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Community Perceptions of Alcohol Exposed Pregnancy Prevention Program for American Indian and Alaska Native Teens

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  • Umit Shrestha

    (Department of Community and Behavioral Health, Centers for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, 13055 East 17th Avenue, Aurora, CO 80045, USA)

  • Jessica Hanson

    (Behavioral Sciences, Sanford Research, 2301 East 60th Street North, Sioux Falls, SD 57104, USA)

  • Tess Weber

    (Behavioral Sciences, Sanford Research, 2301 East 60th Street North, Sioux Falls, SD 57104, USA)

  • Karen Ingersoll

    (University of Virginia School of Medicine, 310 Old Ivy Way, Charlottesville, VA 22903, USA)

Abstract

A community needs assessment during a tribally-led Changing High-Risk Alcohol Use and Increasing Contraception Effectiveness Study (CHOICES) intervention highlighted the need to reduce the risk for alcohol exposed pregnancy (AEP) among American Indian and Alaska Native (AIAN) adolescent girls. The CHOICES for American Indian Teens (CHAT) Program aims to reduce the risk of AEP among AIAN teens in one Northern Plains tribal community. The CHAT team adopted an iterative process to modify the tribally-led CHOICES curriculum for AIAN teens. This paper describes the iterative process as well as the community perception towards AEP prevention among AIAN teens. The CHAT team conducted several levels of formative and qualitative research, including one-on-one interviews (n = 15) with community members, AIAN elders and school counsellors; and three focus groups with AIAN adolescent girls (n = 15). A qualitative data analysis identified several recommendations that centered on making the information regarding alcohol and birth control appealing to teens; ensuring the confidentiality of the participants; making the program culturally relevant; and including boys in the program. This study outlines various components prioritized by community members in creating a culturally-relevant and age-appropriate AEP prevention program and provides community perceptions of AEP prevention for the teens in this community

Suggested Citation

  • Umit Shrestha & Jessica Hanson & Tess Weber & Karen Ingersoll, 2019. "Community Perceptions of Alcohol Exposed Pregnancy Prevention Program for American Indian and Alaska Native Teens," IJERPH, MDPI, vol. 16(10), pages 1-12, May.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:10:p:1795-:d:232889
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    References listed on IDEAS

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    1. Russell, M. & Martier, S.S. & Sokol, R.J. & Mudar, P. & Jacobson, S. & Jacobson, J., 1996. "Detecting risk drinking during pregnancy: A comparison of four screening questionnaires," American Journal of Public Health, American Public Health Association, vol. 86(10), pages 1435-1439.
    2. DenYelle Baete Kenyon & Tracey R. McMahon & Anna Simonson & Char Green-Maximo & Ashley Schwab & Melissa Huff & Renee E. Sieving, 2019. "My Journey : Development and Practice-Based Evidence of a Culturally Attuned Teen Pregnancy Prevention Program for Native Youth," IJERPH, MDPI, vol. 16(3), pages 1-24, February.
    3. Amy J. Elliott & Emily R. White Hat & Jyoti Angal & Victoria Grey Owl & Susan E. Puumala & DenYelle Baete Kenyon, 2015. "Fostering Social Determinants of Health Transdisciplinary Research: The Collaborative Research Center for American Indian Health," IJERPH, MDPI, vol. 13(1), pages 1-12, December.
    4. Komro, K.A. & Livingston, M.D. & Wagenaar, A.C. & Kominsky, T.K. & Pettigrew, D.W. & Garrett, B.A. & Boyd, B.J. & Boyd, M.L. & Livingston, B.J. & Lynne, S.D. & Molina, M.M. & Merlo, L.J. & Tobler, A.L, 2017. "Multilevel prevention trial of alcohol use among American Indian and white high school students in the Cherokee nation," American Journal of Public Health, American Public Health Association, vol. 107(3), pages 453-459.
    5. Hellerstedt, W.L. & Peterson-Hickey, M. & Rhodes, K.L. & Garwick, A., 2006. "Environmental, social, and personal correlates of having ever had sexual intercourse among American Indian youths," American Journal of Public Health, American Public Health Association, vol. 96(12), pages 2228-2234.
    6. repec:aph:ajpbhl:10.2105/ajph.2016.303603_8 is not listed on IDEAS
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    Cited by:

    1. David Stephens & Roger Peterson & Michelle Singer & Jacqueline Johnson & Stephanie Craig Rushing & Allyson Kelley, 2020. "Recruiting and Engaging American Indian and Alaska Native Teens and Young Adults in a SMS Help-Seeking Intervention: Lessons Learned from the BRAVE Study," IJERPH, MDPI, vol. 17(24), pages 1-12, December.
    2. Larry Burd & Svetlana Popova, 2019. "Fetal Alcohol Spectrum Disorders: Fixing Our Aim to Aim for the Fix," IJERPH, MDPI, vol. 16(20), pages 1-6, October.

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