Brooke W Bullington, Katherine Tumlinson, Nathalie Sawadogo, Claire W Rothschild, Leigh Senderowicz
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引用次数: 0
Abstract
Background: While self-rated measures that rely on participant's perceptions of themselves are common in public health, they remain underused in contraceptive research. Family planning scholars often rely on researcher-ascribed measures of success that capture whether people have the criteria researchers deem necessary for a given outcome. As family planning researchers shift toward rights-based outcomes, understanding women's perceptions of their contraceptive knowledge is imperative.
Objective: We sought to determine whether researcher-ascribed measures of contraceptive knowledge or information provided during contraceptive counseling and self-rated measures of informed choice for contraception align. Informed choice captures whether people have sufficient, unbiased information about their contraceptive options.
Methods: Using data from a population-based sample of 3,929 reproductive-aged women in Burkina Faso, we compared researcher-ascribed measures, including the informed choice subdomain of the contraceptive autonomy indicator (CAIC) and the Method Information Index (MII), with novel self-rated measures of informed choice developed based on formative research, including in-depth interviews and focus group discussions, that capture people's perceptions of their contraceptive knowledge (self-rated overall informed choice and self-rated method-specific informed choice) using Cohen's Kappa Statistic.
Results: We find that researcher-ascribed measures of contraceptive knowledge and counseling content diverge substantially from self-rated measures of informed choice. CAIC and self-rated overall informed choice had no agreement (Kappa: -0.03); the MII and self-rated method-specific informed choice had no to slight agreement (Kappa=0.05). These findings reveal that the information researchers consider important for informed choice may not align with women's perceptions of their informed choice.
Conclusions: Both researcher-ascribed and self-rated measures provide uniquely important information needed to inform family planning programs and should be measured on population-based surveys.
期刊介绍：
Since its foundation in 1974, Social Indicators Research has become the leading journal on problems related to the measurement of all aspects of the quality of life. The journal continues to publish results of research on all aspects of the quality of life and includes studies that reflect developments in the field. It devotes special attention to studies on such topics as sustainability of quality of life, sustainable development, and the relationship between quality of life and sustainability. The topics represented in the journal cover and involve a variety of segmentations, such as social groups, spatial and temporal coordinates, population composition, and life domains. The journal presents empirical, philosophical and methodological studies that cover the entire spectrum of society and are devoted to giving evidences through indicators. It considers indicators in their different typologies, and gives special attention to indicators that are able to meet the need of understanding social realities and phenomena that are increasingly more complex, interrelated, interacted and dynamical. In addition, it presents studies aimed at defining new approaches in constructing indicators.
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