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MICH-16.1 Data Details

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MICH-16.1 Increase the proportion of women delivering a live birth who discussed preconception health with a health care worker prior to pregnancy

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

Data Source: 
California's Maternal and Infant Health Assessment
Pregnancy Risk Assessment Monitoring System
Changed Since the Healthy People 2020 Launch: 
Yes
Measure: 
percent
Baseline (Year): 
24.5 (2012)
Target: 
27.0
Target-Setting Method: 
10 percent improvement
Target-Setting Method Justification: 
Given the current prevalence of preconception health care visits, the workgroup believes that a 10% improvement over baseline as a target setting method is both realistic and aspirational. In addition, given that we are half way through the decade for Healthy People 2020, setting a target at a level of 10% improvement over baseline is meaningful. There will be 4 additional data points to measure this objective over the decade.
Numerator: 

Women with a recent live birth who reported discussing preconception health with a health care worker prior to pregnancy

Denominator: 

Number of women with a recent live birth

Comparable Healthy People 2010 Objective: 
Not applicable
Questions Used to Obtain the National Baseline Data: 

    From the Pregnancy Risk Assessment Monitoring System:

    [NUMERATOR:]

    Before you got pregnant with your new baby, did a doctor, nurse, or other health care worker talk to you about how to improve your health before pregnancy?

    From the California Maternal and Infant Health Assessment:

    [NUMERATOR:]

    Before you got pregnant with your new baby, did a doctor, nurse, or other health care worker talk to you about how to improve your health before pregnancy?

Data Collection Frequency: 
Annual
Methodology Notes: 

    The following PRAMS states were included in preparing the 2012 estimate: AK, AR, CO, DE, GA, HI, IL, ME, MD, MA, MI, MN, MO, NE, NJ, NM, NYC, OH, OK, OR, PA, RI, TN, UT, VT, WA, WV, WI, and WY. These data were combined with data from the California's Maternal and Infant Health Assessment to produce the displayed estimate.

    Health Insurance status data reflect prepregnancy insurance coverage of mother.

Trend Issues: 
The set of states on which this estimate is based will vary over time as only states that meet established response rate thresholds are included. 30 sites were included in preparing the baseline estimate for 2012.

Revision History

Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

Description of Changes Since the Healthy People 2020 Launch: 
In 2017, the objective was moved from developmental to measurable. The baseline is 24.5 percent based on 2012 data from PRAMS and MIHA. The target was set at 27.0 percent using the 10% improvement target-setting method.

References

Additional resources about the objective

  1. Centers for Disease Control and Prevention. Recommendations to improve preconception health and health care – United States: a report of the CDC/ATSDR Preconception Care Work Group and the Select Panel on Preconception Care. MMWR 2006; 55 (No. RR-6).
  2. Institute of Medicine. Preventing low birth weight. Washington, DC: National Academy Press; 1985.
  3. Korenbrot C, Steinberg A, Bender C, Newberry S (2002). Preconception care: A systematic Review. MCH Journal, Vol. 7, No 2, pp.75-88.