Supervisory Public Health Advisor, United States Agency for International Development, Washington, DC, 20523, USA.
Assistant Professor, Center on Gender Equity and Health, Department of Medicine, University of California San Diego, San Diego, CA, USA.
Stud Fam Plann. 2023 Mar;54(1):95-117. doi: 10.1111/sifp.12235. Epub 2023 Feb 15.
Women's engagement in the decision to use contraception, an indicator captured in the Demographic and Health Surveys (DHS), is frequently used to assess women's reproductive agency. In 2014, DHS added a corollary question to the women's questionnaire on decision-making not to use contraception. Study authors hypothesize that women's engagement in decision-making not to use contraception is also indicative of reproductive agency. Analyzing DHS microdata from 30 countries collected between 2015 and 2020 (n = 292,141), this country-level study examines data quality in terms of missingness of data (t-tests), indicator utility in terms of response pattern variability (descriptive statistics), and construct validity in terms of associations between engagement in the decision not to use contraception and engagement in household decision-making (multivariable linear regression). Findings indicate the measure is of good quality, provides nuanced insight, and has construct validity. Importantly, the new measure deepens our understanding of women's reproductive agency.
女性参与避孕决策，这一指标在人口与健康调查（DHS）中得到了体现，常被用来评估女性的生殖自主权。2014 年，DHS 在女性避孕决策问卷中增加了一个相关问题。研究人员假设，女性参与不使用避孕措施的决策也表明了其生殖自主权。本研究通过对 2015 年至 2020 年间 30 个国家收集的 DHS 微观数据（n=292141）进行分析，从数据缺失（t 检验）、指标效用（描述性统计）和结构有效性（不使用避孕措施的决策参与度与家庭决策参与度之间的关联关系（多变量线性回归）三个方面来评估数据质量。研究结果表明，该衡量标准质量良好，提供了细致入微的见解，并且具有结构有效性。重要的是，这一新指标加深了我们对女性生殖自主权的理解。
