Reproductive coercion among women living with HIV: An unexplored risk factor for negative sexual and mental health outcomes

Jocelyn C. Anderson, Karen Trister Grace, Elizabeth Miller

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

Background: Unintended pregnancy is prevalent among women living with HIV, and is associated with poor health outcomes for women and babies. Reproductive coercion may be one unexplored mechanism for this elevated risk. Methods: Past-year reproductive coercion data were obtained via self-reported survey from a sample of women receiving HIV specialty care in Baltimore, Maryland, USA. Results: In total, 11 of the 67 women (16.4%) included in the sample reported past-year reproductive coercion. Almost two-thirds (64%) of women reporting reproductive coercion were also positive for recent post-traumatic stress disorder symptoms compared with 27% of women who did not report reproductive coercion (Fisher's exact P=0.033). Discussion: The prevalence of reproductive coercion among our sample of in care women living with HIV suggests that attention should be paid to the impact of partner influence and coercive behaviors regarding pregnancy intentions. Because of the many potential negative consequences of unintended pregnancy for women living with HIV, it is important that providers be aware of such abuse and steps that can be taken to identify and support patients who are experiencing reproductive coercion.

Original languageEnglish (US)
Pages (from-to)2261-2265
Number of pages5
JournalAIDS
Volume31
Issue number16
DOIs
StatePublished - Oct 23 2017
Externally publishedYes

Keywords

  • HIV
  • intimate partner violence
  • mental health
  • reproductive coercion

ASJC Scopus subject areas

  • Immunology and Allergy
  • Immunology
  • Infectious Diseases

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