pregnancy nutrition surveillance system - in.gov 2010 (prior year) national pnss data are presented....
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2011
INDIANA
Pregnancy Nutrition
Surveillance System
Graphics
2010 (prior year) national PNSS data are presented. Contributors included 29 states, the District of Columbia, 3 Indian Tribal Organizations, and 1 U.S. territory.
Comparing Contributor and National Data
Source of data
2011 IN PNSS Table 1C * Special Supplemental Nutrition Program for Women, Infants and Children.
0 10 20 30 40 50 60 70 80 90 100
State
Nation
Percentage
WIC*
MaternalHealth
Other
Racial and ethnic distribution
2011 IN PNSS Table 1C
0 10 20 30 40 50 60 70 80 90 100
State
Nation
Percentage
White
Black
Hispanic
American Indian
Asian
Multiple
Other
Trends in racial and ethnic distribution
0
20
40
60
80
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Year
Perc
enta
ge
White Black Hispanic American Indian Asian Multiple
2011 IN PNSS Table 14C
Age distribution
2011 IN PNSS Table 1C
0 10 20 30 40 50 60 70 80 90 100
State
Nation
Percentage
<15 Years
15-17 Years
18-19 Years
20-29 years
30-39 Years
≥40 Years
Trends in age distribution
0
20
40
60
80
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Year
Perc
enta
ge
<15 Years 15-17 Years 18-19 Years20-29 Years 30-39 Years 40+ Years
2011 IN PNSS Table 15C
Education level
2011 IN PNSS Table 1C
0 10 20 30 40 50 60 70 80 90 100
State
Nation
Percentage
<High School
High School
>High School
Migrant status
2011 IN PNSS Table 1C
0 10 20 30 40 50 60 70 80 90 100
State
Nation
Percentage
Yes
No
Household income reported as percent poverty level
2011 IN PNSS Table 1C
0 10 20 30 40 50 60 70 80 90 100
State
Nation
Percentage
0-50
51-100
101-130
131-150
151-185
186-200
Over 200
Adj. Eligibility
Program participation at initial prenatal visit
0
25
50
75
100
WIC* SNAP** Medicaid TANF***
Perc
enta
ge
State Nation
2011 IN PNSS Table 1C
* Special Supplemental Nutrition Program for Women, Infants, and Children.
** Supplemental Nutrition Assistance Program.
*** Temporary Assistance for Needy Families.
Timing of WIC enrollment and medical care
0102030405060708090
100
1st
Trimester
2nd
Trimester
3rd
Trimester
Postpartum 1st Trimester No Care
Perc
enta
ge
State Nation
2011 IN PNSS Table 2C
WIC Enrollment Medical Care
Trends in WIC enrollment and medical care
0102030405060708090
100
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Year
Perc
enta
ge
Medical Care 1st Trimester No Medical Care 1st Trimester WIC Enrollment
2011 IN PNSS Table 17C
Trends in first trimester WIC enrollment
by race and ethnicity
0
10
20
30
40
50
60
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Year
Perc
enta
ge
White Black Hispanic American Indian Asian Multiple Total
2011 IN PNSS Table 21C
Parity and interpregnancy interval
0
10
20
30
40
50
60
0 1 2 3 or More < 6
Months
6-18
Months
Perc
enta
ge
State Nation
2011 IN PNSS Table 2C
Parity Interpregnancy Interval
Prevalence of prepregnancy underweight
and overweight*
2011 IN PNSS Table 2C
0
10
20
30
40
50
60
Perc
enta
ge
State Nation
* Underweight (BMI < 18.5); overweight (BMI = 25.0-29.9); and obese (BMI > 30.0).
Underweight Normal Overweight (top) and
Obese
Prevalence of prepregnancy underweight* by race and ethnicity
0
5
10
15
White Black Hispanic American
Indian
Asian Multiple Total
Perc
enta
ge
State Nation
2011 IN PNSS Table 9C * BMI < 18.5.
Prevalence of prepregnancy overweight* by race and ethnicity
0
10
20
30
40
50
60
70
White Black Hispanic American
Indian
Asian Multiple Total
Perc
enta
ge
State Nation
2011 IN PNSS Table 9C * BMI > 25.0 (includes overweight and obese women).
Prevalence of less than ideal maternal
weight gain* by race and ethnicity
0
10
20
30
40
White Black Hispanic American
Indian
Asian Multiple Total
Perc
enta
ge
State Nation
2011 IN PNSS Table 9C
* Ideal weight gain: prepregnancy underweight = 28-40 pounds; prepregnancy normal weight = 25-35 pounds;
prepregnancy overweight = 15-25 pounds; and prepregnancy obese = 11-20 pounds.
Prevalence of greater than ideal maternal
weight gain* by race and ethnicity
0
10
20
30
40
50
60
White Black Hispanic American
Indian
Asian Multiple Total
Perc
enta
ge
State Nation
2011 IN PNSS Table 9C
* Ideal weight gain: prepregnancy underweight = 28-40 pounds; prepregnancy normal weight = 25-35 pounds;
prepregnancy overweight = 15-25 pounds; and prepregnancy obese = 11-20 pounds.
Prevalence of less than ideal, ideal and
greater than ideal maternal weight gain*
0
10
20
30
40
50
60
< Ideal Ideal > Ideal
Perc
enta
ge
State Nation
2011 IN PNSS Table 2C
* Ideal weight gain: prepregnancy underweight = 28-40 pounds; prepregnancy normal weight = 25-35 pounds;
prepregnancy overweight = 15-25 pounds; and prepregnancy obese = 11-20 pounds.
Maternal weight gain* by prepregnancy BMI**
0
10
20
30
40
50
60
70
Underweight Normal Overweight Obese
Prepregnancy BMI
Perc
enta
ge
< Ideal Weight Gain > Ideal Weight Gain
2011 IN PNSS Table 13C
* Ideal weight gain: prepregnancy underweight = 28-40 pounds; prepregnancy normal weight = 25-35
pounds; prepregnancy overweight = 15-25 pounds; and prepregnancy obese = 11-20 pounds.
** Underweight (BMI < 18.5); overweight (BMI = 25.0-29.9); and obese (BMI > 30.0).
Trends in prevalence of prepregnancy
overweight and underweight*
0
20
40
60
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Year
Perc
enta
ge
Overweight Underweight
2011 IN PNSS Table 16C
* Underweight (BMI < 18.5); overweight (BMI > 25.0; includes overweight and obese).
Trends in prevalence of less than ideal and
greater than ideal weight gain*
0
20
40
60
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Year
Perc
enta
ge
< Ideal Weight Gain > Ideal Weight Gain
2011 IN PNSS Table 16C
* Ideal weight gain: prepregnancy underweight = 28-40 pounds; prepregnancy normal weight = 25-35 pounds;
prepregnancy overweight 15-25 pounds and prepregnancy obese = 11-20 pounds.
Trends in the prevalence of less than ideal
maternal weight gain* by race and ethnicity
0
10
20
30
40
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Year
Perc
enta
ge
White Black Hispanic Amer Indian Asian Multiple Total
2011 IN PNSS Table 20C
* Ideal weight gain: prepregnancy underweight = 28-40 pounds; prepregnancy normal weight = 25-35 pounds;
prepregnancy overweight = 15-25 pounds; and prepregnancy obese = 11-20 pounds.
Trends in the prevalence of greater than ideal
maternal weight gain* by race and ethnicity
0
10
20
30
40
50
60
70
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Year
Perc
enta
ge
White Black Hispanic Amer Indian Asian Multiple Total
2011 IN PNSS Table 20C
* Ideal weight gain: prepregnancy underweight = 28-40 pounds; prepregnancy normal weight = 25-35 pounds;
prepregnancy overweight = 15-25 pounds; and prepregnancy obese = 11-20 pounds.
Prevalence of anemia* by timing of program
enrollment
0
10
20
30
40
1st Trimester 2nd Trimester 3rd Trimester Postpartum
Perc
enta
ge
State Nation
2011 IN PNSS Table 2C * Hb or Hct < 5th percentile, CDC MMWR vol. 47 (No. RR-3), 1998.
Prevalence of third-trimester anemia* by race and ethnicity
0
10
20
30
40
50
60
White Black Hispanic American
Indian
Asian Multiple Total
Perc
enta
ge
State Nation
2011 IN PNSS Table 9C * Hb or Hct < 5th percentile, CDC MMWR vol. 47 (No. RR-3), 1998.
Prevalence of postpartum anemia* by race and ethnicity
0
10
20
30
40
50
White Black Hispanic American
Indian
Asian Multiple Total
Perc
enta
ge
State Nation
2011 IN PNSS Table 9C * Hb or Hct < 5th percentile, CDC MMWR vol. 47 (No. RR-3), 1998.
Trends in prevalence of third trimester
anemia* by race and ethnicity
0
10
20
30
40
50
60
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Year
Perc
enta
ge
White Black Hispanic Amer Indian Asian Multiple Total
2011 IN PNSS Table 20C * Hb or Hct < 5th percentile, CDC MMWR vol. 47 (No. RR-3), 1998.
Trends in the prevalence of postpartum
anemia* by race and ethnicity
0
10
20
30
40
50
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Year
Perc
enta
ge
White Black Hispanic Amer Indian Asian Multiple Total
2011 IN PNSS Table 20C * Hb or Hct < 5th percentile, CDC MMWR vol. 47 (No. RR-3), 1998.
Prevalence of smoking and smoking in the
household by pregnancy status
0
5
10
15
20
25
30
35
40
3 Mos Prior to
Pregnancy
During
Pregnancy
Last 3 Mos of
Pregnancy
Postpartum During
Pregnancy
Postpartum
Perc
enta
ge
State Nation
2011 IN PNSS Table 2C
Smoking Smoking in the
Household
Smoking changes during pregnancy among women who reported smoking three months prior to pregnancy
0
10
20
30
40
50
Quit by 1st Prenatal Visit Quit by 1st Prenatal Visit and
Stayed Off Cigarettes
Pe
rce
nta
ge
State Nation
2011 IN PNSS Table 2C
Trends in prevalence of smoking during the last
3 months of pregnancy
by race and ethnicity
0
10
20
30
40
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Year
Perc
enta
ge
White Black Hispanic American Indian Asian Multiple Total
2011 IN PNSS Table 22C
Trends in the prevalence of smoking in the
household* by race and ethnicity
0
10
20
30
40
50
60
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Year
Perc
enta
ge
White Black Hispanic American Indian Asian Multiple Total
2011 IN PNSS Table 22C * During the prenatal period.
Prevalence of maternal drinking
0
5
10
3 Months Prior to Pregnancy Last 3 Months of Pregnancy
Perc
enta
ge
State Nation
2011 IN PNSS Table 2C
Prevalence of medical conditions during
pregnancy*
0
5
10
Diabetes Hypertension
Perc
enta
ge
State Nation
2011 IN PNSS Tables 2C
* Woman reports being told by doctor she had diabetes prior to and/or during pregnancy.
Woman reports being told by doctor she had hypertension prior to and/or during pregnancy.
Prevalence of diabetes during pregnancy* by race and ethnicity
0
5
10
White Black Hispanic American
Indian
Asian Multiple Total
Perc
enta
ge
State Nation
2011 IN PNSS Table 9C * Includes diabetes mellitus and gestational diabetes.
Prevalence of hypertension during pregnancy* by race and ethnicity
0
5
10
White Black Hispanic American
Indian
Asian Multiple Total
Perc
enta
ge
State Nation
2011 IN PNSS Table 9C * Includes chronic hypertension and pregnancy-induced hypertension.
Prevalence of multivitamin use prior to and
during pregnancy*
0
10
20
30
40
50
60
70
80
90
100
Prepregnancy Use During Pregnancy
Perc
enta
ge
State Nation
2011 IN PNSS Tables 2C
* Multivitamin use prior to pregnancy is a proxy for folic acid consumption. Multivitamin use during pregnancy is a
proxy for iron consumption.
Prevalence of multivitamin use prior to
pregnancy* by race and ethnicity
0
10
20
30
White Black Hispanic American
Indian
Asian Multiple Total
Perc
enta
ge
State Nation
2011 IN PNSS Table 10C * Multivitamin use prior to pregnancy is a proxy for folic acid consumption.
Prevalence of multivitamin use during
pregnancy* by race and ethnicity
0
10
20
30
40
50
60
70
80
90
100
White Black Hispanic American
Indian
Asian Multiple Total
Perc
enta
ge
State Nation
2011 IN PNSS Table 10C * Multivitamin use during pregnancy is a proxy for iron consumption.
Prevalence of low birthweight and high
birthweight *
2011 IN PNSS Table 2C * VLBW < 1500 g; LBW = 1500 - < 2500 g; HBW > 4000 g.
LBW (top) and HBW
VLBW
0
5
10
Pe
rce
nta
ge
State Nation
Prevalence of selected birth outcomes*
0
5
10
15
Preterm Full Term Low
Birthweight
Multiple Births
Pe
rce
nta
ge
State Nation
2011 IN PNSS Table 2C * Preterm: < 37 weeks gestation. Full term low birthweight: 37 or more weeks and < 2500 g.
Prevalence of low birthweight* by race and ethnicity
0
5
10
15
20
White Black Hispanic American
Indian
Asian Multiple Total
Perc
enta
ge
State Nation
2011 IN PNSS Table 12C * Low birthweight includes VLBW < 1500 g and LBW = 1500-<2500 g.
Prevalence of low birthweight* by selected health indicators
0
5
10
15
20
Prepregnancy BMI Weight Gain Smoking During
Pregnancy
Perc
enta
ge
2011 IN PNSS Table 13C * Low birthweight includes VLBW < 1500 g and LBW = 1500-<2500 g.
Under- Normal Over- < Ideal Ideal > Ideal Smoker Nonsmoker
weight weight
Prevalence of high birthweight* by race and ethnicity
0
5
10
White Black Hispanic American
Indian
Asian Multiple Total
Perc
enta
ge
State Nation
2011 IN PNSS Table 12C * High birthweight > 4000 g.
Prevalence of preterm delivery*
by race and ethnicity
0
5
10
15
20
White Black Hispanic American
Indian
Asian Multiple Total
Perc
enta
ge
State Nation
2011 IN PNSS Table 12C * Preterm: < 37 weeks gestation.
Trends in the prevalence of low birthweight* by race and ethnicity
0
5
10
15
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Year
Perc
enta
ge
White Black Hispanic American Indian Asian Multiple Total
2011 IN PNSS Table 23C * < 2500 g.
Trends in the prevalence of high birthweight* by race and ethnicity
0
5
10
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Year
Perc
enta
ge
White Black Hispanic American Indian Asian Multiple Total
2011 IN PNSS Table 23C * > 4000 g.
Trends in the prevalence of preterm delivery* by race and ethnicity
0
5
10
15
20
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Year
Perc
enta
ge
White Black Hispanic American Indian Asian Multiple Total
2011 IN PNSS Table 23C * < 37 weeks gestation.
Percentage of infants ever breastfed*
by race and ethnicity
01020304050
60708090
100
White Black Hispanic American
Indian
Asian Multiple Total
Pe
rce
nta
ge
State Nation
2011 IN PNSS Table 12C * Includes infants currently breastfeeding or ever breastfed as reported by mother at postpartum visit .
Trends in the percentage of infants ever
breastfed* by race and ethnicity
0102030405060708090
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Year
Perc
enta
ge
White Black Hispanic American Indian Asian Multiple Total
2011 IN PNSS Table 23C * Reported by mother at postpartum visit.
Maps
State Maps of County Data
2009-2011 Pregnancy Nutrition
Surveillance System
Percentage of pregnancies among females
aged ≤ 17 years, by county
2009-2011 IN PNSS Table 4B
0 - < 4
4 - < 6
6 - < 8
8 +
No Data
Percentage of women enrolling in WIC during
their first trimester, by county
2009-2011 IN PNSS Table 6B
0 - < 35
35 - < 44
44 - < 53
53 +
No Data
Prevalence of prepregnancy underweight*, by county
* BMI < 18.5. 2009-2011 IN PNSS Table 5B
0 - < 3
3 - < 5
5 - < 7
7 +
No Data
Prevalence of prepregnancy overweight*, by county
* BMI > 25.0. 2009-2011 IN PNSS Table 5B
0 - < 49
49 - < 53
53 - < 57
57 +
No Data
* Ideal weight gain: prepregnancy underweight = 28-40 pounds; prepregnancy normal weight = 25-35 pounds;
prepregnancy overweight = 15-25 pounds; and prepregnancy obese = 11-20 pounds. 2009-2011 IN PNSS Table 5B
Prevalence of < ideal weight gain*, by county
0 - < 16
16 - < 18
18 - < 20
20 +
No Data
* Ideal weight gain: prepregnancy underweight = 28-40 pounds; prepregnancy normal weight = 25-35 pounds;
prepregnancy overweight = 15-25 pounds; and prepregnancy obese = 11-20 pounds. 2009-2011 IN PNSS Table 5B
Prevalence of > ideal weight gain*, by county
0 - < 50
50 - < 54
54 - < 58
58 +
No Data
2009-2011 IN PNSS Table 7B
Prevalence of smoking during the last 3 months
of pregnancy, by county
0 - < 20
20 - < 27
27 - < 34
34 +
No Data
2009-2011 IN PNSS Table 7B
Incidence of gestational diabetes*,
by county
* Postpartum woman reports being told by doctor she had gestational diabetes during her most recent pregnancy.
0 - < 1
1 - < 3
3 - < 5
5 +
No Data
2009-2011 IN PNSS Table 7B
Prevalence of hypertension during pregnancy*,
by county
* Postpartum woman reports being told by doctor she had hypertension during her most recent pregnancy.
0 - < 2
2 - < 6
6 - < 10
10 +
No Data
2009-2011 IN PNSS Table 7B
Prevalence of multivitamin use prior to
pregnancy*, by county
* Multivitamin use prior to pregnancy is a proxy for folic acid consumption.
0 - < 11
11 - < 16
16 - < 21
21 +
No Data
2009-2011 IN PNSS Table 7B
Prevalence of multivitamin use during
pregnancy*, by county
* Multivitamin use during pregnancy is a proxy for iron consumption.
0 - < 83
83 - < 88
88 - < 93
93 +
No Data
Prevalence of low birthweight*, by county
* < 2500 grams. 2009-2011 IN PNSS Table 8B
0 - < 6
6 - < 8
8 - < 10
10 +
No Data
Prevalence of high birthweight*, by county
* > 4000 grams. 2009-2011 IN PNSS Table 8B
0 - < 5
5 - < 7
7 - < 9
9 +
No Data
* < 37 weeks gestation. 2009-2011 IN PNSS Table 8B
Prevalence of preterm delivery*, by county
0 - < 10
10 - < 13
13 - < 16
16 +
No Data
* Reported by mother at postpartum visit. 2009-2011 IN PNSS Table 8B
Percentage of infants ever breastfed*, by county
0 - < 55
55 - < 65
65 - < 75
75 +
No Data
