Bhan Nandita, Thomas Edwin Elizabeth, McDougal Lotus, Nanda Priya, Mahapatra Tanmay, Das Aritra, Kumari Sweta, Closson Kalysha, Singh Abhishek, Raj Anita
Jindal School of Public Health and Human Development, OP Jindal Global University, Sonipat, Haryana, India.
Center on Gender Equity and Health, University of California San Diego, La Jolla, CA, United States.
Contracept X. 2024 Nov 13;6:100113. doi: 10.1016/j.conx.2024.100113. eCollection 2024.
Adapting and testing a novel measure of family planning self-efficacy (FPSE) and examining its association with fertility intention and contraceptive use in India.
Data were analyzed from 13,901 non-sterilized, currently married women of reproductive age (15-49 years) in the Bihar Integrated Family Planning Survey (BIFS) 2021. We adapted an FP Self Efficacy measure comprising women's agency to overcome barriers to accessing, discussing and using contraception, regardless of family pressure and social judgment. We used factor analyses to assess reliability and validity, and regression analyses to examine the associations of FPSE with key family planning outcomes.
The study sample was relatively young (35% below 25 years of age), with 43% reporting no education and over half (52%) married before 18 years of age. The 9-item FPSE scale demonstrated high reliability (Cronbach's α=0.82) with two factors - self-efficacy to access and discuss contraception versus self-efficacy to use contraception in the face of resistance. Higher FPSE was associated with spousal communication [AOR: 2.35 (95% CI: 2.18, 2.54), traditional [AOR: 1.24 (95% CI: 1.12,1.36)] and reversible modern contraception [AOR: 1.58 (95% CI: 1.43,1.75)], and fertility intention [AOR: 1.13 (95% CI: 1.01,1.25)].
FP Self Efficacy was found to be a reliable and valid measure associated with spousal communication, reversible contraception use and fertility intention.
Measures to capture reproductive agency, such as family planning self efficacy within FP programs, place women's choice as central goals of FP programming and can help in meeting community needs and the demand for contraceptive use.
改编并测试一种新型的计划生育自我效能感（FPSE）测量方法，并研究其与印度生育意愿和避孕措施使用之间的关联。
对2021年比哈尔邦综合计划生育调查（BIFS）中13901名未绝育的已婚育龄妇女（15 - 49岁）的数据进行分析。我们改编了一种FP自我效能感测量方法，该方法包括女性克服获取、讨论和使用避孕措施障碍的能力，无论家庭压力和社会评判如何。我们使用因子分析来评估信度和效度，并使用回归分析来研究FPSE与关键计划生育结果之间的关联。
研究样本相对年轻（35%年龄在25岁以下），43%的人未接受过教育，超过一半（52%）的人在18岁之前结婚。9项FPSE量表显示出高信度（克朗巴哈系数α = 0.82），包含两个因子——获取和讨论避孕措施的自我效能感与面对阻力时使用避孕措施的自我效能感。较高的FPSE与配偶沟通[AOR：2.35（95%置信区间：2.18，2.54）]、传统避孕措施[AOR：1.24（95%置信区间：1.12，1.36）]和可逆现代避孕措施[AOR：1.58（95%置信区间：1.43，1.75）]以及生育意愿[AOR：1.13（95%置信区间：1.01，1.25）]相关。
发现FP自我效能感是一种与配偶沟通、可逆避孕措施使用和生育意愿相关的可靠且有效的测量方法。
在计划生育项目中，诸如计划生育自我效能感等捕捉生殖能动性的测量方法，将女性的选择作为计划生育规划的核心目标，有助于满足社区需求和避孕措施使用需求。
