Evidence map›Paper›PMID 42561244›Full record

ArticleRevista brasileira de epidemiologia = Brazilian journal of epidemiology2026

Dimensional structure and internal consistency of the Brazilian Portuguese version of the Mistreatment of Women during Childbirth Questionnaire.

Emanuele Souza Marques, Andreas Bauer, Marília Arndt Mesenburg, Thaiza Dutra Gomes E Carvalho, Maria do Carmo Leal, Tatiana Henriques Leite

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Article in Revista brasileira de epidemiologia = Brazilian journal of epidemiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Emanuele Souza MarquesUniversidade do Estado do Rio de Janeiro, Institute of Social Medicine Hesio Cordeiro, Department of Epidemiology - Rio de Janeiro (RJ), Brazil.ORCID http://orcid.org/0000-0002-8633-7290
Andreas BauerUniversidade de São Paulo, School of Medicine, Department of Preventive Medicine - São Paulo (SP), Brazil.ORCID http://orcid.org/0000-0003-2532-3060
Marília Arndt MesenburgFundação Oswaldo Cruz, National Institute of Women's, Children's, and Adolescents' Health Fernandes Figueira - Rio de Janeiro (RJ), Brazil.ORCID http://orcid.org/0000-0001-9598-4193
Thaiza Dutra Gomes E CarvalhoFundação Oswaldo Cruz, National School of Public Health Sergio Arouca - Rio de Janeiro (RJ), Brazil.ORCID http://orcid.org/0000-0002-8499-9215
Maria do Carmo LealFundação Oswaldo Cruz, National School of Public Health Sergio Arouca - Rio de Janeiro (RJ), Brazil.ORCID http://orcid.org/0000-0002-3047-515X
Tatiana Henriques LeiteUniversidade do Estado do Rio de Janeiro, Institute of Social Medicine Hesio Cordeiro, Department of Epidemiology - Rio de Janeiro (RJ), Brazil.ORCID http://orcid.org/0000-0002-2861-4480

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to evaluate the configural and metric structure, as well as internal consistency, of the Brazilian Portuguese adaptation of an instrument designed to assess mistreatment during childbirth.

methodsData were drawn from the "Birth in Brazil" II, carried out in 2023/2024, comprising 1,881 women hospitalized for childbirth in the state of Rio de Janeiro, Brazil. Initially, confirmatory factor analysis was conducted to test the original dimensional structure. Due to an inadequate model, exploratory factor analysis was performed to reassess the factorial structure. Applying predefined criteria, items presenting cross-loadings or possible residual correlations were removed. The remaining items were subsequently evaluated using confirmatory factor analysis, and reliability was assessed using Cronbach's α coefficients.

resultsThe final solution comprised 17 items distributed across four dimensions: verbal abuse; neglect and disrespect; stigma, discrimination and lack of privacy; and innappropriate vaginal examinations. The final model presented acceptable fit indices, satisfactory factorial definition, and no item redundancy. Most dimensions showed reasonable internal consistency, except the stigma, discrimination, and lack of privacydimension.

conclusionThe findings suggest that further psychometric evaluation is necessary to establish the instrument's validity and reliability. Its use for assessing mistreatment during childbirth or obstetric violence in Brazil should be done with caution. Future psychometric studies using this instrument are recommended.

Indexed as

Delivery, ObstetricParturitionAdultBrazilFactor Analysis, StatisticalFemaleHumansPregnancyPsychometricsReproducibility of ResultsSurveys and QuestionnairesTranslationsYoung Adult

Identifiers

PMID42561244
PMCPMC13427216

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.