Coerced Choice: Resigned Contraceptive Usership Among Individuals Affected by Reproductive Coercion.
Kathryn E Fay, Summer Corry, Rebecca G Simmons and 1 others
PMID 35861284WHAT IT FOUND
Survivors of reproductive coercion described being pushed into contraception they did not want, such as implants or IUDs, because partners refused condoms.
They kept methods despite pain or side effects, and participants reported no clinician support at placement for less desired long-acting methods.
Key findings
01Some participants used long-acting methods despite preferring external condoms, and reproductive coercion can lead people to select or continue less desired or undesired contraception.
02Some participants continued methods despite pain or fainting because they felt trapped by a partner's refusal to use condoms.
03No participant who used a less desired long-acting method reported clinician identification or support at placement, and dissatisfied users did not return for care after side effects.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Twenty participants were recruited through community networks and snowball sampling, so they may differ from people who would not seek out or respond to a study about reproductive coercion. The study was done in Utah, where the authors note unique demographics and under sampling of members of the Church of Latter-Day Saints, so results may not transfer to other settings. Screening for intimate partner violence happened after the discussion, so some participants may have labeled past relationships differently because of the study. The study was qualitative and did not measure whether asking about coercion or changing counseling improves outcomes.
Declared interests
The authors report no conflict of interest. The article is listed as receiving NIH extramural and non-U.S. government research support.
The easy way to misread this
Do not conclude that IUDs and implants are unsafe or that nurses should avoid offering them. The study describes people who continued undesired methods under partner pressure and reported no clinician support at placement; it did not test whether these methods caused harm or whether removing them improves outcomes.