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Preconception Health: Are Florida Women Measuring Up?. Lindsay Womack, MPH William Sappenfield, MD, MPH Annette Phelps, ARNP, MSN Kris-Tena Albers, CNM, MN. 3 rd National Summit on Preconception Health and Health Care. Background. Improving Maternal & Infant Health Outcomes.
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Preconception Health: Are Florida Women Measuring Up? Lindsay Womack, MPH William Sappenfield, MD, MPH Annette Phelps, ARNP, MSN Kris-Tena Albers, CNM, MN 3rd National Summit on Preconception Health and Health Care
Background Improving Maternal & Infant Health Outcomes Improving Preconception Health
Background MI CA DE UT NC TX FL
Study Question How do women in Florida measure up in preconception health?
Data Sources • Pregnancy Risk Assessment Monitoring System (PRAMS) • Women with a live birth within the past 2-5 months • Behavioral Risk Factor Surveillance System (BRFSS) • Women of reproductive age, 18-44 years • Nationally Sexually Transmitted Disease Database (NSTD) • Women of reproductive age, 15-39 years • National Vital Statistics Data (NVSS) • Recent mothers • The Annual Social and Economic Supplement of the Current Population Survey (ASEC) • Women of reproductive age, 18-44 years
Methods 1 NVSS Indicators • Pregnancy Interval Spacing 1 ASEC Indicators • Poverty
Analysis • Descriptive Statistics • All indicators calculated by race, ethnicity, age, education, income, and year • National data were used for comparison where possible • Florida PRAMS data were compared to the national median of reporting PRAMS states
Florida & U.S. Women - Differences • Women in Florida were less likely than U.S. women to be 18-24 years of age • 16.2% compared to 22.3% • Women in Florida were more likely than U.S. women to be Hispanic • 38.8% compared to 29.2%
Areas of Preconception Health Where Women in Florida Do Worsethan Women in the U.S. PRAMS PRAMS BRFSS PRAMS
Areas of Preconception Health Where Women in Florida Do Better than Women in the U.S. BRFSS PRAMS BRFSS BRFSS BRFSS
Areas of Preconception Health Where Women in Florida Are Improving • Smoking
Women Currently Smoking Source: BRFSS
Areas of Preconception Health Where Women in Florida Are Worsening • Health care coverage • Alcohol consumption • Obesity and overweight • Diabetes • Chlamydia infections
No Health Care Coverage During the Month Prior to Pregnancy Source: PRAMS
Alcohol Consumption During the Three Months Prior to Pregnancy Source: PRAMS
Obesity or Overweight Source: BRFSS
Diabetes or Gestational Diabetes Source: BRFSS
Chlamydia Infections Source: NSTD
Social Determinants of Health & Racial and Ethnic Disparities Social determinants of health are the circumstances in which people are born, grow up, live, work, and age.
Social Determinants of Health – Women Without a High School Education or GED by Race/Ethnicity Source: BRFSS
Social Determinants of Health – Women Living at or Below the Federal Poverty Threshold by Race & Ethnicity Source: ASEC of the CPS
Alcohol Consumption During the Three Months Prior to Pregnancy by Race/Ethnicity Source: PRAMS
Women Currently Smoking by Race/Ethnicity Source: BRFSS
Unintended Pregnancies by Type and Race/Ethnicity Source: PRAMS
Obesity and Overweight by Race/Ethnicity Source: BRFSS
Hypertension by Race/Ethnicity Source: BRFSS
Sexually Transmitted Infections by Race/Ethnicity Source: NSTD
Health Care Coverage by Race/Ethnicity Source: BRFSS
Florida Has Been Working to Improve Preconception Health . . .
Florida will … continue to monitor the health of women of reproductive age and assess the impact of statewide preconception health initiatives and other influences.
Florida’s complete Preconception Health Indicator Report is located on: www.everywomanflorida.com
Questions? Contact Information: Lindsay Womack, MPH CDC/CSTE Epidemiology Fellow Phone: 850.245.4444 Ext*2991 E-mail: Lindsay_Womack@doh.state.fl.us