2004 2004 Pregnancy Nutrition Surveillance System Graphics - - PowerPoint PPT Presentation

2004 2004

NORTH CAROLINA NORTH CAROLINA

Pregnancy Nutrition Surveillance System

Graphics Graphics

2003 2003 (prior year) national PNSS data are presented. (prior year) national PNSS data are presented. Contributors included 22 states, and 6 tribal Contributors included 22 states, and 6 tribal governments. governments.

Comparing Contributor and National Data Comparing Contributor and National Data

Source of data Source of data

2004 NC PNSS Table 1C * Special Supplemental Nutrition Program for Women, Infants and Children.

10 20 30 40 50 60 70 80 90 100

State Nation

Percentage

WIC* Maternal Health

Other

Racial and ethnic distribution Racial and ethnic distribution

2004 NC PNSS Table 1C

10 20 30 40 50 60 70 80 90 100

State Nation

Percentage

White Black Hispanic American Indian Asian Other

Trends in racial and ethnic distribution Trends in racial and ethnic distribution

20 40 60

1995 1996 1997 1998 1999 2000 2001 2002 2003 2004

Year Percentage

White Black Hispanic American Indian Asian

2004 NC PNSS Table 14C

Age distribution Age distribution

2004 NC PNSS Table 1C

10 20 30 40 50 60 70 80 90 100

State Nation

Percentage <15 Years 15-17 Years 18-19 Years 20-29 years 30-39 Years ≥40 Years

Trends in age distribution Trends in age distribution

20 40 60 80

1995 1996 1997 1998 1999 2000 2001 2002 2003 2004

Year Percentage

<15 Years 15-17 Years 18-19 Years 20-29 Years 30-39 Years 40+ Years

2004 NC PNSS Table 15C

Education level Education level

2004 NC PNSS Table 1C

10 20 30 40 50 60 70 80 90 100

State Nation

Percentage <High School High School >High School

Migrant status Migrant status

2004 NC PNSS Table 1C

10 20 30 40 50 60 70 80 90 100

State Nation

Percentage

Yes No

Household income

reported as percent poverty level

Household income Household income

reported as percent poverty level reported as percent poverty level

2004 NC PNSS Table 1C

10 20 30 40 50 60 70 80 90 100

State Nation

Percentage

0-50 51-100 101-130 131-150 151-185 186-200 Over 200

• Adj. Eligibility

Program participation Program participation

at initial prenatal visit at initial prenatal visit

25 50 75 100 WIC Food Stamps Medicaid TANF Percentage State Nation

2004 NC PNSS Table 1C

Timing of WIC enrollment and medical care Timing of WIC enrollment and medical care

15 30 45 60 75 90

1st Trimester 2nd Trimester 3rd Trimester Postpartum 1st Trimester No Care

Percentage State Nation

2004 NC PNSS Table 2C

WIC Enrollment Medical Care

Year 2010 target*

* Year 2010 target: 90% of pregnant women will enter into prenatal care during the first trimester.

Trends in WIC enrollment and medical care Trends in WIC enrollment and medical care

15 30 45 60 75 90

1995 1996 1997 1998 1999 2000 2001 2002 2003 2004

Year Percentage

Medical Care 1st Trimester No Medical Care 1st Trimester WIC Enrollment

2004 NC PNSS Table 17C

Trends in first trimester WIC enrollment

by race and ethnicity

Trends in first trimester WIC enrollment

by race and ethnicity

10 20 30 40 50

1995 1996 1997 1998 1999 2000 2001 2002 2003 2004

Year Percentage

White Black Hispanic American Indian Asian Total

2004 NC PNSS Table 21C

Parity and interpregnancy interval Parity and interpregnancy interval

10 20 30 40 50

1 2 3 or More < 6 Months 6-18 Months

Percentage State Nation

2004 NC PNSS Table 2C

Parity Interpregnancy Interval

Prevalence of prepregnancy underweight and overweight* Prevalence of prepregnancy underweight and overweight*

2004 NC PNSS Table 2C

10 20 30 40 50 Percentage State Nation

* Underweight (BMI < 19.8); overweight (BMI = 26.0-29.0); and obese (BMI > 29.0).

Underweight Normal Overweight (top) and Obese

Prevalence of prepregnancy underweight*

by race and ethnicity

Prevalence of prepregnancy underweight*

by race and ethnicity

5 10 15 20 25 30

White Black Hispanic American Indian Asian Total

Percentage State Nation

2004 NC PNSS Table 9C * BMI < 19.8.

Prevalence of prepregnancy overweight*

by race and ethnicity

Prevalence of prepregnancy overweight*

by race and ethnicity

10 20 30 40 50 60

White Black Hispanic American Indian Asian Total

Percentage State Nation

2004 NC PNSS Table 9C * BMI > 26.0 (includes overweight and obese women).

Prevalence of less than ideal maternal weight gain*

by race and ethnicity

Prevalence of less than ideal maternal weight gain*

by race and ethnicity

10 20 30 40

White Black Hispanic American Indian Asian Total

Percentage State Nation

2004 NC PNSS Table 9C * Ideal weight gain: prepregnancy underweight = 28-40 pounds; prepregnancy normal weight = 25-35 pounds; prepregnancy overweight and obese = 15-25 pounds.

Prevalence of greater than ideal maternal weight gain*

by race and ethnicity

Prevalence of greater than ideal maternal weight gain*

by race and ethnicity

10 20 30 40 50 60

White Black Hispanic American Indian Asian Total

Percentage State Nation

2004 NC PNSS Table 9C * Ideal weight gain: prepregnancy underweight = 28-40 pounds; prepregnancy normal weight = 25-35 pounds; prepregnancy overweight and obese = 15-25 pounds.

Prevalence of less than ideal, ideal and greater than ideal maternal weight gain* Prevalence of less than ideal, ideal and greater than ideal maternal weight gain*

10 20 30 40 50

< Ideal Ideal > Ideal

Percentage State Nation

2004 NC PNSS Table 2C * Ideal weight gain: prepregnancy underweight = 28-40 pounds; prepregnancy normal weight = 25-35 pounds; prepregnancy overweight and obese = 15-25 pounds.

Maternal weight gain*

by prepregnancy BMI**

Maternal weight gain*

by prepregnancy BMI**

10 20 30 40 50 60 70

Underweight Normal Overweight Obese

Prepregnancy BMI Percentage < Ideal Weight Gain > Ideal Weight Gain

2004 NC PNSS Table 13C * Ideal weight gain: prepregnancy underweight = 28-40 pounds; prepregnancy normal weight = 25-35 pounds; prepregnancy overweight and obese = 15-25 pounds. ** Underweight (BMI < 19.8); overweight (BMI = 26.0-29.0); and obese (BMI > 29.0).

Trends in prevalence of prepregnancy

• verweight and underweight*

Trends in prevalence of prepregnancy

• verweight and underweight*

20 40 60

1995 1996 1997 1998 1999 2000 2001 2002 2003 2004

Year Percentage

Overweight Underweight

2004 NC PNSS Table 16C * Underweight (BMI < 19.8); overweight (BMI > 26.0; includes overweight and obese).

Trends in prevalence of less than ideal and greater than ideal weight gain* Trends in prevalence of less than ideal and greater than ideal weight gain*

20 40 60

1995 1996 1997 1998 1999 2000 2001 2002 2003 2004

Year Percentage

< Ideal Weight Gain > Ideal Weight Gain

2004 NC PNSS Table 16C * Ideal weight gain: prepregnancy underweight = 28-40 pounds; prepregnancy normal weight = 25-35 pounds; prepregnancy overweight and obese = 15-25 pounds.

Trends in the prevalence of less than ideal maternal weight gain*

by race and ethnicity

Trends in the prevalence of less than ideal maternal weight gain*

by race and ethnicity

10 20 30 40 50

1995 1996 1997 1998 1999 2000 2001 2002 2003 2004

Year Percentage

White Black Hispanic Amer Indian Asian Total

2004 NC PNSS Table 20C * Ideal weight gain: prepregnancy underweight = 28-40 pounds; prepregnancy normal weight = 25-35 pounds; prepregnancy overweight and obese = 15-25 pounds.

Trends in the prevalence of greater than ideal maternal weight gain*

by race and ethnicity

Trends in the prevalence of greater than ideal maternal weight gain*

by race and ethnicity

10 20 30 40 50

1995 1996 1997 1998 1999 2000 2001 2002 2003 2004

Year Percentage

White Black Hispanic Amer Indian Asian Total

2004 NC PNSS Table 20C * Ideal weight gain: prepregnancy underweight = 28-40 pounds; prepregnancy normal weight = 25-35 pounds; prepregnancy overweight and obese = 15-25 pounds.

Prevalence of anemia* by timing of program enrollment Prevalence of anemia* by timing of program enrollment

10 20 30 40

1st Trimester 2nd Trimester 3rd Trimester Postpartum

Percentage State Nation

2004 NC PNSS Table 2C * Hb or Hct < 5th percentile, CDC MMWR vol. 47 (No. RR-3), 1998.

Prevalence of third-trimester anemia*

by race and ethnicity

Prevalence of third-trimester anemia*

by race and ethnicity

10 20 30 40 50

White Black Hispanic American Indian Asian Total

Percentage State Nation

2004 NC PNSS Table 9C * Hb or Hct < 5th percentile, CDC MMWR vol. 47 (No. RR-3), 1998.

Prevalence of postpartum anemia*

by race and ethnicity

Prevalence of postpartum anemia*

by race and ethnicity

10 20 30 40 50

White Black Hispanic American Indian Asian Total

Percentage State Nation

2004 NC PNSS Table 9C * Hb or Hct < 5th percentile, CDC MMWR vol. 47 (No. RR-3), 1998.

Trends in prevalence of third trimester anemia*

by race and ethnicity

Trends in prevalence of third trimester anemia*

by race and ethnicity

10 20 30 40 50

1995 1996 1997 1998 1999 2000 2001 2002 2003 2004

Year Percentage

White Black Hispanic Amer Indian Asian Total

2004 NC PNSS Table 20C * Hb or Hct < 5th percentile, CDC MMWR vol. 47 (No. RR-3), 1998.

Trends in the prevalence of postpartum anemia*

by race and ethnicity

Trends in the prevalence of postpartum anemia*

by race and ethnicity

10 20 30 40 50

1995 1996 1997 1998 1999 2000 2001 2002 2003 2004

Year Percentage

White Black Hispanic Amer Indian Asian Total

2004 NC PNSS Table 20C * Hb or Hct < 5th percentile, CDC MMWR vol. 47 (No. RR-3), 1998.

Prevalence of smoking and smoking in the household by pregnancy status Prevalence of smoking and smoking in the household by pregnancy status

5 10 15 20 25 30 35

3 Mos Prior to Pregnancy During Pregnancy Last 3 Mos of Pregnancy Postpartum During Pregnancy Postpartum

Percentage

State Nation

2004 NC PNSS Table 2C

Smoking Smoking in the Household

Year 2010 target: 99% of pregnant women report no smoking in the past month.

Smoking changes during pregnancy

among women who reported smoking three months prior to pregnancy

Smoking changes during pregnancy

among women who reported smoking three months prior to pregnancy

10 20 30 40 50

Quit by 1st Prenatal Visit Quit by 1st Prenatal Visit and Stayed Off Cigarettes

Percentage

State Nation

2004 NC PNSS Table 2C

Trends in prevalence of smoking during the last 3 months of pregnancy

by race and ethnicity

Trends in prevalence of smoking during the last 3 months of pregnancy

by race and ethnicity

10 20 30 40

2000 2001 2002 2003 2004

Year Percentage

White Black Hispanic American Indian Asian Total

2004 NC PNSS Table 22C

Trends in the prevalence of smoking in the household*

by race and ethnicity

Trends in the prevalence of smoking in the household*

by race and ethnicity

2004 NC PNSS Table 22C * During the prenatal period.

Insufficient Data

Prevalence of maternal drinking Prevalence of maternal drinking

5 10 3 Months Prior to Pregnancy Last 3 Months of Pregnancy Percentage State Nation

2004 NC PNSS Table 2C Year 2010 Target: 6% or less of pregnant women report use of alcohol in the previous month.

Prevalence of low Prevalence of low birthweight birthweight and high and high birthweight birthweight * *

2004 NC PNSS Table 2C * VLBW < 1500 g; LBW = 1500 - < 2500 g; HBW > 4000 g. ** Year 2010 Target: Reduce very low birthweight to < 0.9 percent and low birthweight to < 5.0 percent.

LBW (top) and HBW VLBW

5 10 Percentage State Nation

Prevalence of selected birth outcomes* Prevalence of selected birth outcomes* Prevalence of selected birth outcomes*

5 10 15 20

Preterm Full Term Low Birthweight Multiple Births

Percentage

State Nation

2004 NC PNSS Table 2C * Preterm: < 37 weeks gestation. Full term low birthweight: 37 or more weeks and < 2500 g.

Prevalence of low birthweight*

by race and ethnicity

Prevalence of low birthweight*

by race and ethnicity

5 10 15 20

White Black Hispanic American Indian Asian Total

Percentage State Nation

2004 NC PNSS Table 12C * Low birthweight includes VLBW < 1500 g and LBW = 1500-<2500 g. ** Year 2010 target: Reduce low birthweight to < 5.0 percent.

Year 2010 target**

Prevalence of low birthweight*

by selected health indicators

Prevalence of low birthweight*

by selected health indicators

5 10 15 20

Prepregnancy BMI Weight Gain Smoking During Pregnancy

Percentage

2004 NC PNSS Table 13C * Low birthweight includes VLBW < 1500 g and LBW = 1500-<2500 g. ** Year 2010 target: Reduce low birthweight to < 5.0 percent. Under- Normal Over- < Ideal Ideal > Ideal Smoker Nonsmoker weight weight

Year 2010 target**

Prevalence of high birthweight*

by race and ethnicity

Prevalence of high birthweight*

by race and ethnicity

5 10 15

White Black Hispanic American Indian Asian Total

Percentage State Nation

2004 NC PNSS Table 12C * High birthweight > 4000 g.

Prevalence of preterm delivery*

by race and ethnicity

Prevalence of preterm delivery*

by race and ethnicity

5 10 15 20

White Black Hispanic American Indian Asian Total

Percentage State Nation

2004 NC PNSS Table 12C * Preterm: < 37 weeks gestation.

Trends in the prevalence of low birthweight*

by race and ethnicity

Trends in the prevalence of low birthweight*

by race and ethnicity

5 10 15

1995 1996 1997 1998 1999 2000 2001 2002 2003 2004

Year Percentage

White Black Hispanic American Indian Asian Total

2004 NC PNSS Table 23C * < 2500 g.

Trends in the prevalence of high birthweight*

by race and ethnicity

Trends in the prevalence of high birthweight*

by race and ethnicity

5 10 15

1995 1996 1997 1998 1999 2000 2001 2002 2003 2004

Year Percentage

White Black Hispanic American Indian Asian Total

2004 NC PNSS Table 23C * > 4000 g.

Trends in the prevalence of preterm delivery*

by race and ethnicity

Trends in the prevalence of preterm delivery*

by race and ethnicity

5 10 15 20

1995 1996 1997 1998 1999 2000 2001 2002 2003 2004

Year Percentage

White Black Hispanic American Indian Asian Total

2004 NC PNSS Table 23C * < 37 weeks gestation.

Percentage of infants ever breastfed*

by race and ethnicity

Percentage of infants ever breastfed*

by race and ethnicity

10 20 30 40 50 60 70 80 90 100

White Black Hispanic American Indian Asian Total

Percentage State Nation

Year 2010 target**

2004 NC PNSS Table 12C * Includes infants currently breastfeeding or ever breastfed as reported by mother at postpartum visit . ** Year 2010 Target: Increase the proportion of mothers who breastfeed their babies in the early postpartum period to 75%.

Trends in the percentage of infants ever breastfed*

by race and ethnicity

Trends in the percentage of infants ever breastfed*

by race and ethnicity

10 20 30 40 50 60 70 80 90

1995 1996 1997 1998 1999 2000 2001 2002 2003 2004

Year Percentage

White Black Hispanic American Indian Asian Total

2004 NC PNSS Table 23C * Reported by mother at postpartum visit. Year 2010 target: increase the proportion of mothers who breastfeed their babies in the early postpartum period to 75%.

Maps

State Maps of County Data

Maps

State Maps of County Data

2002-2004 2002-2004

Pregnancy Nutrition Surveillance System

Percentage of pregnancies among females aged ≤ 17 years, by county Percentage of pregnancies among females aged ≤ 17 years, by county

2002-2004 NC PNSS Table 4B

0 - < 6 6 - < 9 9 - < 12 12+ No Data

Percentage of women enrolling in WIC during their first trimester, by county Percentage of women enrolling in WIC during their first trimester, by county

2002-2004 NC PNSS Table 6B

0 - < 21 21 - < 34 34 - < 47 47+ No Data

Prevalence of prepregnancy underweight*,

by county

Prevalence of prepregnancy underweight*,

by county

* BMI < 19.8. 2002-2004 NC PNSS Table 5B

0 - < 9 9 - < 12 12 - < 15 15+ No Data

Prevalence of prepregnancy overweight*,

by county

Prevalence of prepregnancy overweight*,

by county

* BMI > 26.0. 2002-2004 NC PNSS Table 5B

0 - < 39 39 - < 46 46 - < 53 53+ No Data

* Ideal weight gain: prepregnancy underweight = 28-40 pounds; prepregnancy normal weight = 25-35 pounds; prepregnancy overweight and obese = 15-25 pounds. 2002-2004 NC PNSS Table 5B

Prevalence of < ideal weight gain*,

by county

Prevalence of < ideal weight gain*,

by county

0 - < 20 20 - < 26 26 - < 32 32+ No Data

* Ideal weight gain: prepregnancy underweight = 28-40 pounds; prepregnancy normal weight = 25-35 pounds; prepregnancy overweight and obese = 15-25 pounds. 2002-2004 NC PNSS Table 5B

Prevalence of > ideal weight gain*,

by county

Prevalence of > ideal weight gain*,

by county

0 - < 36 36 - < 41 41 - < 46 46+ No Data

2002-2004 NC PNSS Table 7B

Prevalence of smoking during the last 3 months

• f pregnancy, by county

Prevalence of smoking during the last 3 months

• f pregnancy, by county

0 - < 12 12 - < 21 21 - < 30 30+ No Data

Prevalence of low birthweight*,

by county

Prevalence of low birthweight*,

by county

* < 2500 grams. 2002-2004 NC PNSS Table 8B

0 - < 7 7 - < 9 9 - < 11 11+ No Data

Prevalence of high birthweight*,

by county

Prevalence of high birthweight*,

by county

* > 4000 grams. 2002-2004 NC PNSS Table 8B

0 - < 5 5 - < 7 7 - < 9 9+ No Data

* < 37 weeks gestation. 2002-2004 NC PNSS Table 8B

Prevalence of preterm delivery*,

by county

Prevalence of preterm delivery*,

by county

0 - < 11 11 - < 14 14 - < 17 17+ No Data

* Reported by mother at postpartum visit.. 2002-2004 NC PNSS Table 8B

Percentage of infants ever breastfed*,

by county

Percentage of infants ever breastfed*,

by county

0 - < 32 32 - < 54 54 - < 76 76+ No Data