The maternal health of American Indian and Alaska Native people : A scoping review

Copyright © 2022 Elsevier Ltd. All rights reserved..

Indigenous people in the United States experience disadvantage in multiple domains of health. Yet, their maternal health receives limited research attention. With a focus on empirical research findings, we conduct a scoping review to address two questions: 1) what does the literature tell us about the patterns and prevalence of maternal mortality and morbidity of American Indian and Alaska Native (AI/AN) people? and 2) how do existing studies explain these patterns? A search of CINAHL, Embase and Medline yielded 4757 English-language articles, with 66 eligible for close review. Of these, few focused specifically on AI/AN people's maternal health. AI/AN people experience higher levels of maternal mortality and morbidity than non-Hispanic White people, with estimates that vary substantially across samples and geography. Explanations for the maternal health of AI/AN people focused on individual factors such as poverty, cultural beliefs, and access to healthcare (e.g. lack of insurance). Studies rarely addressed the varied historical and structural contexts of AI/AN tribal nations, such as harms associated with colonization and economic marginalization. Research for and by Indigenous communities and nations is needed to redress the effective erasure of AI/AN people's maternal health experiences and to advance solutions that will promote their health and well-being.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:317

Enthalten in:

Social science & medicine (1982) - 317(2023) vom: 01. Jan., Seite 115584

Sprache:

Englisch

Beteiligte Personen:

Burns, Ailish [VerfasserIn]
DeAtley, Teresa [VerfasserIn]
Short, Susan E [VerfasserIn]

Links:

Volltext

Themen:

Health disparities
Indigenous health
Journal Article
Maternal health
Morbidity
Mortality
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Review
Scoping review
Severe maternal morbidity

Anmerkungen:

Date Completed 10.01.2023

Date Revised 02.01.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.socscimed.2022.115584

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM350331596