Influence of the Relational Context on Reproductive Coercion and the Associated Consequences

Abstract

Reproductive coercion (RC) refers to behaviors that interfere with contraception use or pregnancy and that limit reproductive autonomy. This article presents the results of a qualitative exploratory study of 21 young women in Canada who experienced RC perpetrated by an intimate partner along with the associated consequences. Results reveal that nonconsensual condom removal occurred more often in uncommitted relationships without violence, whereas pressure to become pregnant and pregnancy coercion occurred more often in committed relationships where other forms of violence were also present. Participants reported numerous repercussions on their psychological, sexual, and reproductive health and on their emotional and relational well-being.

Keywords

reproductive coercion coercive control intimate partner violence

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References

Black

M. C.

Basile

K. C.

Breiding

M. J.

Smith

S. G.

Walters

M. L.

Merrick

M. T.

Stevens

M. R.

(2011). The National Intimate Partner and Sexual Violence Survey: 2010 summary report. National Center for Injury Prevention and Control, Centers for Disease Control and Prevention.

Blasco-Ros

Sánchez-Lorente

Martinez

(2010). Recovery from depressive symptoms, state anxiety and post-traumatic stress disorder in women exposed to physical and psychological, but not to psychological intimate partner violence alone: A longitudinal study. BMC Psychiatry, 10, Article 98. https://doi.org/10.1186/1471-244X-10-98

Braun

Clarke

(2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa

Braun

Clarke

(2012). Thematic analysis. In Cooper

Camic

Long

D. L.

Panter

A. T.

Rindskopf

Sher

K. J.

(Eds.), APA handbook of research methods in psychology, Vol. 2: Research designs: Quantitative, qualitative, neuropsychological, and biological (pp. 57–71). American Psychological Association. https://doi.org/10.1037/13620-004

Brodsky

(2017). Rape-adjacent: Imagining legal responses to nonconsensual condom removal. Columbia Journal of Gender and Law, 32(2), 183–210.

Burton

C. W.

Carlyle

K. E.

(2015). Screening and intervening: Evaluating a training program on intimate partner violence and reproductive coercion for family planning and home visiting providers. Family & Community Health, 38(3), 227–239. https://doi.org/10.1097/fch.0000000000000076

Chamberlain

Levenson

R. R.

(2012). Addressing intimate partner violence, reproductive and sexual coercion: A guide for obstetric, gynecologic and reproductive health care settings. https://www.futureswithoutviolence.org/userfiles/file/HealthCare/reproguidelines_low_res_FINAL.pdf

Chrisler

J. C.

(2012). What is reproductive justice? Introduction. In Chrisler

J. C.

(Ed.), Reproductive justice: A global concern (pp. 1–9). Praeger.

Clark

L. E.

Allen

R. H.

Goyal

Raker

Gottlieb

A. S.

(2014). Reproductive coercion and co-occurring intimate partner violence in obstetrics and gynecology patients. American Journal of Obstetrics and Gynecology, 210(1), 42.e1–e8. https://doi.org/10.1016/j.ajog.2013.09.019

10.

Crossman

K. A.

Hardesty

J. L.

(2018). Placing coercive control at the center: What are the processes of coercive control and what makes control coercive? Psychology of Violence, 8(2), 196–206. https://doi.org/10.1037/vio0000094

11.

Crossman

K. A.

Hardesty

J. L.

Raffaelli

(2016). “He could scare me without laying a hand on me”: Mothers’ experiences of nonviolent coercive control during marriage and after separation. Violence Against Women, 22(4), 454–473. https://doi.org/10.1177/1077801215604744

12.

Dichter

M. E.

Thomas

K. A.

Crits-Christoph

Ogden

S. N.

Rhodes

K. V.

(2018). Coercive control in intimate partner violence: Relationship with women’s experience of violence, use of violence, and danger. Psychology of Violence, 8(5), 596–604. https://doi.org/10.1037/vio0000158

13.

Dick

R. N.

McCauley

H. L.

Jones

K. A.

Tancredi

D. J.

Goldstein

Blackburn

, et al. (2014). Cyber dating abuse among teens using school-based health centers. Pediatrics, 134(6), e1560–e1567.

14.

Grace

K. T.

Anderson

J. C.

(2018). Reproductive coercion: A systematic review. Trauma, Violence, & Abuse, 19(4), 371–390. https://doi.org/10.1177/1524838016663935

15.

Graham-Kevan

Archer

(2008). Does controlling behavior predict physical aggression and violence to partners? Journal of Family Violence, 23(7), 539–548. https://doi.org/10.1007/s10896-008-9162-y

16.

Hamberger

L. K.

Larsen

S. E.

Lehrner

(2017). Coercive control in intimate partner violence. Aggression and Violent Behavior, 37, 1–11. https://doi.org/10.1016/j.avb.2017.08.003

17.

Harned

M. S.

(2005). Understanding women’s labeling of unwanted sexual experiences with dating partners: A qualitative analysis. Violence Against Women, 11(3), 374–413. https://doi.org/10.1177/1077801204272240

18.

Holliday

C. N.

Miller

Decker

M. R.

Burke

J. G.

Documet

P. I.

Borrero

S. B.

, et al. (2018). Racial differences in pregnancy intention, reproductive coercion, and partner violence among family planning clients: A qualitative exploration. Women’s Health Issues, 28(3), 205–211. https://doi.org/10.1016/j.whi.2018.02.003

19.

Johnson

M. P.

(2008). A typology of domestic violence: Intimate terrorism, violence resistance, and situational couple violence. Northeastern University Press.

20.

Johnstone

D. J.

(2016). A listening guide analysis of women’s experiences of unacknowledged rape. Psychology of Women Quarterly, 40(2), 275–289.

21.

Jones

K. A.

Cornelius

M. D.

Silverman

J. G.

Tancredi

D. J.

Decker

M. R.

Haggerty

C. L.

, et al. (2016). Abusive experiences and young women’s sexual health outcomes: Is condom negotiation self-efficacy a mediator? Perspectives on Sexual and Reproductive Health, 48(2), 57–64. https://doi.org/10.1363/48e8616

22.

Katz

LaRose

(2019). Male partner contraceptive interference: Associations with destructive conflict and women’s relational power. Violence Against Women, 25, 1262–1278. https://doi.org/10.1177/1077801218818372

23.

Katz

Poleshuck

E. L.

Beach

Olin

(2017). Reproductive coercion by male sexual partners: Associations with partner violence and college women’s sexual health. Journal of Interpersonal Violence, 32(21), 3301–3320. https://doi.org/10.1177/0886260515597441

24.

Lévesque

Rousseau

(2019). Young women’s acknowledgment of reproductive coercion: A qualitative analysis. Journal of Interpersonal Violence. Advance online publication. https://doi.org/10.1177/0886260519842169

25.

Littleton

H. L.

Grills-Taquechel

Axsom

(2009). Impaired and incapacitated rape victims: Assault characteristics and post-assault experiences. Violence and Victims, 24(4), 439–457. https://doi.org/10.1891/0886-6708.24.4.439

26.

McCauley

H. L.

Dick

R. N.

Tancredi

D. J.

Goldstein

Blackburn

Silverman

J. G.

, et al. (2014). Differences by sexual minority status in relationship abuse and sexual and reproductive health among adolescent females. Journal of Adolescent Health, 55(5), 652–658. https://doi.org/10.1016/j.jadohealth.2014.04.020

27.

McCauley

H. L.

Silverman

J. G.

Jones

K. A.

Tancredi

D. J.

Decker

M. R.

McCormick

M. C.

, et al. (2017). Psychometric properties and refinement of the Reproductive Coercion Scale. Contraception, 95(3), 292–298. https://doi.org/10.1016/j.contraception.2016.09.010

28.

Miller

Decker

M. R.

McCauley

H. L.

Tancredi

D. J.

Levenson

R. R.

Waldman

, et al. (2010). Pregnancy coercion, intimate partner violence and unintended pregnancy. Contraception, 81(4), 316–322. https://doi.org/10.1016/j.contraception.2009.12.004

29.

Miller

McCauley

H. L.

Tancredi

D. J.

Decker

M. R.

Anderson

Silverman

J. G.

(2014). Recent reproductive coercion and unintended pregnancy among female family planning clients. Contraception, 89(2), 122–128. https://doi.org/10.1016/j.contraception.2013.10.011

30.

Miller

Silverman

J. G.

(2010). Reproductive coercion and partner violence: Implications for clinical assessment of unintended pregnancy. Expert Review of Obstetrics and Gynecology, 5(5), 511–515. https://doi.org/10.1586/eog.10.44

31.

Nikolajski

Miller

McCauley

H. L.

Akers

Schwarz

E. B.

Freedman

, et al. (2015). Race and reproductive coercion: A qualitative assessment. Women’s Health Issues, 25(3), 216–223. https://doi.org/101016/jwhi201412004

32.

Park

Nordstrom

S. K.

Weber

K. M.

Irwin

(2016). Reproductive coercion: Uncloaking an imbalance of social power. American Journal of Obstetrics and Gynecology, 214(1), 74–78. https://doi.org/10.1016/j.ajog.2015.08.045

33.

Patel

P. R.

Laz

T. H.

Berenson

A. B.

(2015). Patient characteristics associated with pregnancy ambivalence. Journal of Women’s Health, 24(1), 37–41. https://doi.org/10.1089/jwh.2014.4924

34.

Patton

M. Q.

(2002). Qualitative research and evaluation methods (3rd ed.). Sage.

35.

Rodrigue

Fernet

(2016). A metasynthesis of qualitative studies on casual sexual relationships and experiences. Canadian Journal of Human Sexuality, 25(3), 225–242. https://doi.org/10.3138/cjhs.253-A6

36.

Silverman

J. G.

Raj

(2014). Intimate partner violence and reproductive coercion: Global barriers to women’s reproductive control. PLOS Medicine, 11(9), Article e1001723. https://doi.org/10.1371/journal.pmed.1001723

37.

Stark

(2007). Coercive control: How men entrap women in personal life. Oxford University Press.

38.

Sutherland

M. A.

Fantasia

H. C.

Fontenot

(2015). Reproductive coercion and partner violence among college women. Journal of Obstetric, Gynecologic & Neonatal Nursing, 44(2), 218–227. https://doi.org/10.1111/1552-6909.12550

39.

Thaller

Messing

J. T.

(2015). Reproductive coercion by an intimate partner: Occurrence, associations, and interference with sexual health decision making. Health & Social Work, 41(1), e11–e19. https://doi.org/10.1093/hsw/hlv083

40.

Upadhyay

U. D.

Dworkin

S. L.

Weitz

T. A.

Foster

D. G.

(2014). Development and validation of a reproductive autonomy scale. Studies in Family Planning, 45(1), 19–41. https://doi.org/10.1111/j.1728-4465.2014.00374.x

41.

World Health Organization. (2013). Global and regional estimates of violence against women: Prevalence and health effects of intimate partner violence and non-partner sexual violence. http://www.who.int/iris/handle/10665/85239

42.

World Health Organization. (2014). Global status report on violence prevention. https://www.who.int/violence_injury_prevention/violence/status_report/2014/en/

43.

Zachor

Chang

J. C.

Zelazny

Jones

K. A.

Miller

(2018). Training reproductive health providers to talk about intimate partner violence and reproductive coercion: An exploratory study. Health Education Research, 33(2), 175–185. https://doi.org/10.1093/her/cyy007