Intimate partner violence, reproductive coercion, and unintended pregnancy in women with disabilities
Intimate partner violence, reproductive coercion, and unintended pregnancy in women with disabilities
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DOI：
10.1016/j.dhjo.2019.100849
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发表时间：
2020-04-01
影响因子：
4.5
通讯作者：
Hughes, Rosemary B.
中科院分区：
文献类型：
--
作者：
Alhusen, Jeanne L.;Bloom, Tina;Hughes, Rosemary B.
背景：残疾妇女遭受亲密伴侣暴力（IPV）的比例高于一般人群。生殖胁迫，一种亲密伴侣暴力，与意外怀孕（UIP）的风险增加有关，但很少有人知道这种关系之间的妇女disability.Objective：本定性描述性研究探讨了残疾妇女的观点谁经历了UIP作为生殖胁迫的结果。深入，半结构化的电话采访进行了9名妇女生活在不同的残疾在美国作为一个更大的研究的一部分，探讨促进者和障碍，以UIP在妇女与残疾人。分析揭示了三个广泛的主题，涉及身体暴力和生殖胁迫增加妇女UIP风险的方式。他们包括（1）不充分的医疗保健提供者或系统的反应，（2）残疾相关的风险IPV，和（3）资源需求，以优化safety.Conclusions：这是第一次深入探讨的方式，生殖胁迫可能会导致UIP残疾妇女的风险增加。卫生保健提供者必须筛查IPV和生殖胁迫，并为因暴力而意外怀孕的残疾妇女提供必要的支持和资源。(c)2019爱思唯尔公司All rights reserved.
Background: Women with disabilities experience higher rates of intimate partner violence (IPV) than the general population. Reproductive coercion, a type of intimate partner violence, is associated with an increased risk of unintended pregnancy (UIP), yet little is known about this relationship among women with disabilities.Objective: This qualitative descriptive study explored perspectives of women with disabilities who had experienced an UIP as a result of reproductive coercion.Method: In-depth, semi-structured telephone interviews were conducted with nine women living with diverse disabilities across the United States as part of a larger study examining facilitators and barriers to UIP among women with disabilities.Results: Analysis revealed three broad themes related to the ways in which physical violence and reproductive coercion elevated women's risk of UIP. They included (1) inadequate health care provider or system response, (2) disability-related risks for IPV, and (3) resource needs to optimize safety.Conclusions: This is the first in-depth exploration of ways in which reproductive coercion may lead to an increased risk of UIP among women with disabilities. Health care providers must screen for IPV and reproductive coercion and provide the necessary supports and resources for women with disabilities experiencing unintended pregnancy as a result of violence. (c) 2019 Elsevier Inc. All rights reserved.