Contraceptive Use Among Women Experiencing Intimate Partner Violence and Reproductive Coercion: The Moderating Role of PTSD and Depression

Author:

Zemlak Jessica L.12ORCID,Marineau Lea2,Willie Tiara C.3,Addison Helena4,Edwards Gabrielle2,Kershaw Trace5,Alexander Kamila A.26

Affiliation:

1. Marquette University College of Nursing, Milwaukee, WI, USA

2. Johns Hopkins School of Nursing, Baltimore, MD, USA

3. Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA

4. University of Pennsylvania School of Nursing, Philadelphia, PA, USA

5. Department of Social and Behavioral Sciences, Yale University School of Public Health, New Haven, CT, USA

6. Department of Population, Family, and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA

Abstract

Women experiencing reproductive coercion (RC) report more unintended pregnancies and mental health symptoms that can influence contraceptive use patterns. We examined associations between RC and contraceptive use among intimate partner violence (IPV) exposed women aged 18–35 ( N = 283). We tested depression, post-traumatic stress disorder (PTSD), and co-morbid depression and PTSD as effect modifiers. Though no association was found between RC and contraception, PTSD significantly modified this relationship. Among Black women ( n = 112), those reporting RC and either PTSD or comorbid PTSD and depression were less likely to use partner-independent contraception compared to those reporting RC without mental health symptoms. PTSD could be a barrier to contraceptive choice among this population.

Funder

National Institute of Mental Health

NICHD Office of Women’s Health

Johns Hopkins Population Center and the Eunice Kennedy Shriver National Institute for Child Health and Human Development

National Institute on Minority Health and Health Disparities

Publisher

SAGE Publications

Subject

Law,Sociology and Political Science,Gender Studies

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