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Male partner reproductive coercion among women veterans.
Rosenfeld, Elian A; Miller, Elizabeth; Zhao, Xinhua; Sileanu, Florentina E; Mor, Maria K; Borrero, Sonya.
Afiliação
  • Rosenfeld EA; Center for Health Equity Research and Promotion, VA Pittsburgh Health Care System. Electronic address: elian.rosenfeld@va.gov.
  • Miller E; Division of Adolescent Medicine, Children's Hospital of Pittsburgh of UPMC, University of Pittsburgh.
  • Zhao X; Center for Health Equity Research and Promotion, VA Pittsburgh Health Care System.
  • Sileanu FE; Center for Health Equity Research and Promotion, VA Pittsburgh Health Care System.
  • Mor MK; Center for Health Equity Research and Promotion, VA Pittsburgh Health Care System; Department of Biostatistics, Graduate School of Public Health, University of Pittsburgh.
  • Borrero S; Center for Health Equity Research and Promotion, VA Pittsburgh Health Care System; Center for Research on Health Care, University of Pittsburgh School of Medicine.
Am J Obstet Gynecol ; 218(2): 239.e1-239.e8, 2018 02.
Article em En | MEDLINE | ID: mdl-29056537
ABSTRACT

BACKGROUND:

Male partner reproductive coercion is defined as male partners' attempts to promote pregnancy through interference with women's contraceptive behaviors and reproductive decision-making. Male partners may try to promote pregnancy through birth control sabotage such as taking away or destroying their partners' contraceptives, refusing to wear condoms, and/or verbally pressuring their partners to abstain from contraceptive use. Reproductive coercion is associated with an elevated risk for unintended pregnancy. Women who experience intimate partner violence, who are in racial/ethnic minorities, and who are of lower socioeconomic status are more likely to experience reproductive coercion. Women veterans who use Veterans Affairs for health care may be particularly vulnerable to reproductive coercion because they are disproportionally from racial/ethnic minority groups and experience high rates of intimate partner violence.

OBJECTIVES:

We sought to examine the prevalence, correlates, and impact of reproductive coercion among women veterans who are served by the Veterans Affairs healthcare system. STUDY

DESIGN:

We analyzed data from a national telephone survey of women veterans aged 18-44 years, with no history of sterilization or hysterectomy, who had received care within the Veterans Affairs system in the previous 12 months. Participants who had sex with men in the last year were asked if they experienced male partner reproductive coercion. Adjusted logistic regression was used to examine the relationship between participant characteristics and male partner reproductive coercion and the relationship between reproductive coercion and the outcomes of contraceptive method used at last sex and pregnancy and unintended pregnancy in the last year.

RESULTS:

Among the 1241 women veterans in our study cohort, 11% reported experiencing male partner reproductive coercion in the past year. Black women, younger women, and single women were more likely to report reproductive coercion than their white, older, and married counterparts. Women who experienced military sexual trauma were also more likely to report reproductive coercion compared with women who did not report military sexual trauma. In adjusted analyses, compared with women who did not experience reproductive coercion, those who did were less likely at last sex to have used any method of contraception (76% vs 80%; adjusted odds ratio, 0.61; 95% confidence interval, 0.38-0.96), prescription contraception (43% vs 55%; adjusted odds ratio, 0.62; 95% confidence interval, 0.43-0.91), and their ideal method of contraception (35% vs 45%; adjusted odds ratio, 0.63; 95% confidence interval, 0.43-0.93). Those who reported coercion were more likely to have had a pregnancy in the last year (14% vs 10%; adjusted odds ratio, 2.07; 95% confidence interval, 1.17-3.64); there were no significant differences in unintended pregnancy by coercion status (6% vs 4%; adjusted odds ratio, 1.63; 95% confidence interval, 0.71-3.76).

CONCLUSION:

Eleven percent of women veterans in our sample experienced male partner reproductive coercion, which may impact their use of contraception and ability to prevent pregnancy.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Veteranos / Gravidez / Coerção / Comportamento Reprodutivo / Violência por Parceiro Íntimo Tipo de estudo: Etiology_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Limite: Adolescent / Adult / Female / Humans / Male País/Região como assunto: America do norte Idioma: En Revista: Am J Obstet Gynecol Ano de publicação: 2018 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Veteranos / Gravidez / Coerção / Comportamento Reprodutivo / Violência por Parceiro Íntimo Tipo de estudo: Etiology_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Limite: Adolescent / Adult / Female / Humans / Male País/Região como assunto: America do norte Idioma: En Revista: Am J Obstet Gynecol Ano de publicação: 2018 Tipo de documento: Article