Intimate partner violence (IPV) may interfere with women's use of preferred forms of contraception, resulting in unwanted pregnancies forcing women to seek permanent sterilization. A history of child sexual abuse (CSA) presages the risk for IPV in adulthood setting the stage for adverse reproductive outcomes.
Objective:
To determine whether CSA and IPV are associated with women's voluntary sterilization when adjusting for demographics and reproductive health history.
Methods:
This cross-sectional study is based on in-person interviews of women (N = 278) drawn from outpatients surveyed in more than 10 different clinics (N = 2465). Women's history of gender-based violence and bilateral tubal ligation (BTL) were assessed.
Results:
About half of the women had a past history of IPV and 29% disclosed CSA. CSA predicted later entry into an abusive relationship (odds ratio [OR] = 6.7). Sterilization was reported by 19.6%. Parity (3+ children), having had an abortion, and receipt of welfare were associated with sterilization in univariate tests. Among those women receiving a BTL, 74% had violent partners. Adjusted multivariate logistic regressions, adjusted for demographics and reproductive history, indicated that having had an abusive partner increased the odds of sterilization; parity was also highly associated. CSA exerted only an indirect influence on sterilization via entry into violent relationships.
Conclusion:
IPV raises the likelihood that women will choose sterilization. Despite the importance of women's access to permanent contraception, priority should be given to screening for gender-based violence and promoting interventions.
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References
1.
ThompsonRS, BonomiAE, AndersonM, ReidRJ, DimerJA, CarrellD, et al.Intimate partner violence: Prevalence, types, and chronicity in adult women. Am J Prev Med, 2006; 30:447–457.
2.
Garcia-MorenoC, JansenHA, EllsbergM, HeiseL, WattsCH. Prevalence of intimate partner violence: Findings from the WHO multi-country study on women's health and domestic violence. Lancet, 2006; 368:1260–1269.
3.
TjadenPG, ThoennesN.Extent, nature, and consequences of intimate partner violence: Findings from the National Violence Against Women Survey. Washington, DC: National Institute of Justice, 2000.
4.
SmithPH, EarpJA, DeVellisR. Measuring battering: Development of the Women's Experience with Battering (WEB) Scale. Womens health, 1994; 1:273–288.
5.
AdamsAE, SullivanCM, BybeeD, GreesonMR. Development of the scale of economic abuse. Violence Against Women, 2008; 14:563–588.
6.
KalichmanSC, WilliamsEA, CherryC, BelcherL, NachimsonD. Sexual coercion, domestic violence, and negotiating condom use among low-income African American women. J Womens Health, 1998; 7:371–378.
7.
ClarkLE, AllenRH, GoyalV, RakerC, GottliebAS. Reproductive coercion and co-occurring intimate partner violence in obstetrics and gynecology patients. Am J Obstet Gynecol, 2014; 210:42.e1–8.
8.
KatzJ, PoleshuckEL, BeachB, OlinR. Reproductive coercion by male sexual partners: Associations with partner violence and college women's sexual health. J Interpers Viol, 2015;0886260515597441.
9.
SutherlandMA, FantasiaHC, FontenotH. Reproductive coercion and partner violence among college women. J Obstet Gynecol Neonatal Nurs, 2015; 44:218–227.
10.
MillerE, DeckerMR, McCauleyHL, TancrediDJ, LevensonRR, WaldmanJ, et al.Pregnancy coercion, intimate partner violence and unintended pregnancy. Contraception, 2010; 81:316–322.
11.
CokerAL, DavisKE, AriasI, DesaiS, SandersonM, BrandtHM, et al.Physical and mental health effects of intimate partner violence for men and women. Am J Prev Med, 2002; 23:260–268.
12.
BonomiAE, AndersonML, RivaraFP, ThompsonRS. Health outcomes in women with physical and sexual intimate partner violence exposure. J Womens Health, 2007; 16:987–997.
13.
MooreAM, FrohwirthL, MillerE. Male reproductive control of women who have experienced intimate partner violence in the United States. Soc Sci Med, 2010; 70:1737–1744.
SilvermanJG, DeckerMR, McCauleyHL, GuptaJ, MillerE, RajA, et al.Male intimate partner violence perpetration and involvement in abortions and abortion-related conflict. Am J Public Health, 2010; 100:1415–1417.
16.
PallittoCC, García-MorenoC, JansenHA, HeiseL, EllsbergM, WattsC. Intimate partner violence, abortion, and unintended pregnancy: Results from the WHO Multi-country Study on Women's Health and Domestic Violence. Int J Gynaecol Obstet, 2013; 120:3–9.
17.
GlanderSS, MooreML, MichielutteR, ParsonsL. The prevalence of domestic violence among women seeking abortion. Obstet Gynecol, 1998; 91:1002–1006.
18.
WilliamsCM, LarsenU, McCloskeyLA. Intimate partner violence and women's contraceptive use. Violence Against Women, 2008; 14:1382–1396.
19.
MaxwellL, DevriesK, ZiontsD, AlhusenJL, CampbellJ. Estimating the effect of intimate partner violence on women's use of contraception: A systematic review and meta-analysis. PLoS One, 2015; 10:e0118234.
20.
WhitfieldCL, AndaRF, DubeSR, FelittiVJ. Violent childhood experiences and the risk of intimate partner violence in adult assessment in a large health maintenance organization. J Interpers Violence, 2003; 18:166–185.
21.
GoreyK, LeslieD. The prevalence of child sexual abuse: Integrative review adjustment for potential response and measurement bias. Child Abuse Negl, 1997; 21:391–398.
22.
BoyerD, FineD. Sexual abuse as a factor in adolescent pregnancy and child maltreatment. Fam Plann Perpect, 1992; 24:4–11, 19.
23.
ZiteNB, WuellnerSE, GilliamML. Past contraceptive use among women desiring postpartum sterilization. Obstet Gynecol, 2005; 105:56S–57S.
24.
FinerLB, ZolnaMR. Shifts in intended and unintended pregnancies in the United States, 2001–2008. Am J Public Health, 2014; 104S:44–48.
25.
MosherWD, JonesJ. Use of contraception in the United States: 1982–2008. Vital Health Stat 23, 2010; 1–44.
26.
DanielsK, MosherWD, JonesJ. Contraceptive methods women have ever used: United States, 1982–2010. Natl Health Stat Report, 2013; 1–15.
27.
KluchinRM.Fit to be tied: Sterilization and reproductive rights in American 1950–1980. Piscataway, NJ: Rutgers University Press, 2009, p. 8.
28.
SternAM.Sterilized in the name of public health: Race, immigration, and reproductive control in modern California. Am J Public Health, 2005; 95:1128–1138.
29.
WillonP.Audit questions whether 39 female inmates consented to sterilization. LA Times, 2014. Available at www.latimes.com/local/la-me-pol-prison-sterilizations-20140620-story.html Accessed July8, 2016.
30.
BaldwinMK.Lack of insurance and parity influence choice between long-acting reversible contraception and sterilization in women post-pregnancy. Contraception, 2012; 86:42–47.
31.
McCloskeyLA, LichterE, GanzML, et al.Intimate partner violence and patient screening across medical specialties. Acad Emerg Med, 2005; 12:712–722.
32.
StrausMA, HambySL, Boney-McCoyS, SugarmanD. The revised Conflict Tactics Scales (CTS): Development and preliminary psychometric data. J Fam Issues, 1996; 17:283–316.
33.
BernsteinDP, FinkL, HandelsmanL, FooteJ, LovejoyM, WenzK, et al.Initial reliability and validity of a new retrospective measure of child abuse and neglect. Am J Psychiatry, 1994; 151:1132–1136.
34.
TestaM, VanZile-TamsenC, LivingstonJA, KossMP. Assessing women's experiences of sexual aggression using the Sexual Experiences Survey: Evidence for validity and implications for research. Psych Women Q, 2004; 28:256–265.
35.
FanslowJ, WhiteheadA, SilvaM, RobinsonE. Contraceptive use and associations with intimate partner violence among a population‐based sample of New Zealand women. Aust N Z J Obstet Gynaecol, 2008; 48:83–89.
36.
FanslowJ, SilvaM, WhiteheadA, RobinsonE. Pregnancy outcomes and intimate partner violence in New Zealand. Aust N Z J Obstet Gynaecol, 2008; 48:391–397.
37.
PetersonHB, XiaZ, HughesJM, WilcoxLS, TyloraLR, TrussellJ. The risk of ectopic pregnancy after tubal sterilization. N Engl J Med, 1997; 336:762–767.
38.
ChiIC, JonesDB. Incidence, risk factors, and prevention of post-sterilization regret in women: An updated international review from an epidemiological perspective. Obstet Gynecol Surv, 1994; 49:722–732.
39.
BartzD, GreenbergJA. Sterilization in the United States. Factors influencing physicians' advice about female sterilization in USA: A national survey. Rev Obstet Gynecol, 2008; 1:23–32.
40.
LawrenceRE, RasinskiKA, YoonJD, CurlingFA. Factors influencing physicians' advice about female sterilization in USA: A national survey. Hum Reprod, 2011; 26:106–111.
41.
SchreiberCA, HarwoodBJ, SwitzerGE, CreininMD, ReevesMF, NessRB. Training and attitudes about contraceptive management across primary care specialties: A survey of graduating residents. Contraception, 2006; 6:618–622.
42.
MillerE, DeckerMR, McCauleyHL, et al.A family planning clinic partner violence intervention to reduce risk associated with reproductive coercion. Contraception, 2011; 83:274–280.
43.
NelsonHD, BougatsosC, BlazinaI. Screening women for intimate partner violence and elderly and vulnerable adults for abuse: Systematic review to update the 2004 U.S. Preventive Services Task Force Recommendation. Rockville, MD: AHRQ, 2012; 12-05167-EF-1. Available at www.ncbi.nlm.nih.gov/books/NBK97297/
44.
WingoodGM, DiClementeRJ. Application of the theory of gender and power to examine HIV-related exposures, risk factors, and effective interventions for women. Health Educ Behav, 2000; 27:539–565.
