{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T01:30:40Z","timestamp":1747186240561,"version":"3.40.5"},"reference-count":37,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,6,3]],"date-time":"2024-06-03T00:00:00Z","timestamp":1717372800000},"content-version":"vor","delay-in-days":33,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Midwife Womens Health"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>Research on associations between knowledge and health beliefs for women at risk for gestational diabetes mellitus (GDM) has focused on adults at risk for or having GDM. Gaps also exist in examining interpersonal associations with family members or peers. We examined dyadic associations between knowledge and health beliefs about the risk for GDM between and within American Indian and Alaska Native (AIAN) female adolescents and young adults (FAYAs) at risk for GDM and their mothers or adult female caregivers (FCs).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Grounded in the Expanded Health Belief Model, we employed a cross\u2010sectional design using baseline data from 147 dyads of AIAN FAYAs at risk for GDM and their FCs who participated in the Stopping GDM in Daughters and Mothers trial. FAYAs were 12.0 to 24.5 years of age, and 89.1% were students. FCs had a mean (SD) age of 44.0 (9.3) years, 87.0% were AIAN, 44.9% were college educated, 19.7% had ever had GDM, and 81.0% were the FAYA's mother. FAYAs and FCs completed surveys about knowledge and health beliefs (benefits, barriers, severity, susceptibility) regarding GDM risk and prevention. Bivariate correlational analyses were performed to examine associations between and within dyad members. Dyadic associations were investigated using actor\u2010partner interdependence modeling (APIM) assuming distinguishable dyad members.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Compared with their FCs, FAYAs had lower health\u2010related knowledge and perceived benefits of GDM prevention and susceptibility regarding GDM risk. APIM revealed actor and partner effects of health\u2010related knowledge on health beliefs for dyads. In particular, positive actor effects were found for FAYAs and FCs for GDM\u2010related knowledge with perceived benefits (<jats:italic>P<\/jats:italic> &lt;\u00a0.001), and positive partner effects of GDM\u2010related knowledge for FCs were related to perceived susceptibility and severity for FAYAs (<jats:italic>P<\/jats:italic> &lt;\u00a0.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>As shown in these AIAN dyads, FAYAs and their FCs, as members of one another's social network, may influence each other's health beliefs regarding GDM risk and prevention.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jmwh.13643","type":"journal-article","created":{"date-parts":[[2024,6,4]],"date-time":"2024-06-04T04:41:23Z","timestamp":1717476083000},"page":"383-393","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Associations Between Health\u2010Related Knowledge and Health Beliefs Regarding Risk for Gestational Diabetes in American Indian and Alaska Native Female Adolescents and Young Adults at Risk for Gestational Diabetes and Their Female Caregivers: A Cross\u2010Sectional Dyadic Analysis"],"prefix":"10.1111","volume":"69","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7840-1352","authenticated-orcid":false,"given":"Susan M.","family":"Sereika","sequence":"first","affiliation":[{"name":"Department of Health and Community Systems, School of Nursing University of Pittsburgh  Pittsburgh Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kelly R.","family":"Moore","sequence":"additional","affiliation":[{"name":"Centers for American Indian and Alaska Native Health University of Colorado Anschutz Medical Campus  Aurora Colorado"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Stotz","sequence":"additional","affiliation":[{"name":"Department of Food Science and Human Nutrition College of Health and Human Sciences Colorado State University  Fort Collins Colorado"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura J.","family":"Chalmers","sequence":"additional","affiliation":[{"name":"Department of Pediatrics School of Medicine University of Oklahoma  Tulsa Oklahoma"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heather","family":"Garrow","sequence":"additional","affiliation":[{"name":"Saint Regis Mohawk Tribe  Akwesasne New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kelly","family":"Gonzales","sequence":"additional","affiliation":[{"name":"School of Public Health Oregon Health Science University\u2010Portland State University  Portland Oregon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nancy","family":"O'Banion","sequence":"additional","affiliation":[{"name":"Indian Health Care Resource Center of Tulsa  Tulsa Oklahoma"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey","family":"Powell","sequence":"additional","affiliation":[{"name":"Northern Navajo Medical Center Navajo Area Indian Health Service  Shiprock New Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ursula","family":"Knoki\u2010Wilson","sequence":"additional","affiliation":[{"name":"Office of the CEO Chinle Service Unit  Chinle Arizona"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Denise","family":"Charron\u2010Prochownik","sequence":"additional","affiliation":[{"name":"Department of Health Promotion and Development School of Nursing University of Pittsburgh  Pittsburgh Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"For The Stopping GDM Study 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