Preconception Health of Indigenous Peoples in Australia, Canada, New Zealand, and the United States: A Scoping Review

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Walker, Clara, Begum, Tahmina, Boyle, Jacqueline A, Ward, James and Barzi, Federica. 2024. "Preconception Health of Indigenous Peoples in Australia, Canada, New Zealand, and the United States: A Scoping Review." International Journal of Environmental Research and Public Health. 21 (3). https://doi.org/10.3390/ijerph21030345
Article Title

Preconception Health of Indigenous Peoples in Australia, Canada, New Zealand, and the United States: A Scoping Review

ERA Journal ID44293
Article CategoryArticle
AuthorsWalker, Clara, Begum, Tahmina, Boyle, Jacqueline A, Ward, James and Barzi, Federica
Journal TitleInternational Journal of Environmental Research and Public Health
Journal Citation21 (3)
Article Number345
Number of Pages39
Year2024
PublisherMDPI AG
Place of PublicationSwitzerland
ISSN1660-4601
1661-7827
Digital Object Identifier (DOI)https://doi.org/10.3390/ijerph21030345
Web Address (URL)https://14 March 2024
AbstractBackground: There is increasing recognition of the importance of the preconception period for addressing reproductive and intergenerational health inequities and supporting improved maternal and child health outcomes. This study aimed to understand the extent and type of evidence that exists in relation to preconception health for Indigenous peoples living in high-income countries with similar experiences of colonisation, namely, Australia, New Zealand, Canada, and the United States. Methods: This review was conducted as per the JBI methodology and PRISMA Extension for Scoping Reviews. A comprehensive search of PubMed, CINAHL [EBSCO], Ovid Embase, Scopus, and the Wiley Cochrane Library was conducted using keywords and index terms. We included research in English published between January 2010 and June 2023 on quantitative and qualitative primary studies. Data were extracted using a standardised tool, and the analysis included quantitative descriptions and qualitative content analysis. Results: We identified 360 potential studies and included 57 articles in the review. Most studies were from the United States (n = 36, 63.2%) and Australia (n = 13, 22.8%), and they commonly reported associations between preconception health risk factors and maternal or child health outcomes (n = 27, 48.2%) or described the development, implementation, or evaluation of preconception health interventions (n = 26, 46.4%). Common preconception health areas were pre-pregnancy body mass index or weight (n = 34), alcohol (n = 16), diet (n = 14), physical activity (n = 12), and diabetes (n = 11). Most studies focused exclusively on women (n = 46, 80.7%), and very few included men (n = 3, 5.3%). The study populations were mostly urban and rural (n = 25, 43.9%) or rural only (n = 14, 24.6%); however, the geographical remoteness was often unclear (n = 14, 24.6%). Conclusions: While there was some research relating to the preconception health of Indigenous peoples, this review identified considerable research gaps. There is a need for dedicated research into preconception health risk factors and reproductive health outcomes, attitudes and awareness of preconception health, and preconception health interventions for Indigenous peoples.
KeywordsIndigenous health; preconception health; pre-pregnancy
Contains Sensitive ContentDoes not contain sensitive content
ANZSRC Field of Research 20204299. Other health sciences
Byline AffiliationsCentre for Health Research
University of Queensland
Monash University
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