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Correlates and contributors of reproductive coercion across the socioecological framework among intimate partner violence survivors in Nairobi, Kenya

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Abstract

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.

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Funding

This study was funded by Ideas42. Keywords: reproductive coercion; intimate partner violence; women’s health; psychological violence

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Authors and Affiliations

  1. Department of Population, Family, and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA

    Shannon N. Wood, Zaynab Hameeduddin, Linnea A. Zimmerman & Michele R. Decker

  2. Johns Hopkins School of Nursing, Baltimore, MD, USA

    S. Rachel Kennedy, Nancy Glass & Michele R. Decker

  3. Ujamaa-Africa, Mashinani Department, Nairobi, Kenya

    Irene Akumu, Catherine Tallam & Ben Asira

  4. Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA

    Nancy Glass

  5. Center for Global Health, Johns Hopkins University, Baltimore, MD, USA

    Nancy Glass

  6. Center for Public Health & Human Rights, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA

    Michele R. Decker

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  1. Shannon N. Wood
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  2. S. Rachel Kennedy
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  3. Irene Akumu
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  4. Catherine Tallam
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  6. Zaynab Hameeduddin
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  8. Nancy Glass
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  9. Michele R. Decker
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Correspondence to Shannon N. Wood.

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Wood, S.N., Kennedy, S.R., Akumu, I. et al. Correlates and contributors of reproductive coercion across the socioecological framework among intimate partner violence survivors in Nairobi, Kenya. J Fam Viol 38, 25–38 (2023). https://doi.org/10.1007/s10896-022-00374-w

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