The Pregnancy Risk Assessment Monitoring System (PRAMS) is a population-based surveillance system that collects data on maternal attitudes and experiences before, during, and shortly after pregnancy. It is a written and telephone survey that is linked to the birth certificate. HHDW contains over 160 measures taken from the PRAMS survey. Come explore the data at the state or county level, broken out by many sociodemographic characteristics.
Here are some highlights from the 2022 PRAMS:
- Medicaid/QUEST and private insurance were the two main sources of payment for prenatal care (43.7% and 37.3%, respectively). Women over 35 years and mothers of Chinese and Japanese descent were more likely to use private insurance than Medicaid/QUEST.
- Among new mothers, 9.3% reported using marijuana in the 12 months before their pregnancy. Marijuana use during pregnancy fell to 2.9%. After pregnancy, marijuana use rose slightly to 3.6%.
- Mothers in Honolulu County were the most likely to place their babies on their back to sleep (80.6%), followed by Hawaiʻi County (79.4%), Maui County (78.1%) and Kauaʻi County (76.9%).
- A majority of women who had a postpartum healthcare visit were asked about feeling down or depressed (87.4%). While 13.0% of women overall reported experiencing postpartum depression, the rate was 19.6% among mothers ages 20-24 years.
Here is a link to a custom dashboard on Hawaiʻi Health Matters with all the PRAMS indicators for Hawaiʻi state. And here are links to custom dashboards for each county:
