Department of General Practice, The University of Melbourne, Melbourne, Australia.
School of Law, University of Queensland, Saint Lucia, Australia.
Cult Health Sex. 2022 Apr;24(4):466-481. doi: 10.1080/13691058.2020.1859617. Epub 2021 Jan 11.
Reproductive coercion and abuse is defined as behaviour that deliberately interferes with a person's reproductive autonomy. It is typically perpetrated by men against women in a context of fear and control and includes forcing a woman to become pregnant or to terminate a pregnancy. There is a dearth of qualitative research investigating experiences of reproductive coercion and abuse, particularly for women from minority ethnic backgrounds. In this study, we address this gap through qualitative analysis of data from six focus groups with service providers in Australia. Three main themes were developed: 1) exploiting structural inequalities; 2) women as reproductive property; and 3) pregnancy as a form of control. Findings confirm the complex interplay between reproductive coercion and abuse, intimate partner and sexual violence, and suggest that community attitudes towards women's role in sex and reproduction and structural risk factors may complicate this nexus even further for minority ethnic women. It is important for service providers supporting minority ethnic women - particularly in antenatal and abortion care - to be aware of reproductive coercion and abuse. Similarly, policies concerning access to financial support for minority ethnic women should acknowledge the critical role this could play in facilitating or preventing abuse.
生殖胁迫和虐待是指故意干涉个人生殖自主权的行为。它通常由男性在恐惧和控制的背景下对女性实施,包括强迫女性怀孕或终止妊娠。很少有定性研究调查生殖胁迫和虐待的经历,特别是对于少数族裔背景的女性。在这项研究中,我们通过对澳大利亚六组服务提供者的焦点小组数据进行定性分析来解决这一差距。确定了三个主要主题:1)利用结构不平等;2)女性作为生殖财产;3)怀孕作为一种控制形式。研究结果证实了生殖胁迫和虐待、亲密伴侣和性暴力之间的复杂相互作用,并表明社区对女性在性和生殖中的角色以及结构性风险因素的态度可能会使少数族裔女性的这种关系更加复杂。为支持少数族裔妇女的服务提供者提供生殖胁迫和虐待方面的认识非常重要-特别是在产前和堕胎护理方面。同样,有关少数族裔妇女获得财政支持的政策应承认这一政策在促进或防止虐待方面可能发挥的关键作用。