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Sociolegal Reproductive Coercion: A Framework for Understanding Structural Pressures on Reproductive Decision-Making.

Laura E T Swan1, Klaira Lerma2, Lindsay M Cannon3

  • 1Reproductive Equity Action Lab, Department of Population Health Sciences, Center for Demography and Ecology, https://ror.org/01y2jtd41University of Wisconsin-Madison, United States.

The Journal of Law, Medicine & Ethics : a Journal of the American Society of Law, Medicine & Ethics
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US policy changes create sociolegal reproductive coercion, pressuring individuals

Keywords:
constrained choicereproductive autonomyreproductive coercionsocial controlstructural violence

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Area of Science:

  • Reproductive Health Policy
  • Sociology of Health & Illness
  • Reproductive Justice

Background:

  • Recent US policy shifts, including abortion restrictions and reduced social safety nets, have increased structural pressures on reproductive decision-making.
  • Existing research on reproductive coercion primarily focuses on interpersonal and clinical dynamics, leaving legal and policy influences under-theorized.

Purpose of the Study:

  • To introduce and define the concept of sociolegal reproductive coercion.
  • To propose a conceptual framework for understanding sociolegal reproductive coercion.
  • To outline implications for research, clinical practice, and policy reforms.

Main Methods:

  • Conceptual commentary introducing and defining sociolegal reproductive coercion.
  • Situating the construct within existing scholarship on constrained choice and social control.
  • Developing a conceptual framework and outlining implications.

Main Results:

  • Sociolegal reproductive coercion occurs when legal and policy landscapes, reinforced by social and cultural forces, pressure individuals' reproductive choices.
  • This coercion can make certain options, like long-acting reversible contraception, seem obligatory by increasing risks associated with pregnancy, abortion, and parenting.
  • It interacts with clinical practice, narrowing perceived options, and disproportionately affects marginalized communities.

Conclusions:

  • Recognizing sociolegal reproductive coercion is crucial for understanding how health policy and sociocultural dynamics jointly constrain reproductive autonomy.
  • This understanding is vital for informing reforms aimed at advancing reproductive justice in the post-Roe era.
  • The concept highlights the need to address systemic inequities influencing reproductive decision-making.