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Oregon PRAMS. Quarterly Board Meeting Northwest Portland Area Indian Health Board October 25, 2005 Kenneth D. Rosenberg, MD, MPH Oregon Department of Human Services Office of Family Health, Portland. Oregon PRAMS. Pregnancy Risk Assessment Monitoring System
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Oregon PRAMS Quarterly Board Meeting Northwest Portland Area Indian Health Board October 25, 2005 Kenneth D. Rosenberg, MD, MPH Oregon Department of Human Services Office of Family Health, Portland
Oregon PRAMS Pregnancy Risk Assessment Monitoring System Survey of women 3-4 months after birth Survey by mail or telephone About 2000 women per year Sampled from birth certificates Response rate is about 70%
Oregon PRAMS Since 1998 By Oregon DHS Office of Family Health Modeled after CDC (since 1987) Financially supported by CDC since 2001 Washington State has had a CDC-funded PRAMS project since 1993 (over 200 AI/AN women per year) Alaska has had a CDC-funded PRAMS project since 1990 Idaho does not have a PRAMS project
Oregon PRAMS PRAMS gets race/ethnicity from birth certificates. Obstetrics clerk: from medical chart or asks woman Ethnicity: Hispanic or non-Hispanic Race: White American Indian/Alaska Native Black (African American) Asian or Pacific Islander Birth certificates also contain father’s race/ethnicity
Oregon PRAMS Oregon PRAMS oversamples minority women: so we have more information on minority women Minimum of 200 women per year: Hispanic Non-Hispanic American Indian/Alaska Native Non-Hispanic African American Non-Hispanic Asian & Pacific Islander (Non-Hispanic white women are not oversampled) Oregon PRAMS surveys 50% of all Oregon AI/AN women giving birth
Topics Things that happened before, during and after pregnancy, including: Breastfeeding Prenatal Care Domestic Violence Family Planning Tobacco Alcohol Folic Acid Oral Health
Rural AI/AN compared to Urban AI/AN Handout is based on data from 2000 & 2001 combined. Rural: mother’s residence, at time of birth, in any county with less than 60 people per square mile in 2001. (All other counties are treated as urban.) RURAL COUNTIES (26): Baker, Clatsop, Coos, Crook, Curry, Deschutes, Douglas, Gilliam, Grant, Harney, Hood River, Jefferson, Josephine, Klamath, Lake, Lincoln, Linn, Malheur, Morrow, Sherman, Tillamook, Umatilla, Union, Wallowa, Wasco, Wheeler. URBAN COUNTIES (10): Benton, Clackamas, Columbia, Jackson, Lane, Marion, Multnomah, Polk, Washington, Yamhill. Analysis by Megan Mikkelsen, spring 2005.
Contact Information For more information contact: Kenneth D. Rosenberg, MD, MPH Oregon PRAMS Project Director Department of Human Services Office of Family Health 800 NE Oregon Street, Suite 850 Portland, OR 97232 971-673-0237 ken.d.rosenberg@state.or.us AI IHB PRAMS 102505a