Measuring pregnancy preferences among women and men in a resource-limited, high-fertility setting

在资源有限、高生育率的环境中测量女性和男性的怀孕偏好

• 批准号: 10731980
• 负责人: Celia Karp
• 金额: $ 40.61万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-01 至 2025-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10731980
• 关键词: Address; Affective; Africa South of the Sahara; Age; Attitude; Behavior; Birth; Cessation of life; Child; Child Health; Cognitive; Comprehension; Contraceptive Agents; Couples; Development; Dimensions; Emotions; Evaluation; Face; Family Planning; Feeling; Fertility; Gender; Goals; Health; Ideal Family Sizes; Individual; Intervention; Interview; Investments; Language; Live Birth; Maternal Health; Maternal Mortality; Measurement; Measures; Methodology; Methods; Modernization; Morbidity - disease rate; Outcome; Personal Satisfaction; Pregnancy; Prevalence; Property; Psychometrics; Public Health; Publishing; Qualitative Methods; Qualitative Research; Reporting; Reproductive Behavior; Reproductive Health; Reproductive Health Services; Research; Research Methodology; Research Personnel; Resources; Risk; Role; Rural; Sampling; Services; Societies; Structure; Surveys; Testing; Time; Translating; Uganda; Uncertainty; United States; Validation; Validity and Reliability; Woman; aged; avoid pregnancy; contraceptive practice; emotional reaction; experience; improved; innovation; instrument; low and middle-income countries; male; men; mortality; novel; parity; person centered; pilot test; preference; prevent; programs; prospective; reproductive; response; theories; unintended pregnancy

PROJECT SUMMARY/ABSTRACT Our goal is to improve measurement of women’s and men’s prospective pregnancy preferences in low-resource, high-fertility settings in sub-Saharan Africa through gender-specific evaluation and adaptation of the Desire to Avoid Pregnancy (DAP) scale (Aim 1) and assess the reliability and validity of adapted DAP scales through testing among women and men in Uganda (Aim 2). Our team of experts in qualitative methods, scale development, and survey research from the United States and Uganda will conduct a sequential mixed-methods study to understand transferability of DAP domains among Ugandan women and men, adapt and develop items that reflect their perspectives, and pilot test and psychometrically evaluate items. Specific aims are to: 1. Aim 1: Develop gender-specific versions of the Desire to Avoid Pregnancy (DAP) scale that have construct validity among women and men, respectively, in the Ugandan context. We will translate the DAP scale items into local languages and use qualitative methods, including cognitive and in-depth interviews, among 30 women aged 15-49 and 30 men aged 18+ years to explore item comprehension and salience of DAP domains. We will use deductive, thematic analysis to examine convergence and divergence of women’s and men’s pregnancy preferences, respectively, with each DAP domain and adapt DAP items to capture pregnancy preferences in the Ugandan context. 2. Aim 2: Evaluate the reliability and validity of the Ugandan DAP scales. We will purposively sample 400 women aged 15-49 years and 400 men aged 18+ years in one rural and one urban district to conduct face validity and pilot testing of the adapted DAP scales. We will analyze the psychometric properties of the DAP scales, including dimensionality, internal consistency reliability, and structure validity, separately for men and women, using methodologies grounded in Item Response Theory. The development and validation of the adapted DAP scales will improve the capacity of health programs in low-resource, high-fertility contexts to (i) identify individuals with strong desires to avoid pregnancy, (ii) tailor person-centered reproductive services to meet their needs, (iii) strengthen understanding of the dynamics of pregnancy preferences within couples, and (iv) enhance the utility that measures of pregnancy preferences offer for predicting and addressing fertility, maternal, and child health outcomes to promote lifelong health and well-being.

项目摘要/摘要 我们的目标是提高对妇女和男性预期怀孕偏好的测量 在撒哈拉以南非洲的低资源，高产设置中，通过性别特定的评估 并适应避免怀孕（DAP）量表（目标1）的愿望并评估可靠性 适应于DAP量表的有效性通过在乌干达的男女进行测试（AIM 2）。 我们的定性方法，规模开发和调查研究专家团队 美国和乌干达将进行一项顺序的混合方法研究以了解 DAP领域在乌干达男女之间的可转移性，适应和开发项目 反映他们的观点，并进行试验测试和心理评估项目。具体目的是： 1。目标1：开发避免怀孕欲望的性别特定版本（DAP） 在男女之间具有构建有效性的规模 乌干达背景。我们将将DAP量表项目转换为本地语言并使用 定性方法，包括认知和深入访谈，在30位年龄的妇女中 15-49岁和30名18岁以上的男性探索DAP的项目理解和显着性 域。我们将使用演绎主题分析来检查融合和 每次小睡 在乌干达的情况下，域和适应DAP项目以捕获怀孕的偏好。 2。目标2：评估乌干达DAP量表的可靠性和有效性。我们将 主要采样400名15-49岁的妇女和400岁以上的男性 农村和一个城市区，以面对适应DAP的有效性和试点测试 秤。我们将分析DAP量表的心理测量特性，包括 男性的维度，内部一致性可靠性和结构有效性 和妇女，使用基于项目响应理论的方法。 适应DAP量表的开发和验证将提高 低资源，高产环境中的健康计划，以（i）确定强大的人 渴望避免怀孕的渴望，（ii）量身定制以人为中心的复制服务以满足他们的需求， （iii）加强对夫妻内怀孕偏好动态的理解，以及（iv） 增强效用衡量妊娠偏好为预测和解决的效用 生育能力，物物和儿童健康成果，以促进终身健康和福祉。