Development and psychometric evaluation of the sexual and reproductive health needs of incarcerated women scale: a methodological study

IF 3.6 4区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of Public Health Pub Date : 2023-12-16 DOI:10.1093/pubmed/fdad257

Mohadeseh Ghareghozloo, Maryam Moridi, Masoud Alimardi, Kolsoom Safari, Zahra Behboodi Moghadam

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Abstract

Background This study aimed to develop and validate a comprehensive tool designed to assess the sexual and reproductive health (SRH) needs of incarcerated women. Methods A methodological study was conducted from January to March 2023 in two female prisons in Tehran and Hamedan, Iran. The participant pool consisted of women who had been incarcerated for a minimum of 6 months and were aged between 15 and 49 years. The instrument development involved two phases. Phase I involved a literature review and interviews with incarcerated women to understand their SRH needs. Phase II assessed psychometric properties to establish the scale’s validity and reliability. Results The SRH Needs of Incarcerated Women (SRH-NIW) scale was refined, comprising 37 items across six domains: pregnancy and childbirth services, parenting services, family planning and sexual health services, personal and medical care services, screening services and infection control services. Exploratory factor analysis explained 66.15% of variance. The Content Validity Ratio and Content Validity Index were 0.8 and 0.94, respectively, indicating high content validity. Average Variance Extracted values ranged from 0.592 to 0.698. The whole scale showed a Cronbach’s alpha of 0.823, and the Intra-class Correlation Coefficient was 0.879. Conclusion The SRH-NIW scale is a valid and reliable tool for assessing the SRH needs of incarcerated women. It can enhance healthcare services and interventions for incarcerated women, potentially leading to policy improvements within the prison system.

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被监禁妇女性健康和生殖健康需求量表的编制和心理计量学评价：方法研究

背景本研究旨在开发和验证一种综合工具，用于评估被监禁妇女的性健康和生殖健康（SRH）需求。方法 2023 年 1 月至 3 月，在伊朗德黑兰和哈马丹的两所女子监狱开展了一项方法研究。参与者包括被监禁至少 6 个月、年龄在 15 至 49 岁之间的女性。工具开发分为两个阶段。第一阶段包括文献综述和与被监禁妇女的访谈，以了解她们对性健康和生殖健康的需求。第二阶段对心理测量特性进行评估，以确定量表的有效性和可靠性。结果对被监禁妇女的性健康和生殖健康需求量表（SRH-NIW）进行了改进，该量表包括六个领域的 37 个项目：怀孕和分娩服务、育儿服务、计划生育和性健康服务、个人和医疗护理服务、筛查服务和感染控制服务。探索性因子分析解释了 66.15%的方差。内容效度比和内容效度指数分别为 0.8 和 0.94，表明内容效度较高。平均方差提取值介于 0.592 和 0.698 之间。整个量表的 Cronbach's alpha 为 0.823，类内相关系数为 0.879。结论 SRH-NIW 量表是评估被监禁妇女性健康和生殖健康需求的有效而可靠的工具。它可以加强针对被监禁妇女的医疗保健服务和干预措施，从而有可能改善监狱系统的政策。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

7.40

自引率

2.30%

发文量

120

审稿时长

6-12 weeks

期刊介绍： Previous Title Zeitschrift für Gesundheitswissenschaften, Previous Print ISSN 0943-1853, Previous Online ISSN 1613-2238. The Journal of Public Health: From Theory to Practice is an interdisciplinary publication for the discussion and debate of international public health issues, with a focus on European affairs. It describes the social and individual factors determining the basic conditions of public health, analyzing causal interrelations, and offering a scientifically sound rationale for personal, social and political measures of intervention. Coverage includes contributions from epidemiology, health economics, environmental health, management, social sciences, ethics, and law. ISSN: 2198-1833 (Print) 1613-2238 (Online)