Mental health impacts of reproductive coercion among women in Côte d'Ivoire.

Journal: International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics

Volume: 127

Issue: 1

Year of Publication: 2015

Affiliated Institutions:  University of Pittsburgh School of Medicine, Division of Adolescent Medicine, Children's Hospital of Pittsburgh of UPMC, Pittsburgh, USA. Electronic address: heather.mccauley@chp.edu. Department of Chronic Disease Epidemiology, Yale University School of Public Health, New Haven, USA; Center for Interdisciplinary Research on AIDS, Yale University, New Haven, USA. Albany Medical College, Albany, USA. Innovations for Poverty Action, Abidjan, Côte d'Ivoire.

Abstract summary 

To assess the independent associations of partner-perpetrated reproductive coercion, intimate partner violence (IPV), in-law reproductive coercion, and in-law abuse with recent probable post-traumatic stress disorder (PTSD), and to test their relationship with PTSD symptoms when controlling for the other types of abuse among partnered women in rural Côte d'Ivoire.Cross-sectional analyses were conducted using logistic generalized estimating equations, which accounted for village-level clustering. Data were drawn from baseline data from a randomized controlled trial among 24 villages in rural Côte d'Ivoire (n=953 partnered women). Three adjusted models were used to test associations of reproductive coercion and abuse with probable PTSD.Partner-perpetrated reproductive coercion was experienced by 176 (18.5%) women. In model 3, which accounted for the co-occurrence of abuses, partner-perpetrated reproductive coercion (odds ratio [OR] 2.3; 95% confidence interval [CI], 1.4-3.9) and partner-perpetrated IPV (OR 1.7; 95% CI, 1.1-2.7) were the most significant predictors of past-week probable PTSD (P<0.05).Reproductive coercion may be a significant contributor to poor mental health. The mental health impacts of reproductive coercion and IPV should be considered within psychosocial programming for rural Ivorian communities to address the full range of traumatic experiences that may have been experienced by women.

Authors & Co-authors:  McCauley Heather L HL Falb Kathryn L KL Streich-Tilles Tara T Kpebo Denise D Gupta Jhumka J

Study Outcome 

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Statistics
Citations :  American College of Obstetricians and Gynecologists. ACOG Committee opinion no 554: reproductive and sexual coercion. Obstet Gynecol. 2013;121(2 Pt 1):411–5.
Authors :  5
Identifiers
Doi : 10.1016/j.ijgo.2014.04.011
SSN : 1879-3479
Study Population
Women
Mesh Terms
Adult
Other Terms
Gender-based violence;In-law abuse;In-law reproductive coercion;Intimate partner violence;Mental health;Partner-perpetrated reproductive coercion;Post-traumatic stress disorder;Reproductive control
Study Design
Study Approach
Country of Study
Publication Country
United States