Reproductive coercion is any behavior that limits a person’s reproductive decision-making and can lead to negative health and safety outcomes. Previous research has explored reproductive coercion prevalence rates in clinical samples, as well as demographic risk factors for experiencing reproductive coercion. The purpose of this study is to assess the prevalence rates of two specific forms of reproductive coercion, pregnancy coercion and condom manipulation, in an ethnically and racially diverse sample of young females. We also explore the association between relationship health knowledge and skills with reproductive coercion. We used a sample of 143 females with previous sexual activity. Participants were diverse in terms of race, ethnicity, sexual orientation, and family immigration status. Descriptive statistics and logistic regression analyses were used to determine prevalence rates of pregnancy coercion and condom manipulation and the likelihood of experiencing reproductive coercion based on participants’ knowledge and skills related to relationship health. Results revealed that 16.1% of the sample had experienced reproductive coercion, with all participants in this group reporting lifetime experiences of pregnancy coercion. Lifetime experiences of condom manipulation were reported by 6.3% of the sample. The most common form of reproductive coercion experienced by participants was being told by a partner not to use any birth control. Furthermore, results indicate that higher relationship health knowledge may be a protective factor for pregnancy coercion and condom manipulation. Likewise, higher decision-making skills in relationships and higher confidence in relationships may also protect against condom manipulation. Results from this study suggest implications for sexual and relationship health programming that expands education around consent, choice, decision-making, and communication around the use of contraception.

中文翻译：

---

生殖胁迫：与关系健康知识和技能相关的患病率和风险因素


生殖胁迫是限制一个人的生育决策并可能导致负面健康和安全结果的任何行为。以前的研究探讨了临床样本中的生殖胁迫患病率，以及经历生殖胁迫的人口统计学风险因素。本研究的目的是评估两种特定形式的生殖胁迫（怀孕胁迫和避孕套操纵）在种族和种族多样化的年轻女性样本中的患病率。我们还探讨了关系健康知识和技能与生殖胁迫之间的关联。我们使用了 143 名既往有性活动的女性样本。参与者在种族、民族、性取向和家庭移民身份方面各不相同。根据参与者与关系健康相关的知识和技能，使用描述性统计和逻辑回归分析来确定怀孕胁迫和安全套操作的患病率以及经历生殖胁迫的可能性。结果显示，16.1% 的样本经历过生殖胁迫，该组的所有参与者都报告了终生遭受怀孕胁迫的经历。6.3% 的样本报告了终生使用避孕套的经历。参与者经历的最常见的生殖胁迫形式是被伴侣告知不要使用任何避孕措施。此外，结果表明，较高的关系健康知识可能是怀孕胁迫和安全套操作的保护因素。同样，在人际关系中更高的决策能力和更高的信心也可以防止安全套操纵。 这项研究的结果表明，对性和关系健康计划的影响，该计划扩大了围绕避孕措施使用的同意、选择、决策和沟通的教育。