Racial Differences in Pregnancy Intention, Reproductive Coercion, and Partner Violence among Family Planning Clients: A Qualitative Exploration

Holliday, Charvonne N.; Miller, Elizabeth; Decker, Michele R.; Burke, Jessica G.; Documét, Patricia I.; Borrero, Sonya; Silverman, Jay G.; Tancredi, Daniel J.; Ricci, Edmund M.; McCauley, Heather L.

doi:10.1016/j.whi.2018.02.003

Cited by 34 publications

(55 citation statements)

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“…Estimates suggest that 2.4% or almost 2.9 million U.S. women overall reported RRP during their lifetime. In contrast to other studies that have found racial/ethnic disparities in rape victimization 20,21 and reproductive coercion and UIP, 18,19 in this national sample the authors found similar RRP prevalence across racial/ethnic groups. Findings reveal that IPs are common perpetrators of RRP.…”

Section: Discussioncontrasting

confidence: 99%

“…Although this is a nationally representative sample with respect to age and race/ethnicity, previous studies used clinical samples focusing on a cohort of women having a racial/ethnic distribution dissimilar to that of the U.S. adult population. 18,19 In addition, qualitative studies suggest that there are nuanced racial/ethnic differences in the experiences of reproductive coercion and IPV and the mediators with UIP, 17,19 which may not be captured in the measures used in this study. It could also be that SES is playing a role, given some previous work has found racial/ethnic differences associated with IPV are reduced when social class is controlled.…”

Section: Discussionmentioning

confidence: 92%

“…16 Studies using nonprobability clinical samples have found the prevalence of reproductive coercion against women ranges from 15% to 25%, 15 with non-Hispanic black and multiracial women most likely to report reproductive coercion. 14,17,18 Qualitative studies 17,19 have explored how the larger social context of race may play a role in reproductive coercion and its intersection with IPV and unintended pregnancy (UIP) for black women. For instance, disproportionate mass incarceration, violent death, and poverty may increase a black man’s desire for pregnancy as a way to create a legacy and establish a connection with the child’s mother.…”

Section: Introductionmentioning

confidence: 99%

“…At the same time, these social factors reduce the pool of eligible black male partners, setting the stage for power imbalances in black intimate relationships and control over reproductive decision making. 17,19 Although these studies did not specifically focus on RRP, this scholarship offers insight into UIP in the context of IPV and reproductive coercion and identifies the importance of examining racial/ethnic differences in RRP.…”

Section: Introductionmentioning

confidence: 99%

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Rape-Related Pregnancy and Association With Reproductive Coercion in the U.S.

Basile

Smith

Liu

et al. 2018

American Journal of Preventive Medicine

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Introduction: Rape-related pregnancy is a public health problem where sexual violence and reproductive health intersect; yet, there is a dearth of research to inform public health practice. The authors examined the prevalence and characteristics of rape-related pregnancy in U.S. women and its association with intimate partner reproductive coercion. Methods: Data years 2010–2012 are pooled from the National Intimate Partner and Sexual Violence Survey, a telephone survey of U.S. adults. Accounting for complex survey design, in 2017, authors estimated the prevalence of vaginal rape–related pregnancy for U.S. women overall and by race/ethnicity. The authors also examined the proportion of rape-related pregnancy among victims of vaginal rape overall, by perpetrator type and by presence of reproductive coercion in the context of intimate partner rape. Results: Almost 2.9 million U.S. women (2.4%) experienced rape-related pregnancy during their lifetime. Among rape victims, 77.3% reported a current/former intimate partner perpetrator, and 26.2% of intimate partner rape victims reported rape-related pregnancy compared with those raped by an acquaintance (5.2%) or stranger (6.9%). Women raped by an intimate partner and reporting rape-related pregnancy were significantly more likely to have experienced reproductive coercion compared with women who were raped by an intimate partner but did not become pregnant. Conclusions: This paper reports the first national prevalence of rape-related pregnancy by any perpetrator in two decades. The high proportion of rape-related pregnancy committed by intimate partner perpetrators and its association with reproductive coercion suggest the need for primary prevention of intimate partner violence and access to trauma-informed reproductive health services for rape/intimate partner violence victims.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionmentioning

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Rape-Related Pregnancy and Association With Reproductive Coercion in the U.S.

Basile

Smith

Liu

et al. 2018

American Journal of Preventive Medicine

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“…The discussion extended beyond the circumstances in which women became mothers. Once motherhood was achieved, the role of women was the primary, if not exclusive, caregiver to their children . The assumption that a woman must care for her children when fathers are absent or abusive was nearly universally stated among participants.…”

Section: Resultsmentioning

confidence: 99%

Women's Contraceptive Perceptions, Beliefs, and Attitudes: An Integrative Review of Qualitative Research

Alspaugh

Barroso

Reibel

et al. 2019

J Midwife Womens Health

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Introduction: Unintended pregnancy rates will remain high until researchers explore the lived experience of women's relationships with contraception. This integrative review examines the extant qualitative literature on women's contraception to illuminate common themes in women's perspectives through the lens of the feminist poststructuralist framework. Methods: A literature review of PubMed and CINAHL databases was completed for English-language studies conducted in the United States from January 2008 through September 2018 that qualitatively examined women's perceptions, beliefs, and attitudes regarding contraception. Reports, dissertations, mixed-methods research, and literature reviews were excluded. The sample, methods, and findings of 19 studies were reviewed. Themes were identified using the 5 major tenets of the feminist poststructuralist framework: discourse, power, language, subjectivity, and agency. Results: Themes of power imbalance between partners and health care providers; societal and communal discourses on femininity and motherhood; distrust of hormonal contraception; the ability to enhance personal agency through contraceptive decision making; and a need for open, patient-focused communication arose from the 19 studies included in the review. Discussion: Using a feminist poststructuralist framework to examine women's contraceptive perceptions illuminates and magnifies the many ways in which contraceptive beliefs and use are dependent on gender roles and power dynamics. Gaps in knowledge specific to older women and exploration of women's subjectivity should be addressed. Clinicians should evaluate the power structures inherent to their practice while providing woman-focused, evidence-based contraceptive education.

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Predictors of contraceptive switching and discontinuation within the first 6 months of use among Highly Effective Reversible Contraceptive Initiative Salt Lake study participants

Simmons

Sanders

Geist

et al. 2019

American Journal of Obstetrics and Gynecology

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BACKGROUND: Nearly half of women will switch or discontinue using their selected contraceptive method in the first year. Research on early switching or discontinuation provides important clinical and public health insights, although few studies have assessed associated factors, particularly among longitudinal cohorts. OBJECTIVE: The current study explores attributes associated with early contraceptive method switching or discontinuation (<6 months of initiation) among participants enrolled in the intervention cohorts of the Highly Effective Reversible Contraceptive Initiative Salt Lake Contraceptive Initiative (Utah, United States). MATERIALS AND METHODS: Highly Effective Reversible Contraceptive Initiative Salt Lake participants have access to no-cost contraception for 3 years. This includes both the initial selection and the ability to switch or to discontinue methods without cost. Methods available included the following: nonhormonal behavioral methods (male/female condoms, withdrawal, diaphragms, cervical caps, and fertility awareness); short-acting methods (pill, patch, ring, and injectable); and long-acting methods (intrauterine devices and contraceptive implants). Participants completed surveys at baseline and at 1, 3, and 6 months. We collected data on participant demographics, contraceptive continuation, switching, and discontinuation, as well as factors associated with these changes, including established measures of pregnancy intention and ambivalence and reasons for switching or discontinuing. We conducted descriptive statistics, univariable, and multivariable Poisson regression analyses to assess predictors of both discontinuation and switching. We also conducted χ 2 analyses to compare reported reasons for stopping between switchers and discontinuers. RESULTS: At 6 months, 2,583 women (70.0%) reported continuation of their baseline method, 367 (10%) reported at least 1 period of discontinuation, 459 (12.4%) reported switching to a

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Racial Differences in Pregnancy Intention, Reproductive Coercion, and Partner Violence among Family Planning Clients: A Qualitative Exploration

Cited by 34 publications

References 44 publications

Rape-Related Pregnancy and Association With Reproductive Coercion in the U.S.

Rape-Related Pregnancy and Association With Reproductive Coercion in the U.S.

Women's Contraceptive Perceptions, Beliefs, and Attitudes: An Integrative Review of Qualitative Research

Predictors of contraceptive switching and discontinuation within the first 6 months of use among Highly Effective Reversible Contraceptive Initiative Salt Lake study participants

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