The Importance of Understanding Social Context in the Reduction of AEP Risk among Native Women.
The Importance of Understanding Social Context in the Reduction of AEP Risk among Native Women.
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DOI：
10.1111/acer.14470
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发表时间：
2020-11
期刊：
影响因子：
--
通讯作者：
Sarche, Michelle
中科院分区：
文献类型：
--
作者：
Hanson, Jessica;Mohawk, Cassaundra;Shrestha, Umit;Gross, Marie;O'Leary, Marcia;Sarche, Michelle
本评论的目的是概述解决原住民（例如美洲印第安人、阿拉斯加原住民、夏威夷原住民、原住民和原住民）妇女 AEP 预防问题的重要途径，全面考虑参与这些干预措施的妇女和社区的观点。将酒精消费量降低至暴饮暴食水平以下是“2020 年健康人民”计划的重点，该计划制定了数据驱动的国家目标，以改善美国的健康状况。对于女性来说，危险饮酒包括暴饮暴食（即一次喝 4 杯或更多酒）或大量饮酒（即每周喝 8 杯或更多酒）（美国国家酒精滥用和酒精中毒研究所，无日期），建议在怀孕期间完全戒酒。在原住民社区，酗酒仍然是一个重要的公共卫生问题。虽然与其他种族/族裔群体相比，土著妇女更有可能戒酒，但饮酒者中酗酒的可能性更大（Ye 等人，2020）。考虑到饮酒的关系和情境背景，饮酒的美国土著女性更有可能在家里而不是在酒吧和餐馆喝酒（May 和 Gossage，2001 年；Hanson 等人，2017 年），并且更有可能在周末在一群人中狂饮以进行社交、庆祝特殊场合，因为其他人正在喝酒，或者成为群体的一部分（May 和 Gossage，2017 年）。 2001）。减少酗酒包括需要解决酒精暴露怀孕（AEP）的风险。一项针对北平原美洲印第安人妇女的队列研究发现，52% 的人在怀孕期间饮酒，其中 41% 的人产前酗酒（Ye 等人，2020）。 AEP 预防工作专门针对孕前阶段，重点关注女性怀孕前的行为改变，鼓励可能怀孕的女性减少或消除危险饮酒和/或有效避孕。南达科他州部落怀孕风险评估监测系统 (PRAMS) 的数据发现，大平原地区部落的原住民妇女中有 55% 在怀孕前 3 个月内酗酒（大平原部落主席健康委员会，2017 年）。在同一样本中，82% 的人性生活活跃，没有试图怀孕，并且在受孕时没有使用任何避孕措施。
The goal of this commentary is to outline important paths for addressing AEP prevention in Native (eg, American Indian, Alaska Native, Native Hawaiian, Indigenous, and First Nations) women that holistically takes into account the views of the women and communities participating in these interventions. Reducing alcohol consumption to below bingeing levels is a focus of Healthy People 2020, which sets data-driven national objectives to improve health in the United States. For women, risky drinking includes either binge (ie 4 or more drinks on an occasion) or heavy (ie 8 or more drinks per week) drinking (National Institute on Alcohol Abuse and Alcoholism, no date), with recommendations for complete abstinence from alcohol during pregnancy. In Native communities, binge drinking remains a critical public health issue. While Native women are more likely to abstain from alcohol compared with other racial/ethnic groups, among those who drink binge drinking is more likely (Ye et al., 2020). Considering the relational and situational contexts of drinking, Native women in the United States who drink are more likely to do so in a home setting rather than in bars and restaurants (May and Gossage, 2001, Hanson et al., 2017) and are more likely to binge drink on weekends in a group to be sociable, to celebrate a special occasion, because others are drinking, or to be part of a group (May and Gossage, 2001).Reduction in binge drinking includes the need to address risk for alcohol-exposed pregnancy (AEP). A cohort study with Northern Plains American Indian women found that 52% consumed alcohol during pregnancy, with 41% engaged in prenatal binge drinking (Ye et al., 2020). AEP prevention efforts that have specifically targeted the preconception period focused on behavior change before women become pregnant by either encouraging the reduction or elimination of risky alcohol use and/or effective contraceptive use among women who could become pregnant. Data from the South Dakota Tribal Pregnancy Risk Assessment Monitoring System (PRAMS) found that 55% of Native women from Great Plains Area tribes were binge drinking in the 3 months prior to pregnancy (Great Plains Tribal Chairmen’s Health Board, 2017). Among this same sample, 82% were sexually active, not trying to get pregnant, and were not using any birth control at conception.
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影响因子：
12.7
作者：
Montag, Annika C.;Brodine, Stephanie K.;Chambers, Christina D.
通讯作者：
Chambers, Christina D.
影响因子：
3.1
作者：
Meurk, Carla S.;Broom, Alex;Lucke, Jayne
通讯作者：
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影响因子：
3.2
作者：
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通讯作者：
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影响因子：
4.4
作者：
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通讯作者：
Tennen, Howard
DOI：
10.3390/ijerph16091589
发表时间：
2019-05-01
影响因子：
--
作者：
Wolfson, Lindsay;Poole, Nancy;Rowan, Tammy
通讯作者：
Rowan, Tammy