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将生殖强制置于社会文化背景中:一个生态模型,为美国的研究、实践和政策提供信息。

Situating reproductive coercion in the sociocultural context: An ecological model to inform research, practice, and policy in the United States.

机构信息

Department of Psychiatry, UNC School of Medicine, Chapel Hill, North Carolina.

Department of Psychology & Neuroscience, UNC Chapel Hill, Chapel Hill, North Carolina.

出版信息

J Trauma Dissociation. 2023 Jul-Sep;24(4):471-488. doi: 10.1080/15299732.2023.2212403. Epub 2023 May 18.

DOI:10.1080/15299732.2023.2212403
PMID:37199335
Abstract

Reproductive coercion (RC) can be conceptualized as any behavior that limits one's ability to make decisions about their reproductive health. Here, we broaden this definition to consider the impact of systemic and sociocultural factors on RC using an ecological model. Specifically, we use Bronfenbrenner's model as a framework for organizing the multilevel factors that influence reproductive coercion (RC) and its impacts on individual health. This paper is intended to offer a primer to historical, sociocultural, community, interpersonal, and individual processes that may interact to shape reproductive decision-making and its effect on individual health outcomes. We emphasize the importance of conceptualizing RC within the broader sociocultural and community context, and the potential implications for reproductive and sexual health research, clinical care, and policy in the United States.

摘要

生殖胁迫(RC)可以被概念化为任何限制个人做出与生殖健康相关决策的行为。在这里,我们使用生态模型扩展了这一定义,以考虑系统和社会文化因素对 RC 的影响。具体来说,我们使用 Bronfenbrenner 模型作为一个框架,来组织影响生殖胁迫(RC)及其对个人健康影响的多层次因素。本文旨在提供一个入门指南,介绍可能相互作用以塑造生殖决策及其对个人健康结果影响的历史、社会文化、社区、人际和个人过程。我们强调了在更广泛的社会文化和社区背景下概念化 RC 的重要性,以及其对美国生殖和性健康研究、临床护理和政策的潜在影响。

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