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04.02.2022 | Original Article

Correlates and contributors of reproductive coercion across the socioecological framework among intimate partner violence survivors in Nairobi, Kenya

verfasst von: Shannon N. Wood, S. Rachel Kennedy, Irene Akumu, Catherine Tallam, Ben Asira, Zaynab Hameeduddin, Linnea A. Zimmerman, Nancy Glass, Michele R. Decker

Erschienen in: Journal of Family Violence | Ausgabe 1/2023

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Abstract

Purpose

Reproductive coercion (RC) is a type of intimate partner violence that involves interference in contraceptive and reproductive decisions. A multi-methods design explored correlates (quantitative) and contributors (qualitative) of partner-perpetrated RC across the socioecological framework among intimate partner violence survivors (IPV) in Nairobi, Kenya.

Methods

Quantitative analyses utilize baseline data from the myPlan Kenya trial (n=327). Multivariable Poisson regression examined the association between postulated correlates and overall RC (range: 0-9), and sub-types of pregnancy coercion (range: 0-5) and condom manipulation (range: 0-4). In-depth interviews (IDIs; n=30) conducted at three-month follow-up among women indicating RC experience at baseline explored women’s perceived contributors to RC via inductive thematic analysis.

Results

Within the past three months, over 80% of IPV survivors experienced any RC, and IPV survivors experienced 3.8 RC behaviors on average. Factors associated with overall RC included not wanting their last child at all (aIRR =1.28; p=0.009), partner’s concurrent partnership (aIRR=1.33; p<0.001), and inconvenient contraceptive method use (aIRR=1.36; p=0.01), whereas increased couple communication was protective against RC (aIRR=0.96; p<0.001). IDIs revealed potential contributors to RC, including partner’s desire for children; partner fear of contraceptive side effects; cultural norms surrounding family planning use within marriage; decision-making power disparities reinforced by economics; partner’s fear of abandonment; and presence of children from previous relationships.

Conclusions

Results indicate individual- and couple-level characteristics are crucial for understanding RC for Nairobi’s IPV survivors. Knowledge of RC risk factors can assist practitioners in mitigating against reproductive interference, and ensuring women are using contraceptive methods most suited to their circumstances and aligned with their reproductive preferences.

African Population and Health Research Center (APHRC). (2014). Population and Health Dynamics in Nairobi’s Informal Settlements: Report of the Nairobi Cross-sectional Slums Survey (NCSS) 2012.

Black, M. C., Basile, K. C., Breiding, M. J., Smith, S. G., Walters, M. L., Merrick, M. T., & Stevens, M. R. (2011). The National Intimate Partner and Sexual Violence Survey (NISVS): 2010 Summary Report.

Braun, V., & Clarke, V. (2006). Using themetic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101.CrossRef

Budtz-Jørgensen, E., Keiding, N., Grandjean, P., & Weihe, P. (2007). Confounder Selection in Environmental Epidemiology: Assessment of Health Effects of Prenatal Mercury Exposure. Annals of Epidemiology, 17(1), 27–35. https://doi.org/10.1016/j.annepidem.2006.05.007CrossRef

Chamberlain, B. L., & Levenson, R. (2012). Addressing intimate partner violence, reproductive and sexual coercion: A guide for obstetric, gynecologic and reproductive health care settings.

Clark, L. E., Allen, R. H., Goyal, V., Raker, C., & Gottlieb, A. S. (2014). Reproductive coercion and co-occurring intimate partner violence in obstetrics and gynecology Patients. The American Journal of Obstetrics & Gynecology, 210(1), 42.e1-42.e8. doi:https://doi.org/10.1016/j.ajog.2013.09.019

Decker, M. R., Wood, S. N., Hameeduddin, Z., Kennedy, S. R., Perrin, N., Tallam, C., Akumu, I., Wanjiru, I., Asira, B., Frankel, A., Omondi, B., Case, J., Clough, A., Otieno, R., Mwiti, M., & Glass, N. (2020a). Safety decision-making and planning mobile app for intimate partner violence prevention and response: randomised controlled trial in Kenya. BMJ Global Health, 5(002091).

Decker, M. R., Wood, S. N., Kennedy, S. R., Hameeduddin, Z., Tallam, C., Akumu, I., Wanjiru, I., Asira, B., Omondi, B., Case, J., Clough, A., Otieno, R., Mwiti, M., Perrin, N., & Glass, N. (2020b). Adapting the myPlan safety app to respond to intimate partner violence for women in low and middle income country settings: app tailoring and randomized controlled trial protocol. BMC Public Health, 20(808), 1–13.

DeLong, S. M., Brooks, M. I., Aliou, S., Lundgren, R., Corneliess, C., Johns, N. E., Challa, S., Carter, N., Lauro, G., & Silverman, J. G. (2020). Married very young adolescent girls in Niger at greatest risk of lifetime male partner reproductive coercion and sexual violence. PLoS ONE, 15(4), 1–14. https://doi.org/10.1371/journal.pone.0231392CrossRef

Denzin, N. (1978). The research act: A theoretical introduction to sociological methods. McGraw-Hill.

DHS. (2016). Demographic and Health Surveys: Model Woman’s Questionnaire. 1, 1–75.

Gillum, T. L., Doucette, M., Mwanza, M., & Munala, L. (2016). Exploring Kenyan women’s perceptions of intimate partner violence. Journal of Interpersonal Violence, 1–25. https://doi.org/10.1177/0886260515622842

Grace, K. T., & Fleming, C. (2016). A Systematic Review of Reproductive Coercion in International Settings. World Medical and Health Policy, 8(4), 382–408.CrossRef

Guest, G., MacQueen, K., & Namey, E. (2012). Applied thematic analysis. Sage Publications.CrossRef

Gupta, J., Falb, K., Kpebo, D., & Annan, J. (2012). Abuse from in-laws and associations with attempts to control reproductive decisions among rural women in Côte d’Ivoire: a cross-sectional study. BJOG, 119(9), 1058–1066. https://doi.org/10.1111/j.1471-0528.2012.03401.xCrossRef

Hamm, M., Evans, M., Miller, E., Browne, M., Bell, D., & Borrero, S. (2019). “It’s her body”: Low-income men’s perceptions of limited reproductive agency. Contraception, 99, 111–117.CrossRef

Heise, L. L. (1998). Violence against women: An integrated, ecological framework. Violence Against Women, 4(3), 262–290.CrossRef

Heise, L. L., & Kotsadam, A. (2015). Cross-national and multilevel correlates of partner violence: an analysis of data from population-based surveys. The Lancet. Global Health, 3(6), e332–e340. https://doi.org/10.1016/S2214-109X(15)00013-3CrossRef

Holliday, C. N., McCauley, H. L., Silverman, J. G., Ricci, E., Decker, M. R., Tancredi, D. J., Burke, J. G., Documét, P., Borrero, S., & Miller, E. (2017). Racial/Ethnic Differences in Women’s Experiences of Reproductive Coercion, Intimate Partner Violence, and Unintended Pregnancy. Journal of Women’s Health, 26(8), 828–835. https://doi.org/10.1089/jwh.2016.5996CrossRef

Karp, C., Wood, S. N., Hadiza, G., Kibira, S. P. S., Makumbi, F., Omoluabi, E., Shiferaw, S., Seme, A., Tsui, A., & Moreau, C. (2020). “I am the master key that opens and locks”: Presentation and application of a conceptual framework for women’s and girls’ empowerment in reproductive health. Social Science and Medicine, 258(113086).

Katz, J., Poleshuck, E. L., Beach, B., & Olin, R. (2017). Reproductive Coercion by Male Sexual Partners: Associations With Partner Violence and College Women’s Sexual Health. Journal of Interpersonal Violence, 32(21), 3301–3320. https://doi.org/10.1177/0886260515597441CrossRef

Kyegombe, N., Starmann, E., Devries, K. M., Michau, L., Nakuti, J., Musuya, T., Watts, C., & Heise, L. (2014). “SASA! is the medicine that treats violence”. Qualitative findings on how a community mobilisation intervention to prevent violence against women created change in Kampala, Uganda. Global Health Action, 7, 25082. doi:https://doi.org/10.3402/gha.v7.25082

Lundgren, R., & Amin, A. (2015). Addressing Intimate Partner Violence and Sexual Violence Among Adolescents: Emerging Evidence of Effectiveness. Journal of Adolescent Health, 56(1), S42–S50. https://doi.org/10.1016/j.jadohealth.2014.08.012CrossRef

Malterud, K., Siersma, V. D., & Guassora, A. D. (2016). Sample Size in Qualitative Interview Studies: Guided by Information Power. Qualitative Health Research, 26(13), 1753–1760. https://doi.org/10.1177/1049732315617444CrossRef

Maly, C., Mcclendon, K. A., Baumgartner, J. N., Nakyanjo, N., Ddaaki, W. G., Serwadda, D., Nalugoda, F. K., Wawer, M. J., Bonnevie, E., & Wagman, J. A. (2017). Perceptions of adolescent pregnancy among teenage girls in Rakai, Uganda. Global Qualitative Nursing Research, 4, 1–12. https://doi.org/10.1177/2333393617720555CrossRef

McCauley, H. L., Falb, K. L., Streich-tilles, T., Kpebo, D., & Gupta, J. (2014). Mental health impacts of reproductive coercion among women in Côte d’Ivoire. International Journal of Gynecology and Obstetrics, 127, 55–59.

McCauley, H. L., Silverman, J. G., Jones, K. A., Tancredi, D. J., Decker, M. R., Mccormick, M. C., Austin, S. B., Anderson, H. A., & Miller, E. (2017). Psychometric properties and refinement of the Reproductive Coercion Scale. Contraception, 95(3), 292–298. https://doi.org/10.1016/j.contraception.2016.09.010CrossRef

McClendon, K. A., Mcdougal, L., Ayyaluru, S., Sinha, A., Silverman, J. G., & Raj, A. (2018). Intersections of girl child marriage and family planning beliefs and use: Qualitative findings from Ethiopia and India. Culture, Health & Sexuality, 20(7), 799–814. https://doi.org/10.1080/13691058.2017.1383513CrossRef

Miller, E., Jordan, B., Levenson, R., & Silverman, J. (2010a). Reproductive coercion : connecting the dots between partner violence and unintended pregnancy. Contraception, 81, 457–459. https://doi.org/10.1016/j.contraception.2010.02.023CrossRef

Miller, E., Decker, M. R., Mccauley, H. L., Tancredi, D. J., Levenson, R. R., Waldman, J., Schoenwald, P., & Silverman, J. G. (2010b). Pregnancy coercion, intimate partner violence and unintended pregnancy. Contraception, 81(4), 316–322. https://doi.org/10.1016/j.contraception.2009.12.004CrossRef

Miller, E., Decker, M. R., Mccauley, H. L., Tancredi, D. J., Levenson, R. R., Waldman, J., Schoenwald, P., & Silverman, J. G. (2011). A family planning clinic partner violence intervention to reduce risk associated with reproductive coercion. Contraception, 83(3), 274–280. https://doi.org/10.1016/j.contraception.2010.07.013CrossRef

Miller, E., McCauley, H. L., Tancredi, D. J., Decker, M. R., Anderson, H. A., & Silverman, J. G. (2014). Recent reproductive coercion and unintended preganncy among female family planning clients. Contraception, 89(2), 122–128. https://doi.org/10.1111/j.1743-6109.2008.01122.x.EndothelialCrossRef

Pulerwitz, J., & Barker, G. (2008). Measuring Attitudes toward Gender Norms among Young Men in Brazil. Men and Masculinities, 10(3), 322–338.CrossRef

Radovich, E., Dennis, M. L., Barasa, E., Cavallaro, F. L., Wong, K. L. M., Borghi, J., Lynch, C. A., Lyons-Amos, M., Abuya, T., & Benova, L. (2019). Who pays and how much? A cross- sectional study of out-of-pocket payment for modern contraception in Kenya. BMJ Open, 9(e022414), 1–11. https://doi.org/10.1136/bmjopen-2018-022414CrossRef

Sarnquist, C., Omondi, B., Sinclair, J., Gitau, C., Paiva, L., & Mulinge, M. (2014). Rape Prevention Through Empowerment of Adolescent Girls. Pediatrics, 133(5), e1226–e1232. https://doi.org/10.1542/peds.2013-3414CrossRef

Silverman, J. G., Boyce, S. C., Dehingia, N., Rao, N., Chandurkar, D., Nanda, P., Hay, K., Atmavilas, Y., Saggurti, N., & Raj, A. (2019). Reproductive coercion in Uttar Pradesh, India: Prevalence and associations with partner violence and reproductive health. SSM - Population Health, 9(100484).

Silverman, J. G., Challa, S., Boyce, S. C., Averbach, S., & Raj, A. (2020). Associations of reproductive coercion and intimate partner violence with overt and covert family planning use among married adolescent girls in Niger. EClinicalMedicine, 22(100359).

Silverman, J. G., Decker, M. R., McCauley, H. L., Gupta, J., Miller, E., Raj, A., & Goldberg, A. B. (2010). Male perpetration of intimate partner violence and involvement in abortions and abortionRelated conflict. American Journal of Public Health, 100(8), 1415–1417. https://doi.org/10.2105/AJPH.2009.173393CrossRef

Silverman, J. G., Mccauley, H. L., Decker, M. R., Miller, E., & Raj, A. (2011). Coercive Forms of Sexual Risk and Associated Violence Perpetrated by Male Partners of Female Adolescents. Perspectives on Sexual and Reproductive Health, 43(1), 60–65. https://doi.org/10.1363/4306011CrossRef

Silverman, J. G., & Raj, A. (2014). Intimate Partner Violence and Reproductive Coercion : Global Barriers to Women’s Reproductive Control. Plos Medicine, 11(9), 9–12. https://doi.org/10.1371/journal.pmed.1001723CrossRef

Upadhyay, U. D., Dworkin, S. L., Weitz, T. A., & Foster, D. G. (2014). Development and Validation of a Reproductive Autonomy Scale. Studies in Family Planning, 45, 19–42.CrossRef

Withers, M., Dworkin, S., Harrington, E., Kwena, Z., Onono, M., Bukusi, E., Cohen, C. R., Grossman, D., Newmann, S. J., Withers, M., Dworkin, S., Harrington, E., Kwena, Z., Onono, M., Bukusi, E., Cohen, C. R., Grossman, D., & Newmann, S. J. (2013). Fertility intentions among HIV-infected, sero- concordant couples in Nyanza province, Kenya. Culture, Health & Sexuality, 15(10), 1175–1190. https://doi.org/10.1080/13691058.2013.811289CrossRef

Withers, M., Dworkin, S. L., Zakaras, J. M., Onono, M., Oyier, B., Cohen, C. R., Bukusi, E. A., Grossman, D., Sara, J., Oyier, B., Cohen, C. R., Bukusi, E. A., Grossman, D., & Newmann, S. J. (2015). ‘Women now wear trousers’: men’s perceptions of family planning in the context of changing gender relations in western Kenya. Culture, Health & Sexuality, 17(9), 1132–1146. https://doi.org/10.1080/13691058.2015.1043144CrossRef

Wood, S. N., Kennedy, S. R., Akumu, I., Tallam, C., Asira, B., Hameeduddin, Z., McGready, J., Zimmerman, L. A., Kennedy, C. E., Glass, N., & Decker, M. R. (2020). Reproductive Coercion among Intimate Partner Violence Survivors in Nairobi. Studies in Family Planning, 51(4), 343–360.CrossRef

World Health Organization (WHO). (2016). Ethical and safety recommendations for intervention research on violence against women.

Zegenhagen, S., Ranganathan, M., & Buller, A. M. (2019). Household decision-making and its association with intimate partner violence: Examining differences in men’s and women’s perceptions in Uganda. SSM - Population Health, 8(100442), 1–13. https://doi.org/10.1016/j.ssmph.2019.100442CrossRef

Titel: Correlates and contributors of reproductive coercion across the socioecological framework among intimate partner violence survivors in Nairobi, Kenya
verfasst von: Shannon N. Wood
S. Rachel Kennedy
Irene Akumu
Catherine Tallam
Ben Asira
Zaynab Hameeduddin
Linnea A. Zimmerman
Nancy Glass
Michele R. Decker
Publikationsdatum: 04.02.2022
Verlag: Springer US
Erschienen in: Journal of Family Violence / Ausgabe 1/2023
Print ISSN: 0885-7482
Elektronische ISSN: 1573-2851
DOI: https://doi.org/10.1007/s10896-022-00374-w

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Correlates and contributors of reproductive coercion across the socioecological framework among intimate partner violence survivors in Nairobi, Kenya