Improving abortion underreporting in the USA: a cognitive interview study.
Improving abortion underreporting in the USA: a cognitive interview study.
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DOI：
10.1080/13691058.2022.2113434
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发表时间：
2023-01
影响因子：
2.2
通讯作者：
Lindberg, Laura D.
中科院分区：
文献类型：
--
作者：
Mueller, Jennifer;Kirstein, Marielle;VandeVusse, Alicia;Lindberg, Laura D.
堕胎是一种难以衡量的行为，调查中普遍存在漏报现象，这损害了研究和监测堕胎的能力。我们的目的是提高对女性如何解释和回应询问是否堕胎的调查项目的了解。我们提出了新的问题，旨在改善堕胎报告，使用旨在澄清哪些经历需要报告的方法；减少堕胎的耻辱和敏感性；减少询问堕胎的打扰感；并提高受访者举报的积极性。我们对美国两个州 18-49 岁的顺性别女性 (N = 64) 进行了认知访谈，以评估这些改善堕胎报告的新方法和问题。我们的研究结果表明，将堕胎纳入其他性健康和生殖健康服务清单的一部分，询问一生中堕胎经历是/否的问题而不是询问堕胎的次数，以及改进堕胎问题的介绍可能有助于得出更准确的调查报告。存在改善堕胎调查测量的机会。减少调查中堕胎漏报的情况有可能改善依赖妊娠史的性健康和生殖健康研究。
Abortion is a difficult-to-measure behaviour with extensive underreporting in surveys, which compromises the ability to study and monitor it. We aimed to improve understanding of how women interpret and respond to survey items asking if they have had an abortion. We developed new questions hypothesised to improve abortion reporting, using approaches that aim to clarify which experiences to report; reduce the stigma and sensitivity of abortion; reduce the sense of intrusiveness of asking about abortion; and increase respondent motivation to report. We conducted cognitive interviews with cisgender women aged 18–49 in two US states (N = 64) to assess these new approaches and questions for improving abortion reporting. Our findings suggest that including abortion as part of a list of other sexual and reproductive health services, asking a yes/no question about lifetime experience of abortion instead of asking about number of abortions, and developing an improved introduction to abortion questions may help to elicit more accurate survey reports. Opportunities exist to improve survey measurement of abortion. Reducing the underreporting of abortion in surveys has the potential to improve sexual and reproductive health research that relies on pregnancy histories.
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