生殖强迫及其对妇女生殖健康结果的影响——一项横断面研究

Mahjabina S Ghayur, Jazza Jamil, Haleema Sadia, Mashal Jamil, Humera Adeeb, Shahnaz Nadir, Bushra Iftikhar
{"title":"生殖强迫及其对妇女生殖健康结果的影响——一项横断面研究","authors":"Mahjabina S Ghayur, Jazza Jamil, Haleema Sadia, Mashal Jamil, Humera Adeeb, Shahnaz Nadir, Bushra Iftikhar","doi":"10.52764/jms.23.31.3.1","DOIUrl":null,"url":null,"abstract":"Objective Reproductive coercion is a constellation of behaviors obstructing a woman’s autonomy in reproductive decision-making. This contributes to unwanted reproductive health outcomes in terms of physical and mental morbidity and mortality. The objective was to quantitatively explore its contribution to reproductive health outcomes in women seeking health care for other reasons. Materials and Methods This was a cross-sectional analytical study where the data was collected on the Reproductive Coercion Scale (by Miller) from 424 patients. The independent variables were; worried about pregnancy, pregnancy testing, induced abortion, and unwanted pregnancy/birth and the dependent variable was the scale score of each item. Data was analyzed by Chi-Square/Fisher’s Exact test at Statistical significance of p ? 0.05. Results The mean age of women was 30.13 (SD=6.51) years. Half of the women 212 (50%) were between 20 to 30 years. The majority were housewives 403(95%), living in joint family systems 314 (74.1%), and uneducated 260 (61.3%). There was a significant difference between unwanted/being worried about not pregnant and threats to leave the wife if she did not get pregnant (p=0.03), compelled wife for unprotected sex (p=0.02), and deliberately removed condoms (p=0.02). A significant difference was reported with induced abortions; as the wife was advised against the use of contraceptives (p=0.01), compelled for pregnancy (p=0.03), deliberately barred use of condoms (p=0.03), deliberately removed condom during sex (P=0.05) and damaging condom on purpose (p=0.001). Significant responses were reported for unwanted pregnancy/birth against the items; leaving the wife for not getting pregnant (p=0.001), intentionally barred access to contraceptives (p=0.02), and deliberately damaged condoms (p=0.02). Conclusion Reproductive coercion is overtly denied but covertly reflected in the health-seeking behaviors of women with a significant impact on reproductive health outcomes. Key Words Induced abortion, Reproductive Coercion, Unwanted Pregnancy","PeriodicalId":16486,"journal":{"name":"Journal of Medical Sciences","volume":"46 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2023-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"REPRODUCTIVE COERCION AND ITS EFFECTS ON WOMEN’S REPRODUCTIVE HEALTH OUTCOMES- A CROSS-SECTIONAL STUDY\",\"authors\":\"Mahjabina S Ghayur, Jazza Jamil, Haleema Sadia, Mashal Jamil, Humera Adeeb, Shahnaz Nadir, Bushra Iftikhar\",\"doi\":\"10.52764/jms.23.31.3.1\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Objective Reproductive coercion is a constellation of behaviors obstructing a woman’s autonomy in reproductive decision-making. This contributes to unwanted reproductive health outcomes in terms of physical and mental morbidity and mortality. The objective was to quantitatively explore its contribution to reproductive health outcomes in women seeking health care for other reasons. Materials and Methods This was a cross-sectional analytical study where the data was collected on the Reproductive Coercion Scale (by Miller) from 424 patients. The independent variables were; worried about pregnancy, pregnancy testing, induced abortion, and unwanted pregnancy/birth and the dependent variable was the scale score of each item. Data was analyzed by Chi-Square/Fisher’s Exact test at Statistical significance of p ? 0.05. Results The mean age of women was 30.13 (SD=6.51) years. Half of the women 212 (50%) were between 20 to 30 years. The majority were housewives 403(95%), living in joint family systems 314 (74.1%), and uneducated 260 (61.3%). There was a significant difference between unwanted/being worried about not pregnant and threats to leave the wife if she did not get pregnant (p=0.03), compelled wife for unprotected sex (p=0.02), and deliberately removed condoms (p=0.02). A significant difference was reported with induced abortions; as the wife was advised against the use of contraceptives (p=0.01), compelled for pregnancy (p=0.03), deliberately barred use of condoms (p=0.03), deliberately removed condom during sex (P=0.05) and damaging condom on purpose (p=0.001). Significant responses were reported for unwanted pregnancy/birth against the items; leaving the wife for not getting pregnant (p=0.001), intentionally barred access to contraceptives (p=0.02), and deliberately damaged condoms (p=0.02). Conclusion Reproductive coercion is overtly denied but covertly reflected in the health-seeking behaviors of women with a significant impact on reproductive health outcomes. Key Words Induced abortion, Reproductive Coercion, Unwanted Pregnancy\",\"PeriodicalId\":16486,\"journal\":{\"name\":\"Journal of Medical Sciences\",\"volume\":\"46 1\",\"pages\":\"0\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-08-23\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Medical Sciences\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.52764/jms.23.31.3.1\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Medical Sciences","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.52764/jms.23.31.3.1","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

摘要

摘要生殖强迫是妨碍妇女自主生育决策的一系列行为。这在身体和精神发病率和死亡率方面造成了不想要的生殖健康结果。目的是定量探讨其对因其他原因寻求保健的妇女的生殖健康结果的贡献。材料与方法这是一项横断面分析研究,数据收集自424名患者的生殖强迫量表(Miller)。自变量为;担心怀孕、孕检、人工流产、意外怀孕/生育,因变量为各项目的量表得分。数据分析采用卡方/费雪精确检验,p ?0.05. 结果女性平均年龄30.13岁(SD=6.51)。212名妇女中有一半(50%)年龄在20至30岁之间。以家庭主妇403人(95%)、同居家庭314人(74.1%)、文化程度低的260人(61.3%)居多。不希望/担心不怀孕和威胁如果妻子不怀孕就离开她(p=0.03),强迫妻子进行无保护的性行为(p=0.02)和故意摘掉避孕套(p=0.02)之间存在显著差异。据报道,人工流产有显著差异;因为妻子被告知不要使用避孕药具(p=0.01)、被迫怀孕(p=0.03)、故意禁止使用避孕套(p=0.03)、在性行为中故意取下避孕套(p= 0.05)和故意损坏避孕套(p=0.001)。对于意外怀孕/生育的问卷有显著的回应;因为没有怀孕而离开妻子(p=0.001),故意阻止获得避孕药具(p=0.02),故意损坏避孕套(p=0.02)。结论生殖强迫是被公开否认的,但在妇女的求医行为中有隐蔽的反映,对生殖健康结果有显著影响。关键词人工流产,生殖强迫,意外妊娠
本文章由计算机程序翻译,如有差异,请以英文原文为准。
REPRODUCTIVE COERCION AND ITS EFFECTS ON WOMEN’S REPRODUCTIVE HEALTH OUTCOMES- A CROSS-SECTIONAL STUDY
Objective Reproductive coercion is a constellation of behaviors obstructing a woman’s autonomy in reproductive decision-making. This contributes to unwanted reproductive health outcomes in terms of physical and mental morbidity and mortality. The objective was to quantitatively explore its contribution to reproductive health outcomes in women seeking health care for other reasons. Materials and Methods This was a cross-sectional analytical study where the data was collected on the Reproductive Coercion Scale (by Miller) from 424 patients. The independent variables were; worried about pregnancy, pregnancy testing, induced abortion, and unwanted pregnancy/birth and the dependent variable was the scale score of each item. Data was analyzed by Chi-Square/Fisher’s Exact test at Statistical significance of p ? 0.05. Results The mean age of women was 30.13 (SD=6.51) years. Half of the women 212 (50%) were between 20 to 30 years. The majority were housewives 403(95%), living in joint family systems 314 (74.1%), and uneducated 260 (61.3%). There was a significant difference between unwanted/being worried about not pregnant and threats to leave the wife if she did not get pregnant (p=0.03), compelled wife for unprotected sex (p=0.02), and deliberately removed condoms (p=0.02). A significant difference was reported with induced abortions; as the wife was advised against the use of contraceptives (p=0.01), compelled for pregnancy (p=0.03), deliberately barred use of condoms (p=0.03), deliberately removed condom during sex (P=0.05) and damaging condom on purpose (p=0.001). Significant responses were reported for unwanted pregnancy/birth against the items; leaving the wife for not getting pregnant (p=0.001), intentionally barred access to contraceptives (p=0.02), and deliberately damaged condoms (p=0.02). Conclusion Reproductive coercion is overtly denied but covertly reflected in the health-seeking behaviors of women with a significant impact on reproductive health outcomes. Key Words Induced abortion, Reproductive Coercion, Unwanted Pregnancy
求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信