Beyond a Legacy of Coercion: Long-Acting Reversible Contraception (LARC) and Social Justice

Meier, Simon; Sundstrom, Beth; DeMaria, Andrea L.; Delay, Cara

doi:10.1080/23293691.2018.1556424

Cited by 18 publications

(13 citation statements)

References 44 publications

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“…1 We observed that white women were more likely to report LARC never-use compared to Black women. The United States has a long history of reproductive coercion targeted toward women of color and particularly Black women, 37,38 including coercion to use LARC, 2,39,40 which may be reflected in our findings. Thus, for contraceptive counseling to be effective and equitable, it must be informed by this historical context and reflect an understanding of the role of structural, institutional, and inter-personal racism in healthcare.…”

Section: Discussionmentioning

confidence: 70%

“…Contraceptive experiences do not always match contraceptive preference—some individuals who prefer LARC may not have received LARC, and vice versa 36 . People's contraception preferences and experiences are shaped by myriad factors, and some providers have been shown to coerce individuals into using LARC (including refusing removal when patients request it) 2,39,40 and other providers have been shown to fail to mention LARC as a contraceptive option for certain groups of individuals 13,14 . Thus, targeting providers with training to improve patient education and facilitate positive patient‐provider communication, including training about reproductive autonomy and racism in reproductive healthcare, may help providers address better patients' concerns about LARC.…”

Section: Discussionmentioning

confidence: 99%

“…Contraceptive experiences do not always match contraceptive preference-some individuals who prefer LARC may not have received LARC, and vice versa. 36 People's contraception preferences and experiences are shaped by myriad factors, and some providers have been shown to coerce individuals into using LARC (including refusing removal when patients request it) 2,39,40 and other providers have been shown to fail to mention LARC as a contraceptive option for certain groups of individuals. 13,14…”

Section: Discussionmentioning

confidence: 99%

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Factors associated with never‐use of long‐acting reversible contraception among adult reproductive‐aged women in Ohio

Chakraborty

Chettri

Gallo

et al. 2022

Perspect Sexual Reproductive

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Background The number of women using long‐acting reversible contraception (LARC)—intrauterine devices (IUDs) and implants—is increasing and 14% of contraceptive users in the United States adopt LARC. We examined correlates of LARC never‐use in a population‐based survey of reproductive‐aged women in Ohio. Methods We analyzed data from the 2018‐19 Ohio Survey of Women. We examined the prevalence of LARC never‐use and reasons for never‐use among ever users of contraception (N = 2388). Using Poisson regression to generate prevalence ratios (PRs), we examined associations between selected correlates (demographic factors, healthcare access/quality measures, and religious/political views) and LARC never‐use. Results Most Ohio women (74%) had never used LARC. Commonly reported reasons for not using an IUD or an implant were preferring a different method (46% and 45%, respectively), not wanting an object inside their body (45% and 43%), side effect concerns (39% and 33%), insertion/removal concerns (31% and 25%), and unfamiliarity (13% and 20%). Conservative political views (PR: 1.12, 95% confidence interval [CI]: 1.04–1.22), pro‐life affiliation (PR: 1.11, 95% CI: 1.02–1.20), placing high importance on religion in daily life (PR: 1.15, 95% CI: 1.06–1.26), and being non‐Hispanic white as compared to non‐Hispanic Black (PR: 1.20, 95% CI: 1.02–1.41) were significantly associated with LARC never‐use. Findings were generally similar for models analyzing IUD and implant never‐use separately. Conclusions Among ever‐users of contraception, LARC never‐use was associated with having conservative political views, being religious, and having a pro‐life affiliation. Except for race/ethnicity, demographic and healthcare measures were not associated with LARC never‐use among women in Ohio.

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Section: Discussionmentioning

confidence: 70%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Factors associated with never‐use of long‐acting reversible contraception among adult reproductive‐aged women in Ohio

Chakraborty

Chettri

Gallo

et al. 2022

Perspect Sexual Reproductive

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“…While we observed some differences on sterilization attitudes and beliefs based on gender and geographical region, further quantitative study is necessary to fully assess these patterns. While some participants noted that the ability to provide inpatient postpartum LARC served as an additional contraceptive option for patients who were unable to receive a desired postpartum sterilization, further exploration into the impact of inpatient postpartum LARC on sterilization rates, counseling by clinicians, patient preference, and the potential for coercion is needed [17,31,32].…”

Section: Discussionmentioning

confidence: 99%

Attitudes and beliefs of obstetricians–gynecologists regarding Medicaid postpartum sterilization – A qualitative study

et al. 2020

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“…These disparities contribute to a gender imbalance among rural women where women of color experience negative health outcomes twofold compared to nonmarginalized groups (Averitt Taylor, ; Gaston, ; Hargraves, ). Additionally, reproductive health physicians and activists must balance contraceptive access and family planning programs with a legacy of reproductive oppression and coerced sterilization (Hooton, ; Meier, Sundstrom, & DeMaria, ; Roberts, ). Women of color in particular face a history of government sanctioned sterilization and coercive contraceptive counseling, such as promoting particular methods (e.g., Norplant) for low‐income women and women of color in order to limit their reproduction.…”

Section: Rural Health Disparitiesmentioning

confidence: 99%

“Nobody Ever Asks Me:” A Reproductive Justice Approach to Rural Health Disparities

Smith

Sundstrom

DeMaria

2019

Anal Soc Iss & Public Policy

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Rural women within the southern United States face complex challenges when attempting to access reproductive health care. A reproductive justice framework provides an intersectional approach to understanding the experiences of women from varying backgrounds. Researchers conducted 52 in-depth interviews with women aged 18-44 years in rural South Carolina to understand perceived reproductive health care barriers through a reproductive justice framework. Interviews were analyzed using a constant-comparative method with qualitative data analysis software HyperRESEARCH 3.7.2. Reproductive justice served as the conceptual lens. Participants noted barriers to reproductive health care including cost, poor quality of care, and long wait times. Participants described confidentiality concerns and lack of facilities. Insufficient access to health care for women in conjunction with racial and cultural norms revealed intersectionality between gender and race. Participants reported limited autonomy over health decisions due to generational habits of not seeking care and predetermined Rural Health 79 attitudes toward health, influencing social capital and access to care. Findings suggest the need for grassroots organizing to shift the focus from reproductive rights to reproductive justice, facilitating autonomous health decisions and supportive environments to exercise decision making. Robust understandings of women's lived experiences offer insights to addressing health barriers in rural communities.Roughly 51 million Americans live in rural areas, which are characterized by sparse populations, underdeveloped economic infrastructures, and significant barriers to healthcare (Douthit, Kiv, Dwolatzky, & Biswas, 2015). Women residing in rural communities experience challenges to accessing health care, including increased poverty, lack of health insurance, and longer travel distances to seek health care (ACOG

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Beyond a Legacy of Coercion: Long-Acting Reversible Contraception (LARC) and Social Justice

Cited by 18 publications

References 44 publications

Factors associated with never‐use of long‐acting reversible contraception among adult reproductive‐aged women in Ohio

Factors associated with never‐use of long‐acting reversible contraception among adult reproductive‐aged women in Ohio

Attitudes and beliefs of obstetricians–gynecologists regarding Medicaid postpartum sterilization – A qualitative study

“Nobody Ever Asks Me:” A Reproductive Justice Approach to Rural Health Disparities

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