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）的标题V机构（MA）继续其妊娠风险评估监测系统（PRAMS）项目活动。 MA婴儿车的目的是在怀孕之前，期间和期间提供有关母亲的经历和行为的相关信息。 MA拥有有关母亲和儿童健康（MCH）人口的大量信息，但是，存在差距。例如，尽管MA行为危险因素监视系统（BRFSS）提供了有关育龄妇女的暴力行为的统计数据，但婴儿车为探索怀孕期间或探索身体虐待的独特机会提供了与出生结果有关的数据。关于其他感兴趣的领域，可靠的数据更加有限或不存在。例如，MA没有基于人群的产后抑郁症数据。但是，新计划已开始解决马萨诸塞州的孕产妇抑郁症。婴儿车的数据用于起草“相对于后抑制后抑郁症的法案”的法案。了解与母亲抑郁症相关的因素对于制定和评估有效的筛查工具至关重要。此外，婴儿车的数据还支持选择五年MCH需求评估的心理健康优先级。一些与MCH优先事项有关的MA州标题V绩效指标，例如，最近出生的妇女的百分比是在未来五年内将包括最近，一年，期间或怀孕后一年，期间或怀孕后清洁牙齿的百分比。此外，MA将继续收集有关怀孕期间流感疫苗接种的信息，目的是提供有关MA孕妇中季节性和H1N1流感疫苗利用的数据，并确定未接受疫苗接种的障碍。婴儿车数据还用于通过数据链接（例如怀孕到早期纵向（PELL）数据）来验证其他数据源。佩尔将出生证明（BC）链接到其相应的医院出院（HD）数据。婴儿车的数据已链接到2007 Pell数据，以将婴儿车与HD和BC数据进行比较。分析已经启动了每个数据来源的妊娠相关病毒的一致性水平。