RFA-DP-21-001 Pregnancy Risk Assessment Monitoring Systems (PRAMS): Understanding Racial Disparities

RFA-DP-21-001 怀孕风险评估监测系统 (PRAMS)：了解种族差异

• 批准号: 10585935
• 负责人: Fiona Weeks
• 金额: $ 17.5万
• 依托单位: WISCONSIN DEPARTMENT OF HEALTH SERVICES
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-05-01 至 2026-04-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10585935
• 关键词: RFA; DP; 21; 001; Pregnancy

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-21-001, 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 fourth 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, 2021 – April 30, 2026. 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 racial inequities in 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) 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 and third cycles, 2011 – 2016 and 2016-2021, respectively, focused on maintaining data collection procedures and improving response rates, expanding the non-Hispanic black oversample and conducting a census sample of Native women in Wisconsin, to enhance our ability to investigate disparities. The second and third cycles also saw increased dissemination of data for program planning both to local partners and to national stakeholders. 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 will focus on deepening and consolidating relationships with key partners, including Wisconsin’s Tribal nations and community health workers, to leverage PRAMS data for improved program and policy planning. PRAMS data will be key to the development of the priorities and strategies of the new Infant and Maternal Mortality Prevention program, created by Governor Evers in the last state biennial budget. 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.

项目摘要/摘要 威斯康星州卫生服务部（DHS）公共卫生部（DPH）是 申请疾病控制与预防中心（CDC）妊娠风险 评估监测系统（PRAMS）资金机会公告编号：RFP- DP-21-001，U01，组件A：核心资金。婴儿车是一项正在进行的调查，由 疾病预防控制中心和州卫生部门，最近出生的母亲。婴儿车是一个 物物和儿童健康计划以及政策制定，监测以及 评估是关于出生结果差异及其风险的关键信息来源 因素。第四个资金周期将允许威斯康星州的婴儿车继续并满足 下面的目标并调查了该项目期间威斯康星州的种族和种族差异 2021年5月1日至2026年4月30日。 威斯康星州的目标的目的如下：（1）更好地了解行为方式， 态度和经验与怀孕期间，期间和立即有关 影响孕产妇和婴儿结果的种族不平等； （2）收集基于人群的数据 在其他数据源中找不到的高质量； （3）将结果转化为信息 计划和评估公共卫生计划和政策。威斯康星州的婴儿车进行 对近期现场直播的母亲的随机样本（按种族/种族分层）的调查 生日。该调查询问有关其社会和社会和观点的信息 经济状况，健康行为，健康状况和医疗保健 怀孕后不久。 2006年至2011年的第一个资金周期主要集中在 操作程序，研究和协议的设计，包括样本方法。 第二和第三个周期，2011年至2016年和2016 - 2021年，重点是维护数据 收集程序和提高响应率，扩大非西班牙裔黑色 在威斯康星州，过度采样并进行人口普查样本，以增强我们的 研究差异的能力。第二个和第三个周期也看到了增加的传播 向本地合作伙伴和国家利益相关者提供计划计划的数据。结果 婴儿车调查提供了引人入胜的，鲜明的和独特的证据 社会决定者的健康，预选，健康行为，怀孕的差异 意图，压力，产后抑郁和安全的睡眠习惯。 在2016年至2021年的第三个周期中，WI目标将集中于加深和巩固 与关键合作伙伴的关系，包括威斯康星州的部落国家和社区健康 工人，利用婴儿车数据进行改进的计划和政策计划。婴儿车的数据将 是发展新婴儿和母性的优先事项和策略的关键 预防死亡率计划，由州长Evers在上一个州双年期预算中创建。 WI 婴儿车还将探索创新的数据收集方法和改善响应的手段 费率；寻求新的并增强现有的合作伙伴关系，以进行补充资金并带来 数据对有意义的行动；并实施由合作伙伴告知的行动计划的数据， 针对预期的受众量身定制，通过适当的渠道传播，并导致 改善了妇女，婴儿，儿童以及最终整个家庭的健康状况。