Evidence map›Paper›PMID 41275199›Full record

Trial reportBMC women's health2025

Examining the role of social determinants of health in alcohol-exposed pregnancy risk among American Indian women.

Jessica D Hanson, Carolyn Noonan, Makenzie Clough, Robert Rosenman, Kyra Oziel, Karen Little Wounded, Michelle Sarche, Dedra Buchwald

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC women's health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Jessica D HansonDepartment of Applied Human Sciences, University of Minnesota Duluth, 1216 Ordean Court, Duluth, MN, USA. jdhanson@d.umn.edu.
Carolyn NoonanInstitute for Research and Education to Advance Community Health, Washington State University, Seattle, WA, USA.
Makenzie CloughDepartment of Applied Human Sciences, University of Minnesota Duluth, 1216 Ordean Court, Duluth, MN, USA.
Robert RosenmanInstitute for Research and Education to Advance Community Health, Washington State University, Seattle, WA, USA.
Kyra OzielInstitute for Research and Education to Advance Community Health, Washington State University, Seattle, WA, USA.
Karen Little WoundedMissouri Breaks Industries Research Inc, Eagle Butte, SD, USA.
Michelle SarcheBuffett Early Childhood Institute, University of Nebraska, Omaha, NE, USA.
Dedra BuchwaldDepartment of Neurological Surgery and Neurosciences Institute, University of Washington, Seattle, WA, USA.

Funding

Transition to RecoveryP60AA026112 · NIAAA · WASHINGTON STATE UNIVERSITY · PI Denise A Dillard, Michael G McDonell · 2018 to 2026
$10.7M
NIAAA NIH HHS P60 AA026112NIAAA NIH HHS P60AA026112
6 · The paper itself

Abstract

context and purposeAlcohol-exposed pregnancy (AEP) is a public health issue that impacts women from all backgrounds and nationalities. In particular, little is known about American Indian women at risk for AEP during the preconceptual period. The purpose of this paper is to characterize the social determinants of health among American Indian women at risk for AEP in the Great Plains.

methodsBaseline data with American Indian women enrolled in a randomized controlled trial of a culturally modified version of CHOICES, an AEP risk reduction intervention, were analyzed. Eligibility included age (18-44), self-identification as American Indian, current risky drinking, and the ability to get pregnant but not currently pregnant. Social determinants of health metrics comprised the broad categories of economic and housing stability, health care access, and social and community context.

resultsA total of 404 women with a mean age of 31.9 were enrolled. Most were unemployed (77%) and half reported a total annual household income of less than $5,000. Most (78%) considered their housing situation secure, although 43% had experienced homelessness in the past 6 months. Participants placed high importance on Native values and practices and reported strong social connections and social support.

conclusionsThis descriptive, cross-sectional study of American Indian women at risk for AEP highlighted the importance of queries on housing, economic factors, social support, and culture. Despite adverse social determinants of health, the fabric of social support and the importance of local cultural values was strong, factors that could be used in future AEP prevention efforts.

Indexed as

Alcohol DrinkingIndians, North AmericanSocial Determinants of HealthAdolescentAdultFemaleHumansPregnancyRisk FactorsSocial SupportSocioeconomic FactorsYoung AdultAlcohol-exposed pregnancyAmerican indianSocial determinants of healthWomen

Identifiers

PMID41275199
PMCPMC12751569

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.