对怀孕感知,态度和反应以及相关结果的非二元测量方法的系统审查
Karen Trister Grace1, Erin K George2, Elizabeth A Mosley3
1George Mason University, School of Nursing, 4400 University Drive, Mailstop 3C4, Fairfax, VA, 22030, USA. kgrace@gmu.edu.
BMC pregnancy and childbirth
|December 25, 2025
概括
意想不到的怀孕研究受到二元测量措施的限制. 这次审查发现了各种各样的怀孕感知措施,抑郁症与母亲/婴儿健康密切相关,但其他联系仍然不清楚.
科学领域:
- 公共卫生 公共卫生
- 生殖健康 生殖健康
- 社会科学 社会科学 社会科学
背景情况:
- 意外怀孕是公共卫生的一个关键指标,但目前的措施有限,难以比较.
- 不断发展的研究使用非二进制,多维度的怀孕感知测量.
- 本研究系统地审查了这些不同的措施及其公共卫生结果的关联.
研究的目的:
- 系统地审查关于怀孕感知,态度和反应的非二元测量研究.
- 用现有的怀孕感知工具测量出来的尺寸进行分类.
- 确定这些措施与公共卫生结果之间的关联.
主要方法:
- 进行了对符合纳入标准的43篇文章的系统审查.
- 总结了现有的怀孕感知指标.
- 列出了测量的维度,并跟踪了相关的公共卫生结果.
主要成果:
- 记录了许多怀孕感知指标 (例如,矛盾,可接受性,时间,意图,情绪反应,避孕使用,伴侣反应,准备,自我有效性).
- 抑郁症与母亲和儿童健康结果的关联最强.
- 与怀孕并发症,产后护理,母乳养,依恋和儿童健康的关系尚不清楚;时间混限制了对心理社会结果的结论.
结论:
- 承认怀孕的多个维度和途径对于公共卫生,临床护理和社会科学研究至关重要.
- 未来的研究需要明确的假设,特定的兴趣维度,以及超越简单的怀孕计划和意图的新范式.
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