Shannon N. Wood, Linnea A. Zimmerman, Zaynab Hameeduddin, Department of Population, Family, and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA. Contact Author.
S. Rachel Kennedy, Johns Hopkins School of Nursing, Baltimore, USA.
Stud Fam Plann. 2020 Dec;51(4):343-360. doi: 10.1111/sifp.12141.
Reproductive coercion (RC), or partner interference in reproductive decisions, limits women's autonomy. Little is known about RC behaviors and measurement in low- and middle-income countries (LMICs). In this mixed-methods study, we examined the transferability of the US-developed RC Scale to the Kenyan context. Through community-based sampling, recent intimate partner violence (IPV) survivors were recruited from Nairobi's informal settlements. We conducted quantitative analyses (n = 327) to assess the transferability of RC measures via exploratory factor analysis and used descriptive statistics to examine prevalence and continuous metrics. We conducted in-depth interviews (IDIs; n = 30) to contextualize results. Psychometric analyses indicated a two-factor solution comprising pregnancy coercion and condom manipulation (alpha = 0.86). Eighty-two percent of IPV survivors reported experiencing RC (pregnancy coercion = 76.6 percent; condom manipulation = 59.5 percent). IDIs highlighted women's multiple, severe RC experiences; experiences described in IDIs were largely consistent with quantitative findings. We found the RC Scale was transferable to this LMIC context, where IPV survivors face prevalent, severe RC and would benefit from linkage to woman-centered support services.
生殖胁迫（RC），即伴侣对生殖决策的干预，限制了妇女的自主权。在中低收入国家（LMICs），RC 行为及其衡量方法鲜为人知。在这项混合方法研究中，我们检验了美国开发的 RC 量表在肯尼亚背景下的可转移性。通过基于社区的抽样，从内罗毕的非正规住区招募了最近遭受亲密伴侣暴力（IPV）的幸存者。我们进行了定量分析（n = 327），通过探索性因素分析评估 RC 措施的可转移性，并使用描述性统计来检查流行率和连续指标。我们进行了深入访谈（IDIs；n = 30）来使结果背景化。心理测量分析表明，该量表存在包含怀孕胁迫和避孕套操纵的两因素解决方案（alpha = 0.86）。82%的 IPV 幸存者报告经历过 RC（怀孕胁迫 = 76.6%；避孕套操纵 = 59.5%）。IDIs 强调了妇女遭受的多种严重 RC 经历；IDIs 中描述的经历与定量发现基本一致。我们发现，RC 量表可以转移到这种 LMIC 背景下，在这种背景下，IPV 幸存者面临普遍存在的严重 RC，并且需要与以妇女为中心的支持服务联系起来。
