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

Author

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  • Clara Walker

    (UQ Poche Centre for Indigenous Health, The University of Queensland, Toowong, QLD 4066, Australia
    Centre for Health Research, University of Southern Queensland, Toowoomba, QLD 4350, Australia)

  • Tahmina Begum

    (UQ Poche Centre for Indigenous Health, The University of Queensland, Toowong, QLD 4066, Australia)

  • Jacqueline A Boyle

    (Eastern Health Clinical School, Monash University, Box Hill, VIC 3128, Australia)

  • James Ward

    (UQ Poche Centre for Indigenous Health, The University of Queensland, Toowong, QLD 4066, Australia)

  • Federica Barzi

    (UQ Poche Centre for Indigenous Health, The University of Queensland, Toowong, QLD 4066, Australia)

Abstract

Background: 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.

Suggested Citation

  • Clara Walker & Tahmina Begum & Jacqueline A Boyle & James Ward & Federica Barzi, 2024. "Preconception Health of Indigenous Peoples in Australia, Canada, New Zealand, and the United States: A Scoping Review," IJERPH, MDPI, vol. 21(3), pages 1-34, March.
    • Handle: RePEc:gam:jijerp:v:21:y:2024:i:3:p:345-:d:1357180
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    References listed on IDEAS

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    1. Mojtaba Vaismoradi & Hannele Turunen & Terese Bondas, 2013. "Content analysis and thematic analysis: Implications for conducting a qualitative descriptive study," Nursing & Health Sciences, John Wiley & Sons, vol. 15(3), pages 398-405, September.
    2. Emma Griffiths & Julia V Marley & David Atkinson, 2020. "Preconception Care in a Remote Aboriginal Community Context: What, When and by Whom?," IJERPH, MDPI, vol. 17(10), pages 1-13, May.
    3. Nicola Heslehurst & Rute Vieira & Zainab Akhter & Hayley Bailey & Emma Slack & Lem Ngongalah & Augustina Pemu & Judith Rankin, 2019. "The association between maternal body mass index and child obesity: A systematic review and meta-analysis," PLOS Medicine, Public Library of Science, vol. 16(6), pages 1-20, June.
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