pregnancy nutrition surveillance · pdf fileprevalence of anemia* by timing of program...
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20042004
NORTH CAROLINANORTH CAROLINA
Pregnancy NutritionSurveillance System
GraphicsGraphics
20032003 (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 DataComparing Contributor and National Data
Source of dataSource of data
2004 NC PNSS Table 1C * Special Supplemental Nutrition Program for Women, Infants and Children.
0 10 20 30 40 50 60 70 80 90 100
State
Nation
Percentage
WIC*
MaternalHealth
Other
Racial and ethnic distributionRacial and ethnic distribution
2004 NC PNSS Table 1C
0 10 20 30 40 50 60 70 80 90 100
State
Nation
Percentage
WhiteBlackHispanicAmerican IndianAsianOther
Trends in racial and ethnic distributionTrends in racial and ethnic distribution
0
20
40
60
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004
Year
Per
cent
age
White Black Hispanic American Indian Asian
2004 NC PNSS Table 14C
Age distributionAge distribution
2004 NC PNSS Table 1C
0 10 20 30 40 50 60 70 80 90 100
State
Nation
Percentage
<15 Years15-17 Years18-19 Years20-29 years30-39 Years≥40 Years
Trends in age distributionTrends in age distribution
0
20
40
60
80
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004
Year
Per
cent
age
<15 Years 15-17 Years 18-19 Years20-29 Years 30-39 Years 40+ Years
2004 NC PNSS Table 15C
Education levelEducation level
2004 NC PNSS Table 1C
0 10 20 30 40 50 60 70 80 90 100
State
Nation
Percentage
<High School High School>High School
Migrant statusMigrant status
2004 NC PNSS Table 1C
0 10 20 30 40 50 60 70 80 90 100
State
Nation
Percentage
YesNo
Household income reported as percent poverty levelHousehold income Household income reported as percent poverty levelreported as percent poverty level
2004 NC PNSS Table 1C
0 10 20 30 40 50 60 70 80 90 100
State
Nation
Percentage
0-5051-100101-130131-150151-185186-200Over 200Adj. Eligibility
Program participationProgram participationat initial prenatal visitat initial prenatal visit
0
25
50
75
100
WIC Food Stamps Medicaid TANF
Per
cent
age
State Nation2004 NC PNSS Table 1C
Timing of WIC enrollment and medical careTiming of WIC enrollment and medical care
0
15
30
45
60
75
90
1st Trimester
2ndTrimester
3rd Trimester
Postpartum 1st Trimester No Care
Per
cent
age
State Nation
2004 NC PNSS Table 2C
WIC Enrollment Medical CareYear 2010target*
* Year 2010 target: 90% of pregnant women will enter into prenatal care during the first trimester.
Trends in WIC enrollment and medical careTrends in WIC enrollment and medical care
0153045607590
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004
Year
Per
cent
age
Medical Care 1st Trimester No Medical Care 1st Trimester WIC Enrollment
2004 NC PNSS Table 17C
Trends in first trimester WIC enrollmentby race and ethnicityTrends in first trimester WIC enrollmentby race and ethnicity
0
10
20
30
40
50
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004
Year
Per
cent
age
White Black Hispanic American Indian Asian Total
2004 NC PNSS Table 21C
Parity and interpregnancy intervalParity and interpregnancy interval
0
10
20
30
40
50
0 1 2 3 or More < 6Months
6-18Months
Per
cent
age
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
0
10
20
30
40
50
Per
cent
age
State Nation
* Underweight (BMI < 19.8); overweight (BMI = 26.0-29.0); and obese (BMI > 29.0).
Underweight Normal Overweight (top) andObese
Prevalence of prepregnancy underweight*by race and ethnicityPrevalence of prepregnancy underweight*by race and ethnicity
0
5
10
15
20
25
30
White Black Hispanic AmericanIndian
Asian Total
Perc
enta
ge
State Nation
2004 NC PNSS Table 9C * BMI < 19.8.
Prevalence of prepregnancy overweight*by race and ethnicityPrevalence of prepregnancy overweight*by race and ethnicity
0
10
20
30
40
50
60
White Black Hispanic AmericanIndian
Asian Total
Perc
enta
ge
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
0
10
20
30
40
White Black Hispanic AmericanIndian
Asian Total
Perc
enta
ge
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
0
10
20
30
40
50
60
White Black Hispanic AmericanIndian
Asian Total
Perc
enta
ge
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*
0
10
20
30
40
50
< Ideal Ideal > Ideal
Per
cent
age
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**
0
10
20
30
40
50
60
70
Underweight Normal Overweight Obese
Prepregnancy BMI
Perc
enta
ge
< 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 prepregnancyoverweight and underweight* Trends in prevalence of prepregnancyoverweight and underweight*
0
20
40
60
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004
Year
Per
cent
age
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*
0
20
40
60
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004
Year
Per
cent
age
< 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
0
10
20
30
40
50
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004
Year
Per
cent
age
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
0
10
20
30
40
50
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004
Year
Per
cent
age
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 enrollmentPrevalence of anemia* by timing of program enrollment
0
10
20
30
40
1st Trimester 2nd Trimester 3rd Trimester Postpartum
Per
cent
age
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 ethnicityPrevalence of third-trimester anemia*by race and ethnicity
0
10
20
30
40
50
White Black Hispanic AmericanIndian
Asian Total
Perc
enta
ge
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 ethnicityPrevalence of postpartum anemia* by race and ethnicity
0
10
20
30
40
50
White Black Hispanic AmericanIndian
Asian Total
Perc
enta
ge
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
0
10
20
30
40
50
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004
Year
Per
cent
age
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
0
10
20
30
40
50
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004
Year
Per
cent
age
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 statusPrevalence of smoking and smoking in the household by pregnancy status
0
5
10
15
20
25
30
35
3 Mos Prior toPregnancy
DuringPregnancy
Last 3 Mos ofPregnancy
Postpartum DuringPregnancy
Postpartum
Perc
enta
ge
State Nation2004 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 pregnancyamong women who reported smoking three months prior to pregnancySmoking changes during pregnancyamong women who reported smoking three months prior to pregnancy
0
10
20
30
40
50
Quit by 1st Prenatal Visit Quit by 1st Prenatal Visit andStayed Off Cigarettes
Per
cent
age
State Nation
2004 NC PNSS Table 2C
Trends in prevalence of smoking during the last 3 months of pregnancyby race and ethnicity
Trends in prevalence of smoking during the last 3 months of pregnancyby race and ethnicity
0
10
20
30
40
2000 2001 2002 2003 2004
Year
Per
cent
age
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 drinkingPrevalence of maternal drinking
0
5
10
3 Months Prior to Pregnancy Last 3 Months of Pregnancy
Perc
enta
ge
State Nation
2004 NC PNSS Table 2CYear 2010 Target: 6% or less of pregnant women report use of alcohol in the previous month.
Prevalence of low Prevalence of low birthweightbirthweight and high and high birthweightbirthweight **
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 HBWVLBW
0
5
10
Per
cent
age
State Nation
Prevalence of selected birth outcomes*Prevalence of selected birth outcomes*Prevalence of selected birth outcomes*
0
5
10
15
20
Preterm Full Term LowBirthweight
Multiple Births
Per
cent
age
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 ethnicityPrevalence of low birthweight*by race and ethnicity
0
5
10
15
20
White Black Hispanic AmericanIndian
Asian Total
Perc
enta
ge
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 2010target**
Prevalence of low birthweight*by selected health indicatorsPrevalence of low birthweight*by selected health indicators
0
5
10
15
20
Prepregnancy BMI Weight Gain Smoking DuringPregnancy
Perc
enta
ge
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 Nonsmokerweight weight
Year 2010target**
Prevalence of high birthweight*by race and ethnicityPrevalence of high birthweight*by race and ethnicity
0
5
10
15
White Black Hispanic AmericanIndian
Asian Total
Perc
enta
ge
State Nation
2004 NC PNSS Table 12C * High birthweight > 4000 g.
Prevalence of preterm delivery* by race and ethnicityPrevalence of preterm delivery* by race and ethnicity
0
5
10
15
20
White Black Hispanic AmericanIndian
Asian Total
Perc
enta
ge
State Nation
2004 NC PNSS Table 12C * Preterm: < 37 weeks gestation.
Trends in the prevalence of low birthweight* by race and ethnicityTrends in the prevalence of low birthweight* by race and ethnicity
0
5
10
15
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004
Year
Per
cent
age
White Black Hispanic American Indian Asian Total
2004 NC PNSS Table 23C * < 2500 g.
Trends in the prevalence of high birthweight* by race and ethnicityTrends in the prevalence of high birthweight* by race and ethnicity
0
5
10
15
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004
Year
Per
cent
age
White Black Hispanic American Indian Asian Total
2004 NC PNSS Table 23C * > 4000 g.
Trends in the prevalence of preterm delivery* by race and ethnicityTrends in the prevalence of preterm delivery* by race and ethnicity
0
5
10
15
20
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004
Year
Per
cent
age
White Black Hispanic American Indian Asian Total
2004 NC PNSS Table 23C * < 37 weeks gestation.
Percentage of infants ever breastfed*by race and ethnicityPercentage of infants ever breastfed*by race and ethnicity
0102030405060708090
100
White Black Hispanic AmericanIndian
Asian Total
Perc
enta
ge
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
0102030405060708090
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004
Year
Perc
enta
ge
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%.
MapsState Maps of County Data
MapsState Maps of County Data
2002-20042002-2004Pregnancy 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 countyPrevalence 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 countyPrevalence 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 countyPrevalence 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 countyPrevalence 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 of pregnancy, by county
Prevalence of smoking during the last 3 months of pregnancy, by county
0 - < 12
12 - < 21
21 - < 30
30+
No Data
Prevalence of low birthweight*, by countyPrevalence 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 countyPrevalence 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 countyPrevalence 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 countyPercentage of infants ever breastfed*, by county
0 - < 32
32 - < 54
54 - < 76
76+
No Data