Early childbearing (ECB), or having a first child before age 18, is a common and poorly understood event among the American Indian population. In 2002 American Indian ECB rates of 53.8 per 1,000 live births were higher than total U.S. ECB rates (42.9) and White ECB rates (28.6). American Indian ECB rates are generally higher compared to other populations, and childbearing Al women typically have significantly worse maternal/child outcomes compared to other groups. Minimal research has addressed American Indian ECB experiences. The proposed phenomenological pilot study aims to discover retrospectively the ECB experiences of Al women who currently live in urban areas. Early childbearing experiences to be examined are: 1) decisions for bearing children early in life; 2) cultural values and beliefs associated with ECB; and 3) support structures and barriers. This proposed study will provide a foundation for understanding the needs of this vulnerable population. Needs are embedded in contextual factors. Future work will target identified issues for from this study, enabling Al communities to promote healthy maternal and child outcomes and facilitate postponement of early childbearing. ? ?

Agency
National Institute of Health (NIH)
Institute
National Institute of Nursing Research (NINR)
Type
Predoctoral Individual National Research Service Award (F31)
Project #
1F31NR009627-01
Application #
6999147
Study Section
Special Emphasis Panel (ZNR1-REV-A (83))
Program Officer
Bryan, Yvonne E
Project Start
2005-12-01
Project End
2006-08-31
Budget Start
2005-12-01
Budget End
2006-08-31
Support Year
1
Fiscal Year
2005
Total Cost
$26,652
Indirect Cost
Name
University of California San Francisco
Department
Other Health Professions
Type
Schools of Nursing
DUNS #
094878337
City
San Francisco
State
CA
Country
United States
Zip Code
94143
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Palacios, Janelle F; Strickland, Carolyn J; Chesla, Catherine A et al. (2014) Weaving dreamcatchers: mothering among American Indian women who were teen mothers. J Adv Nurs 70:153-63
Palacios, Janelle; Chesla, Catherine; Kennedy, Holly et al. (2012) Embodied meanings of early childbearing among American Indian women: a turning point. J Midwifery Womens Health 57:502-8
Palacios, Janelle; Kennedy, Holly Powell (2010) Reflections of Native American teen mothers. J Obstet Gynecol Neonatal Nurs 39:425-34
Palacios, Janelle F; Portillo, Carmen J (2009) Understanding Native women's health: historical legacies. J Transcult Nurs 20:15-27