pregnancy nutrition surveillance system - in.gov 2010 (prior year) national pnss data are presented....

2011

INDIANA

Pregnancy Nutrition

Surveillance System

Graphics

2010 (prior year) national PNSS data are presented. Contributors included 29 states, the District of Columbia, 3 Indian Tribal Organizations, and 1 U.S. territory.

Comparing Contributor and National Data

Source of data

2011 IN 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 distribution

2011 IN PNSS Table 1C

0 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

0

20

40

60

80

2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Year

Perc

enta

ge

White Black Hispanic American Indian Asian Multiple

2011 IN PNSS Table 14C

Age distribution

2011 IN PNSS Table 1C

0 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

0

20

40

60

80

2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Year

Perc

enta

ge

<15 Years 15-17 Years 18-19 Years20-29 Years 30-39 Years 40+ Years

2011 IN PNSS Table 15C

Education level

2011 IN PNSS Table 1C

0 10 20 30 40 50 60 70 80 90 100

State

Nation

Percentage

<High School

High School

>High School

Migrant status

2011 IN PNSS Table 1C

0 10 20 30 40 50 60 70 80 90 100

State

Nation

Percentage

Yes

No

Household income reported as percent poverty level

2011 IN PNSS Table 1C

0 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

0

25

50

75

100

WIC* SNAP** Medicaid TANF***

Perc

enta

ge

State Nation

2011 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

0102030405060708090

100

1st

Trimester

2nd

Trimester

3rd

Trimester

Postpartum 1st Trimester No Care

Perc

enta

ge

State Nation

2011 IN PNSS Table 2C

WIC Enrollment Medical Care

Trends in WIC enrollment and medical care

0102030405060708090

100

2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Year

Perc

enta

ge

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

2011 IN PNSS Table 17C

Trends in first trimester WIC enrollment

by race and ethnicity

0

10

20

30

40

50

60

2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Year

Perc

enta

ge

White Black Hispanic American Indian Asian Multiple Total

2011 IN PNSS Table 21C

Parity and interpregnancy interval

0

10

20

30

40

50

60

0 1 2 3 or More < 6

Months

6-18

Months

Perc

enta

ge

State Nation

2011 IN PNSS Table 2C

Parity Interpregnancy Interval

Prevalence of prepregnancy underweight

and overweight*

2011 IN PNSS Table 2C

0

10

20

30

40

50

60

Perc

enta

ge

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

0

5

10

15

White Black Hispanic American

Indian

Asian Multiple Total

Perc

enta

ge

State Nation

2011 IN PNSS Table 9C * BMI < 18.5.

Prevalence of prepregnancy overweight* by race and ethnicity

0

10

20

30

40

50

60

70

White Black Hispanic American

Indian

Asian Multiple Total

Perc

enta

ge

State Nation

2011 IN PNSS Table 9C * BMI > 25.0 (includes overweight and obese women).

Prevalence of less than ideal maternal

weight gain* by race and ethnicity

0

10

20

30

40

White Black Hispanic American

Indian

Asian Multiple Total

Perc

enta

ge

State Nation

2011 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

0

10

20

30

40

50

60

White Black Hispanic American

Indian

Asian Multiple Total

Perc

enta

ge

State Nation

2011 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*

0

10

20

30

40

50

60

< Ideal Ideal > Ideal

Perc

enta

ge

State Nation

2011 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**

0

10

20

30

40

50

60

70

Underweight Normal Overweight Obese

Prepregnancy BMI

Perc

enta

ge

< Ideal Weight Gain > Ideal Weight Gain

2011 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

overweight and underweight*

0

20

40

60

2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Year

Perc

enta

ge

Overweight Underweight

2011 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*

0

20

40

60

2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Year

Perc

enta

ge

< Ideal Weight Gain > Ideal Weight Gain

2011 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

0

10

20

30

40

2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Year

Perc

enta

ge

White Black Hispanic Amer Indian Asian Multiple Total

2011 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

0

10

20

30

40

50

60

70

2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Year

Perc

enta

ge

White Black Hispanic Amer Indian Asian Multiple Total

2011 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

0

10

20

30

40

1st Trimester 2nd Trimester 3rd Trimester Postpartum

Perc

enta

ge

State Nation

2011 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

0

10

20

30

40

50

60

White Black Hispanic American

Indian

Asian Multiple Total

Perc

enta

ge

State Nation

2011 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

0

10

20

30

40

50

White Black Hispanic American

Indian

Asian Multiple Total

Perc

enta

ge

State Nation

2011 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

0

10

20

30

40

50

60

2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Year

Perc

enta

ge

White Black Hispanic Amer Indian Asian Multiple Total

2011 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

0

10

20

30

40

50

2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Year

Perc

enta

ge

White Black Hispanic Amer Indian Asian Multiple Total

2011 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

0

5

10

15

20

25

30

35

40

3 Mos Prior to

Pregnancy

During

Pregnancy

Last 3 Mos of

Pregnancy

Postpartum During

Pregnancy

Postpartum

Perc

enta

ge

State Nation

2011 IN PNSS Table 2C

Smoking Smoking in the

Household

Smoking changes during pregnancy among 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 and

Stayed Off Cigarettes

Pe

rce

nta

ge

State Nation

2011 IN PNSS Table 2C

Trends in prevalence of smoking during the last

3 months of pregnancy

by race and ethnicity

0

10

20

30

40

2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Year

Perc

enta

ge

White Black Hispanic American Indian Asian Multiple Total

2011 IN PNSS Table 22C

Trends in the prevalence of smoking in the

household* by race and ethnicity

0

10

20

30

40

50

60

2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Year

Perc

enta

ge

White Black Hispanic American Indian Asian Multiple Total

2011 IN PNSS Table 22C * During the prenatal period.

Prevalence of maternal drinking

0

5

10

3 Months Prior to Pregnancy Last 3 Months of Pregnancy

Perc

enta

ge

State Nation

2011 IN PNSS Table 2C

Prevalence of medical conditions during

pregnancy*

0

5

10

Diabetes Hypertension

Perc

enta

ge

State Nation

2011 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

0

5

10

White Black Hispanic American

Indian

Asian Multiple Total

Perc

enta

ge

State Nation

2011 IN PNSS Table 9C * Includes diabetes mellitus and gestational diabetes.

Prevalence of hypertension during pregnancy* by race and ethnicity

0

5

10

White Black Hispanic American

Indian

Asian Multiple Total

Perc

enta

ge

State Nation

2011 IN PNSS Table 9C * Includes chronic hypertension and pregnancy-induced hypertension.

Prevalence of multivitamin use prior to and

during pregnancy*

0

10

20

30

40

50

60

70

80

90

100

Prepregnancy Use During Pregnancy

Perc

enta

ge

State Nation

2011 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.

Prevalence of multivitamin use prior to

pregnancy* by race and ethnicity

0

10

20

30

White Black Hispanic American

Indian

Asian Multiple Total

Perc

enta

ge

State Nation

2011 IN PNSS Table 10C * Multivitamin use prior to pregnancy is a proxy for folic acid consumption.

Prevalence of multivitamin use during

pregnancy* by race and ethnicity

0

10

20

30

40

50

60

70

80

90

100

White Black Hispanic American

Indian

Asian Multiple Total

Perc

enta

ge

State Nation

2011 IN PNSS Table 10C * Multivitamin use during pregnancy is a proxy for iron consumption.

Prevalence of low birthweight and high

birthweight *

2011 IN PNSS Table 2C * VLBW < 1500 g; LBW = 1500 - < 2500 g; HBW > 4000 g.

LBW (top) and HBW

VLBW

0

5

10

Pe

rce

nta

ge

State Nation

Prevalence of selected birth outcomes*

0

5

10

15

Preterm Full Term Low

Birthweight

Multiple Births

Pe

rce

nta

ge

State Nation

2011 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

0

5

10

15

20

White Black Hispanic American

Indian

Asian Multiple Total

Perc

enta

ge

State Nation

2011 IN PNSS Table 12C * Low birthweight includes VLBW < 1500 g and LBW = 1500-<2500 g.

Prevalence of low birthweight* by selected health indicators

0

5

10

15

20

Prepregnancy BMI Weight Gain Smoking During

Pregnancy

Perc

enta

ge

2011 IN PNSS Table 13C * Low birthweight includes VLBW < 1500 g and LBW = 1500-<2500 g.

Under- Normal Over- < Ideal Ideal > Ideal Smoker Nonsmoker

weight weight

Prevalence of high birthweight* by race and ethnicity

0

5

10

White Black Hispanic American

Indian

Asian Multiple Total

Perc

enta

ge

State Nation

2011 IN PNSS Table 12C * High birthweight > 4000 g.

Prevalence of preterm delivery*

by race and ethnicity

0

5

10

15

20

White Black Hispanic American

Indian

Asian Multiple Total

Perc

enta

ge

State Nation

2011 IN PNSS Table 12C * Preterm: < 37 weeks gestation.

Trends in the prevalence of low birthweight* by race and ethnicity

0

5

10

15

2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Year

Perc

enta

ge

White Black Hispanic American Indian Asian Multiple Total

2011 IN PNSS Table 23C * < 2500 g.

Trends in the prevalence of high birthweight* by race and ethnicity

0

5

10

2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Year

Perc

enta

ge

White Black Hispanic American Indian Asian Multiple Total

2011 IN PNSS Table 23C * > 4000 g.

Trends in the prevalence of preterm delivery* by race and ethnicity

0

5

10

15

20

2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Year

Perc

enta

ge

White Black Hispanic American Indian Asian Multiple Total

2011 IN PNSS Table 23C * < 37 weeks gestation.

Percentage of infants ever breastfed*

by race and ethnicity

01020304050

60708090

100

White Black Hispanic American

Indian

Asian Multiple Total

Pe

rce

nta

ge

State Nation

2011 IN PNSS Table 12C * Includes infants currently breastfeeding or ever breastfed as reported by mother at postpartum visit .

Trends in the percentage of infants ever

breastfed* by race and ethnicity

0102030405060708090

2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Year

Perc

enta

ge

White Black Hispanic American Indian Asian Multiple Total

2011 IN PNSS Table 23C * Reported by mother at postpartum visit.

Maps

State Maps of County Data

2009-2011 Pregnancy Nutrition

Surveillance System

Percentage of pregnancies among females

aged ≤ 17 years, by county

2009-2011 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

2009-2011 IN PNSS Table 6B

0 - < 35

35 - < 44

44 - < 53

53 +

No Data

Prevalence of prepregnancy underweight*, by county

* BMI < 18.5. 2009-2011 IN PNSS Table 5B

0 - < 3

3 - < 5

5 - < 7

7 +

No Data

Prevalence of prepregnancy overweight*, by county

* BMI > 25.0. 2009-2011 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. 2009-2011 IN PNSS Table 5B

Prevalence of < ideal weight gain*, by county

0 - < 16

16 - < 18

18 - < 20

20 +

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. 2009-2011 IN PNSS Table 5B

Prevalence of > ideal weight gain*, by county

0 - < 50

50 - < 54

54 - < 58

58 +

No Data

2009-2011 IN PNSS Table 7B

Prevalence of smoking during the last 3 months

of pregnancy, by county

0 - < 20

20 - < 27

27 - < 34

34 +

No Data

2009-2011 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 - < 1

1 - < 3

3 - < 5

5 +

No Data

2009-2011 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 - < 6

6 - < 10

10 +

No Data

2009-2011 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

2009-2011 IN PNSS Table 7B

Prevalence of multivitamin use during

pregnancy*, by county

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

0 - < 83

83 - < 88

88 - < 93

93 +

No Data

Prevalence of low birthweight*, by county

* < 2500 grams. 2009-2011 IN PNSS Table 8B

0 - < 6

6 - < 8

8 - < 10

10 +

No Data

Prevalence of high birthweight*, by county

* > 4000 grams. 2009-2011 IN PNSS Table 8B

0 - < 5

5 - < 7

7 - < 9

9 +

No Data

* < 37 weeks gestation. 2009-2011 IN PNSS Table 8B

Prevalence of preterm delivery*, by county

0 - < 10

10 - < 13

13 - < 16

16 +

No Data

* Reported by mother at postpartum visit. 2009-2011 IN PNSS Table 8B

Percentage of infants ever breastfed*, by county

0 - < 55

55 - < 65

65 - < 75

75 +

No Data