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

Rosalina James^1,2, Martell A Hesketh^1,2, Tia R Benally^1,3

¹Urban Indian Health Institute, Seattle, WA 98144, USA.

International Journal of Environmental Research and Public Health

|November 13, 2021

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

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