Correlates of reproductive coercion among young women in Kingston, Jamaica and Hanoi, Vietnam.

Objectives: We sought to identify the correlates of reproductive coercion (RC) among women in Kingston, Jamaica and Hanoi, Vietnam. Study design: We analyzed data from two cross-sectional studies: 1) a study of 222 women, 18-25 years of age, attending a clinic in Kingston, Jamaica in 2018-2019 and 2) a study of 500 women, 18-45 years of age, receiving care at a hospital in Hanoi, Vietnam in 2017-2018. Shared eligibility criteria between the populations included being sexually active and not desiring pregnancy. We categorized women as experiencing RC if they indicated that their male partner had engaged in at least one of the following: had pressured them to become pregnant, would stop them if they wanted to use a method to prevent pregnancy, had messed with or made it difficult to use a method to prevent pregnancy, or had ever stopped them from using a method to prevent pregnancy. We used logistic regression to examine associations between demographic factors and experiencing RC. Results: RC from a male partner was common in both populations, with a prevalence of 44% in Jamaica and 17% in Vietnam. Lower educational attainment was correlated with RC in Jamaica. Correlates in Vietnam included younger age and a history of forced sex or experiencing intimate partner violence. Conclusions: RC among women in Jamaica and Vietnam appeared to be more common among those who held other characteristics associated with low power. Considering the role of a male partner is critical to promote reproductive justice. Implications: Reproductive coercion from a male partner was more common with lower educational attainment in Kingston, Jamaica and among women of younger age and a history of forced sex or intimate partner violence in Hanoi, Vietnam.