Graphics Comparing Contributor and National Data 2009 (pri 2009 - - PowerPoint PPT Presentation

2010

INDIANA

Pregnancy Nutrition Surveillance System

Graphics

2009 2009 (pri rior year) natio ional PNSS data are re pre resented. Contrib ibutors in inclu luded 31 states, the Dis istric ict of f Columbia, 5 In India ian Trib ribal Org rganizations, and 1 U.S .S. te terri rritory.

Comparing Contributor and National Data

Source of data

2010 IN 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

2010 IN PNSS Table 1C

10 20 30 40 50 60 70 80 90 100

State Nation

Percentage

White Black Hispanic American Indian Asian Multiple Other

Trends in racial and ethnic distribution

20 40 60 80

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

Year Percentage

White Black Hispanic American Indian Asian Multiple 2010 IN PNSS Table 14C

Age distribution

2010 IN 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

20 40 60 80

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

Year Percentage

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

2010 IN PNSS Table 15C

Education level

2010 IN PNSS Table 1C

10 20 30 40 50 60 70 80 90 100

State Nation

Percentage <High School High School >High School

Migrant status

2010 IN 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

2010 IN 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

at initial prenatal visit

25 50 75 100 WIC* SNAP** Medicaid TANF*** Percentage State Nation

2010 IN PNSS Table 1C * Special Supplemental Nutrition Program for Women, Infants, and Children. ** Supplemental Nutrition Assistance Program. *** Temporary Assistance for Needy Families.

Timing of WIC enrollment and medical care

10 20 30 40 50 60 70 80 90 100

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

Percentage State Nation

2010 IN 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

10 20 30 40 50 60 70 80 90 100

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

Year Percentage

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

2010 IN PNSS Table 17C

Trends in first trimester WIC enrollment

by race and ethnicity

10 20 30 40 50 60

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

Year Percentage

White Black Hispanic American Indian Asian Multiple Total

2010 IN PNSS Table 21C

Parity and interpregnancy interval

10 20 30 40 50 60

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

Percentage State Nation

2010 IN PNSS Table 2C

Parity Interpregnancy Interval

Prevalence of prepregnancy underweight and overweight*

2010 IN PNSS Table 2C

10 20 30 40 50 60 Percentage State Nation

* Underweight (BMI < 18.5); overweight (BMI = 25.0-29.9); and obese (BMI > 30.0).

Underweight Normal Overweight (top) and Obese

Prevalence of prepregnancy underweight*

by race and ethnicity

5 10

White Black Hispanic American Indian Asian Multiple Total

Percentage State Nation

2010 IN PNSS Table 9C * BMI < 18.5.

Prevalence of prepregnancy overweight*

by race and ethnicity

10 20 30 40 50 60 70

White Black Hispanic American Indian Asian Multiple Total

Percentage State Nation

2010 IN PNSS Table 9C * BMI > 25.0 (includes overweight and obese women).

Prevalence of less than ideal maternal weight gain*

by race and ethnicity

10 20 30 40

White Black Hispanic American Indian Asian Multiple Total

Percentage State Nation

2010 IN PNSS Table 9C * Ideal weight gain: prepregnancy underweight = 28-40 pounds; prepregnancy normal weight = 25-35 pounds; prepregnancy overweight = 15-25 pounds; and prepregnancy obese = 11-20 pounds.

Prevalence of greater than ideal maternal weight gain*

by race and ethnicity

10 20 30 40 50 60

White Black Hispanic American Indian Asian Multiple Total

Percentage State Nation

2010 IN PNSS Table 9C * Ideal weight gain: prepregnancy underweight = 28-40 pounds; prepregnancy normal weight = 25-35 pounds; prepregnancy overweight = 15-25 pounds; and prepregnancy obese = 11-20 pounds.

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

10 20 30 40 50 60

< Ideal Ideal > Ideal

Percentage State Nation

2010 IN PNSS Table 2C * Ideal weight gain: prepregnancy underweight = 28-40 pounds; prepregnancy normal weight = 25-35 pounds; prepregnancy overweight = 15-25 pounds; and prepregnancy obese = 11-20 pounds.

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

2010 IN PNSS Table 13C * Ideal weight gain: prepregnancy underweight = 28-40 pounds; prepregnancy normal weight = 25-35 pounds; prepregnancy overweight = 15-25 pounds; and prepregnancy obese = 11-20 pounds. ** Underweight (BMI < 18.5); overweight (BMI = 25.0-29.9); and obese (BMI > 30.0).

Trends in prevalence of prepregnancy

• verweight and underweight*

20 40 60

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

Year Percentage

Overweight Underweight

2010 IN PNSS Table 16C * Underweight (BMI < 18.5); overweight (BMI > 25.0; includes overweight and obese).

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

20 40 60

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

Year Percentage

< Ideal Weight Gain > Ideal Weight Gain

2010 IN PNSS Table 16C * Ideal weight gain: prepregnancy underweight = 28-40 pounds; prepregnancy normal weight = 25-35 pounds; prepregnancy overweight 15-25 pounds and prepregnancy obese = 11-20 pounds.

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

by race and ethnicity

10 20 30 40

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

Year Percentage

White Black Hispanic Amer Indian Asian Multiple Total 2010 IN PNSS Table 20C * Ideal weight gain: prepregnancy underweight = 28-40 pounds; prepregnancy normal weight = 25-35 pounds; prepregnancy overweight = 15-25 pounds; and prepregnancy obese = 11-20 pounds.

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

by race and ethnicity

10 20 30 40 50 60 70

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

Year Percentage

White Black Hispanic Amer Indian Asian Multiple Total 2010 IN PNSS Table 20C * Ideal weight gain: prepregnancy underweight = 28-40 pounds; prepregnancy normal weight = 25-35 pounds; prepregnancy overweight = 15-25 pounds; and prepregnancy obese = 11-20 pounds.

Prevalence of anemia* by timing of program enrollment

10 20 30 40

1st Trimester 2nd Trimester 3rd Trimester Postpartum

Percentage State Nation

2010 IN 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

10 20 30 40 50 60

White Black Hispanic American Indian Asian Multiple Total

Percentage State Nation

2010 IN PNSS Table 9C * Hb or Hct < 5th percentile, CDC MMWR vol. 47 (No. RR-3), 1998.

Prevalence of postpartum anemia*

by race and ethnicity

10 20 30 40 50

White Black Hispanic American Indian Asian Multiple Total

Percentage State Nation

2010 IN 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

10 20 30 40 50 60

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

Year Percentage

White Black Hispanic Amer Indian Asian Multiple Total 2010 IN 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

10 20 30 40 50

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

Year Percentage

White Black Hispanic Amer Indian Asian Multiple Total 2010 IN 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

5 10 15 20 25 30 35 40

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

Percentage

State Nation

2010 IN 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

10 20 30 40 50

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

Percentage

State Nation

2010 IN PNSS Table 2C

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

by race and ethnicity

10 20 30 40 50

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

Year Percentage

White Black Hispanic American Indian Asian Multiple Total 2010 IN PNSS Table 22C

Trends in the prevalence of smoking in the household*

by race and ethnicity

10 20 30 40 50 60

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

Year Percentage

White Black Hispanic American Indian Asian Multiple Total 2010 IN PNSS Table 22C * During the prenatal period.

Prevalence of maternal drinking

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

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

Prevalence of medical conditions during pregnancy*

5 10 Diabetes Hypertension Percentage State Nation

2010 IN PNSS Tables 2C * Woman reports being told by doctor she had diabetes prior to and/or during pregnancy. Woman reports being told by doctor she had hypertension prior to and/or during pregnancy.

Prevalence of diabetes during pregnancy*

by race and ethnicity

5 10

White Black Hispanic American Indian Asian Multiple Total

Percentage State Nation

2010 IN PNSS Table 9C * Includes diabetes mellitus and gestational diabetes.

Prevalence of hypertension during pregnancy*

by race and ethnicity

5 10

White Black Hispanic American Indian Asian Multiple Total

Percentage State Nation

2010 IN PNSS Table 9C * Includes chronic hypertension and pregnancy-induced hypertension.

Prevalence of multivitamin use prior to and during pregnancy*

10 20 30 40 50 60 70 80 90 100 Prepregnancy Use During Pregnancy Percentage State Nation

2010 IN PNSS Tables 2C * Multivitamin use prior to pregnancy is a proxy for folic acid consumption. Multivitamin use during pregnancy is a proxy for iron consumption. Year 2010 Target: Increase to 80% the number of women of childbearing age who take in 400 mcg. of folic acid each day.

Prevalence of multivitamin use prior to pregnancy*

by race and ethnicity

10 20 30

White Black Hispanic American Indian Asian Multiple Total

Percentage State Nation

2010 IN PNSS Table 10C * Multivitamin use prior to pregnancy is a proxy for folic acid consumption. Year 2010 Target: Increase to 80% the number of women of childbearing age who take in 400 mcg. of folic acid each day.

Prevalence of multivitamin use during pregnancy*

by race and ethnicity

10 20 30 40 50 60 70 80 90 100

White Black Hispanic American Indian Asian Multiple Total

Percentage State Nation

2010 IN PNSS Table 10C * Multivitamin use during pregnancy is a proxy for iron consumption.

Prevalence of low birthweight and high birthweight *

2010 IN 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*

5 10 15

Preterm Full Term Low Birthweight Multiple Births

Percentage

State Nation

2010 IN 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

5 10 15 20

White Black Hispanic American Indian Asian Multiple Total

Percentage State Nation

2010 IN 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

5 10 15 20

Prepregnancy BMI Weight Gain Smoking During Pregnancy

Percentage

2010 IN 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

5 10

White Black Hispanic American Indian Asian Multiple Total

Percentage State Nation

2010 IN PNSS Table 12C * High birthweight > 4000 g.

Prevalence of preterm delivery*

by race and ethnicity

5 10 15 20

White Black Hispanic American Indian Asian Multiple Total

Percentage State Nation

2010 IN PNSS Table 12C * Preterm: < 37 weeks gestation.

Trends in the prevalence of low birthweight*

by race and ethnicity

5 10 15

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

Year Percentage

White Black Hispanic American Indian Asian Multiple Total 2010 IN PNSS Table 23C * < 2500 g.

Trends in the prevalence of high birthweight*

by race and ethnicity

5 10

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

Year Percentage

White Black Hispanic American Indian Asian Multiple Total 2010 IN PNSS Table 23C * > 4000 g.

Trends in the prevalence of preterm delivery*

by race and ethnicity

5 10 15 20

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

Year Percentage

White Black Hispanic American Indian Asian Multiple Total 2010 IN PNSS Table 23C * < 37 weeks gestation.

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 Multiple Total

Percentage State Nation

Year 2010 target**

2010 IN 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

10 20 30 40 50 60 70 80 90

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

Year Percentage

White Black Hispanic American Indian Asian Multiple Total

2010 IN 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

2008-2010

Pregnancy Nutrition Surveillance System

Percentage of pregnancies among females

aged ≤ 17 years, by county

2008-2010 IN PNSS Table 4B

0 - < 4 4 - < 6 6 - < 8 8 + No Data

Percentage of women enrolling in WIC during

their first trimester, by county

2008-2010 IN PNSS Table 6B

0 - < 30 30 - < 38 38 - < 46 46 + No Data

Prevalence of prepregnancy underweight*,

by county

* BMI < 18.5. 2008-2010 IN PNSS Table 5B

0 - < 4 4 - < 6 6 - < 8 8 + No Data

Prevalence of prepregnancy overweight*,

by county

* BMI > 25.0. 2008-2010 IN PNSS Table 5B

0 - < 49 49 - < 53 53 - < 57 57 + No Data

* Ideal weight gain: prepregnancy underweight = 28-40 pounds; prepregnancy normal weight = 25-35 pounds; prepregnancy overweight = 15-25 pounds; and prepregnancy obese = 11-20 pounds. 2008-2010 IN PNSS Table 5B

Prevalence of < ideal weight gain*,

by county

0 - < 15 15 - < 18 18 - < 21 21 + No Data

* Ideal weight gain: prepregnancy underweight = 28-40 pounds; prepregnancy normal weight = 25-35 pounds; prepregnancy overweight = 15-25 pounds; and prepregnancy obese = 11-20 pounds. 2008-2010 IN PNSS Table 5B

Prevalence of > ideal weight gain*,

by county

0 - < 51 51 - < 55 55 - < 59 59 + No Data

2008-2010 IN PNSS Table 7B

Prevalence of smoking during the last 3 months

• f pregnancy, by county

0 - < 21 21 - < 28 28 - < 35 35 + No Data

2008-2010 IN PNSS Table 7B

Incidence of gestational diabetes*,

by county

* Postpartum woman reports being told by doctor she had gestational diabetes during her most recent pregnancy.

0 - < 2 2 - < 4 4 - < 6 6 + No Data

2008-2010 IN PNSS Table 7B

Prevalence of hypertension during pregnancy*,

by county

* Postpartum woman reports being told by doctor she had hypertension during her most recent pregnancy.

0 - < 2 2 - < 5 5 - < 8 8 + No Data

2008-2010 IN PNSS Table 7B

Prevalence of multivitamin use prior to pregnancy*, by county

* Multivitamin use prior to pregnancy is a proxy for folic acid consumption.

0 - < 11 11 - < 16 16 - < 21 21 + No Data

2008-2010 IN PNSS Table 7B

Prevalence of multivitamin use during pregnancy*, by county

* Multivitamin use during pregnancy is a proxy for iron consumption.

Insufficient Data

Prevalence of low birthweight*,

by county

* < 2500 grams. 2008-2010 IN PNSS Table 8B

0 - < 6 6 - < 8 8 - < 10 10 + No Data

Prevalence of high birthweight*,

by county

* > 4000 grams. 2008-2010 IN PNSS Table 8B

0 - < 4 4 - < 6 6 - < 8 8 + No Data

* < 37 weeks gestation. 2008-2010 IN PNSS Table 8B

Prevalence of preterm delivery*,

by county

0 - < 12 12 - < 14 14 - < 16 16 + No Data

* Reported by mother at postpartum visit.. 2008-2010 IN PNSS Table 8B

Percentage of infants ever breastfed*,

by county

0 - < 52 52 - < 62 62 - < 72 72 + No Data