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Related Experiment Videos

The Pregnancy Risk Assessment Monitoring System (PRAMS): methods and 1996 response rates from 11 states.

B C Gilbert1, H B Shulman, L A Fischer

  • 1Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA. bjc4@cdc.gov

Maternal and Child Health Journal
|May 3, 2000
PubMed
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The Pregnancy Risk Assessment Monitoring System (PRAMS) is a valuable maternal and child health data source. Recent improvements have increased its efficiency, flexibility, and state participation.

Area of Science:

  • Maternal and Child Health Surveillance
  • Public Health Data Systems
  • Epidemiological Research Methods

Background:

  • The Pregnancy Risk Assessment Monitoring System (PRAMS) is a crucial data source for maternal and child health (MCH).
  • Assessing the effectiveness and efficiency of PRAMS is vital for optimizing MCH surveillance.
  • Recent modifications aimed to enhance PRAMS's operational capabilities.

Purpose of the Study:

  • To evaluate the Pregnancy Risk Assessment Monitoring System (PRAMS) as a unique and valuable MCH data source.
  • To determine if PRAMS is an effective mechanism for state-level MCH data collection.
  • To assess improvements in PRAMS efficiency and flexibility due to recent changes.

Main Methods:

  • Description of PRAMS methodology: sampling, data collection, questionnaire design, data management, and weighting.

Related Experiment Videos

  • Calculation of response, contact, cooperation, refusal, and completion rates to assess effectiveness.
  • Logistic regression analysis to identify predictors of response among maternal and infant characteristics.

    • Main Results:

    • Overall response rates in 11 states in 1996 ranged from 66% to 80%, with high cooperation rates (85-99%).
    • Response rates were higher for older, White, married, more educated women, first-time mothers, and those with normal birthweight infants.
    • Between 1988-1990 and 1996-1999, PRAMS participation expanded from 6 to 23 states, response rates improved, and data collection/processing times decreased.

    Conclusions:

    • PRAMS is confirmed as a unique and valuable MCH data source.
    • The mail/telephone methodology effectively reaches most postpartum women, though some subgroups are less represented.
    • PRAMS has demonstrated increased efficiency, flexibility, and broader state participation over time.