George Mason University, School of Nursing, Fairfax, Virginia, USA.
Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
J Adv Nurs. 2023 Apr;79(4):1464-1475. doi: 10.1111/jan.15207. Epub 2022 Apr 1.
Reproductive coercion is associated with poor health outcomes in women. This study examined exposure to and use of reproductive coercion and care seeking among college students.
A cross-sectional survey was administered to 2291 college students of all genders seeking care in college health and counselling centres as baseline data for a cluster-randomized controlled trial.
Online surveys were collected (9/2015-3/2017). Descriptive statistics, chi-square, Fisher's exact and t-tests were analysed.
Among female participants, 3.1% experienced reproductive coercion in the prior 4 months. Experience was associated with older age (p = .041), younger age at first intercourse (p = .004), Black/African American race (p < .001), behaviourally bisexual (p = .005), more lifetime sexual partners (p < .001) and ever pregnant (p = .010). Sexually transmitted infection (p < .001), recent drug use or smoking (p = .018; p = .001), requiring special health equipment (p = .049), poor school performance (p < .001) and all categories of violence (p = <.001-.015) were associated with women's reproductive coercion experience. Participants who experienced reproductive coercion were more likely to seek care for both counselling and healthcare, (p = .022) and sexually transmitted infection (p = .004). Among males, 2.3% reported recent use of reproductive coercion; these participants reported sexual violence perpetration (p = .005), less condom use (p = .003) and more sexual partners than non-perpetrators (p < .001).
Although reproductive coercion was reported infrequently among college students, those students experiencing it appear to be at risk for poor health and academic outcomes. Health and counselling centres are promising settings to address RC and related health behaviours.
生殖胁迫与妇女健康状况不佳有关。本研究调查了大学生生殖胁迫的暴露情况、使用情况和寻求护理情况。
这是一项横断面调查，对所有性别在大学保健和咨询中心寻求护理的 2291 名大学生进行了基线调查，作为一项集群随机对照试验的基础数据。
在线调查于 2015 年 9 月至 2017 年 3 月进行。采用描述性统计、卡方检验、Fisher 确切检验和 t 检验进行分析。
在女性参与者中，3.1%的人在过去 4 个月内经历过生殖胁迫。经历与年龄较大（p=0.041）、初次性行为年龄较小（p=0.004）、黑/非裔美国人种族（p<0.001）、行为上的双性恋（p=0.005）、更多的性伴侣（p<0.001）和曾怀孕（p=0.010）相关。性传播感染（p<0.001）、最近吸毒或吸烟（p=0.018;p=0.001）、需要特殊健康设备（p=0.049）、学业成绩差（p<0.001）和所有类别的暴力（p=0.001-0.015）与女性生殖胁迫经历相关。经历过生殖胁迫的参与者更有可能寻求咨询和医疗保健服务（p=0.022）以及性传播感染的治疗（p=0.004）。在男性中，2.3%的人报告最近使用了生殖胁迫；这些参与者报告性暴力行为（p=0.005）、较少使用避孕套（p=0.003）和更多的性伴侣，而非性暴力行为（p<0.001）。
尽管大学生中生殖胁迫的报告频率较低，但经历过生殖胁迫的学生似乎面临着健康和学业不良的风险。保健和咨询中心是解决生殖胁迫和相关健康行为的有前途的场所。
