PREGNANCY RISK ASSESSMENT MONITORING SYSTEM (PRAMS)
The Pregnancy Risk Assessment and Monitoring System (PRAMS) collects state-specific, population-based data on maternal attitudes and experiences before, during, and shortly after pregnancy. PRAMS is an annual written and telephone survey that is conducted throughout the year. It is conducted by the Hawaiʻi State Department of Health, Family Health Services Division in collaboration with the Centers for Disease Control and Prevention (CDC).
PRAMS uses a stratified systematic sample design. Women from some groups are sampled at a higher rate to ensure adequate data are available in smaller but higher risk populations. PRAMS uses the state birth certificate file to select adult women who have had a recent live birth to participate in the survey. Selected women are first contacted by mail. If there is no response to repeated mailings, women are contacted and interviewed by telephone. Participant responses are linked to the infant’s birth certificate for additional information. Data collection procedures and instruments are standardized to allow comparisons between states. Results are weighted to represent all women with a recent birth in Hawaiʻi. In Hawaiʻi, weighted estimates are available at the state and county level. Additional information about PRAMS and results from other participating states can be found here.
Data Release Notes
The surveys we use to collect data are constantly being updated. As the surveys evolve, new indicators are created and old indicators are removed. The data release notes contain information about new indicators and dimensions that have been added each year. General data release notes are available on the PRAMS Health Indicator Selection page.
| Year | Women Surveyed | Hawai‘i Surveys | Data Release Notes |
|---|---|---|---|
| 2023 | 1262 | PRAMS 2023-Current | 2023 Release Notes |
| 2022 | 1338 | PRAMS 2016-2022 | 2022 Release Notes |
| 2021 | 1349 | 2021 Release Notes | |
| 2020 | 1227 | 2020 Release Notes | |
| 2019 | 629 | 2019 Release Notes | |
| 2018 | No survey | 2018 Release Notes | |
| 2017 | No survey | 2017 Release Notes | |
| 2016 | 1076 | 2016 Release Notes | |
| 2015 | 1296 | PRAMS 2012-2015 | 2015 Release Notes |
| 2014 | 1309 | 2014 Release Notes | |
| 2013 | 1479 | ||
| 2012 | 1488 | ||
| 2011 | 1555 | PRAMS 2009-2011 | |
| 2010 | 1564 | ||
| 2009 | 1616 | ||
| 2008 | 1758 | PRAMS 2004-2008 | |
| 2007 | 1738 | ||
| 2006 | 1648 | ||
| 2005 | 1724 | ||
| 2004 | 2123 | ||
| 2003 | 1893 | PRAMS 2000-2003 | |
| 2002 | 1822 | ||
| 2001 | 2491 | ||
| 2000 | 2518 |
Pregnancy Risk Assessment Monitoring System Reports
Trend Reports
Fact Sheets
Alcohol Use During Pregnancy (2013-2020)
Breastfeeding (2004-2008)
Breastfeeding Quick Facts (2009-2011)
Cesarean Deliveries (2012-2016)
High Blood Pressure and Pregnancy (2004-2008)
Infant Safe Sleep Fact Sheet/PRAMS and CDR (2000-2016)
Maternal Diabetes and Pregnancy (2004-2008)
Medicaid/Quest Birth Outcomes (2004-2006)
Perinatal Alcohol User Quick Facts (2009-2011)
Perinatal Smoking Quick Facts (2009-2011)
Perinatal Substance Use (2004-2008)
Post-Delivery Health Services Utilization (2004-2009)
Postpartum Depression (2014-2021)
Preconception Alcohol Use (2004-2008)
Preconception Obesity (2014-2021)
Preconception Vitamins (2004-2008)
Preterm Delivery (2013-2020)
Prenatal Care (2004-2008)
Safe Sleep (2009-2011)
Sleep Position (2004-2008)
Unintended Pregnancy (2012-2016)
Violence Between Intimate Partners Across the Lifespan (2012-2015)
Report Requests
If you have searched our website, and still can’t find what you are looking for, we are here to help. Please click on the button and fill out a request form.
Please give us as much notice as possible as some requests take longer than others. An HHDW team member will contact you via email or phone for a follow-up.
Record Level Data Request
If you are interested in obtaining de-identified record-level data for your own analyses, please click on the button to see the instructions.
Most record-level data requests can be processed within 2-4 weeks, but delays in the approval process can extend the timeline.
Data Sources
- Centers for Disease Control and Prevention (CDC) website provides documentation and selected results for participating health departments.
- Hawaiʻi Pregnancy Risk Assessment Monitoring System website provides information about the survey implementation in Hawaiʻi.