Central Michigan University College of Medicine, Mount Pleasant, USA.
Trauma Violence Abuse. 2024 Jan;25(1):341-353. doi: 10.1177/15248380221150474. Epub 2023 Feb 1.
The specific relationship between sexual coercion, intimate partner violence (IPV) during pregnancy, and intimate partner homicide (IPH) is poorly understood. Through a scoping literature review, we identified 101 studies on sexual coercion, IPV during pregnancy, and IPH and created a conceptual model suggesting unintended pregnancies may serve as both a risk factor for and a product of IPV that may escalate to IPH. We illustrate a healthcare systems intervention implication of this model in the context of the Colorado Family Planning Initiative (CFPI). Descriptive statistics suggest an inverse association between contraception access and IPH, which declined by 62% during the first 4 years of the CFPI. Interventions aimed at improving reproductive agency, including improving contraception access and reducing unintended pregnancy, may be a useful opportunity for clinician and health systems to contribute to reducing both lethal and nonlethal IPV.
性强迫、怀孕期间的亲密伴侣暴力（IPV）和亲密伴侣杀人（IPH）之间的具体关系还不太清楚。通过范围广泛的文献回顾，我们确定了 101 项关于性强迫、怀孕期间的 IPV 和 IPH 的研究，并创建了一个概念模型，表明意外怀孕可能既是 IPV 的一个风险因素，也是其产物，可能会升级为 IPH。我们以科罗拉多计划生育倡议（CFPI）为例说明了该模型在医疗保健系统干预方面的意义。描述性统计数据表明，避孕措施的获得与 IPH 之间呈反比关系，在 CFPI 的头 4 年中，IPH 下降了 62%。旨在提高生殖代理权的干预措施，包括改善避孕措施的获得和减少意外怀孕，可能是临床医生和医疗保健系统减少致命和非致命 IPV 的一个有用机会。
