Housing instability and intimate partner violence (IPV) compromise women’s sexual and reproductive health (SRH) through reduced contraceptive access and increased risk of unintended pregnancy. This study describes the reproductive health status and needs of IPV survivors receiving housing support and explores factors influencing their experience of reproductive coercion (RC), specifically. Cross-sectional baseline data from a quasi-experimental study of 70 IPV survivors enrolled in housing programs in the Baltimore, MD, metropolitan area from June 2019 through December 2020 were analyzed. Of the 70 women enrolled in the study, 70.3 percent (n = 45) desired to avoid pregnancy, but 57.4 percent were either using no contraceptive method (31.2%) or methods with low effectiveness (26.2%). Approximately, 1 in 6 women (16.4%, n = 11) experienced RC in the past 3 months, which was associated with frequency and severity of IPV (p = 0.001 to 0.005) and PTSD (p = 0.001), as well as not sharing children with the abusive partner (p = 0.002). This study highlights reproductive health risks in an important and under-studied population of women seeking housing due to IPV. Leaving an abusive relationship is a uniquely vulnerable time, and also a time of opportunity, as women are accessing services that can be tailored to their SRH needs. Significant results highlight vulnerability to and consequences of RC in this population. This study has implications for IPV support programs and housing programs that serve women.

住房不稳定和亲密伴侣暴力 (IPV) 通过减少避孕药具的获取和增加意外怀孕的风险来损害妇女的性健康和生殖健康 (SRH)。本研究描述了接受住房支持的 IPV 幸存者的生殖健康状况和需求，并具体探讨了影响他们生殖胁迫 (RC) 经历的因素。分析了 2019 年 6 月至 2020 年 12 月在马里兰州巴尔的摩大都市区参加住房计划的 70 名 IPV 幸存者的准实验研究的横断面基线数据。在参加研究的 70 名女性中，70.3%（n = 45）希望避免怀孕，但 57.4% 的人要么没有使用避孕方法（31.2%），要么使用效果不佳的方法（26.2%）。大约六分之一的女性（16.4%，n = 11）在过去 3 个月内经历过 RC，这与 IPV（ p  = 0.001 至 0.005）和 PTSD（p = 0.001） 的频率和严重程度相关 ，也与不相关与虐待伴侣分享孩子（p = 0.002）。这项研究强调了因 IPV 而寻求住房的重要且未被充分研究的女性人群的生殖健康风险。离开虐待关系是一个特别脆弱的时期，也是一个充满机遇的时期，因为女性正在获得可以根据其 SRH 需求量身定制的服务。重要结果突出了 RC 在该人群中的脆弱性和后果。这项研究对为女性服务的 IPV 支持计划和住房计划具有重要意义。