Advancing Innovative Measurement of Pregnancy Preferences with Longitudinal Data
利用纵向数据推进怀孕偏好的创新测量
基本信息
- 批准号:10444819
- 负责人:
- 金额:$ 26.91万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2022
- 资助国家:美国
- 起止时间:2022-09-30 至 2025-08-31
- 项目状态:未结题
- 来源:
- 关键词:AccountingAddressAdoptedAdoptionAdverse effectsAffectAffectiveBehaviorBirthBirth IntervalsBirth OrderCategoriesChildChildbirthClinicalCodeCognitiveCommunitiesContraceptive UsageCouplesDataDevelopmentEquationEthnic OriginFeelingFutureGeographic stateGoalsGroupingHealthIntentionInterventionInvestigationKnowledgeLeadLeftLongitudinal StudiesLongitudinal SurveysLow Birth Weight InfantMaternal HealthMaternal and Child HealthMeasurementMeasuresMediatingMediationMethodologyMethodsModelingNatureOutcomePathway interactionsPersonal SatisfactionPhysiologicalPregnancyPregnancy IntervalPremature BirthPsychometricsPublic HealthRaceResearchResearch DesignResearch PersonnelResearch Project SummariesRiskRisk FactorsRoleScienceShapesSocial EnvironmentStandardizationSurveysTimeUncertaintyUnited StatesWomanWomen&aposs Groupadverse maternal outcomesagedbasechild bearingclinical careeffective interventionevidence baseimprovedinnovationinsightinstrumentlongitudinal analysisneonatal healthneonatal outcomenovelperson centeredpopulation basedpreferenceprepregnancypreservationpreventprospectivepublic health researchreproductiveresponsesocial factorstheoriestherapy developmenttoolunintended pregnancy
项目摘要
PROJECT SUMMARY
Research into effective strategies to reduce unintended pregnancy and short interval births, and to mitigate
associated adverse maternal and neonatal health outcomes, has been hampered by poor conceptualization
and measurement of pregnancy intentions. Until recently, no validated psychometric measures had been
available to prospectively capture the range and complexity of feelings many women have about pregnancy,
including ambivalence and uncertainty. Reliance on simplistic measures and retrospective data have left
serious scientific gaps in our understanding of the causes, and health consequences, of unintended pregnancy
and short interpregnancy intervals (IPIs). Scholars have expressed an urgent need for improved measures and
longitudinal study designs, citing their importance to rigorous investigations of the role of pregnancy intentions
on the causal pathway to unintended pregnancy, short IPIs, and adverse health outcomes. This proposal
addresses these critical scientific and measurement gaps using longitudinal data from population-based
surveys, fielded to over 12,000 women, aged 18-44, across nine US states. These surveys include the Desire
to Avoid Pregnancy (DAP) scale, a novel instrument developed by our team using cutting-edge, rigorous
psychometric methods. The instrument reconceptualizes “intentions” as “preferences” and captures the
diversity of considerations and feelings women have about a potential future pregnancy. Using three years of
data, we will examine the predictive relationships between DAP scores, contraceptive use, incident pregnancy,
and birth outcomes. We will use structural equation models to investigate the extent to which DAP scores
mediate relationships between the personal and social contexts of women’s lives and pregnancy and birth
outcomes, addressing confounding that has hindered prior investigations. Critically, analyses will for the first
time apply prospective pregnancy preference data to investigate whether the elevated risk of negative maternal
and birth outcomes from short IPIs results from physiologic mechanisms, or the contexts in which these
frequently unintended pregnancies occur. We will then capitalize on the DAP’s strengths to develop novel
measurement tools that expand its utility. First, we will use item response theory (IRT) to develop a shorter
DAP version that maintains construct validity, facilitating the integration of rigorous, person-centered measures
into future research, surveillance, and clinical care. Then, we will use IRT to establish evidence-based
thresholds on the scale, defining standardized groupings of pre-pregnancy preferences (e.g., “undesired” or
“less preferred”), and addressing the urgent need for alternative measures to “unintended pregnancy” that
capture if women attain their reproductive preferences. A better understanding of how pregnancy preferences
are formed, and how unintended pregnancy contributes to adverse maternal and neonatal outcomes – as well
as the contributions of our novel instruments to future science – can guide the field toward interventions that
can more successfully promote reproductive autonomy and improve maternal and child health.
项目总结
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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Corinne H. Rocca其他文献
Associations Among Sociodemographic and Contextual Factors and Youth Pregnancy Preferences
社会人口统计学和背景因素与青少年怀孕偏好之间的关联
- DOI:
10.1016/j.jadohealth.2025.03.017 - 发表时间:
2025-07-01 - 期刊:
- 影响因子:4.500
- 作者:
Sarah F. Nathan;Susan A. Chapman;Claire D. Brindis;Corinne H. Rocca - 通讯作者:
Corinne H. Rocca
10. Reproductive Autonomy: Supporting Contraceptive Agency for Young People in the Clinic Visit
- DOI:
10.1016/j.jadohealth.2023.11.029 - 发表时间:
2024-03-01 - 期刊:
- 影响因子:
- 作者:
Cynthia C. Harper;Kristine Hopkins;Jennifer Yarger;Hannah Hecht;Kristyn Brandi;Alejandra Tello Perez;Isabel Muñoz;Maria Rodriguez;Iris Wong;Corinne H. Rocca - 通讯作者:
Corinne H. Rocca
Corinne H. Rocca的其他文献
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{{ truncateString('Corinne H. Rocca', 18)}}的其他基金
Advancing Innovative Measurement of Pregnancy Preferences with Longitudinal Data
利用纵向数据推进怀孕偏好的创新测量
- 批准号:
10709484 - 财政年份:2022
- 资助金额:
$ 26.91万 - 项目类别:
Pregnancy preferences, reproductive autonomy, and maternal health: A novel prospective study
怀孕偏好、生殖自主权和孕产妇健康:一项新颖的前瞻性研究
- 批准号:
10420659 - 财政年份:2022
- 资助金额:
$ 26.91万 - 项目类别:
Pregnancy preferences, reproductive autonomy, and maternal health: A novel prospective study
怀孕偏好、生殖自主权和孕产妇健康:一项新颖的前瞻性研究
- 批准号:
10709491 - 财政年份:2022
- 资助金额:
$ 26.91万 - 项目类别:
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