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Maternal and Child Health Journal
Published in: Maternal and Child Health Journal 7/2015

01-07-2015

Use of Reproductive and Sexual Health Services Among Female Family Planning Clinic Clients Exposed to Partner Violence and Reproductive Coercion

Authors: Traci Kazmerski, Heather L. McCauley, Kelley Jones, Sonya Borrero, Jay G. Silverman, Michele R. Decker, Daniel Tancredi, Elizabeth Miller

Published in: Maternal and Child Health Journal | Issue 7/2015

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Abstract

To examine the associations of recent intimate partner violence (IPV) and reproductive coercion (RC) with frequency of use of reproductive and sexual health services, a cross-sectional survey was administered to 16–29 year old women seeking care in five family planning clinics (n = 1,262). We evaluated associations of recent experiences of IPV, RC, or both IPV and RC with recent care seeking for pregnancy testing, emergency contraception, and sexually transmitted infection testing using multinomial logistic regression. Sixteen percent of respondents reported IPV and 13.5 % reported RC in the past 3 months. Four percent of all respondents reported both IPV and RC. Recent RC without IPV was associated with increased odds of seeking one (AOR = 2.0, 95 % CI 1.3–2.9) or multiple pregnancy tests (AOR = 2.3, 95 % CI 1.2–4.5), multiple STI tests (AOR = 2.5, 95 % CI 1.5–4.1), or using emergency contraception once (AOR = 2.6, 95 % CI 1.2–5.8) or multiple times (AOR = 2.2, 95 % CI 1.7–2.7). Recent IPV without RC was associated with increased odds of seeking one (AOR = 1.4, 95 % CI 1.1–1.7) or multiple pregnancy tests (AOR = 2.2, 95 % CI 1.4–3.2) and using emergency contraception once (AOR = 1.6, 95 % CI 1.3–2.0). The combined effect of recent IPV and RC increased the odds of seeking multiple pregnancy tests (AOR = 3.6, 95 % CI 3.3–3.8), using emergency contraception multiple times (AOR = 2.4, 95 % CI 1.5–4.1) and seeking STI testing once (AOR = 2.5, 95 % CI 1.6–3.9) or multiple times (AOR = 2.9, 95 % CI 1.02–8.5). Frequent requests for pregnancy and STI testing and emergency contraception among young females seeking care may be an indicator of greater risk for recent RC, alone and in combination with IPV.
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Metadata
Title
Use of Reproductive and Sexual Health Services Among Female Family Planning Clinic Clients Exposed to Partner Violence and Reproductive Coercion
Authors
Traci Kazmerski
Heather L. McCauley
Kelley Jones
Sonya Borrero
Jay G. Silverman
Michele R. Decker
Daniel Tancredi
Elizabeth Miller
Publication date
01-07-2015
Publisher
Springer US
Published in
Maternal and Child Health Journal / Issue 7/2015
Print ISSN: 1092-7875
Electronic ISSN: 1573-6628
DOI
https://doi.org/10.1007/s10995-014-1653-2

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