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生殖胁迫:揭示社会权力的失衡

Reproductive coercion: uncloaking an imbalance of social power.

作者信息

Park Jeanna, Nordstrom Sherry K, Weber Kathleen M, Irwin Tracy

机构信息

Department of Obstetrics and Gynecology, University of Illinois, Chicago, Chicago, IL.

Department of Obstetrics and Gynecology, University of Illinois, Chicago, Chicago, IL; Department of Obstetrics and Gynecology, Advocate Medical Group, Oak Lawn, IL.

出版信息

Am J Obstet Gynecol. 2016 Jan;214(1):74-8. doi: 10.1016/j.ajog.2015.08.045. Epub 2015 Aug 24.

DOI:10.1016/j.ajog.2015.08.045
PMID:26314520
Abstract

Reproductive coercion involves behavior that interferes with contraceptive and pregnancy choices of women and occasionally men. This includes birth control sabotage (intentional destruction of a woman's chosen method of contraception), pregnancy pressure (behaviors to coerce pregnancy against one's wishes), and pregnancy coercion (threats to direct the outcome of a pregnancy). All are associated with serious reproductive consequences including unintended pregnancy, abortion, sexually transmitted infections, poor pregnancy outcomes, and psychological trauma. This article presents an overview of the recent literature surrounding reproductive coercion and how it relates to the reproductive health outcomes of women, adolescents, and the lesbian, gay, bisexual, and transgender community. Men's experience with reproductive coercion will also be discussed. Clinical implications and evidence-based strategies for assessment and intervention will be identified.

摘要

生殖胁迫涉及干扰女性(偶尔也包括男性)避孕和妊娠选择的行为。这包括节育破坏(故意破坏女性选择的避孕方法)、妊娠施压(违背个人意愿强迫妊娠的行为)以及妊娠胁迫(对妊娠结果进行操控的威胁)。所有这些都与严重的生殖后果相关,包括意外妊娠、堕胎、性传播感染、不良妊娠结局以及心理创伤。本文概述了围绕生殖胁迫的近期文献,以及它与女性、青少年和女同性恋、男同性恋、双性恋及跨性别群体生殖健康结局的关系。还将讨论男性在生殖胁迫方面的经历。将确定评估和干预的临床意义及循证策略。

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