{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T08:15:36Z","timestamp":1777882536060,"version":"3.51.4"},"reference-count":49,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2023,6,18]],"date-time":"2023-06-18T00:00:00Z","timestamp":1687046400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000056","name":"National Institute of Nursing Research","doi-asserted-by":"publisher","award":["1R01NR014831-01A1"],"award-info":[{"award-number":["1R01NR014831-01A1"]}],"id":[{"id":"10.13039\/100000056","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Science of Diabetes Self-Management and Care"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>The purpose of the study was to describe, compare, and examine associations at baseline of reproductive health awareness, knowledge, health beliefs, communication and behaviors related to gestational diabetes (GDM) and GDM risk reduction in a vulnerable population of both American Indian\/Alaska Native (AIAN) adolescent girls and their mothers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Descriptive\/comparative\/correlational analyses examined multitribal baseline data on 149 mother-daughter (M-D) dyads (N\u2009=\u2009298; daughter age = 12-24\u2009years) enrolled in a longitudinal study to adapt and evaluate a culturally relevant diabetes preconception counseling (PC) program (Stopping-GDM). The associations between GDM risk reduction awareness, knowledge, health beliefs, and behaviors (eg, daughters\u2019 eating, physical activity, reproductive-health [RH] choices\/planning, M-D communication, daughters\u2019 discussions on PC) were examined. Data collected online from 5 national sites.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Many M-D lacked awareness\/knowledge of GDM and risk reduction. Both M-D were unaware of the girl\u2019s risk for GDM. Mothers\u2019 knowledge and beliefs on GDM prevention\/RH were significantly higher than daughters. Younger daughters had greater self-efficacy healthy living. Overall sample reported low to moderate scores for both M-D communication and daughters\u2019 GDM and RH risk-reduction behaviors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Knowledge, communication, and behaviors to prevent GDM were low in AIAN M-D, especially daughters. More than daughters, mothers perceive greater risk of GDM for daughters. Early culturally responsive dyadic PC programs could help decrease risk of developing GDM. Implications for M-D communication is compelling.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/26350106231178837","type":"journal-article","created":{"date-parts":[[2023,6,19]],"date-time":"2023-06-19T01:48:25Z","timestamp":1687139305000},"page":"267-280","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Comparing American Indian\/Alaska Native Adolescent Daughters\u2019 and Their Mothers\u2019 Awareness, Knowledge, Attitudes, and Behaviors Regarding Risk for Gestational Diabetes: Implications for Mother-Daughter Communication on Reproductive Health"],"prefix":"10.1177","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3649-2812","authenticated-orcid":false,"given":"Denise","family":"Charron-Prochownik","sequence":"first","affiliation":[{"name":"University of Pittsburgh, School of Nursing, Pittsburgh, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kelly R.","family":"Moore","sequence":"additional","affiliation":[{"name":"University of Colorado Anschutz Medical Campus, Aurora, Colorado"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Stotz","sequence":"additional","affiliation":[{"name":"University of Colorado Anschutz Medical Campus, Aurora, Colorado"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aletha","family":"Akers","sequence":"additional","affiliation":[{"name":"Guttmacher Institute, New York, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandra","family":"Beirne","sequence":"additional","affiliation":[{"name":"Navajo Area Indian Health Service, Shiprock, New Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angela G.","family":"Brega","sequence":"additional","affiliation":[{"name":"University of Colorado Anschutz Medical Campus, Aurora, Colorado"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Chalmers","sequence":"additional","affiliation":[{"name":"University of Oklahoma, Norman, Oklahoma"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Fischl","sequence":"additional","affiliation":[{"name":"University of Pittsburgh, School of Nursing, Pittsburgh, Pennsylvania"}],"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":"Portland State University, Portland, Oregon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristen J.","family":"Nadeau","sequence":"additional","affiliation":[{"name":"University of Colorado Anschutz Medical Campus, Aurora, Colorado"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nancy","family":"O\u2019Banion","sequence":"additional","affiliation":[{"name":"Indian Health Care Resource Center of Tulsa, Tulsa, Oklahoma"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeff","family":"Powell","sequence":"additional","affiliation":[{"name":"University of Pittsburgh, School of Nursing, Pittsburgh, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ellen","family":"Seely","sequence":"additional","affiliation":[{"name":"Brigham and Women\u2019s Hospital, Harvard Medical School, Boston, Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Blair","family":"Powell","sequence":"additional","affiliation":[{"name":"Navajo Area Indian Health Service, Shiprock, New Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1061-1481","authenticated-orcid":false,"given":"Hiba","family":"Abujaradeh","sequence":"additional","affiliation":[{"name":"University of Pittsburgh, School of Nursing, Pittsburgh, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan M.","family":"Sereika","sequence":"additional","affiliation":[{"name":"University of Pittsburgh, School of Nursing, Pittsburgh, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,6,18]]},"reference":[{"issue":"3","key":"bibr1-26350106231178837","first-page":"1","volume":"66","author":"Arias E","year":"2017","journal-title":"Natl Vital Stat Rep"},{"key":"bibr2-26350106231178837","first-page":"1","volume":"210","author":"Hartling L","year":"2012","journal-title":"Evid Rep Technol Assess (Full Rep)"},{"issue":"3","key":"bibr3-26350106231178837","first-page":"81","volume":"62","author":"Garrett BE","year":"2013","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"bibr4-26350106231178837","unstructured":"Ventura SJ, Mathews TJ, Hamilton BE. 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