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Birth Control Sabotage Motivation and Measurement: A Mixed-Methods Analysis among Latina Women
Karen Trister Grace1, Nancy E Glass2, Elizabeth Miller3
1Johns Hopkins University, Bloomberg School of Public Health, Baltimore, MD, USA.
Violence Against Women
|December 26, 2022
Summary
Reproductive coercion, including birth control sabotage, is intimate partner violence. Understanding partner intent behind birth control sabotage is crucial for accurate measurement and clinical response to reproductive coercion.
Area of Science:
- Public Health
- Reproductive Health
- Sociology of Violence
Background:
- Reproductive coercion (RC) is a form of intimate partner violence.
- Birth control sabotage (BCS) is a specific behavior within RC.
- Existing measures may not fully capture the nuances of BCS intent.
Purpose of the Study:
- To explore the perceived intent behind birth control sabotage (BCS) among Latina women.
- To refine the measurement of reproductive coercion (RC) by differentiating behavior from intent.
- To inform clinical assessments and interventions for RC.
Main Methods:
- Employed a mixed-methods design.
- Utilized qualitative data from 13 in-depth interviews.
- Incorporated quantitative data from 482 surveys within a clinic-based sample.
Main Results:
- Women perceived partners engaged in BCS for reasons beyond solely causing pregnancy.
- Reported past-year RC prevalence was 16.8%.
- Prevalence decreased to 9.5% when BCS intent was solely for pregnancy promotion, highlighting measurement differences.
Conclusions:
- Current RC measures may underestimate prevalence by conflating BCS behavior with specific intent.
- Separating BCS behavior from intent in assessment questions is vital.
- This distinction is necessary for accurate prevalence estimation and effective clinical guidance.
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