The Sexual and Reproductive Health Burden Index: Development, Validity, and Community-Level Analyses of a Composite Spatial Measure

AbstractThe Sexual and Reproductive Health Burden Index (SRHBI) was developed to provide a composite spatial measure of sexual and reproductive health (SRH) indicators that can be widely adopted by urban public health departments for the planning of SRH services. The index was constructed using eight indicators: teen births, low birthweight, infant mortality, new HIV diagnoses, people living with HIV, and incidences of gonorrhea, chlamydia, and syphilis. Chicago Department of Public Health data (2014 –2017) were used to calculate index scores for Chicago community areas; scores were mapped to provide geovisualization and global Moran’sI was calculated to assess spatial autocorrelation. Cronbach ’s alpha was calculated to assess internal reliability of the SRHBI. Pearson correlations were conducted to assess concurrent validity and correlation with community-level factors. Linear regression was conducted to assess community-level predictors of the SRHBI. Application of the SRHBI in Chicag o demonstrates substantial variation in SRH burden across Chicago’s urban landscape with significant spatial autocorrelation of scores (I = .580,p = .001). Internal reliability of the measure was excellent withα = .937. The SRHBI was significantly correlated with other indicators of SRH including rate of prenatal care initiation in the first trimester, rate of preterm births, reported sexual assault incidence, cervical ca...
Source: Journal of Urban Health - Category: Health Management Source Type: research

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Source: European Journal of Radiology - Category: Radiology Source Type: research
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Source: BioImpacts - Category: Research Tags: Bioimpacts Source Type: research
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Source: Pregnancy Hypertension: An International Journal of Womens Cardiovascular Health - Category: OBGYN Source Type: research
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Source: Archives of Gynecology and Obstetrics - Category: OBGYN Source Type: research
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