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 |
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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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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. 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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.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Autonomy</subject><subject>Birth control</subject><subject>Coercion</subject><subject>Communication</subject><subject>Conceptualization</subject><subject>Contraception</subject><subject>Decision Making</subject><subject>Family planning</subject><subject>Female</subject><subject>Humans</subject><subject>Personal Autonomy</subject><subject>Personal empowerment</subject><subject>Pregnancy</subject><subject>Reproductive Health</subject><subject>Reproductive rights</subject><subject>Scale analysis</subject><subject>Sexual reproduction</subject><subject>Surveys and Questionnaires</subject><subject>United States</subject><subject>Unsafe sex</subject><subject>Women's Health</subject><subject>Women's rights</subject><subject>Womens empowerment</subject><subject>Womens health</subject><issn>0039-3665</issn><issn>1728-4465</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>BHHNA</sourceid><recordid>eNqNkU9v1DAQxS0EotvCRwBF4tJLwiT-FwtxqEq3VCpQWigSF8txJlJCEi9xUna_PQ4pi8Spvtjy-7039gwhUQpJGtbrJklllseMCZ5kkLIEgEqWbB-R1V54TFbhVsVUCH5ADr1vAEAJgKfkIGMi5VzSFXnzDu-wdZsO-zEyfRndmrYuzVi7PnJVZKJr3AyunOxY32F0Mo2ud90uurGmxWfkSWVaj8_v9yPydX325fR9fPnp_OL05DK2PKMsZjYUBp5xK5kyhQWBJi8MZhQUZYzmQiJWwlosi4pSXogqB0uV5cBzhRU9IsdLbnjJzwn9qLvaW2xb06ObvE55ylVOgeUPQEHIXEmVBfTVf2jjpqEPH5kpToFmkgcqXyg7OO8HrPRmqDsz7HQKep6FbvTccj23XM-z0H9mobfB-vK-wFR0WO6Nf5sfgLcL8KtucffgYH1zsb4Kp-B_sfgbP7rhXz4VnEkJQY8XvfYjbve6GX5oIank-tvHc_0B1rdX6fdr_Zn-Bq3bris</recordid><startdate>201403</startdate><enddate>201403</enddate><creator>Upadhyay, Ushma D.</creator><creator>Dworkin, Shari L.</creator><creator>Weitz, Tracy A.</creator><creator>Foster, Diana Greene</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7ST</scope><scope>7U3</scope><scope>7U4</scope><scope>7U6</scope><scope>8BJ</scope><scope>BHHNA</scope><scope>C1K</scope><scope>DWI</scope><scope>FQK</scope><scope>JBE</scope><scope>K9.</scope><scope>WZK</scope><scope>7X8</scope></search><sort><creationdate>201403</creationdate><title>Development and Validation of a Reproductive Autonomy Scale</title><author>Upadhyay, Ushma D. ; 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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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