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Drinking during pregnancy: practices of Cambodian refugees in France and the United States.

This study is part of a larger exploratory study of 155 women of Cambodian national origin who were interviewed in the United States and France. This study reports on data related to frequency of alcohol usage, prevalence of drinking over the trimesters of pregnancy, beverage of choice, whether they spoke either English or French when leaving Cambodia, years of education, and current income. In this sample, Cambodian women residing in France drank more frequently, and drank different substances than those women residing in the United States. With respect to drinking during pregnancy, 37% of the women in France and 23% of the women residing in the United States drank in the first trimester. During the second and third trimesters, however, only 5% of the women in France, compared with 18% of women in the United States, continued drinking. It is suggested that different cultural practices in France and the United States account for differences in initial drinking practices. Three possible explanations were suggested to account for the fact that more Cambodian women residing in the United States, as compared with France, reported continued drinking over the course of their pregnancies: more limited health care access, differential selection policies for admittance, and lower overall socioeconomic status (SES). All French women, unlike American women, are covered by a comprehensive program of maternal and child health care. In addition, the Cambodian women residing in France were older, had more years of education, higher incomes, and a greater percentage spoke French before they left Cambodia. The results emphasize the relationship of socioeconomic factors to substance use and point toward a need for programs designed to educate Cambodian women with respect to the problems associated with drinking during pregnancy.

Adult↗

The effect of health education interventions on child malaria treatment-seeking practices among mothers in rural refugee villages in Belize, Central America.

This paper reports on a study conducted to examine the effect of health education interventions on mothers' treatment-seeking behaviors for their children's malaria fevers. The study used a quasi-experimental post-test community-based design with an intervention and control group. A post-intervention survey was conducted to assess knowledge, attitudes and child fever and malaria treatment-seeking behaviors and access and exposure to health messages. Survey results indicated that some health education interventions, especially interpersonal communication, appeared to have a positive impact on fever and malaria beliefs and attitudes and on positive treatment-seeking behaviors. While some interventions appeared to have a positive impact on fever and malaria beliefs and attitudes and on positive treatment-seeking behaviors, limitations in the study design made assigning specific effects to the interventions difficult. However, health education interventions remain a valuable tool in addressing malaria in children.

Adult↗

Risk factors associated with PTSD and major depression among Cambodian refugees in Utah.

The study reported in this article is a secondary analysis of data collected from a random sample of 124 Cambodian adults, ages 18 to 76 years. Participants were interviewed about their mental health status and factors associated with a diagnosis of posttraumatic stress disorder (PTSD) or major depression. From analysis of the data, the following risk factors were identified with PTSD and depression: experiencing a greater number of war traumas increased the risk of both PTSD and major depression; experiencing a greater number of resettlement stressors during the past year increased the risk of both PTSD and major depression; and having financial stress increased the risk of major depression.

Adolescent↗