Evaluation of the Hindi version of the London Measure of Unplanned Pregnancy among pregnant and postnatal women in urban India

BMC Pregnancy and Childbirth

Shaili Kapadia¹  Anuja Jayaraman²  Sushmita Das²  Jennifer Hall³  Geraldine Barrett³  David Osrin⁴ 

[1] Columbia University Mailman School of Public Health, 722 W 168th St, 10032, New York, NY, USA;Society for Nutrition, Education and Health Action, Behind Bldg. No. 11, BMC Colony, Shastri Nagar, Santa Cruz (W), 400 054, Mumbai, India;UCL Elizabeth Garrett Anderson Institute for Women‘s Health, University College London, Medical School Building, 74 Huntley Street, WC1E 6AU, London, UK;UCL Institute for Global Health, 30 Guilford Street, WC1N 1EH, London, UK;

关键词: Pregnancy intention;    Psychometric;    Validation;    India;    Measure;    Unplanned;   

DOI  :  10.1186/s12884-021-04075-y

来源: Springer

【 摘 要 】

BackgroundValid and reliable measures such as London Measure of Unplanned Pregnancy (LMUP) are imperative for understanding fertility-related behaviors and estimating unintended pregnancy. The aim of this study was to validate the LMUP in the Hindi language for a wider reach in India.MethodsAn interviewer administered version of the LMUP was translated and pretested in Hindi. The LMUP was field tested with married women in the reproductive age group across forty informal settlements in Mumbai in the post intervention census of a cluster randomized control trial to improve the health of women and children. Analyses involved the full sample and sub-groups according to time-from-conception. Reliability (internal consistency) was assessed using Cronbach’s alpha, inter-item correlations, and item-rest correlations. Construct validity was assessed by hypothesis testing and confirmatory factor analysis.Results4991 women were included in the study (1180 were pregnant, 2126 in their first- and 1685 in their second postnatal year). LMUP item completion rates were 100 % and the full range of LMUP scores was captured. Reliability: the scale was internally consistent (Cronbach’s α = 0.84), inter-item correlations were positive, and item-rest correlations were above 0.2 for all items except item six (0.07). Construct validity: hypotheses were met, and confirmatory factor analysis showed that a one-factor model was a good fit for the data, confirming unidimensional measurement. The sub-group analysis (by pregnant, first-, and second postnatal year) showed that the psychometric properties of the LMUP were similar across the groups. In terms of LMUP scores, the women in the postnatal groups were very slightly, but significantly, more likely to have an LMUP score of 10 + compared to pregnant women; the difference between the first and second postnatal year was not significant.ConclusionsThe Hindi LMUP is valid and reliable measure of pregnancy intention that may be used in India.Trial RegistrationThis study is registered with ISRCTN, number ISRCTN56183183, and Clinical Trials Registry of India, number CTRI/2012/09/003004.

【 授权许可】

CC BY