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2. Intimate Partner Violence and Pregnancy and Infant Health Outcomes--Pregnancy Risk Assessment Monitoring System, Nine U.S. Jurisdictions, 2016-2022

Author

Steele-Baser, Megan, Brown, Alyssa L., D'Angelo, Denise V., Basile, Kathleen C., Lee, Rosalyn D., Nguyen, Antoinette T., and Cassell, Cynthia H.

Subjects
Depression (Mood disorder), Infants, Jurisdiction, Smoking, Substance abuse, Hypertension, Marijuana, Domestic violence, Diabetes therapy, Patient care, Pregnant women, Risk assessment, Patients -- Care and treatment, Depression, Mental, Family violence
Abstract

Introduction Intimate partner violence (IPV) during pregnancy can cause maternal orthopedic and head injuries, obstetric complications, and fetal injury or death (1). Approximately 40% of homicides among persons known to [...]

Published
2024

4. Prevalence of Experiencing Physical, Emotional, and Sexual Violence by a Current Intimate Partner during Pregnancy: Population-based Estimates from the Pregnancy Risk Assessment Monitoring System

Author

D'Angelo, Denise V., Bombard, Jennifer M., Lee, Rosalyn D., Kortsmit, Katherine, Kapaya, Martha, and Fasula, Amy

Subjects
Distribution, Social aspects, Methods, Company distribution practices, Conjugal violence -- Distribution, Pregnant women -- Social aspects, Risk assessment -- Methods, Wife abuse -- Distribution
Abstract

Author(s): Denise V. D'Angelo [sup.1] , Jennifer M. Bombard [sup.2] , Rosalyn D. Lee [sup.1] , Katherine Kortsmit [sup.2] , Martha Kapaya [sup.2] , Amy Fasula [sup.2] Author Affiliations: (1) [...], Intimate partner violence (IPV) during pregnancy presents a risk for maternal mental health problems, preterm birth, and having a low birthweight infant. We assessed the prevalence of self-reported physical, emotional, and sexual violence during pregnancy by a current partner among women with a recent live birth. We analyzed data from the 2016-2018 Pregnancy Risk Assessment Monitoring System in six states to calculate weighted prevalence estimates and 95% confidence intervals for experiences of violence by demographic characteristics, health care utilization, and selected risk factors. Overall, 5.7% of women reported any type of violence during pregnancy. Emotional violence was most prevalent (5.4%), followed by physical violence (1.5%), and sexual violence (0.9%). Among women who reported any violence, 67.6% reported one type of violence, 26.5% reported two types, and 6.0% reported three types. Reporting any violence was highest among women using marijuana or illicit substances, experiencing pre-pregnancy physical violence, reporting depression, reporting an unwanted pregnancy, and experiencing relationship problems such as getting divorced, separated, or arguing frequently with their partner. There was no difference in report of discussions with prenatal care providers by experience of violence. The majority of women did not report experiencing violence, however among those who did emotional violence was most frequently reported. Assessment for IPV is important, and health care providers can play an important role in screening. Coordinated prevention efforts to reduce the occurrence of IPV and community-wide resources are needed to ensure that pregnant women receive needed services and protection.

Published
2023
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13. Physical Intimate Partner Violence and Increased Partner Aggression During Pregnancy During the COVID-19 Pandemic: Results From the Pregnancy Risk Assessment Monitoring System

Author

Diamond-Welch, Bridget, Finigan-Carr, Nadine, Decker, Michele R., Chon, Katherine Y., D’Angelo, Denise V., Kapaya, Martha, Swedo, Elizabeth A., Basile, Kathleen C., Agathis, Nickolas T., Zapata, Lauren B., Lee, Rosalyn D., Li, Qing, Ruvalcaba, Yanet, Meeker, Jessica R., Salvesen von Essen, Beatriz, Clayton, Heather B., and Warner, Lee

Abstract

Objectives: Public health emergencies can elevate the risk for intimate partner violence (IPV). Our objectives were 2-fold: first, to assess the prevalence of physical IPV and increased aggression from a husband or partner that occurred during pregnancy and was perceived to be due to the COVID-19 pandemic; second, to examine associations between these experiences and (1) COVID-19–related stressors and (2) postpartum outcomes.Methods: We used data from the Pregnancy Risk Assessment Monitoring System that were collected in 29 US jurisdictions among individuals with a live birth in 2020. We estimated the prevalence of violence during pregnancy by demographic characteristics and COVID-19–related stressors. We calculated adjusted prevalence ratios (APRs) to examine associations of physical IPV or increased aggression with COVID-19–related stressors, postpartum outcomes, and infant birth outcomes.Results: Among 14 154 respondents, 1.6% reported physical IPV during pregnancy, and 3.1% reported increased aggression by a husband or partner due to the COVID-19 pandemic. Respondents experiencing any economic, housing, or childcare COVID-19–related stressors reported approximately twice the prevalence of both types of violence as compared with those without COVID-19–related stressors. Physical IPV and increased aggression were associated with a higher prevalence of postpartum depressive symptoms (APRs, 1.73 and 2.28, respectively) and postpartum cigarette smoking (APRs, 1.74 and 2.19). Physical IPV was associated with a lower prevalence of attending postpartum care visits (APR, 1.84).Conclusions: Our findings support the need for ongoing efforts to prevent IPV during pregnancy and to ensure the availability of resources during public health emergencies.

Published
2025
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14. Trends in Contacts Made by Immigrants to the National Domestic Violence Hotline, Before and During the COVID-19 Pandemic

Author

Diamond-Welch, Bridget, Finigan-Carr, Nadine, Decker, Michele R., Chon, Katherine Y., Treves-Kagan, Sarah, Le, Vi D., Berra, Liris S., Ray, Colleen M., Ruvalcaba, Yanet, Wood, Leila, D’Angelo, Denise V., Vera, Tatiana M., and Estefan, Lianne Fuino

Abstract

Objectives: Immigrants in the United States are more likely than nonimmigrants to experience risk factors for intimate partner violence (IPV) and problems in getting support. The COVID-19 pandemic and recent incidents of xenophobia and anti-immigrant sentiment may have exacerbated exposure to IPV risk factors. We examined immigrant experiences of IPV before and during the COVID-19 pandemic.Methods: This study identified changes in characteristics of abuse, services used, referrals, and barriers to services among those who contacted the National Domestic Violence Hotline (NDVH) and identified as immigrants, reported immigration status as a concern, needed immigration support, and/or identified immigration status as a barrier to accessing services (N = 49 817). We used joinpoint regressions to examine whether the rate of change differed significantly from 2016-2019 (before the pandemic) to 2019-2021 (during the pandemic).Results: The number of immigrant contacts to NDVH peaked in 2017 (n = 9333) and declined 25% to 6946 in 2021. During 2016-2019, the percentage of contacts reporting the following increased significantly: technology-facilitated violence (+12.7 percentage points), economic/financial abuse (+10.8 percentage points), and involvement of firearms (+4.8 percentage points); during 2019-2021, these trends reversed. The percentage of contacts reporting separation or divorce was relatively flat until 2019 and then increased from 14.6% in 2019 to 19.9% in 2021 (+5.2 percentage points). Housing instability increased during 2017-2020 (+9.3 percentage points), but requests for shelters decreased (−4.5 percentage points). Immigration status and personal finances were commonly reported barriers to services; both decreased during 2016-2019 but then increased during 2019-2021.Conclusions: This study can inform prevention and response strategies relevant for immigrants experiencing or reporting IPV.

Published
2025
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16. Naloxone Use During Pregnancy--Data From 26 US Jurisdictions, 2019-2020.

Author

Board, Amy, D'Angelo, Denise V., Miele, Kathryn, Asher, Alice, Salvesen von Essen, Beatriz, Denny, Clark H., Terplan, Mishka, Dunkley, Janae, and Kim, Shin Y.

Abstract

Objectives: We aimed to determine the prevalence of self-reported naloxone use during pregnancy among people in the United States with a recent live birth. A secondary objective was to characterize people at increased risk of overdose who did and did not use naloxone. Methods: We analyzed data from the Pregnancy Risk Assessment Monitoring System from 26 US jurisdictions that conducted an opioid supplement survey from2019 to 2020. Respondentswith increased risk of experiencing an opioid overdose were identified based on self-reported use of illicit amphetamines, heroin, cocaine, or receiving medication for opioid use disorder (MOUD) during pregnancy. Weighted prevalence estimates and 95% confidence intervals were calculated for reported naloxone use at any point during pregnancy among people with an increased risk of overdose. Results: Naloxone use during pregnancy was reported by <1% of the overall study population (unweighted N = 88/34,528). Prevalence of naloxone use was 5.0% (95% CI: 0.0--10.6) among respondents who reported illicit amphetamine use, 15.2% (1.8--28.6) among those who reported heroin use, and 17.6% (0.0--38.1) among those who reported cocaine use. Naloxone use was 14.5% (8.4--20.6) among those who reported takingMOUD. Among peoplewith increased risk of overdose, no significant differences in naloxone use were observed by age, race/ethnicity, education level, residential metropolitan status, or insurance status. Conclusions: Prevalence of naloxone use among people with an increased risk of overdose during pregnancy ranged from 5.0% to 17.6%. Access to naloxone, overdose prevention education, and treatment for substance use disorders may help reduce morbidity and mortality. [ABSTRACT FROM AUTHOR]

Published
2024
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17. The Impact of Dental Insurance and Medical Insurance on Dental Care Utilization During Pregnancy

Author

Robison, Valerie, Bauman, Brenda, D'Angelo, Denise V., Espinoza, Lorena, Thornton-Evans, Gina, and Lin, Mei

Subjects
Influence, Insurance, Behavior, Demographic aspects, Health aspects, Medical care utilization -- Demographic aspects, Health insurance -- Influence, Pregnant women -- Health aspects -- Behavior -- Insurance, Medical care -- Utilization
Abstract

Author(s): Valerie Robison [sup.1] , Brenda Bauman [sup.2] , Denise V. D'Angelo [sup.2] , Lorena Espinoza [sup.1] , Gina Thornton-Evans [sup.1] , Mei Lin [sup.1] Author Affiliations: (1) grid.416738.f, 0000 [...], Objective To measure the association between dental and medical insurance with the receipt of dental cleaning during pregnancy. Methods We analyzed Pregnancy Risk Assessment Monitoring System (PRAMS) data from 2012 to 2015 on 145,051 women with a recent live birth from 36 states. We used adjusted prevalence ratios [aPR] from multivariable regression to examine the association of dental and medical insurance with receipt of dental cleaning during pregnancy, controlling for selected covariates that influence dental care utilization. Results Seventy-seven percent (77%) of all women reported having dental insurance during pregnancy. Receipt of dental cleaning before pregnancy was strongly associated with dental cleaning during pregnancy. Among women without pre-pregnancy dental cleaning who had dental insurance, those with Medicaid medical insurance had a significantly higher prevalence of dental cleaning during pregnancy [aPR = 1.42, 95% CI (1.32 - 1.52)], compared to those private medical insurance. Among women without pre-pregnancy dental cleaning, those without dental insurance but with Medicaid medical insurance were about 70% less likely to have dental cleaning during pregnancy compared to those with dental and private medical insurance. Conclusions for Practice With or without dental insurance, pre-pregnancy dental cleaning was strongly associated with dental cleaning during pregnancy. Dental insurance was an important determinant of dental utilization. Medical insurance had an independent and positive effect. This effect varied by private versus Medicaid medical insurance. Programs which provide women with dental insurance both before and during pregnancy could improve the oral health of maternal and infant populations.

Published
2021
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19. Preventing Vectorborne Transmission of Zika Virus Infection During Pregnancy, Puerto Rico, USA, 2016-2017

Author

Kortsmit, Katherine, von Essen, Beatriz Salvesen, Warner, Lee, D'Angelo, Denise V., Smith, Ruben A., Shapiro-Mendoza, Carrie K., Shulman, Holly B., Virella, Wanda Hernandez, Taraporewalla, Aspy, Harrison, Leslie, Ellington, Sascha, Barfield, Wanda D., Jamieson, Denise J., Cox, Shanna, Pazol, Karen, Diaz, Patricia Garcia, Herrera, Beatriz Rios, and Bernal, Manuel Vargas

Subjects
Prevention, Vector-borne diseases -- Prevention, Disease transmission -- Prevention, Perinatal infection -- Prevention, Zika virus infection -- Prevention
Abstract

During 2016-2017, Puerto Rico had active transmission of Zika virus (ZIKV). During January 27, 2016-June 10, 2017, the Puerto Rico Department of Health (PRDH) reported 40,357 confirmed cases of ZIKV [...]

Published
2020
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20. Women's Awareness and Healthcare Provider Discussions about Zika Virus during Pregnancy, United States, 2016-2017

Author

Williams, Letitia, D'Angelo, Denise V., Bauman, Brenda, Dieke, Ada C., Ellington, Sascha R., Shapiro-Mendoza, Carrie K., Cox, Shanna, Hastings, Philip, Shulman, Holly, Harrison, Leslie, Kapaya, Martha, Barfield, Wanda D., Warner, Lee, and Group, PRAMS Zika State Working

Subjects
United States. Centers for Disease Control and Prevention, Health care industry, Travel, Birth defects, Disease transmission, Travelers, Disease susceptibility, Zika virus, Pregnancy, Pregnant women, Infants, Women, Mosquitoes, Infection
Abstract

Zika virus infection (ZIKV), transmitted primarily by the Aedes aegypti and Ae. albopictus mosquitoes, is a serious threat to pregnant women because of the risk of microcephaly and other birth [...]

Published
2020
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26. Association of Mental Health Conditions, Recent Stressful Life Events, and Adverse Childhood Experiences with Postpartum Substance Use--Seven States, 2019-2020

Author

Stewart, Andrea, Ko, Jean, von Essen, Beatriz Salvesen, Levecke, Madison, D'Angelo, Denise V., Romero, Lisa, Cox, Shanna, Warner, Lee, and Barfield, Wanda

Subjects
Usage, Smoking -- Usage, Opioid abuse -- Usage, Substance abuse -- Usage, Mental health -- Usage, Overdose -- Usage, Risk assessment -- Usage, Drugs -- Overdose
Abstract

Most pregnancy-related deaths due to mental health conditions, which include overdose and poisoning related to substance use disorder, occur during the late (43-365-day) postpartum period (1). Adverse childhood experiences and [...]

Published
2023

27. Preventing Sexual Transmission of Zika Virus Infection during Pregnancy, Puerto Rico, USA, 2016

Author

von Essen, Beatriz Salvesen, Kortsmit, Katie, Warner, Lee, D'Angelo, Denise V., Shulman, Holly B., Virella, Wanda Hernandez, Taraporewalla, Aspy, Harrison, Leslie, Ellington, Sascha, Shapiro-Mendoza, Carrie, Barfield, Wanda, Smith, Ruben A., Jamieson, Denise J., Cox, Shanna, Pazol, Karen, Diaz, Patricia Garcia, Herrera, Beatriz Rios, and Bernal, Manuel Vargas

Subjects
United States. Centers for Disease Control and Prevention -- Planning, Planning, Prevention, Health aspects, Health care industry, Company business planning, Birth defects -- Prevention -- Health aspects, Disease transmission -- Prevention -- Health aspects, Health care industry -- Health aspects -- Planning, Resveratrol -- Health aspects, Zika virus -- Health aspects, Infection -- Prevention -- Health aspects, Condoms -- Health aspects -- Planning, Pregnancy -- Health aspects, Pregnant women -- Health aspects, Brain abnormalities, Medical schools, Mosquitoes
Abstract

Zika virus infection during pregnancy can cause brain abnormalities, microcephaly, and other birth defects in exposed offspring (1,2). Although transmission of Zika virus primarily occurs through the bite of an [...]

Published
2019
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33. Measures Taken to Prevent Zika Virus Infection During Pregnancy — Puerto Rico, 2016

Author

D’Angelo, Denise V., von Essen, Beatriz Salvesen, Lamias, Mark J., Shulman, Holly, Hernandez-Virella, Wanda I., Taraporewalla, Aspy J., Vargas, Manuel I., Harrison, Leslie, Ellington, Sascha R., Soto, Leslianne, Williams, Tanya, Rodriguez, Aurea, Shapiro-Mendoza, Carrie K., Rivera, Brenda, Cox, Shanna, Pazol, Karen, Rice, Marion E., Dee, Deborah L., Romero, Lisa, Lathrop, Eva, Barfield, Wanda, Smith, Ruben A., Jamieson, Denise J., Honein, Margaret A., Deseda, Carmen, and Warner, Lee

Published
2017

34. Timing of Postpartum Depressive Symptoms

Author

Robbins, Cheryl L., primary, Ko, Jean Y., additional, D’Angelo, Denise V., additional, Salvesen von Essen, Beatriz, additional, Bish, Connie L., additional, Kroelinger, Charlan D., additional, Tevendale, Heather D., additional, Warner, Lee, additional, and Barfield, Wanda, additional

Published
2023
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36. Contraceptive Use Among Nonpregnant and Postpartum Women at Risk for Unintended Pregnancy, and Female High School Students, in the Context of Zika Preparedness — United States, 2011–2013 and 2015

Author

Boulet, Sheree L., D’Angelo, Denise V., Morrow, Brian, Zapata, Lauren, Berry-Bibee, Erin, Rivera, Maria, Ellington, Sascha, Romero, Lisa, Lathrop, Eva, Frey, Meghan, Williams, Tanya, Goldberg, Howard, Warner, Lee, Harrison, Leslie, Cox, Shanna, Pazol, Karen, Barfield, Wanda, Jamieson, Denise J., Honein, Margaret A., and Kroelinger, Charlan D.

Published
2016

39. sj-docx-1-phr-10.1177_00333549221142571 – Supplemental material for Pregnant Women’s Experiences During and After Hurricanes Irma and Maria, Pregnancy Risk Assessment Monitoring System, Puerto Rico, 2018

Author

Simeone, Regina M., House, L. Duane, Salvesen von Essen, Beatriz, Kortsmit, Katherine, Hernandez Virella, Wanda, Vargas Bernal, Manuel I., Galang, Romeo R., D’Angelo, Denise V., Shapiro-Mendoza, Carrie K., and Ellington, Sascha R.

Subjects
111799 Public Health and Health Services not elsewhere classified, FOS: Health sciences
Abstract

Supplemental material, sj-docx-1-phr-10.1177_00333549221142571 for Pregnant Women’s Experiences During and After Hurricanes Irma and Maria, Pregnancy Risk Assessment Monitoring System, Puerto Rico, 2018 by Regina M. Simeone, L. Duane House, Beatriz Salvesen von Essen, Katherine Kortsmit, Wanda Hernandez Virella, Manuel I. Vargas Bernal, Romeo R. Galang, Denise V. D’Angelo, Carrie K. Shapiro-Mendoza and Sascha R. Ellington in Public Health Reports

Published
2023
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40. sj-pdf-2-phr-10.1177_00333549221142571 – Supplemental material for Pregnant Women’s Experiences During and After Hurricanes Irma and Maria, Pregnancy Risk Assessment Monitoring System, Puerto Rico, 2018

Author

Simeone, Regina M., House, L. Duane, Salvesen von Essen, Beatriz, Kortsmit, Katherine, Hernandez Virella, Wanda, Vargas Bernal, Manuel I., Galang, Romeo R., D’Angelo, Denise V., Shapiro-Mendoza, Carrie K., and Ellington, Sascha R.

Subjects
111799 Public Health and Health Services not elsewhere classified, FOS: Health sciences
Abstract

Supplemental material, sj-pdf-2-phr-10.1177_00333549221142571 for Pregnant Women’s Experiences During and After Hurricanes Irma and Maria, Pregnancy Risk Assessment Monitoring System, Puerto Rico, 2018 by Regina M. Simeone, L. Duane House, Beatriz Salvesen von Essen, Katherine Kortsmit, Wanda Hernandez Virella, Manuel I. Vargas Bernal, Romeo R. Galang, Denise V. D’Angelo, Carrie K. Shapiro-Mendoza and Sascha R. Ellington in Public Health Reports

Published
2023
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42. Pregnant Women’s Experiences During and After Hurricanes Irma and Maria, Pregnancy Risk Assessment Monitoring System, Puerto Rico, 2018

Author

Simeone, Regina M., primary, House, L. Duane, additional, Salvesen von Essen, Beatriz, additional, Kortsmit, Katherine, additional, Hernandez Virella, Wanda, additional, Vargas Bernal, Manuel I., additional, Galang, Romeo R., additional, D’Angelo, Denise V., additional, Shapiro-Mendoza, Carrie K., additional, and Ellington, Sascha R., additional

Published
2023
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50. Rapid Population-Based Surveillance of Prenatal and Postpartum Experiences During Public Health Emergencies, Puerto Rico, 2016‒2018

Author

Salvesen von Essen, Beatriz, primary, D’Angelo, Denise V., additional, Shulman, Holly B., additional, Virella, Wanda Hernández, additional, Kortsmit, Katherine, additional, Herrera, Beatriz Ríos, additional, Díaz, Patricia García, additional, Taraporewalla, Aspy, additional, Harrison, Leslie, additional, Warner, Lee, additional, and Vargas Bernal, Manuel, additional

Published
2022
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