B[Existing] - Massachusetts Pregnancy Risk Assessment Monitoring System (PRAMS)

B[现有] - 马萨诸塞州怀孕风险评估监测系统 (PRAMS)

• 批准号: 8211961
• 负责人: Hafsatou Diop
• 金额: $ 16.1万
• 依托单位: MASSACHUSETTS STATE DEPT OF PUB HEALTH
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-05-01 至 2016-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8211961
• 关键词: Existing; Massachusetts; Pregnancy; Risk; Assessment

DESCRIPTION (provided by applicant): The Massachusetts Department of Public Health, Bureau of Family Health, and Nutrition, the Title V agency in Massachusetts (MA), is continuing its Pregnancy Risk Assessment Monitoring System (PRAMS) project activities. The goal of MA PRAMS is to provide relevant information about mothers' experiences and behaviors before, during, and shortly after pregnancy. MA has substantial information on the maternal and child health (MCH) population, but, nevertheless, gaps exist. For instance, although statistics on violence against women of childbearing age are provided by the MA Behavioral Risk Factors Surveillance System (BRFSS), PRAMS offers a unique opportunity to explore physical abuse during or around the time pregnancy, with data linked to birth outcomes. Concerning other areas of interest, reliable data are even more limited or nonexistent. For example, MA did not have population based data on postpartum depression. However, new programs have begun to address maternal depression in MA. PRAMS data were used them in the drafting of a bill "An Act Relative to Post Partum Depression." Understanding the factors that relate to mothers' depression will be critical for developing and evaluating effective screening instruments. In addition, PRAMS data supported the selection of a mental health priority for the MA five-year MCH needs assessment. Some MA state Title V performance measures related to the MCH priorities, for example, the percentage of women with a recent live birth reporting that they had their teeth cleaned recently (within one year before, during, or after pregnancy) will be included in PRAMS for the next five years. Furthermore, MA will continue to collect information on influenza vaccination during pregnancy, with the objective to provide data on seasonal and H1N1 influenza vaccine utilization among pregnant women in MA and identify barriers for not receiving vaccination. PRAMS data are also used to validate other data sources through data linkages, such as the Pregnancy to Early Life Longitudinal (PELL) data. PELL links the birth certificate (BC) to their corresponding hospital discharge (HD) data. PRAMS data have been linked to the 2007 PELL data to compare PRAMS to the HD and BC data. Analyses comparing the levels of agreement around the occurrence of pregnancy- associated morbidities from each data source have been initiated.

描述（由申请人提供）：马萨诸塞州公共卫生部、家庭健康和营养局、马萨诸塞州 (MA) 的第五章机构正在继续其妊娠风险评估监测系统 (PRAMS) 项目活动。 MA PRAMS 的目标是提供有关母亲在怀孕前、怀孕期间和怀孕后不久的经历和行为的相关信息。马萨诸塞州拥有关于孕产妇和儿童健康 (MCH) 人口的大量信息，但仍然存在差距。例如，尽管马萨诸塞州行为风险因素监测系统 (BRFSS) 提供了针对育龄妇女的暴力行为的统计数据，但 PRAMS 提供了一个独特的机会来探索怀孕期间或怀孕期间的身体虐待，并提供与出生结果相关的数据。至于其他感兴趣的领域，可靠的数据更加有限或根本不存在。例如，马萨诸塞州没有关于产后抑郁症的人口数据。然而，新的计划已经开始解决马萨诸塞州的孕产妇抑郁症问题。他们使用 PRAMS 数据起草了一项法案“与产后抑郁症相关的法案”。了解与母亲抑郁症相关的因素对于开发和评估有效的筛查工具至关重要。此外，PRAMS 数据支持为 MA 五年 MCH 需求评估选择心理健康优先事项。一些马萨诸塞州规定与 MCH 优先事项相关的第五章绩效衡量标准，例如，最近活产的妇女报告她们最近（怀孕前、怀孕期间或怀孕后一年内）清洁过牙齿的百分比将纳入 PRAMS未来五年。此外，马萨诸塞州将继续收集怀孕期间流感疫苗接种的信息，目的是提供马萨诸塞州孕妇季节性和甲型H1N1流感疫苗使用情况的数据，并找出不接种疫苗的障碍。 PRAMS 数据还用于通过数据链接验证其他数据源，例如妊娠至生命早期纵向 (PELL) 数据。 PELL 将出生证明 (BC) 与其相应的出院 (HD) 数据关联起来。 PRAMS 数据已与 2007 年 PELL 数据关联，以将 PRAMS 与 HD 和 BC 数据进行比较。已经开始对每个数据源的妊娠相关疾病发生率的一致性程度进行比较分析。