论文标题
观察性研究的协议,该研究对意外怀孕分娩的影响对以后的生活和心理健康的影响
Protocol for an Observational Study on the Effects of Giving Births from Unintended Pregnancies on Later Life Physical and Mental Health
论文作者
论文摘要
研究意想不到的怀孕对以后生活的身体健康和心理健康的影响一直在越来越兴趣。在本文中,我们为计划的关于长期心理和身体健康后果的观察性研究提供了协议,这是对因意外怀孕而产生的孩子的母亲的。我们的目标是使用威斯康星州纵向研究(WLS)的数据,并研究意外怀孕的出生对广泛结果的影响,包括精神抑郁,心理健康,身体健康,饮酒和经济健康。为了加强因果关系,我们计划解决有关两个亚组,天主教徒和非天主教徒的研究问题,并发现两个亚组中意外怀孕的影响为负(或阳性)的“可复制”结果。遵循非随机跨筛查的想法,将根据该女性是否是天主教徒进行分配数据,然后将使用数据的一部分来选择假设并为数据的第二部分设计相应的测试。在过去使用盘筛(自动盘缩放)时,只有一个调查人员团队处理了两个数据的数据,因此研究人员需要在查看数据之前就需要决定分析计划。在此协议中,我们描述了进行一项新颖的灵活跨筛查的计划,其中将有两个调查人员团队仅访问数据的一个部分,每个团队将使用他们的一部分数据来决定如何计划第二个团队数据的分析。除上述可复制性分析外,我们还讨论了测试全球无效假设的计划,该假设旨在确定受到意外怀孕影响的结果,至少是天主教徒和非天主教徒的两个亚组中的一个。
There has been increasing interest in studying the effect of giving births to unintended pregnancies on later life physical and mental health. In this article, we provide the protocol for our planned observational study on the long-term mental and physical health consequences for mothers who bear children resulting from unintended pregnancies. We aim to use the data from the Wisconsin Longitudinal Study (WLS) and examine the effect of births from unintended pregnancies on a broad range of outcomes, including mental depression, psychological well-being, physical health, alcohol usage, and economic well-being. To strengthen our causal findings, we plan to address our research questions on two subgroups, Catholics and non-Catholics, and discover the "replicable" outcomes for which the effect of unintended pregnancy is negative (or, positive) in both subgroups. Following the idea of non-random cross-screening, the data will be split according to whether the woman is Catholic or not, and then one part of the data will be used to select the hypotheses and design the corresponding tests for the second part of the data. In past use of cross-screening (automatic cross-screening) there was only one team of investigators that dealt with both parts of the data so that the investigators would need to decide on an analysis plan before looking at the data. In this protocol, we describe plans to carry out a novel flexible cross-screening in which there will be two teams of investigators with access only to one part of data and each team will use their part of the data to decide how to plan the analysis for the second team's data. In addition to the above replicability analysis, we also discuss the plan to test the global null hypothesis that is intended to identify the outcomes which are affected by unintended pregnancy for at least one of the two subgroups of Catholics and non-Catholics.