制定和验证获得避孕护理和早期堕胎支持服务 (ACCESS) 措施的发展和验证
Hannah Begna1, Amy Yunyu Chiang1, Eleanor Bimla Schwarz1
1Department of Medicine, University of California San Francisco, 1001 Potrero Ave, San Francisco, CA, USA 94114.
Contraception
|August 8, 2025
概括
该措施有效地评估了美国的避孕措施的获取,并确定了障碍和差异. 这种工具有助于改善公平的生殖健康保健,尤其是在影响边缘化群体的政策转变之后.
科学领域:
- 生殖健康 生殖健康
- 医疗保健服务研究 医疗服务研究
- 卫生社会学 卫生社会学
背景情况:
- 在美国,获得避孕措施面临着重大障碍,最近的政策变化加剧了这一障碍.
- 被边缘化的人群受到这些接入挑战的影响不成比例.
- 需要一个经过验证的工具来衡量避孕方法获取的关键维度.
研究的目的:
- 制定和验证获得避孕护理和早期堕胎支持服务 (ACCESS) 措施.
- 评估美国获得避孕措施的关键方面.
- 为监测生殖健康保健方面的差异提供一个工具.
主要方法:
- 使用了一种顺序方法,包括构造定义,专家审查 (n=30),认知访谈 (n=14) 和调查管理 (N=440).
- 进行了心理测量分析,包括探索性因子分析和可靠性测试.
- 该研究涉及个人考虑管道绝育作为随机试验的一部分.
主要成果:
- 因子分析确定了两个因素结构:可用性和意识 (7项) 和可负担性 (2项).
- 这些因素解释了6种避孕方法的51-59%的差异.
- 对于大多数方法,ACCESS测量显示了可接受的内部一致性和内容有效性.
结论:
- ACCESS测量是评估美国获得避孕措施的有效和可靠工具.
- 它可以用来监测差异,并为改善生殖健康保健的政策提供信息.
- 临床医生和政策制定者可以利用这项措施来识别障碍,并为公平的计划生育服务提供直接干预.
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