It appeared
last week:
Health
One in 20 Australian adults found to have suffered reproductive coercion
and abuse
Australian Study of Health and Relationships finds 3.9% of
women aged 16-69 had experienced contraceptive interference and 4.9% forced
abortion
Natasha
May
Sun 22 Sep 2024 06.00 AEST
One in 20 Australian adults have experienced reproductive
coercion and abuse.
That is among the findings of the Australian Study of Health and
Relationships, released this week, the first time researchers in Australia have
estimated the national prevalence of behaviour used to control a person’s
reproductive autonomy.
Reproductive coercion and abuse (RCA) can include
interference with contraception by a partner, forced contraception or
sterilisation, and control of pregnancy outcomes by forced abortion or forced
pregnancy.
Questions about these experiences were added to the
country’s largest and most comprehensive study of sexual and reproductive
health, conducted once a decade.
Dr Allison Carter, the group leader of the Sexual Health and
Reproductive Equity (SHARE) Research Group at the Kirby Institute, presented
preliminary findings around RCA prevalence from the third ASHR this week at the
International Union Against Sexually Transmitted Infections (IUSTI) world
congress in Sydney.
From analysing the survey data collected between 2022-2023
from a nationally representative sample of 14,540 people aged 16-69 years, the
researchers found that, among women, 3.9% had experienced contraceptive
interference, 2.7% had experienced forced sterilisation or contraception, 4.9%
had experienced forced abortion and 1.9% forced pregnancy.
“In all likelihood, it’s probably an underestimation because
we know people tend to under report experiences of violence, and also people
might not recognise what’s occurring to them,” Carter told Guardian Australia.
“It might come in the form of emotional manipulation or more
subtle insidious pressure to get pregnant and to keep a child when you may not
want to.
“It might involve more overt threats to keep this child,
otherwise ‘I’m going to leave the relationship’ – and if it’s a situation where
a female partner has less social and economic power and are dependent on that
relationship, they might feel intense pressure.”
It can also be overt or actual physical violence – for
example, in the case of forcing a woman to choose a particular pregnancy
outcome such as abortion, she said.
While RCA was primarily committed by partners, women did
also commonly experience perpetration from their parents, with nearly one in
five (19%) women who reported forced abortion saying it was perpetrated by
their parents.
The prevalence of RCA rose drastically among
socioeconomically marginalised men and women including people in contact with
the justice system, people with a history of substance use, individuals with
disability, those who experience violence, and gay and bisexual people.
For example, one in four women who had been in prison had
experienced contraceptive interference (25.3%) and forced abortion (24.9%),
while 15.2% of men living with a disability had experienced contraceptive
interference.
The rate of men who reported partner interference with
contraception was 8.4% – more than double the proportion of women – while 2.2%
had experienced forced vasectomy.
However, Carter cautioned that to understand the data’s
significance, researchers are still carrying out further qualitative research
interviewing study participants to better understand people’s lived experience.
She also highlighted that when men experience partner
interference with contraception, it is occurring through deception, for example
a woman lying to a partner about using the pill. While that was not a healthy
relationship dynamic, it could be different from the fear and control which
characterises RCA among women, she said.
“A lot of the reasons behind women’s deception are rooted in
women’s lesser social and economic status, and so if we want to talk about prevention,
we really need to be talking about addressing disadvantage,” Carter said.
RCA has strong associations with intimate partner and sexual
violence, although it can occur in isolation, making it trickier for healthcare
professionals to pick up on “because there’s no other red flags”.
The findings also showed RCA was associated with a range of
physical, mental and sexual reproductive health outcomes. “So it’s not just
limited to reproductive health, but in effect it can affect all aspects of your
life,” Carter said.
“Disagreements about whether or not to have a child are very
common, and one person they want it and another may not – that’s normal. What’s
important though is that people are able to navigate those disagreements in
healthy way.”
Dr Kari Vallury, a research fellow at Griffith University
with a focus on reproductive coercion and abuse, said having national
prevalence data on the topic for the first time was “incredible”.
Vallury said it was also the first time ever in a national
study anywhere in the world that “all four directions of RCA” have been
measured – coerced or forced pregnancy or contraception, as well as pressure to
end or continue pregnancy. “Historically forced abortion has been left out and
it’s only measured contraceptive interference.”
Vallury said previously data has shown a 15% prevalence of
RCA among pregnancy options counselling clients, “which you would expect to be
high given the cohort but now we can really compare that and have a look at
what’s happening in the whole community”.
Here is the
link:
https://www.theguardian.com/australia-news/2024/sep/22/one-in-20-australian-adults-found-to-have-suffered-reproductive-coercion-and-abuse
I really do
wonder about the sources of such statistics as what they report really does not
accord with my life experience. Either I am very sheltered or very lucky!
I would be
curious to hear from people who have life experience that confirms what is
written above!
David.