Importance of social support in preventing alcohol-exposed pregnancies with American Indian communities.
Importance of social support in preventing alcohol-exposed pregnancies with American Indian communities.
复制标题
社会支持在防止美洲印第安人社区酒精暴露怀孕方面的重要性。
DOI：
10.1007/s10900-014-9911-1
复制
发表时间：
2015
影响因子：
5.9
通讯作者：
Jensen,Jamie
中科院分区：
文献类型：
--
作者：
Hanson,JessicaD;Jensen,Jamie
最近的研究得出结论，预防酒精暴露妊娠（AEP）必须发生在孕前妇女身上，无论是通过减少高危妇女的饮酒量，还是通过计划怀孕或预防危险水平饮酒的妇女怀孕。目前正在对非怀孕的美洲印第安妇女进行的一项AEP预防方案是Oglala Sioux部落（OST）改变高风险酒精使用和提高避孕有效性研究（CHOICES）方案。OST选择计划显示出降低美国印第安妇女AEP风险的希望，评估社会支持对进一步鼓励行为改变的潜在影响是很自然的下一步。完成了与社区成员的焦点小组和与卫生和社会服务专业人员的关键线人访谈。为了揭示和解释相互关联的主题，使用了传统的内容分析方法。举行了8个焦点小组，有58名美洲印第安人参加，包括育龄成年妇女、老年妇女和成年男子。与25名卫生和社会服务专业人员进行了关键线人访谈。根据焦点小组和关键知情人访谈的投入，关于预防AEP的社会支持的几个次主题突出，包括家庭（特别是老年人）的作用，社区的影响，以及文化的重要功能。在这项研究中，我们强调了社会支持对AEP预防的重要影响，特别是在美国印第安人群体中，社会支持具有文化和历史意义。
Recent research concludes that prevention of alcohol-exposed pregnancies (AEP) must occur with preconceptional women, either by reducing alcohol consumption in women at-risk or planning pregnancyorpreventing pregnancy in women drinking at risky levels. One AEP prevention program currently underway with non-pregnant American Indian women is the Oglala Sioux Tribe (OST) Changing High-risk alcohOl use and Increasing Contraception Effectiveness Study (CHOICES) Program. The OST CHOICES Program shows promise in lowering the AEP risk in American Indian women, and it is a natural next step to evaluate the potential impact that social support can have on further encouraging behavioral changes. Focus groups with community members and key informant interviews with health and social service professionals were completed. To uncover and interpret interrelated themes, a conventional content analysis methodology was used. Eight focus groups were held with 58 American Indian participants, including adult women of child-bearing age, elder women, and adult men. Key informant interviews were completed with 25 health and social service professionals. Based on input from the focus groups and key informant interviews, several subthemes regarding social support in the prevention of AEP stood out, including the role of family (especially elders), the impact community can have, and the important function of culture. In this study, we highlighted the important influence that social support can have on AEP prevention, especially among the American Indian population, where social support has cultural and historical significance.