Intimate partner violence,reproductive coercion,and unintended pregnancy in women with disabilities |
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| Affiliation: | 1. University of Virginia School of Nursing 225 Jeanette Lancaster Avenue, Charlottesville, VA, 22903, USA;2. University of Missouri Sinclair School of Nursing, S421 Sinclair School of Nursing, Columbia, MO, 65211, USA;3. University of Montana Rural Institute for Inclusive Communities, 52 Corbin Hall, Missoula, MT, 59812, USA;1. Department of Pediatrics, McMaster University, 1200 Main St. W., Hamilton, ON, L8N 3Z5, Canada;2. CanChild Centre for Childhood Disability Research, McMaster University, 1400 Main St. W., Hamilton, ON, L8S 1C7, Canada;3. School of Rehabilitation Science, McMaster University, 1400 Main St. W., Hamilton, ON, L8S 1C7, Canada;4. Department of Kinesiology, McMaster University, 1280 Main St. W., Hamilton, ON, L8S 4L8, Canada;5. School of Health and Exercise Sciences, University of British Columbia, 1147 Research Road, Kelowna, BC, V1V 1V7, Canada;1. Medical College of Wisconsin, Department of Pediatrics, 8701 Watertown Plank Rd, Milwaukee, WI, 53226, USA;2. Children’s Health Alliance of Wisconsin, 6737 W. Washington St. Suite 1111, West Allis, WI, 53214, USA;1. Division of Urology, Duke University Medical Center, Durham, NC, USA;2. Department of Biostatistics and Bioinformatics, Duke University Medical Center, Durham, NC, USA;3. School of Medicine, Duke University Medical Center, Durham, NC, USA;4. Department of Urology, Cleveland Clinic, Cleveland, OH, USA;1. Department of Urology, University of Michigan, United States;2. Department of Obstetrics and Gynecology, University of Michigan, United States;3. Department of Pediatrics and Communicable Diseases, University of Michigan, United States;4. Department of Physical Medicine and Rehabilitation, University of Michigan, United States;1. Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD, 21205, USA;2. University of Missouri Sinclair School of Nursing, S421 Sinclair School of Nursing, Columbia, MO, 65211, USA;3. University of Montana Rural Institute for Inclusive Communities, 52 Corbin Hall, Missoula, MT, 59812, USA;4. University of Virginia School of Nursing, Post Office Box 800782, Charlottesville, VA, 22908, USA |
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| Abstract: | BackgroundWomen with disabilities experience higher rates of intimate partner violence (IPV) than the general population. Reproductive coercion, a type of intimate partner violence, is associated with an increased risk of unintended pregnancy (UIP), yet little is known about this relationship among women with disabilities.ObjectiveThis qualitative descriptive study explored perspectives of women with disabilities who had experienced an UIP as a result of reproductive coercion.MethodIn-depth, semi-structured telephone interviews were conducted with nine women living with diverse disabilities across the United States as part of a larger study examining facilitators and barriers to UIP among women with disabilities.ResultsAnalysis revealed three broad themes related to the ways in which physical violence and reproductive coercion elevated women’s risk of UIP. They included (1) inadequate health care provider or system response, (2) disability-related risks for IPV, and (3) resource needs to optimize safety.ConclusionsThis is the first in-depth exploration of ways in which reproductive coercion may lead to an increased risk of UIP among women with disabilities. Health care providers must screen for IPV and reproductive coercion and provide the necessary supports and resources for women with disabilities experiencing unintended pregnancy as a result of violence. |
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| Keywords: | Intimate partner violence Reproductive coercion Disability Unintended pregnancy |
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