Cargando…

Reproductive Coercion and Relationship Abuse Among Adolescents and Young Women Seeking Care at School Health Centers

OBJECTIVE: To investigate demographic differences and evaluate how reproductive coercion and relationship abuse influences young females' care-seeking and sexual health behaviors. METHODS: We conducted a secondary analysis of cross-sectional baseline survey data from sexually active female stud...

Descripción completa

Detalles Bibliográficos
Autores principales: Hill, Amber L., Jones, Kelley A., McCauley, Heather L., Tancredi, Daniel J., Silverman, Jay G., Miller, Elizabeth
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6687410/
https://www.ncbi.nlm.nih.gov/pubmed/31306331
http://dx.doi.org/10.1097/AOG.0000000000003374
_version_ 1783442725539938304
author Hill, Amber L.
Jones, Kelley A.
McCauley, Heather L.
Tancredi, Daniel J.
Silverman, Jay G.
Miller, Elizabeth
author_facet Hill, Amber L.
Jones, Kelley A.
McCauley, Heather L.
Tancredi, Daniel J.
Silverman, Jay G.
Miller, Elizabeth
author_sort Hill, Amber L.
collection PubMed
description OBJECTIVE: To investigate demographic differences and evaluate how reproductive coercion and relationship abuse influences young females' care-seeking and sexual health behaviors. METHODS: We conducted a secondary analysis of cross-sectional baseline survey data from sexually active female students (aged 14–19 years) who sought care from school health centers. Outcomes included recent (previous 3 months) reproductive coercion, physical or sexual adolescent relationship abuse, and nonpartner sexual violence victimization. Cluster-adjusted χ(2) tests compared demographics and generalized linear mixed models estimated associations among reproductive coercion, adolescent relationship abuse (physical and sexual abuse in romantic relationships), and care-seeking and sexual health behaviors. RESULTS: Of 550 sexually active high school females, 12% reported recent reproductive coercion and 17% reported physical or sexual adolescent relationship abuse, with no significant demographic differences. Prevalence of recent nonpartner sexual violence was 17%. There were no observed significant differences in care-seeking behaviors among those with recent reproductive coercion compared with those without. Physical or sexual adolescent relationship abuse was associated with increased odds of seeking testing or treatment for sexually transmitted infections (adjusted odds ratio [aOR] 2.08, 95% CI 1.05–4.13). Females exposed to both adolescent relationship abuse and reproductive coercion had higher odds of having a partner who was 5 or more years older (aOR 4.66, 95% CI 1.51–14.4), having two or more recent sexual partners (aOR 3.86, 95% CI 1.57–9.48), and using hormonal contraception only (aOR 3.77, 95% CI 1.09–13.1 vs hormonal methods with condoms). CONCLUSION: Almost one in eight females experienced recent reproductive coercion. We did not observe significant demographic differences in reproductive coercion. Partner age and number of sexual partners may elevate risk for abusive relationships. Relationship abuse is prevalent among high school students seeking care, with no clear pattern for case identification. By failing to identify factors associated with harmful partner behaviors, our results support universal assessment for reproductive coercion and relationship abuse among high school–aged adolescents, involving education, resources, and harm-reduction counseling to all patients. CLINICAL TRIAL REGISTRATION: ClinicalTrials.gov, NCT01678378.
format Online
Article
Text
id pubmed-6687410
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher Lippincott Williams & Wilkins
record_format MEDLINE/PubMed
spelling pubmed-66874102019-09-16 Reproductive Coercion and Relationship Abuse Among Adolescents and Young Women Seeking Care at School Health Centers Hill, Amber L. Jones, Kelley A. McCauley, Heather L. Tancredi, Daniel J. Silverman, Jay G. Miller, Elizabeth Obstet Gynecol Contents OBJECTIVE: To investigate demographic differences and evaluate how reproductive coercion and relationship abuse influences young females' care-seeking and sexual health behaviors. METHODS: We conducted a secondary analysis of cross-sectional baseline survey data from sexually active female students (aged 14–19 years) who sought care from school health centers. Outcomes included recent (previous 3 months) reproductive coercion, physical or sexual adolescent relationship abuse, and nonpartner sexual violence victimization. Cluster-adjusted χ(2) tests compared demographics and generalized linear mixed models estimated associations among reproductive coercion, adolescent relationship abuse (physical and sexual abuse in romantic relationships), and care-seeking and sexual health behaviors. RESULTS: Of 550 sexually active high school females, 12% reported recent reproductive coercion and 17% reported physical or sexual adolescent relationship abuse, with no significant demographic differences. Prevalence of recent nonpartner sexual violence was 17%. There were no observed significant differences in care-seeking behaviors among those with recent reproductive coercion compared with those without. Physical or sexual adolescent relationship abuse was associated with increased odds of seeking testing or treatment for sexually transmitted infections (adjusted odds ratio [aOR] 2.08, 95% CI 1.05–4.13). Females exposed to both adolescent relationship abuse and reproductive coercion had higher odds of having a partner who was 5 or more years older (aOR 4.66, 95% CI 1.51–14.4), having two or more recent sexual partners (aOR 3.86, 95% CI 1.57–9.48), and using hormonal contraception only (aOR 3.77, 95% CI 1.09–13.1 vs hormonal methods with condoms). CONCLUSION: Almost one in eight females experienced recent reproductive coercion. We did not observe significant demographic differences in reproductive coercion. Partner age and number of sexual partners may elevate risk for abusive relationships. Relationship abuse is prevalent among high school students seeking care, with no clear pattern for case identification. By failing to identify factors associated with harmful partner behaviors, our results support universal assessment for reproductive coercion and relationship abuse among high school–aged adolescents, involving education, resources, and harm-reduction counseling to all patients. CLINICAL TRIAL REGISTRATION: ClinicalTrials.gov, NCT01678378. Lippincott Williams & Wilkins 2019-08 2019-07-11 /pmc/articles/PMC6687410/ /pubmed/31306331 http://dx.doi.org/10.1097/AOG.0000000000003374 Text en © 2019 The Author(s). Published by Wolters Kluwer Health, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Contents
Hill, Amber L.
Jones, Kelley A.
McCauley, Heather L.
Tancredi, Daniel J.
Silverman, Jay G.
Miller, Elizabeth
Reproductive Coercion and Relationship Abuse Among Adolescents and Young Women Seeking Care at School Health Centers
title Reproductive Coercion and Relationship Abuse Among Adolescents and Young Women Seeking Care at School Health Centers
title_full Reproductive Coercion and Relationship Abuse Among Adolescents and Young Women Seeking Care at School Health Centers
title_fullStr Reproductive Coercion and Relationship Abuse Among Adolescents and Young Women Seeking Care at School Health Centers
title_full_unstemmed Reproductive Coercion and Relationship Abuse Among Adolescents and Young Women Seeking Care at School Health Centers
title_short Reproductive Coercion and Relationship Abuse Among Adolescents and Young Women Seeking Care at School Health Centers
title_sort reproductive coercion and relationship abuse among adolescents and young women seeking care at school health centers
topic Contents
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6687410/
https://www.ncbi.nlm.nih.gov/pubmed/31306331
http://dx.doi.org/10.1097/AOG.0000000000003374
work_keys_str_mv AT hillamberl reproductivecoercionandrelationshipabuseamongadolescentsandyoungwomenseekingcareatschoolhealthcenters
AT joneskelleya reproductivecoercionandrelationshipabuseamongadolescentsandyoungwomenseekingcareatschoolhealthcenters
AT mccauleyheatherl reproductivecoercionandrelationshipabuseamongadolescentsandyoungwomenseekingcareatschoolhealthcenters
AT tancredidanielj reproductivecoercionandrelationshipabuseamongadolescentsandyoungwomenseekingcareatschoolhealthcenters
AT silvermanjayg reproductivecoercionandrelationshipabuseamongadolescentsandyoungwomenseekingcareatschoolhealthcenters
AT millerelizabeth reproductivecoercionandrelationshipabuseamongadolescentsandyoungwomenseekingcareatschoolhealthcenters