The role of reproductive coercion in women’s risk for HIV : a case‐control study of outpatients in Gauteng, South Africa

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dc.contributor.author McCloskey, Laura Ann
dc.contributor.author Hitchcock, Sonia
dc.contributor.author Eloff, Irma
dc.contributor.author Dinh, Paul
dc.date.accessioned 2021-02-12T10:35:51Z
dc.date.issued 2020-12
dc.description.abstract OBJECTIVES : To investigate how reproductive coercion, or men’s attempts to control their partners’ use of contraception, may contribute to adverse reproductive health outcomes for women including abortions, sexually transmitted infections, and HIV for young women in South Africa. METHODS : Findings are based on a case‐control interview study of 882 South African women outpatients aged 15–29 years, 48.5% (n=427) of whom were HIV seropositive. Covariates include demographics, intimate partner violence, sexually transmitted infections, having an abortion, using long‐acting reversible contraception, and unequal sexual relationship power. RESULTS : Most covariates with the exceptions of abortion and unequal relationship power increase the risk of HIV, and all relate to reproductive coercion. Intimate partner violence is strongly associated with reproductive coercion (odds ratio 3.86, 95% confidence interval 2.89–5.15). When intimate partner violence is included in the full model reproductive coercion remains a significant predictor of HIV by 42%, and acts as a partial mediator between IPV and HIV. CONCLUSION : Findings confirm the significance of reproductive coercion as a risk marker for HIV. Reproductive coercion undermines women’s reproductive health and warrants clinical intervention. Recommendations are offered for clinical practice within the South African context to increase training and assessment and provide covert long‐acting reversible contraception as one pathway towards promoting women’s reproductive autonomy. en_ZA
dc.description.department Educational Psychology en_ZA
dc.description.embargo 2021-09-15
dc.description.librarian hj2021 en_ZA
dc.description.uri http://wileyonlinelibrary.com/journal/ijgo en_ZA
dc.identifier.citation McCloskey, L.A., Hitchcock, S., Eloff, I. et al. 2020, 'The role of reproductive coercion in women’s risk for HIV : a case‐control study of outpatients in Gauteng, South Africa', International Journal of Gynecology and Obstetrics, vol. 151, no. 3, pp. 377-382. en_ZA
dc.identifier.issn 0020-7292 (print)
dc.identifier.issn 1879-3479 (online)
dc.identifier.other 10.1002/ijgo.13373
dc.identifier.uri http://hdl.handle.net/2263/78538
dc.language.iso en en_ZA
dc.publisher Wiley en_ZA
dc.rights © 2020 International Federation of Gynecology and Obstetrics. This is the pre-peer reviewed version of the following article : 'The role of reproductive coercion in women’s risk for HIV : a case‐control study of outpatients in Gauteng, South Africa', International Journal of Gynecology and Obstetrics, vol. 151, no. 3, pp. 377-382, 2020, doi : 10.1002/ijgo.13373. The definite version is available at : http://wileyonlinelibrary.com/journal/ijgo. en_ZA
dc.subject Contraception en_ZA
dc.subject Human immunodeficiency virus (HIV) en_ZA
dc.subject Africa en_ZA
dc.subject Intimate partner violence en_ZA
dc.subject Reproductive coercion en_ZA
dc.subject Sexually transmitted infection (STI) en_ZA
dc.title The role of reproductive coercion in women’s risk for HIV : a case‐control study of outpatients in Gauteng, South Africa en_ZA
dc.type Postprint Article en_ZA


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