"At Least I Didn't Get Raped": A Qualitative Exploration of IPV and Reproductive Coercion among Adolescent Girls Seeking Family Planning in Mexico.

"At Least I Didn't Get Raped": A Qualitative Exploration of IPV and Reproductive Coercion among Adolescent Girls Seeking Family Planning in Mexico.
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DOI:
10.1177/0886260520959571
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发表时间:
2022-04
影响因子:
2.5
通讯作者:
Servin AE
Servin AE
中科院分区:
心理学3区
文献类型:
--
作者:
Uysal J;Stockman JK;Miller E;Rocha-Jimenez T;Rangel GM;Mercado AP;Servin AE

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报告亲密伴侣暴力(IPV)的少女遭受生殖胁迫(RC)的风险增加;这两种形式的基于性别的暴力(GBV)都与意外怀孕有关。然而,人们对墨西哥少女的这些经历知之甚少。定性数据收集的形成性研究的一部分,以适应基于证据的干预措施,以解决RC和IPV在蒂华纳,墨西哥的社区卫生中心。2017年9月至2018年1月,从两个公共资助的社区卫生中心确定并招募了寻求自愿计划生育(FP)服务的16至20岁(n = 20)青春期女孩。我们进行了半结构化的深入访谈,并使用归纳和演绎技术分析了成绩单。该样本中的参与者通常描述经历IPV和RC(包括怀孕胁迫和避孕破坏),许多女孩报告导致意外怀孕。此外,参与者的叙述和对如何科普IPV或RC的普遍缺乏知识,说明了在为这一人群服务的计划生育诊所内提供基于性别的暴力预防干预的可接受性。研究结果强调迫切需要预防IPV和RC,并降低该地区少女意外怀孕的风险,以及FP诊所作为干预措施提供安全空间的潜力。调查结果有助于有限的定性证据,从墨西哥,描述青春期少女的经验IPV和RC,战略,预防怀孕的背景下,RC,并有机会从FP供应商的支持。
Adolescent girls who report intimate partner violence (IPV) are at an increased risk of experiencing reproductive coercion (RC); both these forms of gender-based violence (GBV) are associated with unintended pregnancy. Yet little is known about these experiences among adolescent girls in Mexico. Qualitative data were collected as part of formative research for the adaptation of an evidence-based intervention to address RC and IPV in community health centers in Tijuana, Mexico. From September, 2017 to January, 2018, adolescent girls aged 16 to 20 years old (n = 20) seeking voluntary family planning (FP) services were identified and recruited from two publicly funded community health centers. We conducted semi-structured, in-depth interviews and analyzed the transcripts using inductive and deductive techniques. Participants in this sample commonly described experiencing IPV and RC (including pregnancy coercion and contraceptive sabotage), which many girls reported resulted in unintended pregnancy. Further, participants’ narratives and general lack of knowledge on how to cope with IPV or RC illuminated the acceptability of offering GBV prevention intervention within FP clinics serving this population. Findings highlight an urgent need to prevent IPV and RC, and reduce risk for unintended pregnancy among adolescent girls in this region and the potential of FP clinics to serve as a safe space for intervention delivery. Findings contribute to the limited qualitative evidence from Mexico, describing adolescent girl’s experiences of IPV and RC, strategies for preventing pregnancy in the context of RC, and opportunities for support from FP providers.
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