Pregnancy coercion, intimate partner violence and ... [Contraception. 2010] - PubMed result

Abstract

BACKGROUND: Reproductive control including pregnancy coercion (coercion by male partners to become pregnant) and birth control sabotage (partner interference with contraception) may be associated with partner violence and risk for unintended pregnancy among young adult females utilizing family planning clinic services.

STUDY DESIGN: A cross-sectional survey was administered to females ages 16-29 years seeking care in five family planning clinics in Northern California (N=1278).

RESULTS: Fifty-three percent of respondents reported physical or sexual partner violence, 19% reported experiencing pregnancy coercion and 15% reported birth control sabotage. One third of respondents reporting partner violence (35%) also reported reproductive control. Both pregnancy coercion and birth control sabotage were associated with unintended pregnancy (AOR 1.83, 95% CI 1.36-2.46, and AOR 1.58, 95% CI 1.14-2.20, respectively). In analyses stratified by partner violence exposure, associations of reproductive control with unintended pregnancy persisted only among women with a history of partner violence.

CONCLUSIONS: Pregnancy coercion and birth control sabotage are common among young women utilizing family planning clinics, and in the context of partner violence, are associated with increased risk for unintended pregnancy.

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Report Cites Link Between Abuse and Birth Control Sabotage - NYTimes.com

Men who abuse women physically and emotionally may also sabotage their partners’ birth control, pressuring them to become pregnant against their will, new reports suggest.

Several small studies have described this kind of coercion among low-income teenagers and young adults with a history of violence by intimate partners. Now, a report being released Tuesday by the federally financed National Domestic Violence Hotline says 1 in 4 women who agreed to answer questions after calling the hot line said a partner had pressured them to become pregnant, told them not to use contraceptives, or forced them to have unprotected sex.

The report was based on answers from more than 3,000 women, but it was not a research study, those involved said.

“It was very eye-opening,” said Lisa James, director of health at the Family Violence Prevention Fund in San Francisco, which worked with the hot line on the report. “There were stories about men refusing to wear a condom, forcing sex without a condom, poking holes in condoms, flushing birth control pills down the toilet.

“There were lots of stories about hiding the birth control pills — that she kept ‘losing’ her birth control pills, until she realized that he was hiding them,” Ms. James added.

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