Reproductive coercion and intimate partner violence among rural women in Côte d'Ivoire: a cross-sectional study

Kathryn L. Falb, Jeannie Annan, Denise Kpebo, Jhumka Gupta

Abstract

A growing body of U.S.-based research demonstrates that reproductive coercion is an important consideration regarding the negative health impacts of intimate partner violence (IPV).  However, less work on IPV and reproductive coercion has been done in West African settings. Cross-sectional data of 981 women who participated in the baseline survey of a randomized-controlled trial in rural, Côte d’Ivoire in October 2010 were analyzed for specific reports of reproductive coercion.  Half (49.8%) of all women reported lifetime physical or sexual IPV, and nearly 1 in 5 (18.6%) reported experiencing reproductive coercion.  In the final adjusted analyses, lifetime IPV was associated with a 3.7 increase in odds of reporting reproductive coercion (95% CI: 2.4 – 5.8) compared to women who did not report such victimization.  Study findings underscore the importance of reducing IPV in order to improve reproductive health among women in rural Côte d’Ivoire. (Afr J Reprod Health 2014; 18[4]: 61-69).

 

Keywords: Reproductive control, Ivory Coast, reproductive decision-making, contraception, violence against women

 

Résumé

Un nombre croissant de recherches aux États-Unis démontre que la coercition en matière de reproduction est un facteur important en ce qui concerne les impacts négatifs sur la santé de la violence du partenaire intime (VPI). Cependant, moins de travail sur le VPI et de coercition de la reproduction a été fait dans les paramètres Afrique de l'Ouest. Les données transversales de 981 femmes qui ont participé à l'enquête de base d'un essai randomisé contrôlé dans les régions rurales, la Côte d'Ivoire en Octobre 2010 ont été analysés pour les rapports spécifiques de contrainte en matière de reproduction. La moitié (49, 8%) de toutes les femmes vivant rapporté VPI physique ou sexuelle, et près de 1 sur 5 (18, 6%) ont déclaré avoir subi la contrainte de reproduction. Dans les analyses ajustées finales, la durée de vie VPI a été associée à une augmentation de 3,7 dans les cotes de la coercition rapports de reproduction (IC à 95%: 2.4 à 5.8) comparativement aux femmes qui ne ont pas déclaré cette victimisation. Résultats de l'étude soulignent l'importance de réduire VPI afin d'améliorer la santé de la reproduction chez les femmes en milieu rural en Côte d'Ivoire. (Afr J Reprod Health 2014; 18[4]: 61-69).

 

Mots-clés: contrôle de la reproduction, la Côte d'Ivoire, la prise de décision en matière de reproduction, la contraception, la violence contre les femmes

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