利用准实验设计评估印度农村地区基于社区的孕产妇自我效能干预措施

Zishan Jiwani
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摘要

印度有超过 1.75 亿人生活在贫困线以下,而且主要集中在农村地区。印度农村社区的家庭可能会从支持长期福祉的干预措施中受益。鉴于孕产妇自我效能感(MSE)与积极的母婴结果之间的联系,它可能是干预措施的一个重要目标。本研究考察了在北印度农村地区开展的试点社区小组干预中的产妇自我效能。通过便利抽样招募和准实验设计,97 名至少有一个 0-24 个月婴儿的母亲(其中 79 名自我认定为低种姓)参与了干预,并与匹配对照组(n = 219;114 名低种姓)进行了比较。研究结果表明,参与干预与较高的 MSE 有关(ß = .294,p = .020),而在参与干预的低种姓群体母亲中,这种正相关性更强(ß = .390,p = .008)。如果方法得当,MSE 可能具有可塑性,可以成为公共卫生干预的重要目标,尤其是对印度农村低种姓群体而言。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Assessing a Community-Based Maternal Self-Efficacy Intervention in Rural India using a Quasi-Experimental Design
More than 175 million people in India live below the poverty line and are concentrated in rural areas. Families in rural Indian communities may benefit from interventions that support long-term well-being. Maternal self-efficacy (MSE) may be an important target for interventions given prior associations with positive maternal and child outcomes. The present study examined MSE in a pilot community-based group intervention delivered in rural North India. Using convenience sampling recruitment and a quasi-experimental design, 97 mothers (79 self-identified as low-caste) with at least one child between 0–24 months who engaged in the intervention were compared with a matched control group ( n = 219; 114 low-caste). Findings suggest that participation in the intervention was associated with higher MSE (ß = .294, p = .020) and the positive association was stronger amongst mothers from low-caste groups who participated in the intervention (ß = .390, p = .008). MSE may be malleable with the right approach and could be an important target for public health interventions, particularly for low-caste groups in rural India.
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