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

Int J Environ Res Public Health. 2021 Oct 21;18(21):11079. doi: 10.3390/ijerph182111079.

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: Alaska Native; American Indian; cradleboard; cultural; indigenous; intervention; native American; perinatal; prenatal; resilience; talking circle; wellness.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Alaska Natives*
  • American Indian or Alaska Native
  • Child
  • Female
  • Humans
  • Indians, North American*
  • Infant
  • Parturition
  • Pregnancy
  • Social Determinants of Health