Pregnancy coercion, intimate partner violence and unintended pregnancy |
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Authors: | Elizabeth Miller Michele R. Decker Daniel J. Tancredi Jeffrey Waldman Jay G. Silverman |
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Affiliation: | a Department of Pediatrics, UC Davis School of Medicine, Sacramento, CA 95817, USA b Harvard School of Public Health, Boston, MA 02115-6096, USA c Family Violence Prevention Fund, San Francisco, CA 94103, USA d Planned Parenthood Shasta Diablo Affiliate, Concord, CA 94520-2309, USA |
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Abstract: | BackgroundReproductive control including pregnancy coercion (coercion by male partners to become pregnant) and birth control sabotage (partner interference with contraception) may be associated with partner violence and risk for unintended pregnancy among young adult females utilizing family planning clinic services.Study DesignA cross-sectional survey was administered to females ages 16-29 years seeking care in five family planning clinics in Northern California (N=1278).ResultsFifty-three percent of respondents reported physical or sexual partner violence, 19% reported experiencing pregnancy coercion and 15% reported birth control sabotage. One third of respondents reporting partner violence (35%) also reported reproductive control. Both pregnancy coercion and birth control sabotage were associated with unintended pregnancy (AOR 1.83, 95% CI 1.36-2.46, and AOR 1.58, 95% CI 1.14-2.20, respectively). In analyses stratified by partner violence exposure, associations of reproductive control with unintended pregnancy persisted only among women with a history of partner violence.ConclusionsPregnancy coercion and birth control sabotage are common among young women utilizing family planning clinics, and in the context of partner violence, are associated with increased risk for unintended pregnancy. |
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Keywords: | Pregnancy, unwanted Domestic Violence Contraception, barrier Family Planning Services |
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