Kirby Institute, UNSW Sydney, Sydney, NSW 2052, Australia; and Australian Human Rights Institute, UNSW Sydney, Sydney, NSW, Australia; and Faculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada.
Family Planning New South Wales, Sydney, NSW, Australia; and Speciality of Obstetrics, Gynaecology and Neonatology, University of Sydney, Sydney, NSW, Australia.
Sex Health. 2021 Nov;18(5):436-440. doi: 10.1071/SH21116.
Reproductive coercion and abuse refers to patterns of controlling and manipulative behaviours used to interfere with a person's reproductive health and decision-making. Unintended pregnancy, forced abortion or continuation of a pregnancy, and sexually transmissible infections all may result from reproductive coercion, which is closely associated with intimate partner and sexual violence. Clinicians providing sexual and reproductive healthcare are in a key position to identify and support those affected. Yet, reproductive coercion and abuse is not currently screened for in most settings and addressing disclosures poses many challenges. This article discusses what reproductive coercion and abuse is, who it affects, how it impacts, and potential strategies to improve identification and response.
生殖胁迫和虐待是指用于干扰个人生殖健康和决策的控制和操纵行为模式。意外怀孕、强制堕胎或继续妊娠以及性传播感染都可能是生殖胁迫的结果，而生殖胁迫与亲密伴侣和性暴力密切相关。提供性和生殖保健的临床医生处于识别和支持受影响者的关键位置。然而，目前大多数情况下并未对生殖胁迫和虐待进行筛查，并且解决披露问题也面临诸多挑战。本文讨论了生殖胁迫和虐待的定义、受其影响的人群、其产生的影响以及改善识别和应对策略的潜在方法。
