Prenatal attachment: using measurement invariance to test the validity of comparisons across eight culturally diverse countries.

Prenatal attachment: using measurement invariance to test the validity of comparisons across eight culturally diverse countries.
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DOI:
10.1007/s00737-021-01105-8
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发表时间:
2021-08
期刊:
Archives of women's mental health
影响因子:
--
通讯作者:
Eisner M
Eisner M
中科院分区:
其他
文献类型:
--
作者:
Foley S;Hughes C;Murray AL;Baban A;Fernando AD;Madrid B;Osafo J;Sikander S;Abbasi F;Walker S;Luong-Thanh BY;Vo TV;Tomlinson M;Fearon P;Ward CL;Valdebenito S;Eisner M

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在高收入国家(HIC)的研究表明,母亲-胎儿依恋(MFA)的变化预测重要的孕产妇健康和儿童结局。然而,MFA评级在低收入和中等收入国家的有效性仍然未知。为了解决这一差距,我们评估了测量不变性,以测试产前依恋量表(派:Muller)在8个LMIC中的概念等效性。我们的目的是确定派是否从不同文化背景的孕妇中获得相似的信息。我们对1181名孕晚期母亲进行了18项派测试(平均年龄= 28.27岁,标准差= 5.81岁,范围= 18-48岁),作为涉及8个中等收入国家的前瞻性出生队列研究的一部分,预期他们的第一个婴儿(n = 359)或后来出生的婴儿(n = 820):加纳、牙买加、巴基斯坦、菲律宾、罗马尼亚、南非、斯里兰卡和越南。我们使用多组验证性因素分析来评估跨站点测量不变性。一个单一的潜在因素与部分测量不变性,发现在所有网站,除巴基斯坦。群体比较显示,越南孕妇的MFA平均水平最低,斯里兰卡孕妇的MFA平均水平最高。MFA是第一次母亲高于母亲期待一个后来出生的孩子。派在不同文化的中等收入国家中产生了类似的MFA信息。这些研究结果加强了在不同环境中使用该工具的信心;未来的研究应探讨使用派作为母亲行为的屏幕,使儿童处于危险之中。
Studies in high-income countries (HICs) have shown that variability in maternal-fetal attachment (MFA) predict important maternal health and child outcomes. However, the validity of MFA ratings in low- and middle-income countries (LMICs) remains unknown. Addressing this gap, we assessed measurement invariance to test the conceptual equivalence of the Prenatal Attachment Inventory (PAI: Muller,) across eight LMICs. Our aim was to determine whether the PAI yields similar information from pregnant women across different cultural contexts. We administered the 18-item PAI to 1181 mothers in the third trimester (Mean age = 28.27 years old, SD = 5.81 years, range = 18–48 years) expecting their first infant (n = 359) or a later-born infant (n = 820) as part of a prospective birth cohort study involving eight middle-income countries: Ghana, Jamaica, Pakistan, Philippines, Romania, South Africa, Sri Lanka and Vietnam. We used Multiple Group Confirmatory Factor Analyses to assess across-site measurement invariance. A single latent factor with partial measurement invariance was found across all sites except Pakistan. Group comparisons showed that mean levels of MFA were lowest for expectant mothers in Vietnam and highest for expectant mothers in Sri Lanka. MFA was higher in first-time mothers than in mothers expecting a later-born child. The PAI yields similar information about MFA across culturally distinct middle-income countries. These findings strengthen confidence in the use of the tool across different settings; future studies should explore the use of the PAI as a screen for maternal behaviour that place children at risk.
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