在埃塞俄比亚适应和验证堕胎提供者的耻辱度表
Kidist L Gizachew1, Yared Dagnew2, Sarah W Prager3
1Department of obstetrics and Gynecology, St Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
African journal of reproductive health
|October 7, 2025
概括
埃塞俄比亚的堕胎提供者经历了严重的耻辱,影响了护理质量. 一个经过验证的尺度现在有助于衡量这种耻辱,帮助未来的干预和改善生殖健康服务.
科学领域:
- 生殖健康 生殖健康
- 心理测量 心理测量 心理测量
- 卫生社会学 卫生社会学
背景情况:
- 堕胎护理提供者面临社区和专业的耻辱,可能会影响服务质量.
- 耻辱感可能会对医疗保健专业人员和患者护理产生负面影响.
- 需要有效的工具来衡量在不同文化背景下提供者的耻辱感.
研究的目的:
- 为埃塞俄比亚环境调整和验证修订后的堕胎提供者污名度量表 (APSS).
- 在埃塞俄比亚生殖健康诊所评估适应尺度的心理测量特性.
- 了解埃塞俄比亚堕胎护理提供者所经历的耻辱的普遍性和性质.
主要方法:
- 一项涉及埃塞俄比亚98名生殖健康提供者的横截面心理测量研究.
- 文化适应和对原来的35项APSS的专家审查,导致跨越五个领域的44项规模.
- 翻译成阿姆哈拉语,试点测试和确认因素分析 (CFA) 以评估尺度的结构和内部一致性 (克朗巴赫的alpha).
主要成果:
- 调整后的44项APSS在大多数领域都显示出高的内部一致性 (克朗巴赫α>0.70).
- 确认因素分析支持拟议的五域结构,尽管模型合适度指数低于最佳.
- 几乎一半的参与者报告经历了耻辱,内化和披露相关的耻辱是最常见的形式.
结论:
- 适应的APSS是评估埃塞俄比亚堕胎提供者的耻辱感的潜在有价值的工具.
- 该尺度可用于跟踪旨在减少提供者耻辱感的干预措施的结果.
- 调查结果强调了堕胎护理提供者之间的耻辱的普遍性,强调了需要采取支持性措施的必要性.
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