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基于可穿戴相机的自动图像辅助回忆法和 24 小时回忆法评估营养脆弱人群妇女时间分配的验证:以乌干达农村为例。

Validation of an Automated Wearable Camera-Based Image-Assisted Recall Method and the 24-h Recall Method for Assessing Women's Time Allocation in a Nutritionally Vulnerable Population: The Case of Rural Uganda.

机构信息

Department of Population Health, London School of Hygiene and Tropical Medicine, London WC1E 7HT, UK.

Department of Public Health and Infectious Diseases, University of Roma La Sapienza, 00185 Rome, Italy.

出版信息

Nutrients. 2022 Apr 27;14(9):1833. doi: 10.3390/nu14091833.

Abstract

Accurate data are essential for investigating relationships between maternal time-use patterns and nutritional outcomes. The 24 h recall (24HR) has traditionally been used to collect time-use data, however, automated wearable cameras (AWCs) with an image-assisted recall (IAR) may reduce recall bias. This study aimed to evaluate their concurrent criterion validity for assessing women's time use in rural Eastern Ugandan. Women's ( = 211) time allocations estimated via the AWC-IAR and 24HR methods were compared with direct observation (criterion method) using the Bland-Altman limits of agreement (LOA) method of analysis and Cronbach's coefficient alpha (time allocation) or Cohen's κ (concurrent activities). Systematic bias varied from 1 min (domestic chores) to 226 min (caregiving) for 24HR and 1 min (own production) to 109 min (socializing) for AWC-IAR. The LOAs were within 2 h for employment, own production, and self-care for 24HR and AWC-IAR but exceeded 11 h (24HR) and 9 h (AWC-IAR) for caregiving and socializing. The LOAs were within four concurrent activities for 24HR (-1.1 to 3.7) and AWC-IAR (-3.2 to 3.2). Cronbach's alpha for time allocation ranged from 0.1728 (socializing) to 0.8056 (own production) for 24HR and 0.2270 (socializing) to 0.7938 (own production) for AWC-IAR. For assessing women's time allocations at the population level, the 24HR and AWC-IAR methods are accurate and reliable for employment, own production, and domestic chores but poor for caregiving and socializing. The results of this study suggest the need to revisit previously published research investigating the associations between women's time allocations and nutrition outcomes.

摘要

准确的数据对于研究孕产妇时间利用模式与营养结局之间的关系至关重要。24 小时回顾法(24HR)一直被用于收集时间利用数据,然而,带有图像辅助回忆(IAR)的自动可穿戴摄像机(AWC)可能会减少回忆偏倚。本研究旨在评估其在评估乌干达东部农村地区女性时间利用方面的同时效标准效度。使用 Bland-Altman 一致性界限(LOA)分析方法和 Cronbach 系数 alpha(时间分配)或 Cohen's κ(并发活动)比较通过 AWC-IAR 和 24HR 方法估计的女性时间分配与直接观察(标准方法)之间的关系。24HR 的系统偏差从 1 分钟(家务劳动)到 226 分钟(护理)不等,而 AWC-IAR 的系统偏差从 1 分钟(自有生产)到 109 分钟(社交)不等。对于 24HR 和 AWC-IAR,就业、自有生产和自我护理的 LOA 在 2 小时内,但对于护理和社交,LOA 超过 11 小时(24HR)和 9 小时(AWC-IAR)。24HR 的 LOA 范围为 -1.1 到 3.7,AWC-IAR 的 LOA 范围为 -3.2 到 3.2,用于四个并发活动。对于时间分配,24HR 的 Cronbach alpha 范围从 0.1728(社交)到 0.8056(自有生产),AWC-IAR 的 Cronbach alpha 范围从 0.2270(社交)到 0.7938(自有生产)。对于评估人群水平上的女性时间分配,24HR 和 AWC-IAR 方法对于就业、自有生产和家务劳动是准确和可靠的,但对于护理和社交则不准确。本研究结果表明,需要重新审视之前发表的研究,以探讨女性时间分配与营养结局之间的关系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e9f/9101468/3c82f10d15b0/nutrients-14-01833-g001.jpg

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