Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
Department of Community Public Health Nursing, Johns Hopkins School of Nursing, Baltimore, Maryland.
Womens Health Issues. 2021 Mar-Apr;31(2):157-163. doi: 10.1016/j.whi.2020.10.003. Epub 2020 Nov 18.
To explore associations between birth control sabotage, a form of reproductive coercion, and women's sexual risk among women attending family planning health centers. Data were collected from a 2017 cross-sectional online survey of 675 women who attended Connecticut Planned Parenthood centers. Participants reported birth control sabotage; sexual risk (i.e., inconsistent condom use during vaginal and anal sex in the past 6 months, lifetime sexually transmitted infection diagnosis, lifetime exchange sex [trading sex for money, drugs, or other goods], and multiple sexual partners in the past 6 months); and sociodemographics. Bivariate and multivariable logistic regression models were used to examine associations between birth control sabotage and women's sexual risk.
One in six women (16.4%; n = 111) reported experiencing birth control sabotage. Women who reported birth control sabotage had a greater odds of ever having an sexually transmitted infection (adjusted odds ratio, 2.18; 95% confidence interval, 1.31-3.60; p = .003), ever engaging in exchange sex (adjusted odds ratio, 2.77; 95% confidence interval, 1.17-6.53; p = .020), and having multiple sexual partners in the past 6 months (adjusted odds ratio, 1.96; 95% confidence interval, 1.21-3.18; p = .006).
Our findings demonstrate increased engagement in sexual risk taking among women who reported birth control sabotage compared with women did not.
本研究旨在探讨计划生育健康中心就诊女性中，避孕措施破坏（一种生殖胁迫形式）与女性性风险之间的关联。本研究数据来自于 2017 年康涅狄格计划生育组织中心对 675 名女性进行的一项横断面在线调查。参与者报告了避孕措施破坏的情况；性风险（即在过去 6 个月中阴道和肛交时不经常使用避孕套、终身性传播感染诊断、终身性交易[用性换取金钱、毒品或其他物品]和过去 6 个月中多个性伴侣）和社会人口统计学特征。采用二变量和多变量逻辑回归模型来检验避孕措施破坏与女性性风险之间的关联。
六分之一的女性（16.4%；n=111）报告经历过避孕措施破坏。报告有避孕措施破坏的女性，感染性传播疾病的几率更高（调整后的优势比，2.18；95%置信区间，1.31-3.60；p=0.003），进行性交易的几率更高（调整后的优势比，2.77；95%置信区间，1.17-6.53；p=0.020），过去 6 个月有多个性伴侣的几率更高（调整后的优势比，1.96；95%置信区间，1.21-3.18；p=0.006）。
与未经历避孕措施破坏的女性相比，我们的研究结果表明，经历避孕措施破坏的女性更倾向于参与性风险行为。
