Premium
Mental health impacts of reproductive coercion among women in Côte d'Ivoire
Author(s) -
McCauley Heather L.,
Falb Kathryn L.,
StreichTilles Tara,
Kpebo Denise,
Gupta Jhumka
Publication year - 2014
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2014.04.011
Subject(s) - coercion (linguistics) , sexual coercion , domestic violence , psychosocial , medicine , mental health , poison control , psychiatry , odds ratio , suicide prevention , demography , environmental health , philosophy , linguistics , pathology , sociology
Abstract Objective 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. Methods 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. Results 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). Conclusion 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.