ReviewFrontiers in global women's health2026
Advancing the science on measurement, determinants, and outcomes of pregnancy and abortion coercion in global settings: a scoping review.
Review in Frontiers in global women's health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
Reproductive coercion-behaviors that interfere with women's autonomous reproductive decision-making-is increasingly recognized but remains unevenly defined and measured across settings. We conducted a scoping review and searched MEDLINE, Scopus, CINAHL, Embase, and the Cochrane Library, for English-language studies from 1995 to April 2023. Of 8,515 records identified, 119 studies met inclusion criteria; 56% were quantitative, 55% were published during 2020-2023, and most were conducted in high-income settings (58% United States; 13% Australia). Conceptualizations evolved from a narrow focus on pregnancy coercion and birth control sabotage toward inclusion of abortion coercion, provider-level dynamics, and experiences during motherhood, though consensus is lacking. Measurement was dominated by the Miller reproductive control scale and adaptations; act-based items for abortion coercion were scarce. Reported prevalence spanned ∼1%-58% depending on timeframe, setting, and measure. Multi-level risk factors included unstable or non-marital partnerships, partner concurrency, co-residence with in-laws, and lower household wealth; partner education and employment were protective in several contexts. Reproductive coercion frequently co-occurred with intimate partner, sexual, and domestic violence yet showed independent associations with reduced contraceptive self-efficacy and use, increased covert contraception, unintended pregnancy, sexually transmitted infection, and adverse mental health. Evidence on interventions centers on clinic-based, trauma-informed education and counselling, with implementation barriers related to training, time, and referral pathways. Advancing the field requires a harmonized, intent-sensitive, act-based definition and improved measures, especially for abortion coercion, together with more diverse research in low- and middle-income countries and coordinated legal, health, educational, and community responses to protect women's reproductive autonomy.
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