CAT B Existing Wyoming PRAMS

项目摘要 PRAMS（妊娠风险评估监测系统）是一种基于人群的风险因素监测系统 一个系统，旨在确定和监测妇女的行为和经验之前，期间和之后 怀孕2006年4月，怀俄明州卫生部获得了美国国家卫生研究中心的一笔赠款， 疾病控制和预防中心（CDC）在怀俄明州建立PRAMS。关注的亚群 怀俄明州的PRAMS包括低出生体重婴儿的母亲和少数民族妇女，因为这些群体一直是 过度抽样，以获得足够的代表性进行分析，以及妇女对医疗补助和妇女 在怀孕期间参加妇女，婴儿和儿童（WIC）计划。2011年4月，怀俄明州 PRAMS计划开始对美国印第安人（AI）的出生进行过度抽样，这是怀俄明州的一个关键人口， PRAMS可以更好地捕捉和表现怀孕前、怀孕期间和怀孕后的行为和经历。 PRAMS数据是通过调查每月约140名怀俄明州妇女的样本收集的， 在过去的两到六个月里活产。怀俄明州PRAMS使用两种数据收集方法的组合 方法：在全州范围内邮寄调查表，并对没有回复调查表的妇女进行电话跟踪。 通过邮件进行调查。书面问卷和电话采访都可以用西班牙语完成， 必要2009年12月增加了流感监测问题。 PRAMS提供全州范围内关于妇幼保健（MCH）优先事项的数据，以改善健康行为， 出生结果。PRAMS数据还将有助于识别新出现的母婴健康行为 以及产后期间发生的经历，生命记录中没有记录的数据。的主要领域 2011年至2015年，怀俄明州PRAMS的分析包括育龄妇女的营养状况， 孕期叶酸使用和体重增加;孕期吸烟;青少年生育;母乳喂养开始 儿童和青少年的意外伤害，包括儿童安全座椅的使用，安全 睡眠和家庭安全;以及性暴力和约会暴力。 已经编制了营销材料，宣传PRAMS调查，提高答复率。 怀俄明州PRAMS将与蒙大拿州比林斯的落基山部落流行病学中心密切合作 以及风河印第安人保留地的公共卫生工作人员，以提高人工智能的响应率。 怀俄明州PRAMS将在未来几年内重点关注数据传播。PRAMS数据报告将 该计划每年编制一次，将包括一个突出妇幼保健优先事项的部分。此外，PRAMS概况介绍将 为特定的妇幼保健优先问题创建，并每年更新。所有的情况介绍、报告、新闻稿， 幻灯片演示文稿将张贴到怀俄明州PRAMS网站。

Project Abstract PRAMS (Pregnancy Risk Assessment Monitoring System) is a population-based risk factor surveillance system designed to identify and monitor behaviors and experiences of women before, during, and after pregnancy. In April of 2006, the Wyoming Department of Health was awarded a grant from the Centers for Disease Control and Prevention (CDC) to establish PRAMS in Wyoming. Sub-populations of interest for Wyoming PRAMS include mothers of low birth weight infants and minority women, as these groups have been oversampled to obtain adequate representation for analysis, as well as women on Medicaid and women enrolled in the Women, Infants, and Children's (WIC) program during pregnancy. In April 2011, Wyoming PRAMS plans to begin oversampling American Indian (AI) births, a key Wyoming population, to enable PRAMS to better capture and represent the behaviors and experience before during and after pregnancy. PRAMS data is collected by surveying a monthly sample of approximately 140 Wyoming women who had a live birth in the past two to six months. Wyoming PRAMS uses a combination of two data collection approaches: statewide mailings of the surveys and telephone follow-up with women who do not return the survey by mail. The written questionnaires and telephone interviews can both be completed in Spanish when necessary. Influenza surveillance questions were added in December 2009. PRAMS provides statewide data on maternal and child health (MCH) priorities to improve health behaviors and birth outcomes. PRAMS data will also allow the identification of emerging maternal and infant health behaviors and experiences that occur during the postpartum period, data not captured by vital records. The major areas of analyses for Wyoming PRAMS from 2011 to 2015 include nutrition in women of reproductive age, including folic acid use and weight gain during pregnancy; smoking during pregnancy; teen birth; breastfeeding initiation and duration; unintentional injury among children and adolescents including child safety seat utilization, safe sleep, and home safety; and sexual and dating violence. Marketing materials have been developed to advertise the PRAMS survey and increase response rates. Wyoming PRAMS will work closely with the Rocky Mountain Tribal Epidemiology Center in Billings, Montana as well public health staff from the Wind River Indian Reservation to increase AI response rates. Wyoming PRAMS will focus on data dissemination heavily in the next few years. A PRAMS data report will be created annually and will include a section highlighting the MCH priorities. In addition, PRAMS fact sheets will be created for specific MCH priority issues and updated annually. All fact sheets, reports, press releases, and slide show presentations will be posted to the Wyoming PRAMS website.