MAINE PRAMS
PRAMS
Pregnancy Risk Assessment
Monitoring System
Maine PRAMS
Surveillance Report
2004 - 2008
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Table of Contents
• Executive Summary 1
• Population Characteristics and Key Findings 1
o Population 1
o Births, Sample Size and Response Rates 1
o Maternal Age 1
o Race and Ethnicity 2
o Maternal Education 2
o Marital Status 2
o MaineCare Status 2
o WIC Status 2
o Income 3
o Low Birth Weight 3
o Prematurity 3
o BMI 4
o Selected 2004-2008 Data 4
• Introduction 5
o Detailed PRAMS Methodology 5-7
• Health Indicators 8-41
o Intendedness 8-9
o Low Birth Weight 10-14
o Vitamin Use 15
o Prenatal Care (PNC) 16
o Breastfeeding 17-18
o Oral Health 19-21
o Contraception 22-24
o Exercise 25-26
o Smoking 27-30
• Health Indicators (continued) 8-41
o Alcohol Use 31-34
o Sleep Habits 35
o Domestic Violence 36-37
o HIV 38
o Mercury 39-41
• Appendix A: PRAMS Weighting 42-43
• Appendix B: Maine PRAMS Phase 5 Survey 44-53
Executive Summary
Maine PRAMS population-based data can be generalized and is available to public health program managers and policy makers. PRAMS collects data regarding pre-pregnancy, pregnancy, and delivery behaviors/attitudes. The PRAMS survey utilized the same questions for Phase 5 for years 2004-2008. The Phase 1 survey began in 1988 and collected data for the next 3 years. Each subsequent phase (2, 3, 4 and 5) utilized preset survey formats (each phase collected 4 to 5 years of data). From 2004 to 2008, Maine’s population increased from 1,307,904 to 1,316,456 while births decreased from 13,932 to 13,605.
Population Characteristics and Key Findings
Population
The population in Maine from 2004 to 2008:
• 2004 1,307,904
• 2005 1,311,044
• 2006 1,313,355
• 2007 1,315,398
• 2008 1,316,456
Births, Sample Size and Response Rates
Year Births Sampled Responded Response rate
• 2004 13,932 1,569 1,165 74.3%
• 2005 14,111 1,657 1,187 71.6%
• 2006 14,152 1,637 1,178 72.0%
• 2007 14,111 1,593 1,145 71.9%
• 2008 13,605 1,573 1,134 72.1%
U.S. Department of Commerce, Bureau of Census, Maine Data, Research, and Vital Statistics and PRAMS data
Maternal Age
Maine PRAMS 2004-2008 data indicate 14% of all births were to mothers 35 years and older. The breakdown of births:
• 34
25-34
20-24
4 Drinks
% Binge* Before or During Pregnancy
2004-2008 Maine PRAMS Data
Drank Alcohol
Did Not Drink Alcohol
Percent
Alcohol Use
90
80
70
60
50
40
30
20
10
0
77.7
22.3
% Alcohol Use Over Past 2 Years
2004-2008 Maine PRAMS Data
WIC
Not on WIC
Percent
WIC Status
Now
During
Before
60
50
40
30
20
10
0
50.9
33.1
40.0
19.8
10.2
13.6
% Smoked Before Pregnancy, During Pregnancy or Now by WIC
2004-2008 Maine PRAMS Data
>2499 grams
=16 years
13-15 years
12 years
9-11 years
0-8 years
100
90
80
70
60
50
40
30
20
10
0
54.3
57.2
36.2
18.1
54.6
47.4
28.8
13.7
57.7
64.9
46.7
27.9
3.6
2.5
8.2
% Smoked Before Pregnancy, During Pregnancy or Now by Maternal Education
2004-2008 Maine PRAMS Data
Now
During
Before
Percent
Maternal Age
>34
25-34
20-24
4 Days/Week
1-4 Days/Week
4 Days/Week
1-4 Days/Week
=16 years
13-15 years
12 years
9-11 years
0-8 years
100
90
80
70
60
50
40
30
20
10
0
19.8
24.6
17.1
15.0
19.3
28.6
44.3
46.8
53.9
57.6
51.6
31.1
36.1
31.2
23.1
% Frequency Exercised Before Pregnancy by Maternal Education
2004-2008 Maine PRAMS Data
>4 Days/Week
1-4 Days/Week
34
25-34
20-24
4 Days/Week
1-4 Days/Week
34
25-34
20-24
=16 years
13-15 years
12 years
9-11 years
0-8 years
110
100
90
80
70
60
50
40
30
20
10
0
37.9
37.2
44.2
52.5
47.5
62.1
62.8
55.8
47.5
52.5
% Contraception at Time of Pregnancy by Maternal Education
2004-2008 Maine PRAMS Data
Used BC
Did Not Use BC
Percent
Maternal Age
>34
25-34
20-24
=16 years
13-15 years
12 years
9-11 years
0-8 years
110
100
90
80
70
60
50
40
30
20
10
0
55.9
56.9
71.2
82.1
91.6
44.1
43.1
8.4
28.8
17.9
Breastfed
Never Breastfed
Percent
Ever Breastfed by Age
>34
25-34
20-24
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