评估埃塞俄比亚阿姆哈拉语版伦敦意外怀孕量表。
Evaluation of the Amharic version of the London measure of unplanned pregnancy in Ethiopia.
机构信息
College of Medicine and Health Sciences, Arbaminch University, Arbaminch, Ethiopia.
Research and Collaboration Department, Slum and Rural Health Initiative Network, Addis Ababa, Ethiopia.
出版信息
PLoS One. 2022 Jun 13;17(6):e0269781. doi: 10.1371/journal.pone.0269781. eCollection 2022.
BACKGROUND
Unplanned pregnancy is an important public health problem in both the developing and developed world, as it may cause adverse social and health outcomes for mothers, children, and families as a whole. London Measure of Unplanned Pregnancy (LMUP) has been formally and informally validated in multiple and diverse settings. However, there is a dearth of literature on the validation of LMUP in Ethiopia either in the Amharic version or other languages.
OBJECTIVE
The general objective of this study was to translate the LMUP into Amharic and evaluate its psychometric properties in a sample of Amharic-speaking women receiving antenatal care (ANC) service at public health facilities in Arbaminch and Birbir towns.
METHODS
A cross-sectional study design was used for the study. Forward and backward translation of original English LMUP to Amharic was done. A cognitive interview using a pretested structured questionnaire was used to collect the data from respondents. The collected data was analyzed using SPSS version 25. Reliability was assessed using Cronbach's alpha, inter-item correlations, and corrected item-total correlations while construct validity was assessed using principal components analysis and hypothesis testing.
RESULTS
Data was collected from 320 women attending antennal care services at selected public health care facilities. LMUP range of 1to 11 was captured. The prevalence of unplanned pregnancies was 19(5.9%), while 136(42.5 were ambivalent and 165(51.6%) were planned pregnancies. The reliability testing demonstrated acceptable internal consistency (Cronbach's alpha = 0.799) and the validity testing confirmed the unidimensional structure of the scale. In addition, all hypotheses were confirmed.
CONCLUSIONS
Amharic version of LMUP is a valid and reliable tool to measure pregnancy intention so that it can be used by Amharic speaking population in Ethiopia. It can also be used in research studies among Amharic-speaking women to measure unplanned pregnancy.
背景
无论是在发展中国家还是发达国家，意外怀孕都是一个重要的公共卫生问题，因为它可能会给母亲、孩子和整个家庭带来不良的社会和健康后果。伦敦意外怀孕测量工具（London Measure of Unplanned Pregnancy，LMUP）已经在多个不同的环境中经过了正式和非正式的验证。然而，在埃塞俄比亚，无论是阿姆哈拉语版本还是其他语言版本，LMUP 的验证都缺乏相关文献。
目的
本研究的总体目标是将 LMUP 翻译成阿姆哈拉语，并在接受公共卫生设施产前保健服务的阿姆哈拉语使用者样本中评估其心理测量特性。
方法
本研究采用了横断面研究设计。对原始英文 LMUP 进行正向和反向翻译。使用经过预测试的结构化问卷进行认知访谈，从受访者处收集数据。使用 SPSS 版本 25 分析收集的数据。使用 Cronbach's alpha、项目间相关性和校正项目总分相关性评估信度，使用主成分分析和假设检验评估结构有效性。
结果
从选定的公共医疗保健设施接受产前保健服务的 320 名妇女处收集数据。捕获了 LMUP 的 1 到 11 的范围。意外怀孕的发生率为 19%（5.9%），而 136 名（42.5%）持矛盾态度，165 名（51.6%）为计划怀孕。信度测试显示出可接受的内部一致性（Cronbach's alpha = 0.799），有效性测试证实了该量表的单维度结构。此外，所有假设都得到了证实。
结论
阿姆哈拉语版的 LMUP 是一种有效且可靠的测量妊娠意图的工具，可以在埃塞俄比亚的阿姆哈拉语人群中使用。它也可以在研究阿姆哈拉语妇女的研究中用于测量意外怀孕。
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