Abstract
Disparities in Preconception Health Indicators - Behavioral Risk Factor Surveillance System, 2013-2015, and Pregnancy Risk Assessment Monitoring System, 2013-2014.
Highlights
Preconception health is a broad term that encompasses the overall health of nonpregnant women during their reproductive years
During 2013–2015, prevalence estimates of indicators representing risk factors were generally highest and prevalence estimates of health-promoting indicators were generally lowest among older women (35–44 years), non-Hispanic black women, uninsured women, and those residing in southern states
All but three indicators varied by insurance status; for instance, prevalence of current cigarette smoking was higher among uninsured women (21.0%) compared with insured women (16.1%), and prevalence of normal weight was lower among women who were uninsured (38.6%), compared with women who were insured (46.1%)
Summary
Preconception health is a broad term that encompasses the overall health of nonpregnant women during their reproductive years (defined here as aged 18–44 years). Improvement of both birth outcomes and the woman’s health occurs when preconception health is optimized. Surveillance and epidemiologic research on women of reproductive age suggests that two thirds are presumed to be fecund (i.e., can become pregnant) [3] and that approximately half of their pregnancies are unintended [4] and are affected by chronic health and behavioral risk factors that are associated with adverse maternal and infant outcomes [5]. Evidence-based interventions for these risk factors can improve the health outcomes of women and infants [14,15,16,17,18,19]
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