Alcohol consumption and pregnancy in American Indian and Alaska Native women: A scoping review of the literature
American Indian and Alaska Native communities have diverse cultures, histories, and contemporary experiences. Grouping them together masks the differences in health and lifestyle behaviors, chronic disease rates, and health outcomes among them. This is particularly true for data on drinking during p...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2023-05-01
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| Series: | Women's Health |
| Online Access: | https://doi.org/10.1177/17455057231175799 |
| _version_ | 1797821688427053056 |
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| author | Jessica D Hanson Michelle Sarche Dedra Buchwald |
| author_facet | Jessica D Hanson Michelle Sarche Dedra Buchwald |
| author_sort | Jessica D Hanson |
| collection | DOAJ |
| description | American Indian and Alaska Native communities have diverse cultures, histories, and contemporary experiences. Grouping them together masks the differences in health and lifestyle behaviors, chronic disease rates, and health outcomes among them. This is particularly true for data on drinking during pregnancy among American Indian and Alaska Native women. The goal of this article is to describe how generalizing findings from data gathered from often small, geographically specific samples, combined with inferior research methodologies, has led to misunderstandings about drinking among preconceptual and pregnant American Indian and Alaska Native women. We conducted a scoping review using PubMed and the “PCC mnemonic” (population, concept, and context) as our guide. Our search terms included the population (American Indian and Alaska Native women), concept (alcohol), and context (immediately before or during pregnancy) and focused on PubMed articles in the United States. Using these search terms, we uncovered a total of 38 publications and eliminated 19, leaving 19 for review. Methodologically (i.e. how data were collected), we found most previous research on prenatal or preconceptual alcohol use with American Indian and Alaska Native women used retrospective data collection. We also assessed who data were collected from and noted two groups: studies that sampled higher-risk women and those that focused on American Indian and Alaska Native women in specific geographic areas. Restricting data collection to higher-risk American Indian and Alaska Native women or conducting small studies in specific geographic areas has generated an incomplete and inaccurate picture of American Indian and Alaska Native women as a whole as well as those who consume alcohol. Data from select groups of American Indian and Alaska Native women may overestimate the true prevalence of drinking during pregnancy among this population. Updated and accurate data on drinking during pregnancy are urgently needed to inform the development of interventions and prevention efforts. |
| first_indexed | 2024-03-13T09:56:29Z |
| format | Article |
| id | doaj.art-437a286f74154fb494391132095ab0d9 |
| institution | Directory Open Access Journal |
| issn | 1745-5065 |
| language | English |
| last_indexed | 2024-03-13T09:56:29Z |
| publishDate | 2023-05-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Women's Health |
| spelling | doaj.art-437a286f74154fb494391132095ab0d92023-05-23T19:05:07ZengSAGE PublishingWomen's Health1745-50652023-05-011910.1177/17455057231175799Alcohol consumption and pregnancy in American Indian and Alaska Native women: A scoping review of the literatureJessica D Hanson0Michelle Sarche1Dedra Buchwald2Department of Applied Human Sciences, University of Minnesota Duluth, Duluth, MN, USACenters for American Indian & Alaska Native Health, Colorado School of Public Health, University of Colorado Denver Anschutz Medical Campus, Aurora, CO, USAInstitute for Research and Education to Advance Community Health, Washington State University, Seattle, WA, USAAmerican Indian and Alaska Native communities have diverse cultures, histories, and contemporary experiences. Grouping them together masks the differences in health and lifestyle behaviors, chronic disease rates, and health outcomes among them. This is particularly true for data on drinking during pregnancy among American Indian and Alaska Native women. The goal of this article is to describe how generalizing findings from data gathered from often small, geographically specific samples, combined with inferior research methodologies, has led to misunderstandings about drinking among preconceptual and pregnant American Indian and Alaska Native women. We conducted a scoping review using PubMed and the “PCC mnemonic” (population, concept, and context) as our guide. Our search terms included the population (American Indian and Alaska Native women), concept (alcohol), and context (immediately before or during pregnancy) and focused on PubMed articles in the United States. Using these search terms, we uncovered a total of 38 publications and eliminated 19, leaving 19 for review. Methodologically (i.e. how data were collected), we found most previous research on prenatal or preconceptual alcohol use with American Indian and Alaska Native women used retrospective data collection. We also assessed who data were collected from and noted two groups: studies that sampled higher-risk women and those that focused on American Indian and Alaska Native women in specific geographic areas. Restricting data collection to higher-risk American Indian and Alaska Native women or conducting small studies in specific geographic areas has generated an incomplete and inaccurate picture of American Indian and Alaska Native women as a whole as well as those who consume alcohol. Data from select groups of American Indian and Alaska Native women may overestimate the true prevalence of drinking during pregnancy among this population. Updated and accurate data on drinking during pregnancy are urgently needed to inform the development of interventions and prevention efforts.https://doi.org/10.1177/17455057231175799 |
| spellingShingle | Jessica D Hanson Michelle Sarche Dedra Buchwald Alcohol consumption and pregnancy in American Indian and Alaska Native women: A scoping review of the literature Women's Health |
| title | Alcohol consumption and pregnancy in American Indian and Alaska Native women: A scoping review of the literature |
| title_full | Alcohol consumption and pregnancy in American Indian and Alaska Native women: A scoping review of the literature |
| title_fullStr | Alcohol consumption and pregnancy in American Indian and Alaska Native women: A scoping review of the literature |
| title_full_unstemmed | Alcohol consumption and pregnancy in American Indian and Alaska Native women: A scoping review of the literature |
| title_short | Alcohol consumption and pregnancy in American Indian and Alaska Native women: A scoping review of the literature |
| title_sort | alcohol consumption and pregnancy in american indian and alaska native women a scoping review of the literature |
| url | https://doi.org/10.1177/17455057231175799 |
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