Healthcare Provider-Based Contraceptive Coercion
Understanding U.S. Patient Experiences and Describing Implications for Measurement
Bibliographic Data
| ID | 15466754 |
|---|---|
| Authors | Laura E T Swan (0000-0002-1371-3582, University of Wisconsin–Madison, corresponding author), Lindsay M Cannon (0000-0001-8020-7148, University of Wisconsin–Madison) |
| Year | 2024 |
| Volume | 21 |
| Issue | 6 |
| Pages | 750-750 |
| Publication date | 2024-06-08 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Environmental Research and Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1661-7827 • E-ISSN: 1660-4601 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/ijerph21060750 |
| PMID | 38928996 |
| OpenAlex | W4399491585 |
| Language | EN |
| Citations received | 5 |
| References cited | 33 |
Despite growing concerns over coercion in contraceptive care, few studies have described its frequency and manifestations. Further, there is no established quantitative method of measuring this construct. We begin to fill this gap by detailing nuance in contraceptive coercion experiences and testing a novel measure: the Coercion in Contraceptive Care Checklist. In early 2023, we surveyed reproductive-aged people in the United States who were assigned female at birth about their contraceptive care. We describe the frequency of contraceptive coercion in our sample ( N = 1197) and use open-ended descriptions to demonstrate nuances in these experiences. Finally, we debut our checklist and present psychometric testing results. Among people who had ever talked to a healthcare provider about contraception, over one in six participants (18.46%) reported experiencing coercion during their last contraceptive counseling, and over one in three (42.27%) reported it at some point in their lifetime. Being made to use or keep using birth control pills was the most common form of coercion reported by patients (14.62% lifetime frequency). Factor analysis supported the two-factor dimensionality of the Coercion in Contraceptive Care Checklist. Inter-item correlations were statistically significant ( p t [1194] = 7.54, p t [1194] = 14.76, p t [1160] = -14.77, p t [1160] = -18.27, p < 0.001), providing evidence of construct validity. Findings provide critical information about the frequency and manifestations of contraceptive coercion. Psychometric tests reveal evidence of the Coercion in Contraceptive Care Checklist's validity, reliability, and dimensionality while also suggesting avenues for future testing and refinement
Birth control · Checklist · Coercion (linguistics · Environmental health · Family medicine · Family planning · Health care · Medical emergency · Pill · Poison control · Political science · Population · Psychiatry · Sexual coercion · Suicide prevention · Intimate Partner and Family Violence · Maternal and Perinatal Health Interventions · Medicine · Nursing · Psychology · Reproductive Health and Contraception
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| Citations per year | 5 |
|---|---|
| Citation span | 2025 - 2026 (2) |
| Highly cited | No |