenda and in the Maternal and Child Health Services Block Grant for FFY 2011- 2016, PRAMS data provides important baseline information and ongoing measures of New York's progress in addressing priorities including access and barriers to prenatal care, oral health during pregnancy, low birth weight and infant mortality, substance abuse (alcohol/tobacco) during pregnancy, unintended pregnancy and breastfeeding. A stratified random sample of women who have recently given birth to a live born infant in New York State (excluding New York City) will be sampled from birth certificate records between 2-4 months after delivery. Approximately 140 women will be sampled on a monthly basis for a yearly sample size of 1,600 for the next five years. The sample will be stratified by birth weight (<2500g/ 2500g) with oversampling of low birth weight births to ensure an adequate representation of this high risk population. PRAMS staff will work in conjunction with the New York State Department of Health's Bureau of Production Systems Management and the Bureau of Biometrics and Health Statistics to ensure access to birth files for PRAMS sampling. Mothers will be sent up to three questionnaire mailings with telephone follow-up for non-responders. Our goal is to obtain a minimum response rate of 65%. Findings from the PRAMS analysis will be utilized and disseminated by the state's internal and external partners to monitor Prevention Agenda and Maternal and Child Health priorities. In addition, PRAMS data will be disseminated via dedicated PRAMS surveillance reports on the New York State Department of Health public web site to support public health policy and program improvement. The reports include selected indicators such as pregnancy intention, tobacco use, breastfeeding, and folic acid, presented by maternal demographics.