pregnancy nutrition surveillance system · prevalence of third-trimester anemia* by race and...

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


Age distributionAge distribution


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


Education levelEducation level


0 10 20 30 40 50 60 70 80 90 100

State

Nation

Percentage

<High School High School>High School

Migrant statusMigrant status


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


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


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


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


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


Parity Interpregnancy Interval

Prevalence of prepregnancy underweight and overweight*Prevalence of prepregnancy underweight and overweight*


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


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


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


Asian Total

Perc

enta

ge

State Nation



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



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


* 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;


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



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



* 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


Asian Total

Perc

enta

ge

State Nation


Prevalence of postpartum anemia* by race and ethnicityPrevalence of postpartum anemia* by race and ethnicity

0

10

20

30

40

50


Asian Total

Perc

enta

ge

State Nation


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



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



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


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



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 **


* 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


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


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


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


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


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


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


Asian Total

Perc

enta

ge

State Nation

Year 2010 target**


* 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


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


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


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

pregnancy nutrition surveillance system · prevalence of third-trimester anemia* by race and...

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