Details:

Alternative Title:
Prev Chronic Dis
Personal Author:
Haiman, Madison D. ; Cubbin, Catherine
Haiman, Madison D. ; Cubbin, Catherine Less -
Description:
Introduction

Maternal illness and death are largely preventable; however, the field of preconception health needs further study. Geographic region and rurality play a large role in maternal health, and an understanding of the effect of these 2 factors at the individual level could prevent future adverse maternal health outcomes.

Methods

We developed an abbreviated index of preconception health risk (diabetes, hypertension, body weight, mental health, unintended pregnancy, HIV, alcohol and nicotine use, nutrition, physical activity, receipt of the influenza vaccine) by using data from the 2019 Behavioral Risk Factor Surveillance System (BRFSS). A score of 1 was assigned for each behavior factor classified as unhealthy and a score of 0 for each factor classified as healthy, for a total potential score of 11. Respondent women from the 37 states that included the BRFSS family planning supplemental module who were aged 18 to 44 years who could become pregnant (N = 25,999) were included. We used univariate and multivariate regression models to assess the relationship between sociodemographic factors (age, race or ethnicity, relationship status, insurance status, education, income, and rurality and region) and preconception health, with a primary focus on rurality and region.

Results

The average preconception health risk index score among participants was 3.5, with higher average scores in rural areas than in urban areas. All factors were independently associated with preconception health. Compared with women living in the urban Northeast, women living in all rural and region groups, except the rural West, had increased preconception health risk.

Conclusion

Preconception health scores from our study showed that, on average, a person had more than 3 risk factors or behaviors. Given the current state of reproductive health policy in the United States, increased efforts are needed to address preconception health.


Subjects:
[+]
Behavioral Risk Factor Surveillance System Female Geography Health Status Health Status Indicators Humans Preconception Care Pregnancy
Source:
Prev Chronic Dis. 2023; 20
Pubmed ID:
37943727
Pubmed Central ID:
PMC10684287
Document Type:
Journal Article
Place as Subject:
United States
Collection(s):
Preventing Chronic Disease
Main Document Checksum:
[+]
urn:sha256:5959b5d15a45d016f81b1e7734ec359023b26dcc3d14276fa7235ac3e63fb10d
Download URL:
https://stacks.cdc.gov/view/cdc/151068/cdc_151068_DS1.pdf
File Type:

Supporting Files

• PCD-20-E101.nxml

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