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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