Indu B. Ahluwalia|Kristen Helms|Brian Morrow
Assessing the Validity and Reliability of Three Indicators Self-Reported on the Pregnancy Risk Assessment Monitoring System Survey
National Center for Chronic Disease Prevention and Health Promotion|Centers for Disease Control and Prevention|National Center for Chronic Disease Prevention and Health Promotion|Centers for Disease Control and Prevention
objectives investigated reliability validity three selfreported indicators pregnancy risk assessment monitoring system prams survey methods used 2008 prams n15646 data 12 states implemented 2003 revised us certificate live birth estimated reliability kappa coefficient validity sensitivity specificity using birth certificate data reference following prenatal participation special supplemental nutrition program women infants children wic medicaid payment delivery breastfeeding initiation indicators examined across several demographic subgroups results reliability high three measures 081 wic participation 067 medicaid payment delivery 072 breastfeeding initiation validity prams indicators also high wic participation sensitivity 908 specificity 906 medicaid payment delivery sensitivity 824 specificity 856 breastfeeding initiation sensitivity 943 specificity 760 prevalence estimates higher prams birth certificate indicators except medicaidpaid delivery among nonhispanic black women kappa values within subgroups remained moderate range 040080 sensitivity specificity values lower hispanic women responded prams survey spanish breastfeeding initiation among women delivered low birthweight preterm infants conclusion validity reliability prams data measures assessed high findings support use prams data epidemiological surveillance research planning