Mental health impacts of reproductive coercion among women in Côte d'Ivoire

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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.
Funding Information
  • National Institute of Mental Health (P30MH062294)
  • World Bank’s State and Peace-building Fund (#1007007040, #7162336)
  • Yale University's Center for Interdisciplinary Research on AIDS
  • National Institute of Mental Health (P30MH062294)
  • Health Resources and Services Administration National Research Service Award (T32HP22240)
  • World Bank's State and Peace-building Fund (#1007007040, #7162336)
  • Yale University's Center for Interdisciplinary Research on AIDS
  • National Institute of Mental Health (P30MH062294)
  • Health Resources and Services Administration National Research Service Award (T32HP22240)

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