Disaster Preparedness Among Women With a Recent Live Birth in Hawaii – Results From the Pregnancy Risk Assessment Monitoring System (PRAMS), 2016

Abstract Objective: The aim of this study was to examine emergency preparedness behaviors among women with a recent live birth in Hawaii. Methods: Using the 2016 Hawaii Pregnancy Risk Assessment Monitoring System, we estimated weighted prevalence of 8 preparedness behaviors. Results: Among 1010 respondents (weighted response rate, 56.3%), 79.3% reported at least 1 preparedness behavior, and 11.2% performed all 8 behaviors. The prevalence of women with a recent live birth in Hawaii reporting preparedness behaviors includes: 63.0% (95% CI: 58.7-67.1%) having enough supplies at home for at least 7 days, 41.3% (95% CI: 37.1-45.6%) having an evacuation plan for their child(ren), 38.7% (95% CI: 34.5-43.0%) having methods to keep in touch, 37.8% (95% CI: 33.7-42.1%) having an emergency meeting place, 36.6% (95% CI: 32.6-40.9%) having an evacuation plan to leave home, 34.9% (95% CI: 30.9-39.2%) having emergency supplies to take with them if they have to leave quickly, 31.8% (95% CI: 27.9-36.0%) having copies of important documents, and 31.6% (95% CI: 27.7-35.8%) having practiced what to do during a disaster. Conclusions: One in 10 women practiced all 8 behaviors, indicating more awareness efforts are needed among this population in Hawaii. The impact of preparedness interventions implemented in Hawaii can be tracked with this question over time.

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Disaster preparedness among women with a recent live birth in Hawaii, a cross-sectional study, results from the Pregnancy Risk Assessment Monitoring System (PRAMS), 2016

10.1101/2021.04.14.21255501 ◽

2021 ◽

Author(s):

Penelope Strid ◽

Carlotta Ching Ting Fok ◽

Marianne Zotti ◽

Holly B. Shulman ◽

Jane Awakuni ◽

...

Keyword(s):

Risk Assessment ◽

At Risk ◽

Live Birth ◽

Emergency Preparedness ◽

Disaster Preparedness ◽

Postpartum Women ◽

Pregnancy Risk ◽

Risk Population ◽

Study Results ◽

Evacuation Plan

AbstractObjectivesThis study examines emergency preparedness behaviors among women with a recent live birth in Hawaii.MethodsUsing the 2016 Hawaii Pregnancy Risk Assessment Monitoring Survey we estimated weighted prevalence of eight preparedness behaviors.ResultsAmong 1010 respondents (weighted response rate=56.3%), 79.3% reported at least one preparedness behavior and 11.2% performed all eight behaviors. The prevalence of women with a recent live birth in Hawaii reporting preparedness behaviors includes: 63.0% (95% CI: 58.7-67.1%) having enough supplies at home for at least seven days, 41.3% (95% CI: 37.1-45.6%) having an evacuation plan for their child(ren), 38.7% (95% CI: 34.5, 43.0) having methods to keep in touch, 37.8% (95% CI: 33.7, 42.1) having an emergency meeting place, 36.6% (95% CI: 32.6, 40.9) having an evacuation plan to leave home, 34.9% (95% CI: 30.9, 39.2) having emergencies supplies to take with if they have to leave quickly, 31.8% (95% CI: 27.9, 36.0) having copies of important documents, 31.6% (95% CI: 27.7, 35.8) having practiced what to do.ConclusionOne in ten women practiced all eight behaviors indicating more awareness efforts are needed among this at-risk population in Hawaii. Hawaii can measure the effect of interventions to increase preparedness by tracking this question over time.Significance“What is already known on this subject?”Preparedness is associated with reduced vulnerability, and postpartum women are considered an at-risk population in the post-disaster period with special clinical needs. One prior study has assessed disaster preparedness among postpartum women.“What this study adds?”This is the first study to describe a methodology to analyze the eight-part PRAMS emergency preparedness question. Among recently postpartum women in Hawaii, about 80% practiced at least one of eight emergency preparedness measures assessed and about 10% practiced all behaviors.

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Pregnancy Risk Assessment Monitoring System (PRAMS): Unintended Pregnancy among Women Having a Live Birth

Journal of Women s Health & Gender-Based Medicine ◽

10.1089/jwh.1.1999.8.587 ◽

1999 ◽

Vol 8 (5) ◽

pp. 587-589 ◽

Cited By ~ 9

Author(s):

INDU B. AHLUWALIA ◽

CHRISTOPHER JOHNSON ◽

MARY ROGERS ◽

CATHY MELVIN ◽

Keyword(s):

Risk Assessment ◽

Monitoring System ◽

Unintended Pregnancy ◽

Live Birth ◽

Pregnancy Risk

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Association Between Intimate Partner Violence and Breastfeeding Duration: Results From the 2004-2014 Pregnancy Risk Assessment Monitoring System

Journal of Human Lactation ◽

10.1177/0890334418757447 ◽

2018 ◽

Vol 34 (2) ◽

pp. 233-241 ◽

Cited By ~ 7

Author(s):

Jordyn T. Wallenborn ◽

Susan Cha ◽

Saba W. Masho

Keyword(s):

Risk Assessment ◽

Intimate Partner Violence ◽

Confidence Interval ◽

Monitoring System ◽

Partner Violence ◽

Intimate Partner ◽

Breastfeeding Duration ◽

Pregnancy Risk ◽

The Impact ◽

The Relationship

Background: Intimate partner violence is a major public health problem that disproportionately affects women. Current literature investigating the relationship between intimate partner violence and breastfeeding is inconsistent. Research aim: This study aims to investigate the relationship between physical intimate partner violence that occurs in the preconception or prenatal period and any breastfeeding duration. Methods: Data from the retrospective, cross-sectional 2004-2014 Pregnancy Risk Assessment Monitoring System were analyzed ( N = 195,264). The outcome, breastfeeding duration, was categorized as never breastfed, breastfed 8 weeks or less, and breastfeed more than 8 weeks. Multinomial logistic regression was used to obtain crude and adjusted odds ratios and 95% confidence intervals. Results: Approximately 6% ( n = 11,766) of survey respondents reported preconception and/or prenatal intimate partner violence, and 36.3% ( n = 67,667) of women reported never breastfeeding. The odds of discontinuing breastfeeding before 8 weeks were 18% higher among women who reported experiencing abuse 12 months before pregnancy compared with women who did not report intimate partner violence (adjusted odds ratio = 1.18; 95% confidence interval [1.01, 1.37]). All other estimates showed an overlapping 95% confidence interval. Conclusion: Breastfeeding is essential in improving maternal and child health; however, women in abusive relationships may face additional barriers to breastfeeding. Further research is needed to better understand the impact of violence on breastfeeding behaviors to inform healthcare practices and interventions.

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