Contraceptive Use Among Women Experiencing Intimate Partner Violence and Reproductive Coercion: The Moderating Role of PTSD and Depression.
Jessica L ZemlakLea MarineauTiara C WillieHelena AddisonGabrielle EdwardsTrace KershawKamila A AlexanderPublished in: Violence against women (2023)
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.
Keyphrases
- social support
- intimate partner violence
- posttraumatic stress disorder
- depressive symptoms
- mental health
- polycystic ovary syndrome
- sleep quality
- pregnancy outcomes
- cervical cancer screening
- breast cancer risk
- emergency department
- bariatric surgery
- pregnant women
- adipose tissue
- physical activity
- preterm birth
- type diabetes
- mental illness
- skeletal muscle
- insulin resistance
- weight loss
- antiretroviral therapy