Assessing Social Determinants of Health in a Prenatal and Perinatal Cultural Intervention for American Indians and Alaska Natives

Rosalina James, Martell A. Hesketh, Tia R. Benally, Selisha S. Johnson, Leah R. Tanner and Shelley V. Means
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Rosalina James: Urban Indian Health Institute, Seattle, WA 98144, USA
Martell A. Hesketh: Urban Indian Health Institute, Seattle, WA 98144, USA
Tia R. Benally: Urban Indian Health Institute, Seattle, WA 98144, USA
Selisha S. Johnson: Urban Indian Health Institute, Seattle, WA 98144, USA
Leah R. Tanner: Native American Women’s Dialogue on Infant Mortality, Seattle, WA 98144, USA
Shelley V. Means: School of Public Health, University of Washington, Seattle, WA 98195, USA

IJERPH, 2021, vol. 18, issue 21, 1-11

Abstract: American Indians and Alaska Natives (AIANs) refer to cultural traditions and values to guide resilient and strength-based practices to address maternal and infant health disparities. Methods: A case study of a culturally-based educational intervention on AIAN maternal and child health. Results: Cultural teachings have successfully been applied in AIAN behavioral interventions using talking circles and cradleboards, but maternal and child health interventions are not well-represented in peer-reviewed literature. Zero publications included interventions centered around cradleboards and safe sleep. Discussion: There is a need for rigorous published research on culturally based interventions and effectiveness on health outcomes for mothers and babies. Conclusions: This paper discusses how a cradleboard educational intervention incorporates national guidelines to address maternal and infant health while mediating social determinants of health.

Keywords: talking circle; cultural; intervention; cradleboard; wellness; resilience; prenatal; perinatal; native American; indigenous; American Indian; Alaska Native (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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