Pregnancy Risk Assessment Monitoring System (PRAMS)

妊娠风险评估监测系统（PRAMS）

• 批准号: 9185667
• 负责人: Sharon Fleischfresser
• 金额: $ 17.45万
• 依托单位: WISCONSIN DEPARTMENT OF HEALTH SERVICES
• 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 2017-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9185667
• 关键词: Pregnancy; Risk; Assessment; Monitoring; System

Project Summary/Abstract The Wisconsin Department of Health Services (DHS), Division of Public Health (DPH) is applying to the Centers for Disease Control and Prevention (CDC) for the Pregnancy Risk Assessment Monitoring System (PRAMS) Funding Opportunity Announcement Number: RFP- DP-16-001, U01, Component A: Core Funding. PRAMS is an ongoing survey, conducted by the CDC and state health departments, of mothers who recently had a live birth. PRAMS is an essential tool in maternal and child health program and policy development, monitoring, and evaluation and is a key source of information on disparities in birth outcomes and their risk factors. This third cycle of funding will allow Wisconsin PRAMS to continue and meet the objectives below and investigate Wisconsin's racial and ethnic disparities during the project period May 1, 2016 – April 30, 2021. The objectives of Wisconsin PRAMS are as follows: (1) to understand better how behaviors, attitudes, and experiences before, during, and immediately after pregnancy relate to and influence maternal and infant outcomes; (2) to collect population-based data of high quality not found in other data sources; and (3) to translate results into information for planning and evaluating public health programs and policy. Wisconsin PRAMS conducts a survey of a random sample of mothers (stratified by race/ethnicity and geography) who have had a recent live birth. The survey asks about maternal experiences and perspectives related to their social and economic conditions, health behaviors, health conditions, and health care before, during, and shortly after pregnancy. The first funding cycle, 2006 – 2011, was primarily focused on the design of operating procedures, research, and protocol, including the sample methodology. The second cycle, 2011 – 2016, focused on maintaining data collection procedures and improving response rates, expanding the non-Hispanic black oversample in several counties in collaboration with the Wisconsin Partnership Program's Lifecourse Initiative for Healthy Families (LIHF) in order to enhance our ability to investigate disparities, and increasing dissemination of data for program planning. Results from the PRAMS survey provided compelling, stark, and unique evidence of major racial and ethnic disparities in social determinants of health, preconception health, health behaviors, pregnancy intention, stress, postpartum depression, and safe sleep practices. In this third cycle, 2016 – 2021, WI PRAMS, in partnership with LIHF, will expand its oversample to an additional key county and to non-Hispanic whites in these key counties to increase power to detect differences by race/ethnicity and geography and to provide communities with county- specific information to drive and evaluate local-level strategic prevention efforts. WI PRAMS will also explore innovative data collection methods and means of improving response rates; pursue new and enhance existing partnerships for supplemental funding and bringing data to meaningful action; and implement a Data to Action plan that is informed by partners, tailored to intended audiences, disseminated through appropriate channels, and leads to improved health outcomes for women, infants, children, and ultimately entire families.

项目总结/摘要 威斯康星州卫生服务部（DHS）公共卫生司（DPH） 向疾病控制和预防中心（CDC）申请怀孕风险 评估监测系统（PRAMS）资助机会公告编号：RFP- DP-16-001，U 01，构成部分A：核心供资。PRAMS是一项持续的调查，由 疾病预防控制中心和州卫生部门，最近有一个活产的母亲。PRAMS是一个 妇幼保健方案和政策制定、监测的基本工具， 是关于出生结果差异及其风险的主要信息来源 因素这第三个周期的资金将允许威斯康星州PRAMS继续和满足 实现以下目标并调查项目期间威斯康星州的种族和民族差异 期间2016年5月1日至2021年4月30日。 威斯康星州PRAMS的目标如下：（1）更好地了解行为， 怀孕前、怀孕期间和怀孕后的态度和经历与以下因素有关， 影响母婴结果;（2）收集基于人口的高质量数据， （3）将结果转化为规划和 评估公共卫生计划和政策。威斯康星州PRAMS对一个 随机抽样的母亲（按种族/民族和地理分层）， 活产这项调查询问了母亲的经验和观点， 经济状况，健康行为，健康状况和医疗保健之前，期间， 怀孕后不久。2006 - 2011年第一个供资周期主要侧重于 操作程序、研究和方案的设计，包括抽样方法。的 第二周期，2011 - 2016年，侧重于维持数据收集程序和改进 响应率，扩大非西班牙裔黑人在几个县的过度抽样， 与威斯康星州合作伙伴计划的健康家庭生命历程倡议合作 （LIHF）为了提高我们调查差距的能力， 数据规划。PRAMS调查的结果提供了令人信服的，鲜明的， 有独特的证据表明，在健康的社会决定因素方面存在重大的种族和族裔差异， 孕前健康，健康行为，怀孕意向，压力，产后抑郁， 安全睡眠实践 在第三个周期（2016 - 2021年），WI PRAMS将与LIHF合作，扩大其超样本 一个额外的关键县和非西班牙裔白人在这些关键县，以增加权力， 发现种族/民族和地理差异，并向社区提供县- 具体信息，以推动和评估地方一级的战略预防工作。WI PRAMS将 还探索创新的数据收集方法和手段，提高答复率; 建立新的伙伴关系并加强现有的伙伴关系，以获得补充资金， 有意义的行动;并实施一项由合作伙伴提供信息、 通过适当的渠道传播，并导致改善健康 妇女、婴儿、儿童，最终是整个家庭的结果。