Psychometric Properties of the Prenatal Opioid Use Perceived Stigma Scale and Its Use in Prenatal Care.
delivery of health care
opioid-related disorders
pregnancy
pregnant women
prenatal care
prenatal drug exposure
psychometrics
scale development
social stigma
stigma
Journal
Journal of obstetric, gynecologic, and neonatal nursing : JOGNN
ISSN: 1552-6909
Titre abrégé: J Obstet Gynecol Neonatal Nurs
Pays: United States
ID NLM: 8503123
Informations de publication
Date de publication:
03 2023
03 2023
Historique:
received:
16
09
2022
revised:
13
12
2022
accepted:
14
12
2022
pmc-release:
01
03
2024
pubmed:
26
1
2023
medline:
8
3
2023
entrez:
25
1
2023
Statut:
ppublish
Résumé
To examine the psychometric properties of the Prenatal Opioid Use Perceived Stigma (POPS) scale and to assess the relationship of POPS scores to adequate prenatal care. Prospective cohort study. Medical centers in Alabama, Ohio, and Pennsylvania (N = 4). Women (N = 127) who took opioids during pregnancy and whose infants participated in the Outcomes of Babies With Opioid Exposure Study. Participants reported their perceptions of stigma during pregnancy by responding to the eight items on the POPS scale. We evaluated the instrument's internal consistency reliability (Cronbach's alpha), structural validity (factor analysis), and convergent validity (relationship with measures of similar constructs). In addition, to assess construct validity, we used logistic regression to examine the relationship of POPS scores to the receipt of adequate prenatal care. The internal consistency of the POPS scale was high (Cronbach's α = .88), and all item-total correlations were greater than 0.50. The factor analysis confirmed that the items cluster into one factor. Participants who reported greater perceived stigma toward substance users and everyday discrimination in medical settings had higher POPS scores, which supported the convergent validity of the scale. POPS scores were significantly associated with not receiving adequate prenatal care, adjusted OR = 1.47, 95% confidence interval [1.19, 1.83], p < .001. The psychometric testing of the POPS scale provided initial support for the reliability and validity of the instrument. It may be a useful tool with which to assess perceived stigma among women who take opioids, a potential barrier to seeking health care during pregnancy.
Identifiants
pubmed: 36696952
pii: S0884-2175(22)00386-0
doi: 10.1016/j.jogn.2022.12.002
pmc: PMC9992302
mid: NIHMS1859340
pii:
doi:
Substances chimiques
Analgesics, Opioid
0
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
150-158Subventions
Organisme : NICHD NIH HHS
ID : PL1 HD101059
Pays : United States
Organisme : NICHD NIH HHS
ID : RL1 HD104251
Pays : United States
Organisme : NICHD NIH HHS
ID : RL1 HD104252
Pays : United States
Organisme : NICHD NIH HHS
ID : RL1 HD104253
Pays : United States
Organisme : NICHD NIH HHS
ID : RL1 HD104254
Pays : United States
Informations de copyright
Copyright © 2022 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses. Published by Elsevier Inc. All rights reserved.
Déclaration de conflit d'intérêts
Conflict of Interest The authors report no conflict of interest or relevant financial relationships.
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