Pregnancy Risk Assessment Monitoring System (PRAMS)

项目摘要/摘要 威斯康星州卫生服务部(DHS)公共卫生司(DPH)是 向疾病控制和预防中心申请怀孕风险 评估监测系统(PRMS)资助机会公告编号：RFP- DP-16-001，U01，构成部分A：核心供资。PRMS是一项持续的调查，由 美国疾病控制与预防中心和州卫生部门对最近生下活产的母亲进行了调查。婴儿车是一种 妇幼保健方案和政策制定、监测和 评价，是关于出生结局差异及其风险的关键信息来源 各种因素。这第三轮资金将允许威斯康星州的婴儿车继续并满足 以下目标并在项目期间调查威斯康星州的种族和民族差异 2016年5月1日至2021年4月30日。 威斯康星州婴儿车的目标如下：(1)为了更好地了解行为， 怀孕前、怀孕期间和怀孕后的态度和经历与 影响母婴结局；(2)收集基于人群的高质量数据 (3)将结果转化为信息，以供规划和 评估公共卫生计划和政策。威斯康星州婴儿车进行了一项调查 随机抽样的母亲(按种族/民族和地理位置分层)，最近有过 活产。这项调查询问了母亲的经历和与她们的社会生活相关的观点 以及经济状况，健康行为，健康状况，保健前，中， 怀孕后不久。第一个供资周期，2006-2011年，主要侧重于 操作程序、研究和方案的设计，包括样本方法学。这个 第二个周期，2011-2016年，重点是维持数据收集程序和改进 应答率，扩大了几个县的非西班牙裔黑人过抽样 与威斯康星州伙伴关系计划的健康家庭生命课程倡议合作 (LIHF)，以加强我们调查差距的能力，并增加传播 用于计划计划的数据。PRMS的调查结果提供了令人信服的、严酷的和 在健康的社会决定因素方面存在重大种族和民族差异的独特证据， 先入为主的健康、健康行为、怀孕意向、压力、产后抑郁症 和安全的睡眠习惯。 在2016-2021年的第三个周期中，全球可再生能源管理系统将与LIHF合作，扩大其超额抽样 到另一个重点县和这些重点县的非西班牙裔白人以增加权力 根据种族/民族和地理位置发现差异，并为社区提供县- 提供具体信息，以推动和评估地方一级的战略性预防工作。无线婴儿车将 还探索创新的数据收集方法和手段，以提高答复率； 新的和加强现有的伙伴关系，以补充资金和将数据带到 有意义的行动；并实施由合作伙伴提供信息、量身定做的数据到行动计划 目标受众，通过适当的渠道传播，并导致改善健康 对妇女、婴儿、儿童，以及最终对整个家庭的影响。

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.