1 Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention , Atlanta, Georgia .
2 U.S. Public Health Service Commissioned Corps , Atlanta, Georgia .
J Womens Health (Larchmt). 2018 Apr;27(4):430-443. doi: 10.1089/jwh.2017.6531. Epub 2018 Jan 11.
In response to an expressed need for more focused measurement of preconception health (PCH), we identify a condensed set of PCH indicators for state and national surveillance.
We used a systematic process to evaluate, prioritize, and select 10 PCH indicators that maternal and child health programs can use for surveillance. For each indicator, we assessed prevalence, whether it was addressed by professional recommendations, Healthy People 2020 objectives, or Centers for Disease Control and Prevention winnable battles, measurement simplicity, data completeness, and stakeholders' input.
Fifty PCH indicators were evaluated and prioritized. The condensed set includes indicators that rely on data from the Pregnancy Risk Assessment Monitoring System (n = 4) and the Behavioral Risk Factor Surveillance System (n = 6). The content encompasses heavy alcohol consumption, depression, diabetes, folic acid intake, hypertension, normal weight, recommended physical activity, current smoking, unwanted pregnancy, and use of contraception.
Having a condensed set of PCH indicators can facilitate surveillance of reproductive-aged women's health status that supports monitoring, comparisons, and benchmarking at the state and national levels.
为满足对更集中的孕前健康（PCH）测量的需求，我们确定了一套用于州和国家监测的浓缩 PCH 指标。
我们使用系统的过程来评估、优先考虑和选择 10 项母婴健康计划可用于监测的 PCH 指标。对于每个指标，我们评估了其流行率、专业建议、《健康人民 2020 目标》或疾病预防控制中心的可赢取战役是否涉及、测量的简单性、数据完整性以及利益相关者的投入。
评估和优先考虑了 50 个 PCH 指标。浓缩集包括依赖妊娠风险评估监测系统（n=4）和行为风险因素监测系统（n=6）数据的指标。内容涵盖大量饮酒、抑郁、糖尿病、叶酸摄入、高血压、正常体重、推荐的身体活动、当前吸烟、意外怀孕和使用避孕措施。
拥有一套浓缩的 PCH 指标可以促进对生殖年龄妇女健康状况的监测，支持在州和国家层面进行监测、比较和基准测试。
