Preventing alcohol-exposed pregnancy among American-Indian youth.
Preventing alcohol-exposed pregnancy among American-Indian youth.
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DOI：
10.1080/14681811.2015.1082070
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发表时间：
2016
期刊：
影响因子：
--
通讯作者：
Hanson JD
中科院分区：
文献类型：
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作者：
Jensen J;Baete Kenyon DY;Hanson JD
研究已经确定，预防酒精暴露妊娠（AEP）必须在概念上与妇女发生，要么通过减少计划怀孕或有怀孕风险的妇女的酒精摄入量，要么通过预防危险水平饮酒的妇女怀孕。针对未怀孕的美洲印第安妇女的预防急性脑出血方案之一是Oglala Sioux Tribe（OST）选择（改变高危酒精使用和提高避孕效果研究）方案，该方案有望降低18岁或18岁以上美洲印第安妇女的急性脑出血风险。进行了一次社区需求评估，采访了关键的知情人，并重点讨论了如何扩大开放源码软件的选择。为了确定相互关联的主题，对焦点小组和访谈的定性反馈采用了内容分析方法。总之，关键的线人采访完成了25个卫生和社会服务专业人员。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。确定了几个关于预防青少年性暴力和性暴力的分主题，将“OST选择”课程扩大到学校，以及家庭和文化在预防性暴力和性暴力中的作用。
Research has determined that the prevention of alcohol-exposed pregnancies (AEP) must occur pre-conceptually with women, either by reducing alcohol intake in women planning pregnancy or at-risk for becoming pregnant, or by preventing pregnancy in women drinking at risky levels. One such AEP prevention programme with non-pregnant American Indian women is the Oglala Sioux Tribe (OST) CHOICES (Changing High-risk alcohOl use and Increasing Contraception Effectiveness Study) Programme, which shows promise in reducing AEP risk in American Indian women aged 18 or older. A community needs assessment was conducted with key informant interviews and focus groups with an emphasis on how to expand OST CHOICES. To identify interconnected themes, a content analysis methodology was used on the qualitative feedback from the focus groups and interviews. Altogether, key informant interviews were completed with 25 health and social service professionals. Eight focus groups were held with 58 American Indian participants, including adult women of child-bearing age, elder women, and adult men. Several sub-themes regarding the prevention of AEP with youth were identified, expanding the OST CHOICES curriculum into the schools, and the role of family and culture within AEP prevention.