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Reproductive Coercion: A Systematic Review.

Karen Trister Grace1, Jocelyn C Anderson2

  • 11 School of Nursing, Johns Hopkins University, Baltimore, MD, USA.

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PubMed
Summary

Reproductive coercion, which includes birth control sabotage and pregnancy coercion, disproportionately affects women experiencing intimate partner violence (IPV). Further research is needed on effective interventions and women's resistance strategies.

Keywords:
contraceptiondomestic violenceintimate partner violencepregnancyreproductive coercionsexual violenceunwanted

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Area of Science:

  • Reproductive Health
  • Public Health
  • Sociology

Background:

  • Reproductive coercion involves behaviors undermining a woman's reproductive health autonomy.
  • It manifests as birth control sabotage, pregnancy coercion, or controlling pregnancy outcomes.

Purpose of the Study:

  • To review the prevalence and correlates of reproductive coercion.
  • To identify women's strategies for preserving reproductive autonomy.
  • To assess effective interventions for reducing reproductive coercion.

Main Methods:

  • Systematic review of 27 research studies.
  • Analysis of findings on reproductive coercion, its components, and intersection with intimate partner violence (IPV).
  • Examination of data on women's resistance strategies and intervention effectiveness.

Main Results:

  • Reproductive coercion disproportionately impacts women with concurrent IPV, lower socioeconomic status, single women, and minority racial/ethnic groups.
  • Women experiencing reproductive coercion frequently access certain health services.
  • Data synthesis is challenging due to measurement variations; most findings are descriptive.

Conclusions:

  • Reproductive coercion is a significant issue, particularly for vulnerable populations.
  • Further research is essential to understand its co-occurrence with IPV and unintended pregnancy.
  • More studies are needed on women's resistance strategies and comprehensive interventions for survivors, perpetrators, and healthcare providers.