[Federal Register: November 29, 2005 (Volume 70, Number 228)]
[Notices]
[Page 71535-71536]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr29no05-61]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30Day-06-05AP]
Proposed Data Collections Submitted for Public Comment and
Recommendations
The Centers for Disease Control and Prevention (CDC) publishes a
list of information collection requests under review by the Office of
Management and Budget (OMB) in compliance with the Paperwork Reduction
Act (44 U.S.C. Chapter 35). To request a copy of these requests, call
the CDC Reports Clearance Officer at (404) 639-4766 or send an e-mail
to omb@cdc.gov. Send written comments to CDC Desk Officer, Office of
Management and Budget, Washington, DC or by fax to (202) 395-6974.
Written comments should be received within 30 days of this notice.
Proposed Project
Spanish-language Folic Acid Communication Research and Creative
Production--New--National Center on Birth Defects and Developmental
Disabilities (NCBDDD), Centers for Disease Control and Prevention
(CDC).
Background and Brief Description
Pregnancies and births affected by spina bifida or anencephaly have
profound physical, emotional, and financial effects on families and
communities. Recent data from the National Birth Defects Prevention
Network surveillance system show that folic acid food fortification has
resulted in an approximate overall 25% decline in Neural Tube Defect
(NTD) affected pregnancies. Since food fortification in 1998, the
number of babies born in the United States with these serious birth
defects has declined. Before food fortification, CDC estimated that
there were about 4,000 NTD-affected pregnancies each year. Since 1999,
CDC has observed a decline so that the CDC National Center of Birth
Defects and Developmental Disabilities now estimates that, annually,
there are only about 3,000 NTD-affected pregnancies.
Despite these exciting developments, Hispanic women in the United
States remain the most vulnerable for having an NTD-affected pregnancy.
The specific reason for this increased risk remains a mystery. What we
do know is that they have a higher risk than Caucasian and African
American women in the United States. Surveys conducted by CDC in 1999
and 2000 also showed that Hispanic women had the lowest reported folic
acid knowledge and consumption. In 1995 and 1996 during the pre-
fortification period, the prevalence of spina bifida and anencephaly
among Hispanic women was about 10 per 10,000 births or pregnancies
compared to about 8 per 10,000 among Whites and almost 6 per 10,000
among Blacks. Because Hispanic women still have the highest rate among
the 3 racial/ethnic groups, CDC continues to make reaching them its top
priority.
CDC is interested in continuing to reach Spanish-speaking Hispanic
women in the United States. Preliminary results from the Spanish Folic
Acid Campaign Evaluation Survey
[[Page 71536]]
(SFACES) have shown that a strategy that combines local outreach
efforts and paid/earned media efforts is effective. However, CDC does
not anticipate budgetary increases that could make a national-level
Spanish language campaign possible. Also, CDC is concerned that the
SFACES campaign materials, which were developed in 1999, may be
becoming ``dated.'' While CDC has no hard evidence that they are no
longer effective, CDC does want to examine their effectiveness in a
robust manner before decisions are made about whether to keep using
them in outreach efforts in selected communities throughout the U.S.
CDC is also interested in developing a deeper understanding of sub-
groups of women within the Spanish-speaking Hispanic population and
developing effective communication strategies for reaching them.
This project includes a systematic communication research and
product development process involving, and ultimately serving, Spanish-
speaking Hispanic women. These activities include:
a. Developing a multivariate audience-segmentation scheme using
existing data from Spanish-speaking Hispanic women;
b. Assessing the effectiveness of current campaign materials with
the identified audience segments;
c. Conducting qualitative research with audience segments;
d. Developing audience profiles for each audience segment;
e. Developing draft communication plans based on audience profiles
that outlines potential outreach strategies;
f. Presenting the possibilities to key internal and external
stakeholders to solicit input;
g. Developing and testing concepts, messages, and materials along
with implementation plans for their use; and,
h. Producing master quality copies of each material in formats that
CDC and partners can use for mass production and dissemination.
Since the 60 day Federal Register notice on this project was
published, the first step--developing a multivariate audience-
segmentation scheme using existing data from Spanish-speaking Hispanic
women--has been completed. Three distinct audience groups of Spanish-
speaking Hispanic women of childbearing age have been identified as
needing extra outreach efforts, so they are the focus of this request.
The three groups are:
(1) Unacculturated mothers (Spanish-speaking Hispanic women between
the ages of 26-35 years old, who have less than a high school education
and report having a child),
(2) Unacculturated young adults (Spanish-speaking Hispanic women
between the ages of 18-25 years old who have less than a high school
education and report NOT having a child), and
(3) Acculturated young adults (Acculturated young adults are
Spanish-speaking Hispanic women between the ages of 18-24 who have a
high school education and report not having any college education and
not having any children).
The annual burden table has been updated to reflect research
activities in all three of these important audience segments. There are
no costs to the respondents other than their time. The total estimated
annualized burden hours are 935.
Estimated Annualized Burden Table
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Average burden
Respondents and data collection types No. of No. of responses per response (in
respondents per respondent hours)
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Telephone contact...................................... 2200 1 5/60
Hispanic women, 18-35 (evaluate existing materials 90 1 30/60
interviews)...........................................
Hispanic women, 18-35 (18 exploratory focus groups).... 216 1 2
Hispanic women, 18-35 (9 concept testing focus groups). 108 1 2
Hispanic women, 18-35 (new materials pre-testing 90 1 30/60
interviews)...........................................
Testing of new materials with distributors (brief 50 1 15/60
interviews)...........................................
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Dated: November 18, 2005.
Betsey S. Dunaway,
Acting Reports Clearance Officer, Centers for Disease Control and
Prevention.
[FR Doc. E5-6669 Filed 11-28-05; 8:45 am]
BILLING CODE 4163-18-P