Intimate relationship dynamics and women's expected control over sex and contraception

Intimate relationship dynamics and women's expected control over sex and contraception
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DOI:
10.1016/j.contraception.2019.08.009
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发表时间:
2019-12-01
期刊:
影响因子:
2.9
通讯作者:
Barber, Jennifer S.
Barber, Jennifer S.
中科院分区:
医学3区
文献类型:
--
作者:
Kusunoki, Yasamin;Barber, Jennifer S.

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目的:我们调查了女性在亲密关系中和亲密关系中的经历是否会影响她们对性行为和避孕药使用的预期控制水平。研究设计:我们使用了648名年龄在18-20岁的女性的数据,该研究访问了密歇根州一个县的随机人口样本。结果:亲密/承诺与期望控制之间存在U型关系,在最不亲密/承诺和最亲密/承诺的关系中期望控制最低,在中间关系中期望控制最高。与短期关系相比,女性希望在长期关系中拥有更多的控制权,并期望随着时间的推移,在特定关系中的控制权会增加。女性在冲突和/或不对称的关系中也期望更少的控制力--那些有年长和/或暴力伴侣的人,在经历过暴力或伴侣的非一夫一妻制后,期望控制力降低。结论:我们的结果与横断面研究一致,表明处于暴力关系中的女性比处于非暴力关系中的女性经历更多的生殖胁迫,但我们也发现,亲密关系的其他方面是期望控制性和避孕的重要决定因素。(C)2019 Elsevier Inc.保留所有权利。
Objective: We examined whether women's experiences across and within their intimate relationships affect their expected level of control over sex and contraceptive use.Study design: We used data from 648 women ages 18-20 in the Relationship Dynamics and Social Life (RDSL) study, which interviewed a random, population-based sample in a Michigan county. We used ordered logistic regression with fixed-effects to control for individual- and relationship-level characteristics.Results: We found a u-shaped relationship between intimacy/commitment and expected control, with the lowest expected control in the least intimate/committed and the most intimate/committed relationships, and the highest expected control in the intermediate relationships. Women expected more control in their long-term compared to short-term relationships, and expected control increases over time in a specific relationship. Women also expected less control in their conflictual and/or asymmetric relationships - those with older and/or violent partners, and expected control decreases after experiencing violence or a partner's non-monogamy.Conclusions: Our results are consistent with cross-sectional research suggesting that women in violent relationships experience more reproductive coercion than women in non-violent relationships, but we also found that other aspects of intimate relationships are important determinants of expected control over sex and contraception. (C) 2019 Elsevier Inc. All rights reserved.