Smorti, Martina;
Christiansen, Paul;
Barrett, Geraldine;
Hall, Jennifer A;
Ionio, Chiara;
Ciuffo, Giulia;
Landoni, Marta;
... Silverio, Sergio A; + view all
(2025)
Psychometric Evaluation of the Validity and Reliability of the Italian Version of the London Measure of Unplanned Pregnancy Amongst Postnatal Women.
Healthcare
, 13
(16)
, Article 2052. 10.3390/healthcare13162052.
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Abstract
Background: Unplanned pregnancy is a public health issue and understanding women’s decision making aids practitioners in assessing fertility trends, contraception use, and family planning counselling. In Italy, Catholicism reinforces ‘natural reproduction’ and ‘traditional’ contraception, making it an ‘Imperfect Contraceptive Society.’ A valid and reliable measure of pregnancy intentionality is increasingly important, and the London Measure of Unplanned Pregnancy (LMUP) has proved effective. Objectives and Methods: This study comprised four stages: (1) English–Italian translation and back-translation to create the Italian version [LMUP-IT]; (2) online data collection from postnatal women; (3) evaluation of its psychometric properties (targeting, reliability, construct validity via CFA and measurement invariance with a UK sample, ‘known groups’ hypothesis testing); and (4) exploratory analysis of its associations with perinatal mental health. The sample comprised 450 postnatal women (M<inf>age</inf> = 33.6 ± 4.5). Results: The LMUP-IT was shown to be reliable (ωT = 0.81, α = 0.76), with acceptable targeting. Measurement invariance testing confirmed consistency with the UK sample in factor structure, loadings, intercepts, and errors. LMUP-IT scores significantly correlated with well-known indicators of perinatal mental health. Conclusions: Overall, the LMUP-IT is a reliable measure of pregnancy intention in Italian for postpartum women. Understanding pregnancy intention will help healthcare professionals tailor interventions to better support women’s mental health during the transition to motherhood.
| Type: | Article |
|---|---|
| Title: | Psychometric Evaluation of the Validity and Reliability of the Italian Version of the London Measure of Unplanned Pregnancy Amongst Postnatal Women |
| Location: | Switzerland |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.3390/healthcare13162052 |
| Publisher version: | https://doi.org/10.3390/healthcare13162052 |
| Language: | English |
| Additional information: | This work is licensed under a Creative Commons License. The images or other third-party material in this article are included in the Creative Commons license, unless indicated otherwise in the credit line; if the material is not included under the Creative Commons license, users will need to obtain permission from the license holder to reproduce the material. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/ |
| Keywords: | Science & Technology, Life Sciences & Biomedicine, Health Care Sciences & Services, Health Policy & Services, invariance, London measure of unplanned pregnancy, measurement, perinatal mental health, pregnancy intention, psychometrics, unplanned pregnancy, UNINTENDED PREGNANCY, FERTILITY INTENTIONS, QUESTIONNAIRE, VALIDATION, MODELS, STATES |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL EGA Institute for Womens Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL EGA Institute for Womens Health > Reproductive Health |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10214060 |
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