Taylor Sarah, Brar Pooja, Stallings Audrey
California State University, Long Beach, CA, USA.
Towson University, Towson, MD, USA.
J Interpers Violence. 2024 Oct 8:8862605241285869. doi: 10.1177/08862605241285869.
Reproductive coercion is any behavior that limits a person's reproductive decision-making and can lead to negative health and safety outcomes. Previous research has explored reproductive coercion prevalence rates in clinical samples, as well as demographic risk factors for experiencing reproductive coercion. The purpose of this study is to assess the prevalence rates of two specific forms of reproductive coercion, pregnancy coercion and condom manipulation, in an ethnically and racially diverse sample of young females. We also explore the association between relationship health knowledge and skills with reproductive coercion. We used a sample of 143 females with previous sexual activity. Participants were diverse in terms of race, ethnicity, sexual orientation, and family immigration status. Descriptive statistics and logistic regression analyses were used to determine prevalence rates of pregnancy coercion and condom manipulation and the likelihood of experiencing reproductive coercion based on participants' knowledge and skills related to relationship health. Results revealed that 16.1% of the sample had experienced reproductive coercion, with all participants in this group reporting lifetime experiences of pregnancy coercion. Lifetime experiences of condom manipulation were reported by 6.3% of the sample. The most common form of reproductive coercion experienced by participants was being told by a partner not to use any birth control. Furthermore, results indicate that higher relationship health knowledge may be a protective factor for pregnancy coercion and condom manipulation. Likewise, higher decision-making skills in relationships and higher confidence in relationships may also protect against condom manipulation. Results from this study suggest implications for sexual and relationship health programming that expands education around consent, choice, decision-making, and communication around the use of contraception.
生殖胁迫是指任何限制个人生殖决策并可能导致负面健康和安全后果的行为。先前的研究探讨了临床样本中的生殖胁迫患病率，以及经历生殖胁迫的人口统计学风险因素。本研究的目的是评估在一个种族和民族多样化的年轻女性样本中，两种特定形式的生殖胁迫——怀孕胁迫和避孕套操控——的患病率。我们还探讨了关系健康知识和技能与生殖胁迫之间的关联。我们使用了一个由143名有过性活动的女性组成的样本。参与者在种族、民族、性取向和家庭移民身份方面各不相同。描述性统计和逻辑回归分析被用于确定怀孕胁迫和避孕套操控的患病率，以及根据参与者与关系健康相关的知识和技能来确定经历生殖胁迫的可能性。结果显示，16.1%的样本经历过生殖胁迫，该组所有参与者都报告有过怀孕胁迫的终生经历。6.3%的样本报告有过避孕套操控的终生经历。参与者经历的最常见的生殖胁迫形式是被伴侣告知不要使用任何避孕措施。此外，结果表明，较高的关系健康知识可能是预防怀孕胁迫和避孕套操控的保护因素。同样，较高的关系决策技能和较高的关系自信也可能预防避孕套操控。本研究结果对性健康和关系健康规划具有启示意义，即扩大围绕同意、选择、决策以及避孕使用方面沟通的教育。
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