Understanding pregnancy planning in a low-income country setting: validation of the London measure of unplanned pregnancy in Malawi.
Understanding pregnancy planning in a low-income country setting: validation of the London measure of unplanned pregnancy in Malawi.
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DOI：
10.1186/1471-2393-13-200
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发表时间：
2013-11-05
影响因子：
3.1
通讯作者：
Stephenson J
中科院分区：
文献类型：
--
作者：
Hall J;Barrett G;Mbwana N;Copas A;Malata A;Stephenson J
伦敦测量意外怀孕（LMUP）是一个新的和心理测量有效的怀孕意图的措施，是在英国开发的。在低收入国家，意外怀孕很常见，孕产妇和新生儿死亡率很高，因此有必要更好地了解这些国家的怀孕意图，以便为政策提供信息，以解决计划生育方面未得到满足的需求。为此，本研究旨在验证LMUP在马拉维奇切瓦语中的使用。三名奇切瓦语使用者翻译了LMUP，一种翻译被同意，并通过认知访谈对五名孕妇进行了反向翻译和预测试。该方法在产前诊所招募的孕妇中进行了现场测试，并使用经典检验理论和假设检验对数据进行了分析。125名15-43岁的女性（中位数23），胎数1-8（中位数2）完成了Chichewa LMUP。没有数据缺失。捕获了LMUP的全部分数。在信度方面，量表内部一致（Cronbach’s alpha = 0.78）， 70名女性的重测数据显示出良好的稳定性（加权Kappa 0.80）。在有效性方面，假设检验证实，未婚女性（p = 0.003）、有四个或更多孩子的女性（p = 0.0051）、20岁以下或29岁以上的女性（p = 0.0115）都更有可能意外怀孕。主成分分析表明，六个项目中的五个加载到一个因素上，另一个项目边界。敏感度分析评估了量表中最弱的项目的去除效果，结果显示表现略有改善，但由于LMUP没有因其纳入而受到显著不利影响，我们建议保留六项得分。在马拉维，Chichewa LMUP是一种有效和可靠的怀孕意向测量方法，现在可以用于研究和/或监测。这是该工具首次在低收入国家得到验证，有助于证明计划怀孕的概念适用于这种环境。使用Chichewa LMUP可以增进我们对马拉维怀孕意图的了解，深入了解为更好地满足妇女需求和拯救生命所需的计划生育服务。
The London Measure of Unplanned Pregnancy (LMUP) is a new and psychometrically valid measure of pregnancy intention that was developed in the United Kingdom. An improved understanding of pregnancy intention in low-income countries, where unintended pregnancies are common and maternal and neonatal deaths are high, is necessary to inform policies to address the unmet need for family planning. To this end this research aimed to validate the LMUP for use in the Chichewa language in Malawi. Three Chichewa speakers translated the LMUP and one translation was agreed which was back-translated and pre-tested on five pregnant women using cognitive interviews. The measure was field tested with pregnant women who were recruited at antenatal clinics and data were analysed using classical test theory and hypothesis testing. 125 women aged 15–43 (median 23), with parities of 1–8 (median 2) completed the Chichewa LMUP. There were no missing data. The full range of LMUP scores was captured. In terms of reliability, the scale was internally consistent (Cronbach’s alpha = 0.78) and test-retest data from 70 women showed good stability (weighted Kappa 0.80). In terms of validity, hypothesis testing confirmed that unmarried women (p = 0.003), women who had four or more children alive (p = 0.0051) and women who were below 20 or over 29 (p = 0.0115) were all more likely to have unintended pregnancies. Principal component analysis showed that five of the six items loaded onto one factor, with a further item borderline. A sensitivity analysis to assess the effect of the removal of the weakest item of the scale showed slightly improved performance but as the LMUP was not significantly adversely affected by its inclusion we recommend retaining the six-item score. The Chichewa LMUP is a valid and reliable measure of pregnancy intention in Malawi and can now be used in research and/or surveillance. This is the first validation of this tool in a low-income country, helping to demonstrate that the concept of pregnancy planning is applicable in such a setting. Use of the Chichewa LMUP can enhance our understanding of pregnancy intention in Malawi, giving insight into the family planning services that are required to better meet women’s needs and save lives.
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影响因子：
6.3
作者：
Barrett, G;Smith, SC;Wellings, K
通讯作者：
Wellings, K
影响因子：
5.4
作者：
Barrett, G;Wellings, K
通讯作者：
Wellings, K
影响因子：
3.2
作者：
Petersen, R;Moos, MK
通讯作者：
Moos, MK
影响因子：
1.9
作者：
LANDIS, JR;KOCH, GG
通讯作者：
KOCH, GG
影响因子：
3.7
作者：
Morof, Diane;Steinauer, Jody;Barrett, Geraldine
通讯作者：
Barrett, Geraldine