Table 3. Trends in Annual Self-Reported Postpartum Cardiovascular Health Counseling by Number of Cardiovascular Risk Factors, 2016-2020^a.

Year	No. of cardiovascular disease risk factors, rate/100 individualsb				Cardiovascular health counseling, adjusted rate ratio (95% CI)c
	Overall	0	1	≥2	0 vs 1 risk factor	0 vs ≥2 risk factors
Overall, 2016-2020	56.4 (56.0 to 56.8)	54.5 (54.0 to 55.0)	58.0 (57.2 to 58.7)	60.7 (59.8 to 61.6)	1.05 (1.04 to 1.07)	1.11 (1.09 to 1.13)
2016	57.6 (56.7 to 58.5)	56.2 (55.0 to 57.4)	58.5 (56.8 to 60.3)	61.9 (59.6 to 64.2)	1.03 (1.00 to 1.07)	1.09 (1.05 to 1.14)
2017	57.0 (56.1 to 57.8)	54.9 (53.8 to 56.0)	58.9 (57.4 to 60.4)	61.2 (59.1 to 63.3)	1.06 (1.02 to 1.10)	1.10 (1.06 to 1.15)
2018	56.6 (55.8 57.3)	54.5 (53.5 to 55.6)	58.1 (56.7 to 59.6)	61.2 (59.3 to 63.1)	1.05 (1.02 to 1.08)	1.11 (1.07 to 1.15)
2019	55.9 (55.1 to 56.7)	53.8 (52.7 to 55.0)	57.4 (55.9 to 58.9)	60.7 (58.7 to 62.8)	1.05 (1.02 to 1.09)	1.12 (1.07 to 1.16)
2020	55.1 (54.3 to 56.0)	52.8 (51.7 to 54.0)	57.3 (55.7 to 58.8)	59.8 (57.8 to 61.7)	1.07 (1.04 to 1.11)	1.12 (1.08 to 1.17)
Absolute % difference, 2016-2020	−2.5	−3.4	−1.2	−2.1
Average annual percent change 2016-2020 (95% CI)	−1.1 (−1.3 to −0.8)	−1.4 (−1.8 to −1.0)	−0.7 (−1.3 to −0.1)	−0.8 (−1.3 to −0.3)

^a Cardiovascular risk factors: prepregnancy obesity, prepregnancy diabetes, prepregnancy hypertension, hypertensive disorders of pregnancy, gestational diabetes, and preterm birth.

^b Percent (95% CI) values for No. of cardiovascular disease risk factors were age standardized, and they were weighted to account for the Pregnancy Risk Assessment Monitoring System sampling design.

^c Adjusted for maternal age, education (≤high school or > high school), and postpartum insurance type (any private insurance or no private insurance). The overall rate ratio was additionally adjusted for year of delivery.