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3 rd National Summit on Preconception Health and Health Care

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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3 rd National Summit on Preconception Health and Health Care

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  1. 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

  2. Background Improving Maternal & Infant Health Outcomes Improving Preconception Health

  3. Background MI CA DE UT NC TX FL

  4. Domain of Measures

  5. Study Question How do women in Florida measure up in preconception health?

  6. 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

  7. Methods 1 NVSS Indicators • Pregnancy Interval Spacing 1 ASEC Indicators • Poverty

  8. 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

  9. Key Assessment Areas

  10. 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%

  11. Areas of Preconception Health Where Women in Florida Do Worsethan Women in the U.S. PRAMS PRAMS BRFSS PRAMS

  12. Areas of Preconception Health Where Women in Florida Do Better than Women in the U.S. BRFSS PRAMS BRFSS BRFSS BRFSS

  13. Areas of Preconception Health Where Women in Florida Are Improving • Smoking

  14. Women Currently Smoking Source: BRFSS

  15. Areas of Preconception Health Where Women in Florida Are Worsening • Health care coverage • Alcohol consumption • Obesity and overweight • Diabetes • Chlamydia infections

  16. No Health Care Coverage During the Month Prior to Pregnancy Source: PRAMS

  17. Alcohol Consumption During the Three Months Prior to Pregnancy Source: PRAMS

  18. Obesity or Overweight Source: BRFSS

  19. Diabetes or Gestational Diabetes Source: BRFSS

  20. Chlamydia Infections Source: NSTD

  21. Racial and Ethnic Disparities in Preconception Health

  22. 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.

  23. Social Determinants of Health – Women Without a High School Education or GED by Race/Ethnicity Source: BRFSS

  24. Social Determinants of Health – Women Living at or Below the Federal Poverty Threshold by Race & Ethnicity Source: ASEC of the CPS

  25. Alcohol Consumption During the Three Months Prior to Pregnancy by Race/Ethnicity  Source: PRAMS

  26. Women Currently Smoking by Race/Ethnicity Source: BRFSS

  27. Unintended Pregnancies by Type and Race/Ethnicity  Source: PRAMS

  28. Obesity and Overweight by Race/Ethnicity  Source: BRFSS

  29. Hypertension by Race/Ethnicity  Source: BRFSS

  30. Sexually Transmitted Infections by Race/Ethnicity  Source: NSTD

  31. Health Care Coverage by Race/Ethnicity  Source: BRFSS

  32. Florida Has Been Working to Improve Preconception Health . . .

  33. Florida will … continue to monitor the health of women of reproductive age and assess the impact of statewide preconception health initiatives and other influences.

  34. Florida’s complete Preconception Health Indicator Report is located on: www.everywomanflorida.com

  35. Questions? Contact Information: Lindsay Womack, MPH CDC/CSTE Epidemiology Fellow Phone: 850.245.4444 Ext*2991 E-mail: Lindsay_Womack@doh.state.fl.us

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