RT Article
T1 Correlates and contributors of reproductive coercion across the socioecological framework among intimate partner violence survivors in Nairobi, Kenya
JF Journal of family violence
VO 38
IS 1
SP 25
OP 38
A1 Wood, Shannon N.
A1 Kennedy, S. Rachel
A1 Akumu, Irene
A1 Tallam, Catherine
A1 Asira, Ben
A1 Hameeduddin, Zaynab
A1 Zimmerman, Linnea A.
A1 Glass, Nancy
A1 Decker, Michele R.
A2 Kennedy, S. Rachel
A2 Akumu, Irene
A2 Tallam, Catherine
A2 Asira, Ben
A2 Hameeduddin, Zaynab
A2 Zimmerman, Linnea A.
A2 Glass, Nancy
A2 Decker, Michele R.
LA English
YR 2023
UL https://krimdok.uni-tuebingen.de/Record/1831110725
AB Purpose: Reproductive coercion (RC) is a type of intimate partner violence that involves interference in contraceptive and reproductive decisions. A multi-methods design explored correlates (quantitative) and contributors (qualitative) of partner-perpetrated RC across the socioecological framework among intimate partner violence survivors (IPV) in Nairobi, Kenya. Methods: Quantitative analyses utilize baseline data from the myPlan Kenya trial (n=327). Multivariable Poisson regression examined the association between postulated correlates and overall RC (range: 0-9), and sub-types of pregnancy coercion (range: 0-5) and condom manipulation (range: 0-4). In-depth interviews (IDIs; n=30) conducted at three-month follow-up among women indicating RC experience at baseline explored women’s perceived contributors to RC via inductive thematic analysis. Results: Within the past three months, over 80% of IPV survivors experienced any RC, and IPV survivors experienced 3.8 RC behaviors on average. Factors associated with overall RC included not wanting their last child at all (aIRR =1.28; p=0.009), partner’s concurrent partnership (aIRR=1.33; p<0.001), and inconvenient contraceptive method use (aIRR=1.36; p=0.01), whereas increased couple communication was protective against RC (aIRR=0.96; p<0.001). IDIs revealed potential contributors to RC, including partner’s desire for children; partner fear of contraceptive side effects; cultural norms surrounding family planning use within marriage; decision-making power disparities reinforced by economics; partner’s fear of abandonment; and presence of children from previous relationships. Conclusions: Results indicate individual- and couple-level characteristics are crucial for understanding RC for Nairobi’s IPV survivors. Knowledge of RC risk factors can assist practitioners in mitigating against reproductive interference, and ensuring women are using contraceptive methods most suited to their circumstances and aligned with their reproductive preferences.
NO Literaturverzeichnis: Seite 36-38
K1 psychological violence
K1 women’s health
K1 Intimate Partner Violence
K1 Reproductive coercion
DO 10.1007/s10896-022-00374-w