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Reproductive Autonomy in Appalachia: An Investigation into Perceived Contraceptive Pressure
Melody Huslage1, Gretchen E Ely1, William R Nugent1
1University of Tennessee, Knoxville, College of Social Work, Knoxville, TN, USA.
Journal of Interpersonal Violence
|December 30, 2022
Summary
Nearly half of Appalachian residents surveyed experienced perceived contraceptive pressure. Healthcare providers were a common source of pressure to use birth control, while partners were a common source of pressure not to use it.
Area of Science:
- Reproductive Health
- Social Science
- Public Health
Background:
- Reproductive autonomy can be impacted by interpersonal violence and macro-level factors.
- Appalachia is an understudied region concerning reproductive health decision-making.
- Perceived contraceptive pressure is a form of violence impacting reproductive autonomy.
Purpose of the Study:
- To investigate the prevalence of perceived contraceptive pressure in Appalachia.
- To identify individuals at increased risk of experiencing contraceptive pressure.
- To determine the sources of perceived contraceptive pressure.
Main Methods:
- Online survey distributed via targeted Meta advertising to 632 participants in Appalachian zip codes.
- Binomial regressions analyzed perceived pressure for sterilization, to use birth control, and not to use birth control.
Main Results:
- 49.5% of respondents reported experiencing at least one type of pressure regarding contraceptive decision-making.
- Healthcare providers were the most common source of pressure to use birth control (67.4%).
- Partners were the most common source of pressure not to use birth control (51.1%).
Conclusions:
- Healthcare providers should receive education on addressing individual and macro-level contraceptive pressure.
- Educational programming on reproductive autonomy and healthy relationships is recommended for Appalachian residents.
Keywords:
Appalachiacontraceptionreproductive autonomyreproductive coercionreproductive justicerural social servicesMore Related Videos
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