Contraception · 2025
Understanding intimate partner reproductive coercion: A qualitative assessment responding to methodologic demands of health equity research.
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Fay Kathryn E, Jozkowski Kristen, Gawron Lori, Turok David K, Baayd Jami
Аннотация
OBJECTIVES: This study aimed to generate formative data for conceptualization of intimate partner reproductive coercion (RC) as part of a health equity approach to antiviolence research and clinical interventions.
STUDY DESIGN: This qualitative study recruited 11 RC researchers from a national cohort and 20 community members from a state-wide research panel to participate in individual semistructured interviews or videoconferencing community discussions. We analyzed data using modified grounded theory and the Framework Method.
RESULTS: Participants confirmed that RC lacks a consensus definition, and its historical conceptualization as a pregnancy-promoting phenomenon excludes important aspects of individuals' experience. Intimate partner violence provides structure for understanding RC through mutual grounding in the constructs of power and control; this framework facilitates academic, clinical, and community understanding of RC. Through the framing in power and control, rather than partner intent regarding reproductive outcomes, RC conceptualization is enhanced through a focus on individual distress, report of interference in sexual and reproductive health goals, and means of resistance to partner abuse. Finally, RC is one of a multitude of intersecting oppressions relevant to clinical and research spaces.
CONCLUSIONS: Assessing the potentially significant role of RC in sexual and reproductive health research and clinical care requires rigorous evaluations of those with lived and investigational experience. RC researchers and community members offer insights that can guide meaningful efforts to address RC, its relevance to reproductive and sexual health, and support health equity.
IMPLICATIONS: Reproductive coercion is a common form of violence that disrupts sexual and reproductive health with growing recognition but limited formal conceptualization. These formative data encourage broader conceptualization of this phenomenon, providing the substrate for the development of a more comprehensive measurement instrument.
STUDY DESIGN: This qualitative study recruited 11 RC researchers from a national cohort and 20 community members from a state-wide research panel to participate in individual semistructured interviews or videoconferencing community discussions. We analyzed data using modified grounded theory and the Framework Method.
RESULTS: Participants confirmed that RC lacks a consensus definition, and its historical conceptualization as a pregnancy-promoting phenomenon excludes important aspects of individuals' experience. Intimate partner violence provides structure for understanding RC through mutual grounding in the constructs of power and control; this framework facilitates academic, clinical, and community understanding of RC. Through the framing in power and control, rather than partner intent regarding reproductive outcomes, RC conceptualization is enhanced through a focus on individual distress, report of interference in sexual and reproductive health goals, and means of resistance to partner abuse. Finally, RC is one of a multitude of intersecting oppressions relevant to clinical and research spaces.
CONCLUSIONS: Assessing the potentially significant role of RC in sexual and reproductive health research and clinical care requires rigorous evaluations of those with lived and investigational experience. RC researchers and community members offer insights that can guide meaningful efforts to address RC, its relevance to reproductive and sexual health, and support health equity.
IMPLICATIONS: Reproductive coercion is a common form of violence that disrupts sexual and reproductive health with growing recognition but limited formal conceptualization. These formative data encourage broader conceptualization of this phenomenon, providing the substrate for the development of a more comprehensive measurement instrument.