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.

项目概要/摘要 我们的目标是改进对女性和男性预期怀孕偏好的测量 通过针对性别的评估，在撒哈拉以南非洲资源匮乏、高生育率的环境中开展工作 修改避免怀孕意愿 (DAP) 量表（目标 1）并评估可靠性 通过对乌干达女性和男性进行测试，确定改编后的 DAP 量表的有效性（目标 2）。 我们的定性方法、量表开发和调查研究方面的专家团队来自 美国和乌干达将进行一项序贯混合方法研究以了解 DAP 领域在乌干达妇女和男子之间的可转移性，调整和开发项目 反映他们的观点，试点测试和心理测量评估项目的具体目标是： 1. 目标 1：制定针对不同性别的《避免怀孕愿望》(DAP) 版本 量表分别在女性和男性中具有结构效度 我们将把 DAP 规模项目翻译成当地语言并使用。 定性方法，包括对 30 名 30 岁女性进行认知访谈和深入访谈 15-49 岁和 30 名 18 岁以上男性探索 DAP 的项目理解和显着性 我们将使用演绎、主题分析来检查收敛性和 每个 DAP 中女性和男性的怀孕偏好分别存在差异 域并调整 DAP 项目以捕捉乌干达背景下的怀孕偏好。 2. 目标 2：评估乌干达 DAP 量表的信度和效度。 有目的地对 400 名 15-49 岁女性和 400 名 18 岁以上男性进行抽样 和一个城市地区对改编后的 DAP 进行农村表面有效性和试点测试 我们将分析 DAP 量表的心理测量特性，包括 维度、内部一致性信度和结构效度，分别针对男性 和女性，使用基于项目反应理论的方法。 适应 DAP 量表的开发和验证将提高 在资源匮乏、生育率高的环境中实施卫生计划，目的是 (i) 识别具有强大能力的个人 希望避免怀孕，(ii) 定制以人为本的生殖服务以满足他们的需求， (iii) 加强对夫妇怀孕偏好动态的了解，以及 (iv) 增强怀孕偏好测量在预测和解决问题方面的实用性 生育率、孕产妇和儿童健康成果，以促进终身健康和福祉。