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A qualitative exploration of reproductive coercion experiences and perceptions in four geo-culturally diverse sub-Saharan African settings

Dados Bibliográficos

ID21258331
AutoresHomer L Thomas (0009-0002-0358-3654, Johns Hopkins University), Haley L Thomas, Suzanne O Bell (0000-0002-7650-5940, Johns Hopkins University), Cary Karp (0000-0002-4050-7602, Johns Hopkins University), Celia Karp, Elizabeth Omoluabi (0000-0003-1754-5384, University of the Western Cape), Simon Peter Sebina Kibira (0000-0002-7385-423X, Makerere University), Frederick Makumbi (Makerere University), Hadiza Galadanci (0000-0001-5810-2884, Bayero University Kano), Solomon Shiferaw (0000-0002-9285-1480, Addis Ababa University), Assefa Seme (0000-0001-9667-4859, Addis Ababa University), Claire Moreau (0000-0002-8637-6249, Johns Hopkins University), Caroline Moreau, Shannon N Wood (0000-0003-4389-3526, Johns Hopkins University, autor correspondente)
Ano2024
Volume5
Páginas100383
Data de publicação2024-06-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoSSM - Qualitative Research in Health (JOURNAL)
Identificadores do periódicoISSN: 2667-3215 • E-ISSN: 2667-3215
EditoraElsevier BV (PUBLISHER)
DOI10.1016/j.ssmqr.2023.100383
PMID38911288
OpenAlexW4389719913
IdiomaEN
Citações recebidas5
Referências citadas38

Reproductive coercion (RC) is any intentional behavior that interferes with another's reproductive decision-making or pregnancy outcome. This study aims to qualitatively examine RC experiences and perceptions among women and men in Ethiopia, Nigeria (Kano and Anambra States), and Uganda. This is a secondary analysis utilizing qualitative data from the Women's and Girls' Empowerment in Sexual and Reproductive Health study. Across sites, focus group discussions (38 groups; n=320 participants) and in-depth interviews (n=120) were conducted, recorded, and transcribed. Transcripts were loaded into Atlas.ti, and quotes describing experiences of reproductive control or abuse were coded as "reproductive coercion." RC quotes were input into a matrix for thematic analysis. Emergent RC themes included indirect reproductive pressures, direct family planning interference, concurrent experiences of violence, and responses to RC. Indirect reproductive pressures included tactics to both promote and prevent pregnancy, while direct interference centered on pregnancy promotion. Women who were not compliant with their partners' reproductive demands were often subjected to violence from multiple actors (i.e., parents, in-laws, community members) in addition to their partners. Despite concurrent forms of violence, women across sites resisted RC by using contraceptives covertly, choosing to abort, or leaving their abusive partnerships. Women and men across sites indicated that men were highly influential in fertility. RC behaviors were a mechanism of control over desired reproductive outcomes, which were often rooted in perceptions of childbearing as social status. Findings indicate a need for more nuanced community interventions targeting social norms, as well as improved RC screening and response within health services

Geography · Perception · Qualitative research · Sociology · Adolescent Sexual and Reproductive Health · Anthropology · Gender Studies · Global Maternal and Child Health · Intimate Partner and Family Violence · Psychology · Social Psychology

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Obras citantes distintas5
Citações por ano5
Intervalo de citações2025 - 2026 (2)
Velocidade de citaçãocurrent
Altamente citadoNão
Tipos de citaçãoNeutras: 5
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