Reviewer’s report
Title: 
Diné (Navajo) female perspectives on mother-daughter communication
and cultural assets around the transition to womanhood: a cross-sectional survey
Version: 
1 
Date: 
29 Jun 2021
Reviewer's report:
Thank you for the opportunity to review this manuscript, 
The authors present an interesting cross-sectional study of American Indian
women, where they analyzed various topics related to female health. The study is
well written and would be of interest to the readers of BMC Women's Health. 
Few comments: 
1. Please always include frequencies (and not just percentages) both in the
abstract and main manuscript.
2. Please include a small description of your population in the results section of
the abstract. 
3. "Seventy percent (70%)" no need to re-write this in numbers, can just keep as
"seventy percent".
4. Please rephrase "Survey responses also allude to a disruption of cultural
practices due to historical trauma and the importance of male relatives' support
during puberty".
5. Please shorten the background section in your main text (1-2 pages should be
enough).
6. Please remove all sub-heading from the background section. No need to divide
the background.
7. "100 AI women per site". Any justification for the sample size selected? if so
please elaborate in text. 
8. "Most surveys were done via paper (N=175)" no need to repeat this (you
mention it in this same paragraph at the beginning).
9. "One hundred percent of surveys", maybe rephrase to "all surveys".
10. Were education level, and socioeconomic factors analyzed? If so, please add
those to table 1.
11. Could the authors include a figure for the flow diagram of their population
inclusion/exclusion?
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Is the study design appropriate to answer the research question (including the use
of appropriate controls), and are the conclusions supported by the evidence
presented?
Yes
Are the methods sufficiently described to allow the study to be repeated?
Yes
Is the use of statistics and treatment of uncertainties appropriate?
Yes
Is the presentation of the work clear?
Yes
Are the images in this manuscript (including electrophoretic gels and blots) free
from apparent manipulation?
Yes