TY  - JOUR
PY  - 2017//
TI  - Reproductive coercion in high-school-aged girls: associations with reproductive health risk and intimate partner violence
JO  - Journal of Pediatric and Adolescent Gynecology
A1  - Northridge, Jennifer L.
A1  - Silver, Ellen J.
A1  - Talib, Hina J.
A1  - Coupey, Susan M.
SP  - 603
EP  - 608
VL  - 30
IS  - 6
N2  - STUDY OBJECTIVE: To determine the prevalence of reproductive coercion, a form of intimate partner violence (IPV) including contraceptive sabotage and pregnancy pressure, among urban high-school-aged girls and to examine its associations with reproductive health risks. <br><br>DESIGN: and Setting: A self-administered survey completed by high-school-aged girls living in high-poverty neighborhoods while awaiting medical care in a pediatric emergency room, inpatient service, school-based and hospital-based clinics. PARTICIPANTS: 149 sexually active girls aged 14-17 years. MAIN OUTCOME MEASURES: To determine the prevalence of reproductive coercion and to examine associations with unprotected sex, STIs, physical IPV, and risk factors for abusive relationships. <br><br>RESULTS: 29/149 (19%) of girls reported reproductive coercion, most frequently that a romantic or sexual partner had ever: "told them not to use any birth control" (n=23, 79%); "took off a condom during sex so they would get pregnant" (n=12, 43%); and "said he would leave them if they didn't get pregnant" (n=6, 21%). Girls reporting reproductive coercion were nearly three times more likely than those not coerced to have had chlamydia [OR 2.7 (1.01, 7.19)] and nearly five times more likely to report IPV [OR 4.8 (2.0, 11.8)]. In addition, girls reporting coercion were less likely to have high recognition of abusive behaviors [OR 0.10 (0.01, 0.8)] and less likely to have high comfort communicating with their sexual partners [OR 0.32 (0.1, 0.7)] than girls not reporting coercion. <br><br>CONCLUSIONS: Reproductive coercion is experienced by one in five high-school-aged girls in a high-poverty community and is associated with chlamydia infection and IPV. Awareness of the high prevalence and health risks of coercion may allow for intervention.<br><br>Copyright © 2017. Published by Elsevier Inc.<p />  <p>Language: en</p>
LA  - en
SN  - 1083-3188
UR  - http://dx.doi.org/10.1016/j.jpag.2017.06.007
ID  - ref1
ER  -