Cargando…

Reproductive coercion in Uttar Pradesh, India: Prevalence and associations with partner violence and reproductive health

Increasing modern contraceptive use and gender equity are major foci of the recently ratified Sustainable Development Goals for 2030 and the Government of India. Coercion and sabotage by husbands and in-laws to inhibit women's access, initiation, continuation, and successful use of modern contr...

Descripción completa

Detalles Bibliográficos
Autores principales: Silverman, Jay G., Boyce, Sabrina C., Dehingia, Nabamallika, Rao, Namratha, Chandurkar, Dharmoo, Nanda, Priya, Hay, Katherine, Atmavilas, Yamini, Saggurti, Niranjan, Raj, Anita
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6978494/
https://www.ncbi.nlm.nih.gov/pubmed/31998826
http://dx.doi.org/10.1016/j.ssmph.2019.100484
_version_ 1783490713748504576
author Silverman, Jay G.
Boyce, Sabrina C.
Dehingia, Nabamallika
Rao, Namratha
Chandurkar, Dharmoo
Nanda, Priya
Hay, Katherine
Atmavilas, Yamini
Saggurti, Niranjan
Raj, Anita
author_facet Silverman, Jay G.
Boyce, Sabrina C.
Dehingia, Nabamallika
Rao, Namratha
Chandurkar, Dharmoo
Nanda, Priya
Hay, Katherine
Atmavilas, Yamini
Saggurti, Niranjan
Raj, Anita
author_sort Silverman, Jay G.
collection PubMed
description Increasing modern contraceptive use and gender equity are major foci of the recently ratified Sustainable Development Goals for 2030 and the Government of India. Coercion and sabotage by husbands and in-laws to inhibit women's access, initiation, continuation, and successful use of modern contraception methods (i.e., reproductive coercion) may contribute to low usage rates and unintended pregnancy in India; however, little is known about the extent of this problem. The current study assesses the prevalence of reproductive coercion, both husband and in-law perpetrated, among a large population-based sample. Data were collected from currently married women of reproductive age (15–49 years; N = 1770) across 49 districts of Uttar Pradesh as part of an evaluation of a broad effort to improve the public health system in the state. Dependent variables included modern contraceptive use in the past 12 months, unintended pregnancy, and pregnancy termination. Independent variables included ever experiencing reproductive coercion (RC) by a current husband or in-laws and lifetime experience of physical and sexual intimate partner violence (IPV) by a current husband. Approximately 1 in 8 (12%) women reported ever experiencing RC from their current husbands or in-laws; 42% of these women reported RC by husbands only, 48% reported RC by in-laws only, and 10% reported RC by both husbands and in-laws. Among women experiencing RC, more than one-third (36%) reported that their most recent pregnancy was unintended; these women had 4 to 5 times greater odds of unintended pregnancy and a more than 5 times decreased likelihood of recent use of modern contraceptives than women not experiencing RC, after accounting for effects of demographics and physical and sexual IPV. Scalable and sustainable interventions in both clinical and community settings are needed to reduce RC, a potentially key factor in effective strategies for improving women's reproductive autonomy and health in India and globally.
format Online
Article
Text
id pubmed-6978494
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-69784942020-01-29 Reproductive coercion in Uttar Pradesh, India: Prevalence and associations with partner violence and reproductive health Silverman, Jay G. Boyce, Sabrina C. Dehingia, Nabamallika Rao, Namratha Chandurkar, Dharmoo Nanda, Priya Hay, Katherine Atmavilas, Yamini Saggurti, Niranjan Raj, Anita SSM Popul Health Special Section: Gender Equality, Empowerment and Health (Guest editor: Anita Raj) Increasing modern contraceptive use and gender equity are major foci of the recently ratified Sustainable Development Goals for 2030 and the Government of India. Coercion and sabotage by husbands and in-laws to inhibit women's access, initiation, continuation, and successful use of modern contraception methods (i.e., reproductive coercion) may contribute to low usage rates and unintended pregnancy in India; however, little is known about the extent of this problem. The current study assesses the prevalence of reproductive coercion, both husband and in-law perpetrated, among a large population-based sample. Data were collected from currently married women of reproductive age (15–49 years; N = 1770) across 49 districts of Uttar Pradesh as part of an evaluation of a broad effort to improve the public health system in the state. Dependent variables included modern contraceptive use in the past 12 months, unintended pregnancy, and pregnancy termination. Independent variables included ever experiencing reproductive coercion (RC) by a current husband or in-laws and lifetime experience of physical and sexual intimate partner violence (IPV) by a current husband. Approximately 1 in 8 (12%) women reported ever experiencing RC from their current husbands or in-laws; 42% of these women reported RC by husbands only, 48% reported RC by in-laws only, and 10% reported RC by both husbands and in-laws. Among women experiencing RC, more than one-third (36%) reported that their most recent pregnancy was unintended; these women had 4 to 5 times greater odds of unintended pregnancy and a more than 5 times decreased likelihood of recent use of modern contraceptives than women not experiencing RC, after accounting for effects of demographics and physical and sexual IPV. Scalable and sustainable interventions in both clinical and community settings are needed to reduce RC, a potentially key factor in effective strategies for improving women's reproductive autonomy and health in India and globally. Elsevier 2019-11-20 /pmc/articles/PMC6978494/ /pubmed/31998826 http://dx.doi.org/10.1016/j.ssmph.2019.100484 Text en © 2020 Published by Elsevier Ltd. http://creativecommons.org/licenses/by/4.0/ This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Special Section: Gender Equality, Empowerment and Health (Guest editor: Anita Raj)
Silverman, Jay G.
Boyce, Sabrina C.
Dehingia, Nabamallika
Rao, Namratha
Chandurkar, Dharmoo
Nanda, Priya
Hay, Katherine
Atmavilas, Yamini
Saggurti, Niranjan
Raj, Anita
Reproductive coercion in Uttar Pradesh, India: Prevalence and associations with partner violence and reproductive health
title Reproductive coercion in Uttar Pradesh, India: Prevalence and associations with partner violence and reproductive health
title_full Reproductive coercion in Uttar Pradesh, India: Prevalence and associations with partner violence and reproductive health
title_fullStr Reproductive coercion in Uttar Pradesh, India: Prevalence and associations with partner violence and reproductive health
title_full_unstemmed Reproductive coercion in Uttar Pradesh, India: Prevalence and associations with partner violence and reproductive health
title_short Reproductive coercion in Uttar Pradesh, India: Prevalence and associations with partner violence and reproductive health
title_sort reproductive coercion in uttar pradesh, india: prevalence and associations with partner violence and reproductive health
topic Special Section: Gender Equality, Empowerment and Health (Guest editor: Anita Raj)
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6978494/
https://www.ncbi.nlm.nih.gov/pubmed/31998826
http://dx.doi.org/10.1016/j.ssmph.2019.100484
work_keys_str_mv AT silvermanjayg reproductivecoercioninuttarpradeshindiaprevalenceandassociationswithpartnerviolenceandreproductivehealth
AT boycesabrinac reproductivecoercioninuttarpradeshindiaprevalenceandassociationswithpartnerviolenceandreproductivehealth
AT dehingianabamallika reproductivecoercioninuttarpradeshindiaprevalenceandassociationswithpartnerviolenceandreproductivehealth
AT raonamratha reproductivecoercioninuttarpradeshindiaprevalenceandassociationswithpartnerviolenceandreproductivehealth
AT chandurkardharmoo reproductivecoercioninuttarpradeshindiaprevalenceandassociationswithpartnerviolenceandreproductivehealth
AT nandapriya reproductivecoercioninuttarpradeshindiaprevalenceandassociationswithpartnerviolenceandreproductivehealth
AT haykatherine reproductivecoercioninuttarpradeshindiaprevalenceandassociationswithpartnerviolenceandreproductivehealth
AT atmavilasyamini reproductivecoercioninuttarpradeshindiaprevalenceandassociationswithpartnerviolenceandreproductivehealth
AT saggurtiniranjan reproductivecoercioninuttarpradeshindiaprevalenceandassociationswithpartnerviolenceandreproductivehealth
AT rajanita reproductivecoercioninuttarpradeshindiaprevalenceandassociationswithpartnerviolenceandreproductivehealth