Reproductive coercion (RC), or partner interference in reproductive decisions, limits women's autonomy. Little is known about RC behaviors and measurement in low‐ and middle‐income countries (LMICs). In this mixed‐methods study, we examined the transferability of the US‐developed RC Scale to the Kenyan context. Through community‐based sampling, recent intimate partner violence (IPV) survivors were recruited from Nairobi's informal settlements. We conducted quantitative analyses (n = 327) to assess the transferability of RC measures via exploratory factor analysis and used descriptive statistics to examine prevalence and continuous metrics. We conducted in‐depth interviews (IDIs; n = 30) to contextualize results. Psychometric analyses indicated a two‐factor solution comprising pregnancy coercion and condom manipulation (alpha = 0.86). Eighty‐two percent of IPV survivors reported experiencing RC (pregnancy coercion = 76.6 percent; condom manipulation = 59.5 percent). IDIs highlighted women's multiple, severe RC experiences; experiences described in IDIs were largely consistent with quantitative findings. We found the RC Scale was transferable to this LMIC context, where IPV survivors face prevalent, severe RC and would benefit from linkage to woman‐centered support services.

中文翻译：

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内罗毕亲密伴侣暴力幸存者的生殖胁迫

生殖胁迫 (RC) 或伴侣干预生殖决定，限制了妇女的自主权。对低收入和中等收入国家 (LMIC) 的 RC 行为和测量知之甚少。在这项混合方法研究中，我们检查了美国开发的 RC 量表在肯尼亚环境中的可转移性。通过基于社区的抽样，最近从内罗毕的非正式定居点招募了亲密伴侣暴力 (IPV) 幸存者。我们进行了定量分析 (n = 327) 以通过探索性因素分析评估 RC 措施的可转移性，并使用描述性统计来检查患病率和连续指标。我们进行了深入访谈 (IDIs; n = 30) 以将结果背景化。心理测量分析表明双因素解决方案包括强制妊娠和操纵避孕套 (alpha = 0.86)。82% 的 IPV 幸存者报告经历了 RC（妊娠胁迫 = 76.6%；避孕套操作 = 59.5%）。IDI 强调了女性多次严重的 RC 经历；IDI 中描述的经验在很大程度上与定量结果一致。我们发现 RC 量表可转移到这种 LMIC 环境中，在这种情况下，IPV 幸存者面临普遍、严重的 RC，并将受益于与以女性为中心的支持服务的联系。