Evaluating indirect survey question methods on reproductive health behavior

生殖健康行为间接调查问题法评价

• 批准号: 10810569
• 负责人: Heide Marie Jackson
• 金额: $ 45.14万
• 依托单位: UNIV OF MARYLAND, COLLEGE PARK
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-26 至 2025-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10810569
• 关键词: Abortion Rates; Advanced Development; Age; Area; Attitude; Awareness; Behavior; Belief; Censuses; Characteristics; Data; Developing Countries; Development; Economically Deprived Population; Education; Estimation Techniques; Ethnic Origin; Evaluation; Failure; Fertility; Future; Geography; Goals; Grant; Health; Health behavior; Health behavior and outcomes; Incidence; Income; Individual; Insurance; Knowledge; Laws; Legal; Life Cycle Stages; Literature; Methodology; Methods; Ohio; Patients; Performance; Periodicals; Policies; Population; Pregnancy; Prevalence; Provider; Race; Records; Reporting; Reproductive Behavior; Reproductive Health; Research; Research Project Grants; Respondent; Rural; Sampling; Science; Sum; Surveys; Techniques; Time; Woman; Work; abortion; access restrictions; experience; experimental study; falls; field survey; improved; interest; member; population survey; reproductive outcome; residence; response; social; sociodemographics; socioeconomic disadvantage; socioeconomic disparity; statistics; unintended pregnancy; urban residence

Project Summary: "Evaluating indirect survey question methods on reproductive health behavior" Abortion is a major component of reproductive health and autonomy, but is increasingly subject to access restrictions that may dramatically reduce utilization. Beyond general aggregate statistics, little is known about the characteristics, attitudes, and behaviors of those obtaining abortions at the state and national levels. A lack of validity of direct survey questions is a critical barrier to understanding attitudes and characteristics of abortion patients. Indirect survey question methods have the potential to overcome this barrier. The indirect methods known as the Item Count Technique (ICT) and the Item Sum Technique (IST) estimate respectively whether and how many abortions a woman has experienced. In this study, we evaluate the ICT and IST methods using data from nine states with more and less restrictive abortion policies, in periods when abortion was more and less restricted. The nine states are located in the Mid- Atlantic, Midwestern, Southwestern, and Southeastern regions of the US. The study aims are to: 1) Evaluate ICT and IST internal validity assumptions; 2) Evaluate bias of the estimators from ICT and IST against external abortion statistics from CDC reports and the Guttmacher Institute’s periodic census of abortion providers by state and by age and race/ethnicity; 3) Evaluate the performance of different implementations of multivariate regression estimation of abortion on socio-demographic characteristics and assess sampling-variance gains to incorporating external abortion count data in combined survey and population data estimators; and 4) Estimate differences in incidence and mean numbers of abortions by state policy and by respondent characteristics not readily available in administrative records and provider surveys. Methodologically, our study will contribute to existing literature by evaluating ICT method for abortion to a broad social-geographic range U.S. states, by evaluating for the first time anywhere the validity of the IST method applied to numbers of abortions, and by evaluating the validity of the ICT and IST methods over a limited period, specifically five years. Substantively, we will contribute to understanding characteristics, attitudes, and behaviors of those seeking and obtaining abortions across nine U.S. states both before and after the major state policy changes of 2022.

项目摘要：“评估生殖方面的间接调查问题方法 健康行为” 堕胎是生殖健康和自主权的一个重要组成部分，但日益受到关注 访问限制可能会大大降低总体利用率。 统计数据显示，人们对那些获得成功的人的特征、态度和行为知之甚少。 州和国家层面的堕胎问题缺乏有效性是一个关键问题。 了解堕胎患者的态度和特征的障碍。 问题方法有可能克服这一障碍，称为间接方法。 分别使用项目计数技术 (ICT) 和项目求和技术 (IST) 估计 女性是否经历过堕胎以及有多少次堕胎经历 在这项研究中，我们评估了 ICT。 和 IST 方法，使用来自堕胎政策或多或少限制的九个州的数据， 堕胎受到越来越多限制的时期 这九个州位于中部。 美国大西洋、中西部、西南部和东南部地区。 1) 评估 ICT 和 IST 内部有效性假设； 2) 评估估计量的偏差 ICT 和 IST 对照 CDC 报告和 Guttmacher 的外部堕胎统计数据 研究所按州、年龄和种族/民族对堕胎提供者进行的定期普查； 评估多元回归估计的不同实现的性能 堕胎对社会人口特征的影响并评估抽样方差增益 将外部流产计数数据纳入调查和人口数据估算器中； 4) 根据国家政策和国家政策估计堕胎发生率和平均堕胎数量的差异 行政记录和提供者调查中不易获得受访者特征。 在方法论上，我们的研究将通过评估 ICT 方法来对现有文献做出贡献 通过首次对美国各州的社会地理范围内的堕胎情况进行评估 IST 方法应用于堕胎数量的有效性，并通过评估 我们将在有限的时间内，特别是五年内，采用 ICT 和 IST 方法。 有助于理解那些寻求和实现目标的人的特征、态度和行为 在重大州政策变化之前和之后，美国九个州实现了堕胎 2022 年。