Tiara C Willie1, Kamila A Alexander2, Amy Caplon3, Trace S Kershaw4, Cara B Safon5, Rachel W Galvao6, Clair Kaplan7, Abigail Caldwell7, Sarah K Calabrese8. 1. Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland. Electronic address: twillie2@jhu.edu. 2. Department of Community Public Health Nursing, Johns Hopkins School of Nursing, Baltimore, Maryland. 3. Division of Cancer Control and Populations Sciences, National Cancer Institute, Rockville, Maryland. 4. Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, Connecticut. 5. Department of Pediatrics, Boston Medical Center, Boston, Massachusetts. 6. Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania. 7. Planned Parenthood of Southern New England, New Haven, Connecticut. 8. Department of Psychological and Brain Sciences, George Washington University, Washington, DC.
Abstract
INTRODUCTION: To explore associations between birth control sabotage, a form of reproductive coercion, and women's sexual risk among women attending family planning health centers. Data were collected from a 2017 cross-sectional online survey of 675 women who attended Connecticut Planned Parenthood centers. Participants reported birth control sabotage; sexual risk (i.e., inconsistent condom use during vaginal and anal sex in the past 6 months, lifetime sexually transmitted infection diagnosis, lifetime exchange sex [trading sex for money, drugs, or other goods], and multiple sexual partners in the past 6 months); and sociodemographics. Bivariate and multivariable logistic regression models were used to examine associations between birth control sabotage and women's sexual risk. RESULTS: One in six women (16.4%; n = 111) reported experiencing birth control sabotage. Women who reported birth control sabotage had a greater odds of ever having an sexually transmitted infection (adjusted odds ratio, 2.18; 95% confidence interval, 1.31-3.60; p = .003), ever engaging in exchange sex (adjusted odds ratio, 2.77; 95% confidence interval, 1.17-6.53; p = .020), and having multiple sexual partners in the past 6 months (adjusted odds ratio, 1.96; 95% confidence interval, 1.21-3.18; p = .006). CONCLUSIONS: Our findings demonstrate increased engagement in sexual risk taking among women who reported birth control sabotage compared with women did not.
INTRODUCTION: To explore associations between birth control sabotage, a form of reproductive coercion, and women's sexual risk among women attending family planning health centers. Data were collected from a 2017 cross-sectional online survey of 675 women who attended Connecticut Planned Parenthood centers. Participants reported birth control sabotage; sexual risk (i.e., inconsistent condom use during vaginal and anal sex in the past 6 months, lifetime sexually transmitted infection diagnosis, lifetime exchange sex [trading sex for money, drugs, or other goods], and multiple sexual partners in the past 6 months); and sociodemographics. Bivariate and multivariable logistic regression models were used to examine associations between birth control sabotage and women's sexual risk. RESULTS: One in six women (16.4%; n = 111) reported experiencing birth control sabotage. Women who reported birth control sabotage had a greater odds of ever having an sexually transmitted infection (adjusted odds ratio, 2.18; 95% confidence interval, 1.31-3.60; p = .003), ever engaging in exchange sex (adjusted odds ratio, 2.77; 95% confidence interval, 1.17-6.53; p = .020), and having multiple sexual partners in the past 6 months (adjusted odds ratio, 1.96; 95% confidence interval, 1.21-3.18; p = .006). CONCLUSIONS: Our findings demonstrate increased engagement in sexual risk taking among women who reported birth control sabotage compared with women did not.
Authors: Sarah K Calabrese; Tiara C Willie; Rachel W Galvao; Mehrit Tekeste; John F Dovidio; Cara B Safon; Oni Blackstock; Tamara Taggart; Clair Kaplan; Abigail Caldwell; Trace S Kershaw Journal: J Acquir Immune Defic Syndr Date: 2019-08-01 Impact factor: 3.731
Authors: Cara Nikolajski; Elizabeth Miller; Heather L McCauley; Aletha Akers; Eleanor Bimla Schwarz; Lori Freedman; Julia Steinberg; Said Ibrahim; Sonya Borrero Journal: Womens Health Issues Date: 2015-03-05
Authors: Adaora A Adimora; Victor J Schoenbach; Eboni M Taylor; Maria R Khan; Robert J Schwartz; William C Miller Journal: Ann Epidemiol Date: 2013-10-05 Impact factor: 3.797