Folic Acid Surveillance Surveys
|
Criteria | Comments |
Title of the state or local Folic Acid Survey | Minnesota Pregnancy Risk Assessment Monitoring System (PRAMS) |
Geographic area covered | Minnesota |
Contact information at BDR | |
Name of person:
|
Cheryl Barber (MN PRAMS Coordinator) |
Agency:
|
Minnesota Department of Health |
State:
|
Minnesota |
Email address:
|
cheryl.barber@state.mn.us |
Phone:
|
651-201-3742 |
Survey sample size:
|
Around 2500/year. About 500 are US-born African Americans, 500 American Indian mothers, and 1500 from the balance of the population. |
General description of survey or dataset (target population, frequency of administration, years covered, data collection methods, reason for data collection) |
MN PRAMS targets women who have recently had a live birth in Minnesota and includes oversampling of US-born African Americans and American Indians. MN PRAMS draws a sample from birth certificates every month of women ~ 2 months after delivery. MN PRAMS begain with May 2002 births and is ongoing. The PRAMS survey is distributed each month by mail; a telephone interview is attempted for non-responders. PRAMS is part of a Centers for Disease Control and Prevention (CDC) initiative to reduce infant mortality and low birth weight. Minnesota PRAMS gathers state-specific information that is used to address public health issues and to develop effective programs and policies that will improve the health of mothers and babies in Minnesota. |
Cost of survey | About $200,000/year including staff and materials. |
Questions included in the survey (most current, changes over time, state specific changes) |
2002-2003 (PRAMS Phase 4 Core question) 3. In the month before you got pregnant with your new baby, how many times a week did you take a multivitamin (a pill that contains many different vitamins and minerals)? I didn’t take a multivitamin at all 1 to 3 times a week 4 to 6 times a week Every day of the week 2004-2008 (PRAMS Phase 5 Core question) 3. During the month before you got pregnant with your new baby, how many times a week did you take a multivitamin or a prenatal vitamin? These are pills that contain many different vitamins and minerals. I didn’t take a multivitamin or a prenatal vitamin at all 1 to 3 times a week 4 to 6 times a week Every day of the week 2009ff (PRAMS Phase 6 and Phase 7 Core question) NOTE: This question specifically includes a folic acid vitamin. 3. During the month before you got pregnant with your new baby, how many times a week did you take a multivitamin, a prenatal vitamin, or a folic acid vitamin? I didn’t take a multivitamin, prenatal vitamin, or folic acid vitamin at all 1 to 3 times a week 4 to 6 times a week Every day of the week |
Uses of data | Birth Defect Monitoring & Analysis Unit uses PRAMS results for prevention planning and developing focus areas for the Preconception Health in Minnesota Grant Program. PRAMS results are used for the Title V MCH Needs Assessment, to inform the MCH Advisory Task Force, and by specific programs such as Family Planning and Positive Alternatives. |
Results/Summary (may including links to reports or published articles) |
Among all MInnesota women aged 18-44 who had a live birth from 2004-2008, 34.8% (95%CI: 33.3-36.2) reported taking a multivitamin, prenatal vitamin or folic acid vitamin every day of the week prior to pregnancy. Daily vitamin/folic acid supplementation was lowest for the following groups: 18-24 year olds: 15.7% (95%CI: 13.6-18.0) Non-Hispanic Black: 22.8% (95%CI: 19.0-27.1) Non-Hispanic American Indian: 13.2% (95%CI: 8.5-19.9) Hispanic: 19.9% (95%CI: 14.7-26.4) Unmarried: 15.3% (95%CI: 13.4-17.4) Income less than 200% FPL: 17.3% (95%CI: 15.3-19.5) Less than 12 years education: 16.7% (95%CI: 12.9-21.5) 12 years of education: 23.2% (95%CI: 20.7-25.9) No health plan coverage: 14.5% (95%CI: 12.0-17.4) Page 52 of Preconception Health Minnesota 2012 Data Book: http://www.health.state.mn.us/divs/fh/mch/preconception/documents/preconceptiondatabook.pdf |
Web site address (if available) | http://www.health.state.mn.us/divs/cfh/prams/ |
Comments (limitations, lessons learned) | PRAMS estimates of folic acid supplementation are representative of women who have had a recent live birth. We do not have a state estimate for the entire population of women of childbearing age in MN. (2006 MN BRFSS was the last year to capture a state estimate). |