期刊
CONTRACEPTION
卷 81, 期 4, 页码 316-322出版社
ELSEVIER SCIENCE INC
DOI: 10.1016/j.contraception.2009.12.004
关键词
Pregnancy, unwanted; Domestic Violence; Contraception, barrier; Family Planning Services
资金
- National Institute of Child Health and Human Development [R21 HD057814-02]
- UC Davis Health System Research Award
- Building Interdisciplinary Research Careers in Women's Health award, BIRCWH [K12 HD051958]
- National Institute of Child Health and Human Development, Office of Research on Women's Health, Office of Dietary Supplements, National Institute of Aging
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. (C) 2010 Elsevier Inc. All rights reserved.
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