Development and Validation of a Reproductive Autonomy Scale

No validated measures are currently available to assess women's ability to achieve their reproductive intentions, also referred to as "reproductive autonomy." We developed and validated a multidimensional instrument that can measure reproductive autonomy. We generated a pool of 26 ite...

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Veröffentlicht in:Studies in family planning 2014-03, Vol.45 (1), p.19-41
Hauptverfasser: Upadhyay, Ushma D., Dworkin, Shari L., Weitz, Tracy A., Foster, Diana Greene
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container_end_page 41
container_issue 1
container_start_page 19
container_title Studies in family planning
container_volume 45
creator Upadhyay, Ushma D.
Dworkin, Shari L.
Weitz, Tracy A.
Foster, Diana Greene
description No validated measures are currently available to assess women's ability to achieve their reproductive intentions, also referred to as "reproductive autonomy." We developed and validated a multidimensional instrument that can measure reproductive autonomy. We generated a pool of 26 items and included them in a survey that was conducted among 1,892 women at 13 family planning and 6 abortion facilities in the United States. Fourteen items were selected through factor analysis and grouped into 3 subscales to form a Reproductive Autonomy Scale: freedom from coercion; communication; and decision-making. Construct validity was demonstrated by a mixed-effects model in which the freedom from coercion subscale and the communication subscale were inversely associated with unprotected sex in the past three months. This new Reproductive Autonomy Scale offers researchers a reliable instrument with which to assess a woman's power to control matters regarding contraceptive use, pregnancy, and childbearing, and to evaluate interventions to increase women's autonomy domestically and globally.
doi_str_mv 10.1111/j.1728-4465.2014.00374.x
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source Applied Social Sciences Index & Abstracts (ASSIA); Jstor Complete Legacy; MEDLINE; Wiley Online Library Journals Frontfile Complete; Sociological Abstracts
subjects Adolescent
Adult
Autonomy
Birth control
Coercion
Communication
Conceptualization
Contraception
Decision Making
Family planning
Female
Humans
Personal Autonomy
Personal empowerment
Pregnancy
Reproductive Health
Reproductive rights
Scale analysis
Sexual reproduction
Surveys and Questionnaires
United States
Unsafe sex
Women's Health
Women's rights
Womens empowerment
Womens health
title Development and Validation of a Reproductive Autonomy Scale
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