Sponsor
This research was funded by the National Institute on Minority Health and Health Disparities (R21MD016126; PI Stotz) and the National Institute of Diabetes and Digestive and Kidney Diseases (P30DK092923; MPI Manson, Brega)
Published In
International Journal of Environmental Research and Public Health
Document Type
Article
Publication Date
12-28-2024
Abstract
AI/AN communities are disproportionately impacted by food insecurity and gestational diabetes mellitus (GDM). Decreasing the risk of GDM can interrupt the intergenerational cycle of diabetes in AI/AN families, and can decrease diabetes-related health disparities. The goal of this study was to explore ways of supporting holistic health and reducing the risk of GDM among young American Indian and Alaska Native (AI/AN) females prior to pregnancy. Semi-structured interviews were conducted with adult AI/AN women (>18 years) who had GDM or who have young female relatives (e.g., daughters) (n = 41), AI/AN females between 12 and 24 years (n = 18), and key experts in food/nutrition and health within AI/AN communities (n = 32). Three themes emerged: (1) guidance on how to support young females' holistic wellness; (2) evidence that generations of colonial violence, including forced removal, forced poverty, and the imposition of a Western-based food system, causes deeper, systemic fracturing of traditional cultural food knowledge and practices; and the fact that (3) opportunities for improved adolescent female health are rooted in AI/AN values and how AI/AN people resist the impacts of anti-Indigenous racism through family-based, community-led, and holistic health. These themes suggest alternative understandings about the relationships between food insecurity and holistic pre-pregnancy health and can guide our next steps in decreasing health disparities in these communities.
Rights
© 2025 Society for the Study of Addiction Open Access
Locate the Document
DOI
10.3390/ijerph22010025
Citation Details
Stotz, S. A., Hebert, L. E., Scarton, L., Begay, K., Gonzales, K., Garrow, H., Charley, M., Aspaas, M., Charron-Prochownik, D., & Manson, S. M. (2024). Supporting Holistic Health and Gestational Diabetes Mellitus Risk Reduction Among Young Native Females Prior to Pregnancy: A Qualitative Exploration. International Journal of Environmental Research and Public Health, 22(1), 25.