"But Problems Dwell so the Urge Is Constant..." Qualitative Data Analysis of the OST CHOICES Program
"But Problems Dwell so the Urge Is Constant..." Qualitative Data Analysis of the OST CHOICES Program
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DOI：
10.1111/acer.13837
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发表时间：
2018-09-01
影响因子：
3.2
通讯作者：
Hanson, Jessica D.
中科院分区：
文献类型：
--
作者：
Shrestha, Umit;Weber, Tess L.;Hanson, Jessica D.
胎儿酒精谱系障碍是一个主要的公共卫生问题，包括在美国印第安人(AI)/阿拉斯加原住民（AN）社区。各种研究表明，与其他群体相比，怀孕期间AI/AN妇女的饮酒量更高。这项研究旨在了解这种消费模式蓬勃发展的环境。该研究利用了来自奥格拉拉苏族（OST）选择项目的定性和定量数据，这是一个由部落运营的公共卫生项目，旨在减少AI女性孕前接触酒精的怀孕。方法采用描述性统计方法对264例酒精消费模式进行分析。消费模式包括每天的平均饮酒量，他们对饮料的选择（啤酒、威士忌、葡萄酒等），参与者在酒精上花了多少钱，以及从酒精中消耗的卡路里量。定性数据分析包括对来自CHOICES项目的决策平衡练习的数据进行开放编码，该项目着眼于参与者饮酒的好处和不那么好的方面。结果女性平均每天喝12杯酒，从1杯到86杯不等。在家喝酒的女性平均花费4320美元，在酒吧喝酒的女性平均花费12960美元。据报道，每天从酒精中摄取的热量中值为1200卡路里。与其他类型的酒精相比，更多的女性报告在家庭环境中喝啤酒。定性数据分析确定了OST选择计划参与者饮酒的积极和消极方面。积极的方面包括逃避问题、社交和放松。消极方面包括对家庭的影响和家庭暴力。在了解她们的生活环境的同时，我们的研究也揭示了土著妇女在日常生活中遇到的不同斗争（如暴力、同辈压力、经济负担和抑郁）。根据参与者的说法，饮酒的积极方面大于消极方面，他们将饮酒视为一种解决方案，而不是一个问题。本文重点介绍了对南达科他州有酒精暴露怀孕风险的美国印第安妇女进行OST CHOICES干预的定性数据分析的结果。本文的主要目的是了解影响饮酒的社会环境。根据参与者的说法，饮酒的积极方面大于消极方面，他们将饮酒视为一种解决方案，而不是一个问题。我们的分析还揭示了女性在日常生活中面临的各种斗争。
BackgroundFetal alcohol spectrum disorders are a major public health concern including among American Indian (AI)/Alaska Native (AN) communities. Various studies have demonstrated higher alcohol consumption among AI/AN women during pregnancy compared with other groups. This study intends to understand the milieu within which such consumption patterns flourish. The study utilizes qualitative and quantitative data from the Oglala Sioux Tribe (OST) CHOICES Program, a tribally run public health program that aims to reduce alcohol-exposed pregnancy preconceptually in AI women.MethodsAlcohol consumption pattern (n=264) is analyzed using descriptive statistics. Consumption patterns included average drinks consumed daily, their choice of drinks (beer, whiskey, wine, etc.), how much money participants were spending on alcohol and amount of calories consumed from alcohol. Qualitative data analysis included open coding of data from decisional balance exercise of the CHOICES program that looked at good things and not so good things about participants' drinking.ResultsWomen reported drinking an average of 12 drinks daily, ranging between 1 and 86. Women drinking at home spent a median of $4,320 and $12,960 if drinking at a bar. A median of 1,200 calories per day from alcohol was reported. More women reported drinking beer compared with other types of alcohol within a domestic setting. Qualitative data analysis identified positive and negative aspects of drinking among the participants of OST CHOICES Program. Positive aspects included escaping from problems, socializing, and relaxation. Negative aspects included impact on families and domestic violence.ConclusionsWhile understanding their milieu, our study also unraveled different struggles (such as violence, peer pressure, financial burden, and depression) encountered by Native women in their daily lives. According to the participants, positive aspects of drinking outweigh the negative aspects and they viewed their drinking as a solution and not a problem.The paper highlights findings of a qualitative data analysis of OST CHOICES intervention among American Indian women who are at risk of alcohol-exposed pregnancy in South Dakota. Primary motive of the paper is to understand their social milieu that impacts drinking. According to the participants, positive aspects of drinking outweigh the negative aspects and they viewed their drinking as a solution and not a problem. Our analysis also unraveled various struggles faced by the women in their daily lives.