Reliability and validity of measures of respectful care and discrimination for LGBTQ2S+ pregnant people

IF 2.6 3区医学 Q1 NURSING

Midwifery Pub Date : 2025-03-20 DOI:10.1016/j.midw.2025.104391

Molly R. Altman , Kathrin Stoll , Teresa van Winkle , Brittany Ferrell , Kodiak R.S. Soled , Nicholas Rubashkin , Indra Lusero , Meghan Eagen-Torkko , Juno Obedin-Maliver , Saraswathi Vedam , Birth Includes Us Community Steering Council

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引用次数: 0

Abstract

Problem

There are no measures of respectful perinatal care validated within Lesbian, Gay, Bisexual, Transgender, Queer, Two-Spirit, and other sexual/gender minoritized (LGBTQ2S+) communities.

Background

The LGBTQ2S+ community frequently experiences disrespect and discrimination in health care settings. While several instruments and scales have been developed to measure respectful perinatal (maternity) care, none have yet been adapted nor validated within the LGBTQ2S+ community.

Aims

The aim of this study is to validate three scales measuring aspects of respectful perinatal care for use within LGBTQ2S+ pregnancy care experience research.

Methods

This analysis of data from the ‘Birth Includes Us’ pilot study was collected via a community-developed survey assessing pregnancy care experiences of LGBTQ2S+ families. We assessed the psychometric properties of three adapted instruments, the Intersectional Day-to-Day Discrimination Index (InDI-D), the Measure of Autonomy and Decision Making (MADM), and the Measure of Respect index (MORi).

Findings

All adapted scales performed well, with Cronbach's alphas greater than 0.8 across all measures. Scale scores for the preconception and pregnancy care versions of the MADM and MORi were 0.38 and 0.37 respectively, indicating that these care experiences were significantly different from one another.

Discussion

The adapted versions of the InDI-D, MADM, and MORi performed well among LGBTQ2S+ families in their preconception and pregnancy care experiences and will be essential for future studies examining respectful perinatal care among these communities.

Conclusion

We recommend utilization of these validated measures to assess and address inequities in pregnancy-related care experiences for LGBTQ2S+ individuals and families.

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来源期刊

Midwifery 医学-护理

CiteScore

4.50

自引率

7.40%

发文量

221

审稿时长

13.4 weeks

期刊介绍： Midwifery publishes the latest peer reviewed international research to inform the safety, quality, outcomes and experiences of pregnancy, birth and maternity care for childbearing women, their babies and families. The journal’s publications support midwives and maternity care providers to explore and develop their knowledge, skills and attitudes informed by best available evidence. Midwifery provides an international, interdisciplinary forum for the publication, dissemination and discussion of advances in evidence, controversies and current research, and promotes continuing education through publication of systematic and other scholarly reviews and updates. Midwifery articles cover the cultural, clinical, psycho-social, sociological, epidemiological, education, managerial, workforce, organizational and technological areas of practice in preconception, maternal and infant care. The journal welcomes the highest quality scholarly research that employs rigorous methodology. Midwifery is a leading international journal in midwifery and maternal health with a current impact factor of 1.861 (© Thomson Reuters Journal Citation Reports 2016) and employs a double-blind peer review process.