Sexual and Reproductive Health and Reproductive Coercion in Women Victim/Survivors Receiving Housing Support.
Sexual and Reproductive Health and Reproductive Coercion in Women Victim/Survivors Receiving Housing Support.
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接受住房支持的女性/幸存者的性健康和生殖健康和生殖胁迫。
DOI：
10.1007/s10896-022-00362-0
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发表时间：
2023
影响因子：
3.8
通讯作者：
Decker MR
中科院分区：
文献类型：
--
作者：
Grace KT;Holliday CN;Bevilacqua K;Kaur A;Miller J;Decker MR
住房不稳定和亲密伴侣暴力通过减少避孕药具的获得和增加意外怀孕的风险，损害了妇女的性健康和生殖健康。本研究描述了IPV幸存者接受住房支持的生殖健康状况和需求，并探讨了影响他们的生殖胁迫（RC）的经验，具体的因素。分析了2019年6月至2020年12月在马里兰州巴尔的摩大都会区参加住房计划的70名IPV幸存者的准实验性研究的横断面基线数据。在参与研究的70名妇女中，70.3%（n = 45）希望避免怀孕，但57.4%的妇女没有使用避孕方法（31.2%）或使用效果不佳的方法（26.2%）。在过去的3个月里，大约有1/6的女性（16.4%，n = 11）经历了RC，这与IPV（p = 0.001至0.005）和PTSD（p = 0.001）的频率和严重程度以及不与虐待伴侣分享孩子（p = 0.002）有关。这项研究强调了生殖健康风险的一个重要的和未得到充分研究的人口的妇女寻求住房，由于IPV。离开虐待关系是一个特别脆弱的时期，也是一个机会的时期，因为妇女正在获得可以根据其性健康和生殖健康需求量身定制的服务。显著的结果突出了这一人群中RC的脆弱性和后果。这项研究对IPV支持计划和为妇女服务的住房计划具有影响。
Housing instability and intimate partner violence (IPV) compromise women’s sexual and reproductive health (SRH) through reduced contraceptive access and increased risk of unintended pregnancy. This study describes the reproductive health status and needs of IPV survivors receiving housing support and explores factors influencing their experience of reproductive coercion (RC), specifically. Cross-sectional baseline data from a quasi-experimental study of 70 IPV survivors enrolled in housing programs in the Baltimore, MD, metropolitan area from June 2019 through December 2020 were analyzed. Of the 70 women enrolled in the study, 70.3 percent (n = 45) desired to avoid pregnancy, but 57.4 percent were either using no contraceptive method (31.2%) or methods with low effectiveness (26.2%). Approximately, 1 in 6 women (16.4%, n = 11) experienced RC in the past 3 months, which was associated with frequency and severity of IPV (p = 0.001 to 0.005) and PTSD (p = 0.001), as well as not sharing children with the abusive partner (p = 0.002). This study highlights reproductive health risks in an important and under-studied population of women seeking housing due to IPV. Leaving an abusive relationship is a uniquely vulnerable time, and also a time of opportunity, as women are accessing services that can be tailored to their SRH needs. Significant results highlight vulnerability to and consequences of RC in this population. This study has implications for IPV support programs and housing programs that serve women.
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2.3
作者：
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通讯作者：
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