Prevention of Alcohol-Exposed Pregnancies Among Nonpregnant American Indian Women

Details

• Alternative Title:
  Am J Health Promot
• Personal Author:
  Hanson, Jessica D. ; Miller, Ashley L. ; Winberg, Austin ; Elliott, Amy J.
• Description:
  Purpose. ; The goal of this project was to evaluate an intervention on reducing alcohol-exposed pregnancies with nonpregnant American Indian women, with a focus on risky drinking and ineffective contraception use. ; Design. ; This study had a descriptive longitudinal study design, with follow-up every 3 months for 1 year. ; Setting. ; Three American Indian tribes in the Northern Plains. ; Subjects. ; Participants were 231 nonpregnant American Indian women. ; Intervention. ; Participants responded to drinking and contraception questions through the telephone and then received intervention materials via mail. Follow-up telephone surveys occurred at 3, 6, 9, and 12 months after the baseline call, and participants were again mailed intervention materials. ; Measures. ; Alcohol consumption and birth control measurements were modified from the Project CHOICES program. The intervention was based on motivational interviewing constructs. ; Analysis. ; Analysis techniques included covariate-adjusted generalized estimating equation methods and Bonferroni correction. ; Results. ; All of the alcohol consumption amount responses had significant decreases with each follow-up intervention session; the average change for the range of questions was −26% to −17%. The proportion of those stating they did not use birth control decreased from 29% to 10% during the first 3 months. ; Conclusions. ; The intervention was successful in modifying self-reported drinking and contraception behaviors. This project is the only one to date that has focused on preventing alcohol-exposed pregnancies in nonpregnant American Indian women.
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• Subjects:
  • Alcohol Drinking
  • Contraception
  • Female
  • Fetal Alcohol Spectrum Disorders
  • Follow-Up Studies
  • Humans
  • Indians, North American
  • Midwestern United States
  • Preconception Care
  • Pregnancy
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• Keywords:
  • Fetal Alcohol Spectrum Disorders (FASD)
  • Alcohol Drinking
  • Contraception
  • American Indians
  • Prevention Research
  • Manuscript format: research
  • Research purpose: intervention testing/program evaluation
  • Study design: nonexperimental
  • Outcome measure: behavioral
  • Setting: local community
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• Source:
  Am J Health Promot. 27(3 Suppl):S66-S73
• Pubmed ID:
  23286666
• Pubmed Central ID:
  PMC10955522
• Document Type:
  Journal Article
• Funding:
  U84 DD823298/DD/NCBDD CDC HHSUnited States/
• Volume:
  27
• Download URL:
  https://stacks.cdc.gov/view/cdc/153465/cdc_153465_DS1.pdf
• File Type:
  [PDF - 348.80 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:dc6e2af44677d1dce54f7486e0c78ed7e99457f4d397e3e0a193d6dbc183a49b