The Pregnancy Risk Assessment Monitoring System (PRAMS): Overview of Design and Methodology

Shulman, Holly B.; D’Angelo, Denise V.; Harrison, Leslie; Smith, Ruben; Warner, Lee

doi:10.2105/ajph.2018.304563

Cited by 354 publications

(346 citation statements)

References 16 publications

Supporting

Mentioning

336

Contrasting

Unclassified

Order By: Relevance

“…We used cross-sectional data from the 2016 Pregnancy Risk Assessment Monitoring System (PRAMS), a surveillance system of the Centers for Disease Control and Prevention (CDC) that provides data on numerous maternal and child health indicators not available from other sources [42]. PRAMS collects data about maternal behavior and experiences before, during, and after pregnancy, covering approximately 83% of all live births in the US [42]. Participating PRAMS states develop questionnaires for administration on an annual basis, surveying women between 3 and 9 months postpartum about their experiences during the preconception, prenatal, and postpartum periods.…”

Section: Methodsmentioning

confidence: 99%

Recreational Cannabis Legalization in the US and Maternal Use during the Preconception, Prenatal, and Postpartum Periods

Skelton

Hecht

Benjamin‐Neelon

2020

IJERPH

View full text Add to dashboard Cite

In the United States (US), recreational cannabis use is on the rise. Since 2011, 11 states and the District of Columbia have legalized cannabis for adult recreational use. As additional states consider legalizing, there is an urgent need to assess associations between recreational cannabis legalization and maternal use in the preconception, prenatal, and postpartum periods—all critical windows for maternal and child health. Using cross-sectional data from the 2016 Pregnancy Risk Assessment Monitoring System, we assessed associations between state cannabis legalization and self-reported maternal cannabis use. Using logistic regression, we estimated the adjusted prevalence ratio (PR) of cannabis use during the preconception, prenatal, and postpartum period for women delivering a live-born infant in three states that had legalized recreational cannabis (Alaska, Colorado, and Washington) and three states that had not legalized (Maine, Michigan, and New Hampshire) by 2016. Our final sample size was 7258 women. We utilized 95% confidence intervals (CI) and a significance level of alpha = 0.05. After adjustment for potential confounders, women who resided in states with legalized recreational cannabis were significantly more likely to use cannabis during the preconception (PR 1.52; 95%CI ranging from 1.28–1.80; p < 0.001), prenatal (PR 2.21; 95% CI ranging from 1.67–2.94; p < 0.001), and postpartum (PR 1.73; 95%CI ranging from 1.30–2.30; p < 0.001) periods, compared to women who resided in states without legalized recreational cannabis. Although evidence about the effect of marijuana use during these periods is nascent, these findings show potential for increased incidence of child exposure to cannabis. Longitudinal research is needed to assess immediate and sustained impacts of maternal use before and after state legalization of recreational cannabis.

show abstract

Section: Methodsmentioning

confidence: 99%

Recreational Cannabis Legalization in the US and Maternal Use during the Preconception, Prenatal, and Postpartum Periods

Skelton

Hecht

Benjamin‐Neelon

2020

IJERPH

View full text Add to dashboard Cite

show abstract

“…PRAMS data collection methodology has been previously described. 18 Briefly, mothers are randomly sampled from birth certificate records and complete the PRAMS survey (mail or telephone) within 2 to 9 months postpartum. Twenty-nine of 39 participating states met the Centers for Disease Control and Prevention's (CDC's) response rate threshold (55%) for analysis.…”

Section: Data Sourcementioning

confidence: 99%

Prevalence and Factors Associated With Safe Infant Sleep Practices

et al. 2019

Self Cite

View full text Add to dashboard Cite

OBJECTIVES: To examine prevalence of safe infant sleep practices and variation by sociodemographic, behavioral, and health care characteristics, including provider advice. METHODS: Using 2016 Pregnancy Risk Assessment Monitoring System data from 29 states, we examined maternal report of 4 safe sleep practices indicating how their infant usually slept: (1) back sleep position, (2) separate approved sleep surface, (3) room-sharing without bedsharing, and (4) no soft objects or loose bedding as well as receipt of health care provider advice corresponding to each sleep practice. RESULTS: Most mothers reported usually placing their infants to sleep on their backs (78.0%), followed by room-sharing without bed-sharing (57.1%). Fewer reported avoiding soft bedding (42.4%) and using a separate approved sleep surface (31.8%). Reported receipt of provider advice ranged from 48.8% (room-sharing without bed-sharing) to 92.6% (back sleep position). Differences by sociodemographic, behavioral, and health care characteristics were larger for safe sleep practices (∼10-20 percentage points) than receipt of advice (∼5-10 percentage points). Receipt of provider advice was associated with increased use of safe sleep practices, ranging from 12% for room-sharing without bed-sharing (adjusted prevalence ratio: 1.12; 95% confidence interval: 1.09-1.16) to 28% for back sleep position (adjusted prevalence ratio: 1.28; 95% confidence interval: 1.21-1.35). State-level differences in safe sleep practices spanned 20 to 25 percentage points and did not change substantially after adjustment for available characteristics. CONCLUSIONS: Safe infant sleep practices, especially those other than back sleep position, are suboptimal, with demographic and state-level differences indicating improvement opportunities. Receipt of provider advice is an important modifiable factor to improve infant sleep practices. WHAT'S KNOWN ON THIS SUBJECT: Approximately 3500 infants die annually in the United States from sleep-related sudden unexpected causes. Previous studies have indicated suboptimal adherence to safe infant sleep recommendations and highlighted various sociodemographic disparities and connections with provider advice. WHAT THIS STUDY ADDS: We update previous estimates of safe infant sleep and include a new composite measure assessing the use of separate approved sleep surfaces. We also explore state variation and examine associations between provider advice and each of 4 corresponding sleep-related practices.

show abstract

“…PRAMS surveys are coordinated by the CDC and were conducted in 40 states in 2014. 14,15 In addition, PRAMS has been conducted annually in New York City since 2001. § For data collected in 2014, the CDC did not recommend the use of or release data from PRAMS surveys that did not reach a response rate of 60%.…”

Section: Births: Counts and Pregnancy Desiresmentioning

confidence: 99%

Pregnancy Desires and Pregnancies at the State Level: Estimates for 2014

Kost¹,

Maddow‐Zimet²,

Kochhar³

2018

View full text Add to dashboard Cite

This report was prepared by Kathryn Kost, Isaac Maddow-Zimet and Shivani Kochhar, and edited by Lisa Melhadoall of the Guttmacher Institute. Guttmacher colleagues Megan Kavanaugh and Rebecca Wind provided comments on drafts, as did members of the PRAMS Working Group and staff from California's Maternal and Infant Health Assessment team. We relied greatly on the work of staff of the PRAMS Working Group and the CDC PRAMS Team at the Applied Sciences Branch, Division of Reproductive Health of the Centers for Disease Control and Prevention, who collected, compiled and published much of the surveillance data used in this report. We also gratefully acknowledge staff of state health departments throughout the United States, who provided tabulations of state-level data upon request. Without their cooperation, expertise and dedicated work, the estimates provided in this report would not be possible.

show abstract

The Pregnancy Risk Assessment Monitoring System (PRAMS): Overview of Design and Methodology

Cited by 354 publications

References 16 publications

Recreational Cannabis Legalization in the US and Maternal Use during the Preconception, Prenatal, and Postpartum Periods

Recreational Cannabis Legalization in the US and Maternal Use during the Preconception, Prenatal, and Postpartum Periods

Prevalence and Factors Associated With Safe Infant Sleep Practices

Pregnancy Desires and Pregnancies at the State Level: Estimates for 2014

Contact Info

Product

Resources

About