评估劳动力中的堕胎污名：修订后的堕胎提供者污名量表的开发。

Evaluation of Abortion Stigma in the Workforce: Development of the Revised Abortion Providers Stigma Scale.

机构信息

University of Michigan, Women's and Gender Studies Program & Department of Health & Human Services, Dearborn, Michigan.

University of Michigan, Institute for Research on Women and Gender, Ann Arbor, Michigan.

出版信息

Womens Health Issues. 2018 Jan-Feb;28(1):59-67. doi: 10.1016/j.whi.2017.10.004. Epub 2017 Nov 11.

DOI:10.1016/j.whi.2017.10.004

PMID:29133064

Abstract

OBJECTIVES

We report on the development of a scale measuring abortion providers' experiences of stigma.

STUDY DESIGN

Using previous measures, qualitative data, and expert review, we created a 49-item question pool. We administered questions to 315 abortion providers before participation in the Providers Share Workshop. We explored the factor structure and item quality using exploratory factor analysis. We assessed reliability using Cronbach's alpha. To test construct validity, we calculated Pearson's correlation coefficients between the stigma scales, the Maslach Burnout Inventory, and the K10 measure of psychological distress. We used Stata SE/12.0 for analyses.

RESULTS

Factor analysis revealed a 35-item, five-factor model: worries about disclosure, internalized states, social judgment, social isolation, and discrimination (Cronbach's alphas 0.79-0.94). Our stigma measure was correlated with psychological distress (r = 0.40; p < .001), and with Maslach Burnout Inventory's emotional exhaustion (r = 0.27; p < .001), and depersonalization (0.23; p < .001) subscales, and was inversely correlated with Maslach Burnout Inventory's personal accomplishment subscale (r = -0.15; p < .05).

CONCLUSIONS

Psychometric analysis of this scale reveals that it is a reliable and valid tool for measuring stigma in abortion providers, and may be helpful in evaluating stigma reduction programs.

摘要

目的

我们报告了一种衡量堕胎提供者耻辱感的量表的开发情况。

研究设计

使用先前的测量方法、定性数据和专家审查，我们创建了一个包含 49 个项目的问题库。我们在堕胎提供者参加 Providers Share Workshop 之前向 315 名堕胎提供者发放了这些问题。我们通过探索性因素分析探讨了因子结构和项目质量。我们使用 Cronbach's alpha 评估可靠性。为了检验构念效度，我们计算了耻辱量表、Maslach 倦怠量表和 K10 心理困扰量表之间的 Pearson 相关系数。我们使用 Stata SE/12.0 进行分析。

结果

因素分析显示，有一个包含 35 个项目的五因子模型：对披露的担忧、内化状态、社会判断、社会孤立和歧视（Cronbach's alpha 为 0.79-0.94）。我们的耻辱感量表与心理困扰（r=0.40;p<.001）以及 Maslach 倦怠量表的情绪耗竭（r=0.27;p<.001）和去人性化（0.23;p<.001）分量表相关，与 Maslach 倦怠量表的个人成就感分量表呈负相关（r=-0.15;p<.05）。