Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Matern Child Health J. 2012 Dec;16 Suppl 2(0 2):250-7. doi: 10.1007/s10995-012-1166-9.
Optimal preconception health (PCH) may improve maternal and infant outcomes, priority issues in Mississippi (MS). Our study objective was to compare the PCH of women in the MS Delta to other regions. We analyzed Behavioral Risk Factor Surveillance System data from 2005, 2007, and 2009, and limited analyses to 171,612 non-pregnant black and white women 18-44 years of age. Region was defined as 14 MS Delta counties (MS Delta), remainder of MS (MS non-Delta), Delta states (LA, AR, TN), and non-Delta US states. We calculated adjusted prevalence ratios (aPR) to assess associations between region and 16 indicators of optimal PCH, controlling for demographic characteristics. Healthy PCH factors such as consuming ≥5 fruits and vegetables daily and normal body mass index (18.5 kg/m(2) to <25 kg/m(2)), respectively, were more prevalent in the MS non-Delta (aPR = 1.3; 95 % CI: 1.0,1.7 and aPR = 1.2; 95 % CI: 1.0,1.4), non-MS Delta (aPR = 1.5; 95 % CI: 1.2,2.0 and aPR = 1.3; 95 % CI: 1.1,1.5) and non-Delta states (aPR = 1.7; 95 % CI: 1.3,2.2 and aPR = 1.4; 95 % CI: 1.2,1.6) compared to the MS Delta. Physical activity levels were higher among non-Delta US states compared to the MS Delta (aPR = 1.3; 95 % CI: 1.1,1.4). Household income and race confounded the associations between region and PCH. Reproductive aged women in the MS Delta had poorer PCH, particularly for physical activity and nutrition, than women in other regions. MS Delta service providers and public health practitioners should consider implementing or enhancing lifestyle, nutrition, and physical activity interventions, with a special focus on reducing income-based and racial disparities.
优化的孕前健康（PCH）可能会改善产妇和婴儿的结局，这是密西西比州（MS）的优先事项。我们的研究目的是比较 MS 三角洲地区与其他地区妇女的 PCH。我们分析了 2005 年、2007 年和 2009 年的行为风险因素监测系统数据，并将分析限于 171612 名年龄在 18-44 岁的非孕妇黑人和白人妇女。该地区被定义为 14 个 MS 三角洲县（MS 三角洲）、其余 MS（MS 非三角洲）、三角洲州（LA、AR、TN）和非 MS 美国州。我们计算了调整后的患病率比（aPR），以评估区域与 16 个 PCH 最佳指标之间的关联，同时控制人口统计学特征。健康的 PCH 因素，如每天摄入≥5 份水果和蔬菜和正常体重指数（18.5kg/m(2)至<25kg/m(2)），在 MS 非三角洲（aPR=1.3；95%CI：1.0，1.7 和 aPR=1.2；95%CI：1.0，1.4）、非-MS 三角洲（aPR=1.5；95%CI：1.2，2.0 和 aPR=1.3；95%CI：1.1，1.5）和非三角洲州（aPR=1.7；95%CI：1.3，2.2 和 aPR=1.4；95%CI：1.2，1.6）中比 MS 三角洲更普遍。与 MS 三角洲相比，非三角洲美国州的体力活动水平更高（aPR=1.3；95%CI：1.1，1.4）。家庭收入和种族混淆了区域与 PCH 之间的关联。MS 三角洲地区的育龄妇女的 PCH 较差，特别是在体力活动和营养方面，而不是其他地区的妇女。MS 三角洲地区的服务提供者和公共卫生工作者应考虑实施或加强生活方式、营养和体力活动干预措施，特别关注减少基于收入和种族的差异。
