Understanding the Link Between Reproductive Coercion and Covert Use of Contraception as a Safety Strategy for Women Experiencing Violence in Nairobi's Urban Informal Settlements

Bibliographic Data

ID12435917
AuthorsShannon N Wood (0000-0003-4389-3526, Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA, corresponding author), S Rachel Kennedy (Johns Hopkins School of Nursing, Baltimore, MD, USA), Irene Akumu (Mashinani Department, Ujamaa-Africa, Nairobi, Kenya), Catherine Tallam (Mashinani Department, Ujamaa-Africa, Nairobi, Kenya), Ben Asira (Mashinani Department, Ujamaa-Africa, Nairobi, Kenya), Linnea A Zimmerman (0000-0002-0118-0889, Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA), Nancy Gla (0000-0002-6691-3684, Johns Hopkins School of Nursing, Baltimore, MD, USA), Michele R Decker (0000-0002-7085-7080, Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA)
Year2022
Volume29
Issue6-7
Pages1343-1367
Publication date2022-08-24
Open AccessYes
TypeARTICLE
VenueViolence Against Women (JOURNAL)
Journal identifiersISSN: 1077-8012 • E-ISSN: 1552-8448
PublisherSAGE Publishing (PUBLISHER • US)
DOI10.1177/10778012221108422
PMID36000323
OpenAlexW4293169067
LanguageEN
Citations received6
References cited36

This mixed-methods study examined the relationship between reproductive coercion (RC) and covert contraceptive use among intimate partner violence survivors in Nairobi, Kenya. Quantitative analyses utilize baseline data from the myPlan Kenya trial ( n = 321). Purposive in-depth interviews (IDIs) ( n = 30) explored women's reproductive safety strategies. Multinomial analyses indicated increased covert use and decreased overt use compared to nonuse, for women experiencing RC; logistic models similarly report increased odds of covert use with RC experience. Qualitative data contextualize women's reasons for use and challenges faced. Integration of reproductive safety strategies into family planning and violence services can improve the safe use of contraception

Coercion (linguistics · Covert · Domestic violence · Environmental health · Logistic regression · Multinomial logistic regression · Odds · Poison control · Population · Reproductive health · Suicide prevention · Gender, Security, and Conflict · Intimate Partner and Family Violence · Medicine · Migration, Health and Trauma · Psychology

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