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国立大学法人

山梨大学大学院総合研究部医学域 社会医学講座

社会医学講座 | 山梨大学医学部

Department of Health Sciences,Basic Science for Clinical Medicine,
Division of Medicine, Graduate School Department of Interdisciplinary Research,
University of Yamanashi

おしらせ

2020年の業績2021年の業績、を追加しました     2021.3.30

Journal Club 通信を更新しました     2021.3.26

2020年の業績2021年の業績、を追加しました     2021.3.24


以前の更新情報はこちらから

Journal Club 通信

ジャーナルクラブは疫学論文のCritical Reviewを行う会です
毎週水曜日午後6時~7時 本講座で開催
このコーナーでは毎週のクラブの報告をいたします

2021年3月17日    担当:ソン

Understanding pregnancy planning in a low-income country setting: validation of the London measure of unplanned pregnancy in Malawi
出典: BMC Pregnancy Childbirth 13, 200 (2013). https://doi.org/10.1186/1471-2393-13-200
著者: ennifer Hall, Geraldine Barrett, Nicholas Mbwana, Andrew Copas, Address Malata & Judith Stephenson
<論文の要約>
【Background】
- Unplanned pregnancy is a public health issue. There is a great need for improved pregnancy measures to contribute new insight on this crucial topic to inform policy-makers working to improve reproductive health and public health policy. ,
- This study aimed to validate the London Measure of Unplanned Pregnancy (LMUP) in Chichewa language for use in Malawi.

【Methods】
- The Chichewa LMUP was made via translation and back-translation.
- After preliminary testing, the final version was field tested with pregnant women
recruited from three antenatal clinics.
- Analysis of the psychometric properties was performed based on the classical test theory approach. To assess the reliability, Cronbach's α, item-rest correlation, weighted κ and the simple Pearson's correlation were calculated. Construct validity was assessed using hypothesis testing and principal component analysis.

【Results】
- 125 pregnant women completed the Chichewa LMUP, 74 participants returned for the JC_210317_Huynh Trung Son

re-test. There were no missing data.
- Reliability was acceptable (Cronbach's α = 0.78, weighted κ = 0.80). Validity testing confirmed that all hypotheses were met. The principal component analysis revealed two components (Eigenvalue of 3.1 and 1.0) but five over six items loaded onto one component.

【Conclusion】
- The LMUP Chichewa version is valid and reliable measure of pregnancy intention that is now available for use in Malawi.

<ジャーナルクラブでのディスカッション>
    ■It is difficult to make a direct comparison of results between studies about unplanned pregnancy because of the different methods used to assess pregnancy intention. Therefore, this validation study is important for allowing Malawi, a relatively small region, to compare its results with those of other countries.
    ■There is growing evidence that the simple DHS question is less reliable than the LMUP which consists of six questions. It is important for Malawi pregnant women to validate the LMUP and replace the DHS question with the LMUP question in Chichewa language.
    ■nalyses of the psychometric properties in this study were based on the classical true score theory, in a similar way to the original UK study was conducted. Based on that approach, the psychometric properties of the Chichewa LMUP were properly evaluated in this study.

最近のジャーナルクラブ通信

2021.3.17 Understanding pregnancy planning in a low-income country setting: validation of the London measure of unplanned pregnancy in Malawi
2021.3.3 Effect of a Behavioral Intervention for Underserved Preschool-Age Children on Change in Body Mass Index: A Randomized Clinical Trial
~ 十分なサービスを受けていない就学前の子どもに対する行動介入のBMIの変化に対する効果:ランダム化比較試験 ~
2021.2.3 ~ 高齢者の転倒リスクを軽減するためのトレッドミルトレーニングへの非没入型仮想現実機器の追加(V-TIME):ランダム化比較試験 ~

Last Update: 2021.3.30

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