{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T18:54:27Z","timestamp":1767034467664,"version":"3.48.0"},"reference-count":38,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,11,22]],"date-time":"2025-11-22T00:00:00Z","timestamp":1763769600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T00:00:00Z","timestamp":1766966400000},"content-version":"vor","delay-in-days":37,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"funder":[{"DOI":"10.13039\/100000027","name":"National Institute on Alcohol Abuse and Alcoholism","doi-asserted-by":"publisher","award":["P60AA026112"],"award-info":[{"award-number":["P60AA026112"]}],"id":[{"id":"10.13039\/100000027","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Women's Health"],"DOI":"10.1186\/s12905-025-04173-5","type":"journal-article","created":{"date-parts":[[2025,11,22]],"date-time":"2025-11-22T11:05:38Z","timestamp":1763809538000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Examining the role of social determinants of health in alcohol-exposed pregnancy risk among American Indian women"],"prefix":"10.1186","volume":"25","author":[{"given":"Jessica D.","family":"Hanson","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carolyn","family":"Noonan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Makenzie","family":"Clough","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Rosenman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kyra","family":"Oziel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen Little","family":"Wounded","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle","family":"Sarche","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dedra","family":"Buchwald","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,11,22]]},"reference":[{"issue":"6 Suppl 2","key":"4173_CR1","doi-asserted-by":"publisher","first-page":"S333","DOI":"10.1016\/j.ajog.2008.09.018","volume":"199","author":"RL Floyd","year":"2008","unstructured":"Floyd RL, et al. The clinical content of preconception care: alcohol, tobacco, and illicit drug exposures. Am J Obstet Gynecol. 2008;199(6 Suppl 2):S333\u20139.","journal-title":"Am J Obstet Gynecol"},{"issue":"2","key":"4173_CR2","doi-asserted-by":"publisher","first-page":"94","DOI":"10.1363\/4009408","volume":"40","author":"JJ Frost","year":"2008","unstructured":"Frost JJ, Darroch JE. Factors associated with contraceptive choice and inconsistent method use, United States, 2004. Perspect Sex Reprod Health. 2008;40(2):94\u2013104.","journal-title":"Perspect Sex Reprod Health"},{"key":"4173_CR3","unstructured":"Centers for Disease Control and Prevention. Binge drinking. 2022. Accessed September 14, 2023. Available from: https:\/\/www.cdc.gov\/alcohol\/fact-sheets\/binge-drinking.htm."},{"key":"4173_CR4","unstructured":"National Institute on Alcohol Abuse and Alcoholism. Drinking levels defined. no date. Accessed September 14, 2023. Available from: https:\/\/www.niaaa.nih.gov\/alcohol-health\/overview-alcohol-consumption\/moderate-binge-drinking."},{"issue":"4","key":"4173_CR5","doi-asserted-by":"publisher","first-page":"776","DOI":"10.1007\/s10995-014-1563-3","volume":"19","author":"MJ Cannon","year":"2015","unstructured":"Cannon MJ, et al. Prevalence and characteristics of women at risk for an alcohol-exposed pregnancy (AEP) in the United States: estimates from the National survey of family growth. Matern Child Health J. 2015;19(4):776\u201382.","journal-title":"Matern Child Health J"},{"issue":"4","key":"4173_CR6","doi-asserted-by":"publisher","first-page":"91","DOI":"10.15585\/mmwr.mm6504a6","volume":"65","author":"PP Green","year":"2016","unstructured":"Green PP, et al. Vital signs: Alcohol-Exposed Pregnancies\u2013United States, 2011\u20132013. MMWR Morb Mortal Wkly Rep. 2016;65(4):91\u20137.","journal-title":"MMWR Morb Mortal Wkly Rep"},{"issue":"5","key":"4173_CR7","doi-asserted-by":"publisher","first-page":"795","DOI":"10.15288\/jsad.2017.78.795","volume":"78","author":"MH Watt","year":"2017","unstructured":"Watt MH, et al. Risk for alcohol-exposed pregnancies among women at drinking venues in Cape Town, South Africa. J Stud Alcohol Drugs. 2017;78(5):795\u2013800.","journal-title":"J Stud Alcohol Drugs"},{"issue":"1","key":"4173_CR8","doi-asserted-by":"publisher","first-page":"109","DOI":"10.1111\/j.1360-0443.2011.03569.x","volume":"107","author":"T Balachova","year":"2012","unstructured":"Balachova T, et al. Women\u2019s alcohol consumption and risk for alcohol-exposed pregnancies in Russia. Addiction. 2012;107(1):109\u201317.","journal-title":"Addiction"},{"issue":"2","key":"4173_CR9","doi-asserted-by":"publisher","first-page":"188","DOI":"10.1016\/j.whi.2018.11.001","volume":"29","author":"SCM Roberts","year":"2019","unstructured":"Roberts SCM, Thompson KM. Estimating the prevalence of United States women with alcohol-exposed pregnancies and births. Womens Health Issues. 2019;29(2):188\u201393.","journal-title":"Womens Health Issues"},{"key":"4173_CR10","unstructured":"U.S. Department of Health and Human Services. Social Determinants of Health. no date. Accessed September 14, 2023. Available from: https:\/\/health.gov\/healthypeople\/priority-areas\/social-determinants-health."},{"issue":"Suppl 2","key":"4173_CR11","doi-asserted-by":"publisher","first-page":"19","DOI":"10.1177\/00333549141291S206","volume":"129","author":"P Braveman","year":"2014","unstructured":"Braveman P, Gottlieb L. The social determinants of health: it\u2019s time to consider the causes of the causes. Public Health Rep. 2014;129(Suppl 2):19\u201331.","journal-title":"Public Health Rep"},{"issue":"Suppl 4","key":"4173_CR12","doi-asserted-by":"publisher","first-page":"S517","DOI":"10.2105\/AJPH.2014.302200","volume":"104","author":"M Marmot","year":"2014","unstructured":"Marmot M, Allen JJ. Social determinants of health equity. Am J Public Health. 2014;104(Suppl 4):S517\u20139.","journal-title":"Am J Public Health"},{"key":"4173_CR13","unstructured":"World Health Organization. Social determinants of health. 2023 September 14, 2023. Available from: https:\/\/www.who.int\/health-topics\/social-determinants-of-health#tab=tab_1."},{"issue":"2","key":"4173_CR14","doi-asserted-by":"publisher","first-page":"488","DOI":"10.1111\/acer.15521","volume":"49","author":"J Hanson","year":"2025","unstructured":"Hanson J, et al. A randomized controlled trial of native CHOICES: impact on alcohol-exposed pregnancy risk reduction among American Indian and Alaska native women. Alcohol Clin Exp Res (Hoboken). 2025;49(2):488\u201398.","journal-title":"Alcohol Clin Exp Res (Hoboken)"},{"key":"4173_CR15","unstructured":"Centers for Disease Control and Prevention. Birth Control Methods. 2023. Accessed September 14, 2023. Available from: https:\/\/www.cdc.gov\/reproductivehealth\/contraception\/index.htm."},{"key":"4173_CR16","doi-asserted-by":"publisher","first-page":"103208","DOI":"10.1016\/j.jbi.2019.103208","volume":"95","author":"PA Harris","year":"2019","unstructured":"Harris PA, et al. The REDCap consortium: Building an international community of software platform partners. J Biomed Inf. 2019;95:103208.","journal-title":"J Biomed Inf"},{"key":"4173_CR17","unstructured":"Environics Research Group Limited. Awareness of the effects of alcohol use during pregnancy and fetal alcohol syndrome: results of a national survey. 2000. Accessed March 1, 2024. Available from: https:\/\/www.canada.ca\/en\/public-health\/services\/reports-publications\/awareness-effects-alcohol-use-pregnancy-fetal-alcohol-syndrome-results-a-national-survey.html."},{"issue":"4","key":"4173_CR18","doi-asserted-by":"publisher","first-page":"429","DOI":"10.1177\/1073191113481998","volume":"20","author":"T Bj\u00f6rgvinsson","year":"2013","unstructured":"Bj\u00f6rgvinsson T, et al. Psychometric properties of the CES-D-10 in a psychiatric sample. Assessment. 2013;20(4):429\u201336.","journal-title":"Assessment"},{"key":"4173_CR19","unstructured":"Saunders JB. AUDIT (Alcohol Use Disorders Identification Test). no date September 14, 2023. Available from: https:\/\/auditscreen.org\/."},{"issue":"1","key":"4173_CR20","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.amepre.2006.08.028","volume":"32","author":"RL Floyd","year":"2007","unstructured":"Floyd RL, et al. Preventing alcohol-exposed pregnancies: a randomized controlled trial. Am J Prev Med. 2007;32(1):1\u201310.","journal-title":"Am J Prev Med"},{"issue":"3","key":"4173_CR21","doi-asserted-by":"publisher","first-page":"199","DOI":"10.1016\/0168-8510(90)90421-9","volume":"16","author":"EuroQol","year":"1990","unstructured":"EuroQol, Group. EuroQol\u2013a new facility for the measurement of health-related quality of life. Health Policy. 1990;16(3):199\u2013208.","journal-title":"Health Policy"},{"issue":"2","key":"4173_CR22","doi-asserted-by":"publisher","first-page":"187","DOI":"10.1080\/10810730601152771","volume":"12","author":"J Oetzel","year":"2007","unstructured":"Oetzel J, et al. Social support and social undermining as correlates for Alcohol, Drug, and mental disorders in American Indian women presenting for primary care at an Indian health service hospital. J Health Communication. 2007;12(2):187\u2013206.","journal-title":"J Health Communication"},{"issue":"3","key":"4173_CR23","doi-asserted-by":"publisher","first-page":"310","DOI":"10.1037\/0022-0167.48.3.310","volume":"48","author":"RM Lee","year":"2001","unstructured":"Lee RM, Draper M, Lee S. Social connectedness, dysfunctional interpersonal behaviors, and psychological distress: testing a mediator model. J Couns Psychol. 2001;48(3):310\u20138.","journal-title":"J Couns Psychol"},{"key":"4173_CR24","unstructured":"U.S. Bureau of Labor Statistics. Local Area Unemployment Statistics. 2022. Accessed January 2, 2024. Available from: https:\/\/www.bls.gov\/lau\/table14full22.htm."},{"key":"4173_CR25","unstructured":"Semega J. and M. Kollar. Income in the United States: 2021. 2022. Accessed October 24, 2023. Available from: https:\/\/www.census.gov\/library\/publications\/2022\/demo\/p60-276.html."},{"key":"4173_CR26","unstructured":"Guzman G. Household Income by Race and Hispanic Origin: 2005\u20132009 and 2015\u20132019. 2020. Accessed October 25, 2023. Available from: https:\/\/www.census.gov\/content\/dam\/Census\/library\/publications\/2020\/acs\/acsbr19-07.pdf."},{"key":"4173_CR27","volume-title":"How are income and wealth linked to health and longevity?","author":"SH Woolf","year":"2015","unstructured":"Woolf SH, et al. How are income and wealth linked to health and longevity? Center on Society ad Health: Virginia Commonweath University: Urban Institute; 2015."},{"key":"4173_CR28","doi-asserted-by":"publisher","first-page":"273","DOI":"10.1146\/annurev-publhealth-031816-044628","volume":"39","author":"A Zajacova","year":"2018","unstructured":"Zajacova A, Lawrence EM. The relationship between education and health: reducing disparities through a contextual approach. Annu Rev Public Health. 2018;39:273\u201389.","journal-title":"Annu Rev Public Health"},{"key":"4173_CR29","unstructured":"U.S. Department of Health and Human Services. Economic stability. no date. Accessed September 14, 2023. Available from: https:\/\/health.gov\/healthypeople\/objectives-and-data\/browse-objectives\/economic-stability."},{"key":"4173_CR30","unstructured":"U.S. Census Bureau. South Dakota. 2023. Accessed January 2, 2024. Available from: https:\/\/data.census.gov\/profile\/South_Dakota?g=040XX00US46."},{"key":"4173_CR31","unstructured":"South DH. 2023 Point-In-Time Homeless Count 2023. Available from: https:\/\/www.sdhousing.org\/housing-partners\/housing-for-the-homeless\/homeless-count#gsc.tab=0."},{"issue":"2","key":"4173_CR32","doi-asserted-by":"publisher","first-page":"273","DOI":"10.15288\/jsad.21-00400","volume":"84","author":"J Herron","year":"2023","unstructured":"Herron J, et al. Cultural factors and alcohol use in American Indian adults: results from a culturally tailored contingency management intervention. J Stud Alcohol Drugs. 2023;84(2):273\u201380.","journal-title":"J Stud Alcohol Drugs"},{"issue":"1\u20132","key":"4173_CR33","doi-asserted-by":"publisher","first-page":"191","DOI":"10.1002\/ajcp.12594","volume":"70","author":"MB Gonzalez","year":"2022","unstructured":"Gonzalez MB, Sittner KJ, Walls ML. Cultural efficacy as a novel component of understanding linkages between culture and mental health in Indigenous communities. Am J Community Psychol. 2022;70(1\u20132):191\u2013201.","journal-title":"Am J Community Psychol"},{"issue":"1\u20132","key":"4173_CR34","doi-asserted-by":"publisher","first-page":"67","DOI":"10.1007\/s10935-016-0454-3","volume":"38","author":"A Snowshoe","year":"2017","unstructured":"Snowshoe A, et al. Cultural connectedness and its relation to mental wellness for first nations youth. J Prim Prev. 2017;38(1\u20132):67\u201386.","journal-title":"J Prim Prev"},{"issue":"4","key":"4173_CR35","doi-asserted-by":"publisher","first-page":"371","DOI":"10.1080\/13607863.2014.938603","volume":"19","author":"S Roh","year":"2015","unstructured":"Roh S, et al. Risk and protective factors for depressive symptoms among American Indian older adults: adverse childhood experiences and social support. Aging Ment Health. 2015;19(4):371\u201380.","journal-title":"Aging Ment Health"},{"issue":"5","key":"4173_CR36","doi-asserted-by":"publisher","first-page":"787","DOI":"10.1080\/10826084.2018.1536724","volume":"54","author":"A Kelley","year":"2019","unstructured":"Kelley A, Witzel M, Fatupaito B. Preventing substance use in American Indian youth: the case for social support and community connections. Subst Use Misuse. 2019;54(5):787\u201395.","journal-title":"Subst Use Misuse"},{"issue":"5","key":"4173_CR37","doi-asserted-by":"publisher","first-page":"819","DOI":"10.1037\/0022-006X.73.5.819","volume":"73","author":"B Duran","year":"2005","unstructured":"Duran B, et al. Obstacles for rural American Indians seeking alcohol, drug, or mental health treatment. J Consult Clin Psychol. 2005;73(5):819\u201329.","journal-title":"J Consult Clin Psychol"},{"issue":"2","key":"4173_CR38","doi-asserted-by":"publisher","first-page":"425","DOI":"10.1080\/15332640.2020.1777609","volume":"21","author":"M Hernandez","year":"2022","unstructured":"Hernandez M, von Sternberg K, Velasquez MM. Alcohol use and problems among Latinas at risk of an alcohol-exposed pregnancy: the role of acculturation and interpersonal factors. J Ethn Subst Abuse. 2022;21(2):425\u201338.","journal-title":"J Ethn Subst Abuse"}],"container-title":["BMC Women's Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12905-025-04173-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12905-025-04173-5","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12905-025-04173-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T18:42:29Z","timestamp":1767033749000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1186\/s12905-025-04173-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,22]]},"references-count":38,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["4173"],"URL":"https:\/\/doi.org\/10.1186\/s12905-025-04173-5","relation":{},"ISSN":["1472-6874"],"issn-type":[{"type":"electronic","value":"1472-6874"}],"subject":[],"published":{"date-parts":[[2025,11,22]]},"assertion":[{"value":"5 September 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"13 November 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"22 November 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study adhered to the Declaration of Helsinki that is focused on ethics approval and consent to participate. All study protocols were approved by the Institutional Review Board of the lead investigator\u2019s institution, Washington State University, as well as the tribe involved in this research. Tribes are not identified to ensure the privacy of the tribe involved in the research.All participants provided written informed consents, and all methods were carried out in accordance with relevant guidelines and regulations.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"610"}}