“I was obligated to accept”: A qualitative exploration of contraceptive coercion

Senderowicz, Leigh

doi:10.1016/j.socscimed.2019.112531

Cited by 131 publications

(164 citation statements)

References 32 publications

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“…Given the myriad positive outcomes for individuals' health and socioeconomic well-being associated with using contraception, facilitating access to the full range of contraceptive methods available for people who wish to avoid pregnancy should continue to be high priority, especially in the current political climate. Perhaps even more importantly, to align with the core tenets of patient-centered care (33), people should be able to select contraceptive methods based on informed, voluntary, and full personal choice (34), not because a health care provider, public health professional, or legislator prioritizes a particular method over others (35)(36)(37). Health care providers have a key role to play in helping their patients make fully informed choices about contraceptive methods, as patients themselves indicate that they put a lot of stock in the opinions of their doctors (38).…”

Section: Discussionmentioning

confidence: 99%

Use of contraception among reproductive-aged women in the United States, 2014 and 2016

Kavanaugh

Pliskin

2020

F&S Reports

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To examine current levels, correlates of, and changes in contraceptive use among reproductive-age women in the United States between 2014 and 2016. Design: We conducted simple and multivariable logistic regression analyses to identify associations between user characteristics and contraceptive use, with specific attention to methods requiring a visit to a health care provider. Setting: Not applicable. Patient(s): All self-identified female respondents to the surveys. Secondary analysis of two rounds of the National Survey of Family Growth, an in-home, nationally representative survey of people ages 15-44 years (2013-2015) and 15-49 years (2015-2017). Intervention(s): None. Main Outcome Measure(s): Current use of a contraceptive method, including use of individual methods and grouped method use in 2016, and change in use from 2014. Result(s): Contraceptive use remained steady between 2014 and 2016 among sexually active females not seeking pregnancy (88%). Among users, use of long-acting reversible contraceptive (LARC) methods increased from 14% to 18%, as use of short-acting reversible contraceptive (SARC) methods fell from 32% to 28%. Implant use among 15-to 19-year-olds rose from 6% to 16% and represents one of the largest increases observed. Access to sexual and reproductive health care was strongly associated with use of all LARC and SARC methods except for the implant (adjusted odds ratios ranged from 3.21 to 13.53). Conclusion(s): Contraceptive users are shifting primarily among the most and moderately effective method groups, and not from contraceptive nonuse to use. Reductions in access to sexual and reproductive health care could have implications for individuals' ability to use their preferred contraceptive methods. (Fertil Steril Rep Ò 2020;1:83-93. Ó2020 by American Society for Reproductive Medicine.

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Section: Discussionmentioning

confidence: 99%

Use of contraception among reproductive-aged women in the United States, 2014 and 2016

Kavanaugh

Pliskin

2020

F&S Reports

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“…One key principle of high-quality client-provider interactions related to family planning services is provider respect for women's fertility plans and family planning preferences [16]. Global and country-specific targets calling for increased contraceptive use to reduce unmet need for family planning, including use of longer-acting methods, have posed challenges to ensuring quality counseling on all family planning methods and respect for women's use of preferred methods, while aiming to achieve these targets [17][18][19]. As a response, recent research and practice has renewed attention towards improving the quality of reproductive health care services through emphasis of client-centered care [8,19,20].…”

Section: Introductionmentioning

confidence: 99%

“…Global and country-specific targets calling for increased contraceptive use to reduce unmet need for family planning, including use of longer-acting methods, have posed challenges to ensuring quality counseling on all family planning methods and respect for women's use of preferred methods, while aiming to achieve these targets [17][18][19]. As a response, recent research and practice has renewed attention towards improving the quality of reproductive health care services through emphasis of client-centered care [8,19,20]. To date, however, there is a dearth of research on quality of family planning services specific to low-and middle-income countries (LMICs), where achieving national demographic targets may take precedence over women's individual fertility intentions and contraceptive preferences [19,[21][22][23].…”

Section: Introductionmentioning

confidence: 99%

“You better use the safer one… leave this one”: the role of health providers in women’s pursuit of their preferred family planning methods

et al. 2020

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Background: Universal access to quality sexual and reproductive health (SRH) services is pivotal to ensuring gender equality. In high-income countries, patient-provider interactions have been shown to shape women's decisions about contraception, with poor exchanges decreasing method uptake and satisfaction. While significant progress has been made to increase women's access to SRH services, in low-and middle-income countries, little is known about the quality of family planning patient-provider interactions. The primary objective of this analysis was to explore the role of health care providers in women's family planning decision-making in Ethiopia. Methods: From July to August 2017, 10 focus group discussions (n = 80) and 30 in-depth interviews were conducted with women aged 15-49 and men aged 18+ recruited via purposive sampling from urban and rural sites in Ethiopia. Semi-structured interview guides explored women's and girls' empowerment in SRH surrounding sex, childbearing, and contraception. All interviews were conducted in Amharic, audio-recorded, and transcribed verbatim into English. Inductive thematic analysis was used to analyze data. Eleven codes specific to provider services for family planning were reviewed and matrixes creates for synthesis. Results: Three primary themes emerged: the role of providers in women's awareness of and demand for family planning services; selection and uptake of contraceptive methods; and discontinuation and switching of contraceptive methods. Results indicate that health extension workers were central to women's awareness of family planning, and health providers' endorsements were instrumental in decisions to adopt methods. The majority of respondents described positive interactions with providers and appreciated thorough counseling when considering using or switching methods. Some women, however, described health providers directing them toward long-acting methods by communicating inaccurate information or emphasizing disadvantages of short-acting methods. A few women described provider reluctance or resistance to switching methods, especially from implants.

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“…Perhaps, the decision to receive contraception at the time could have been in uenced by subtle peer pressure from other parturient women or coercion by clinicians is unclear in the present study. Future studies should examine the effect of providers' bias and coercion on the choices of contraception in the region, given South Africa's history and a body of literature establishing contraceptive coercion [23,24].…”

Section: Discussionmentioning

confidence: 99%

Determinants of Immediate Postpartum Contraception among Parturient Women with HIV in the Eastern Cape, South Africa; A Prospective Cross-sectional Study

Adeniyi

Ajayi

Somefun

et al. 2020

Preprint

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Background: Universal access to contraception is an important strategy adopted by the South African government in order to reduce the rate of unintended pregnancies in women with HIV. In this article, we describe the choices of contraception and also, examine the influencing factors of the choices of contraception in the immediate postpartum period in parturient women with HIV in the Eastern Cape, South Africa.Methods: In this prospective cross-sectional study, 1617 parturient women with HIV completed a survey on the choice of contraception received in the immediate postpartum period (within 72 hours) across three large maternity services in the Eastern Cape between September 2015 to May 2016. Additional information was extracted from their medical records. Choices of contraception were categorised as; short-acting, long-acting reversible and permanent contraception. Adjusted and unadjusted multinomial regression models were employed to determine the influencing factors of the choices of contraception received by the cohort. Results: Participants were predominantly single (69.1%), unemployed (75.1%), had a grade 7-12 level of education (88.4%) and were HIV positive before their index pregnancy (81.3%).The uptake rate of immediate postpartum contraception was high (n=1507; 93.2%) with injectables being the preferred choice in the majority of the participants (n= 1218; 75.3%). Caesarean delivery was associated with higher odds of initiating long-acting reversible (AOR: 7.79; 95% CI:4.04-15.04) and permanent contraception (AOR: 6.52; 95% CI: 3.48-12.22).Conclusions: We found a high uptake of immediate postpartum contraception with a preference for injectables in the study setting. Long-term monitoring of this cohort will elucidate on the loss to follow-up and risk of unintended pregnancies in the region.

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“I was obligated to accept”: A qualitative exploration of contraceptive coercion

Cited by 131 publications

References 32 publications

Use of contraception among reproductive-aged women in the United States, 2014 and 2016

Use of contraception among reproductive-aged women in the United States, 2014 and 2016

“You better use the safer one… leave this one”: the role of health providers in women’s pursuit of their preferred family planning methods

Determinants of Immediate Postpartum Contraception among Parturient Women with HIV in the Eastern Cape, South Africa; A Prospective Cross-sectional Study

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