Birth Control Sabotage Research Articles

Methods Used to Control the Reproductive Choices of Women Who Are Sex Trafficked: Considerations for Health Care Providers.

Reproductive control or reproductive coercion has negative health consequences but has not been systematically studied within the context of sex trafficking. Our goal is to identify the range of methods used by sex traffickers and buyers to control the reproductive choices of trafficked women and to provide specific examples of these methods. We searched PubMed, Embase, and PsycInfo using the terms "reproductive control" or "reproductive coercion" and "human trafficking" or "sex trafficking," including papers that contained original, specific examples of reproductive control occurring within the context of sex trafficking. These reports were described and categorized into established domains of reproductive control. Eight articles were located that met our inclusion criteria, of which 6 described outcomes of birth control sabotage, 2 described pressuring into pregnancy, 5 described controlling the outcome of a pregnancy, and 2 described forced birth control or sterilization. Our findings have implications for how to take sexual histories and for identifying and assisting trafficked persons.

Disability and violence: Urgent call for data to achieve equity

Disability and violence: Urgent call for data to achieve equity

Birth Control Sabotage Motivation and Measurement: A Mixed-Methods Analysis among Latina Women.

Reproductive coercion (RC) is a type of intimate partner violence that includes birth control sabotage (BCS). We explored the perceived intent behind BCS to refine RC measurement, using a mixed-methods design with a clinic-based sample of Latina women (13 interviews; 482 surveys). Women perceived partners used BCS for reasons beyond pregnancy promotion. Specifically, 16.8% of participants reported any past-year RC; this decreased to 9.5% when asked if their partner used BCS with the sole intent of getting them pregnant. RC measures and assessment should separate behavior from intent in BCS questions to not underestimate the prevalence and to guide clinical response.

Evaluating perceptions of sexual coercion: the role of personality, gender, and motive in birth control sabotage

ABSTRACT Public attitudes are considered influential in terms of determining criminal justice responses to offending behaviour, however, research into sexual coercion and specifically Birth Control Sabotage (BCS) has received little attention. The aim of this study was to explore the influence of dark triad traits, gender, and motive on perceptions of BCS. Participants (N = 273) were recruited from a general population sample. All participants completed the Short Dark Triad (SD3) and read four vignettes relating to BCS, where perpetrator gender and function of sabotage (motive) were manipulated. Participants responded to these vignettes on a scale examining victim blame, criminality and victim impact. The results are discussed with reference to previous research exploring victim blame in other aspects of non-consensual sexual behaviour. As one of the first studies in this area, possible real-world implications and future directions are discussed in terms of jury decision making and victim support. Practical Impact Statement: Practice impact statement: This article assists professionals in developing educational strategies and policies for how police and the legal system approach birth control sabotage and reproductive autonomy by explaining how attributing responsibility to victims and perpetrators and the need for police intervention is related to gender, intent and perceptions of affirmative consent.

Birth Control Sabotage as a Correlate of Women's Sexual Health Risk: An Exploratory Study.

To explore associations between birth control sabotage, a form of reproductive coercion, and women's sexual risk among women attending family planning health centers. Data were collected from a 2017 cross-sectional online survey of 675 women who attended Connecticut Planned Parenthood centers. Participants reported birth control sabotage; sexual risk (i.e., inconsistent condom use during vaginal and anal sex in the past 6months, lifetime sexually transmitted infection diagnosis, lifetime exchange sex [trading sex for money, drugs, or other goods], and multiple sexual partners in the past 6months); and sociodemographics. Bivariate and multivariable logistic regression models were used to examine associations between birth control sabotage and women's sexual risk. One in six women (16.4%; n=111) reported experiencing birth control sabotage. Women who reported birth control sabotage had a greater odds of ever having an sexually transmitted infection (adjusted odds ratio, 2.18; 95% confidence interval, 1.31-3.60; p=.003), ever engaging in exchange sex (adjusted odds ratio, 2.77; 95% confidence interval, 1.17-6.53; p=.020), and having multiple sexual partners in the past 6months (adjusted odds ratio, 1.96; 95% confidence interval, 1.21-3.18; p=.006). Our findings demonstrate increased engagement in sexual risk taking among women who reported birth control sabotage compared with women did not.

Reproductive coercion sometimes works: evaluating whether young African-American women who experience reproductive coercion or birth control sabotage are more likely to become pregnant.

Men engaging in reproductive coercion may coerce, force, or deceive female partners into pregnancy. This study evaluates whether the 3-month incidence of pregnancy is higher among women reporting reproductive coercion than similar women reporting no reproductive coercion. We tested this hypothesis in longitudinal data from a sample of African-American women ages 18–24 recruited from community settings in Atlanta, Georgia, US, in 2012–2014 (n = 560). Participants were surveyed at baseline, 3 months, 6 months, 9 months, and 12 months. To reduce selection bias, we used full matching on 22 baseline variables related to demographics, economic power, risky alcohol use, and gender-based power inequality. We used logistic regression in the matched sample with outcome pregnancy 3 months later, controlling for baseline fertility intentions (n = 482, n = 458, n = 452 at respectively 3, 6, 9 months). At 3 months, 15% of women reported reproductive coercion. At 6 months, 11.3% of women reporting coercion were pregnant vs. 4.6% of matched women reporting no coercion (p = 0.06). Women reporting coercion had 3 times the odds of pregnancy as matched women reporting no coercion (AOR 2.95, 95% CI (1.16, 6.98), p = 0.02). Among women pregnant after coercion, only 15% wanted to be pregnant then or sooner. Women reporting reproductive coercion are at greater risk of unwanted or mistimed pregnancies, and the semen exposure that caused these pregnancies could also transmit STI/HIV. Clinicians should screen patients for reproductive coercion; consider using semen exposure biomarkers such as PSA or Yc-PCR to identify condom sabotage or stealthing; and refer women experiencing reproductive coercion to supportive services.Electronic supplementary materialThe online version of this article (10.1007/s10742-020-00213-9) contains supplementary material, which is available to authorized users.

Reproductive Coercion, Intimate Partner Violence, and Unintended Pregnancy Among Latina Women.

Reproductive coercion (RC) describes a range of behaviors that restrict reproductive autonomy including pregnancy coercion, birth control sabotage, and controlling the outcome of a pregnancy. RC is associated with pregnancies that are mistimed and unwanted (i.e., unintended). Past research demonstrates that Latina women have higher risk for RC and for unintended pregnancy. This cross-sectional descriptive study with Latina women (n = 482) examined prevalence and risk factors for RC, evaluated the association of RC and unintended pregnancy among women with a past-year pregnancy, and explored use of safety and harm reduction strategies. A tablet survey was administered to women attending a community health center, between the ages of 15 and 45, who self-identified as Latina and who had a dating or sexual partner in the past year. Approximately one in six (16.8%) experienced past-year RC and risk factors included younger age (adjusted odds ratio [AOR] = 0.95, 95% confidence interval [CI] = [0.91, 1.00], p = .038) and concurrent intimate partner violence (IPV; AOR = 4.47, 95% CI = [2.06, 9.70], p < .001). IPV questions were specific to the partner involved with RC behaviors. For the 185 participants who reported a past-year pregnancy, RC was associated with lower pregnancy planning scores (β = -.27, 95% CI = [-0.41, -0.13], p < .001). The combination of experiencing RC and IPV appeared particularly potent in lowering pregnancy planning scores (β = -.15, 95% CI = [-0.29, 0.00], p = .052). Approximately 10.6% of participants engaged in harm reduction strategies, most commonly ending an unhealthy or abusive relationship (6.1%) and using less detectable methods of contraception so that partners would not find out (3.4%). The study articulates the risk of RC and its intersection with IPV and unintended pregnancy for Latina women. Providers working with racially and ethnically marginalized women have an important role in promoting safety and harm reduction strategies that include offering less detectable methods of contraception and support in leaving unhealthy and abusive relationships.

“The Path Makes Us Strong”: Experiences of Reproductive Coercion Among Latina Women and Strategies for Minimizing Harm

IntroductionLatina women disproportionately report experiencing reproductive coercion (RC), a set of behaviors that interfere with autonomous reproductive decision‐making. Given RC's associations with intimate partner violence (IPV) and unintended pregnancy, it is critical to identify and address RC to assist women to achieve safety, autonomy, and reproductive life plans. The purpose of this study was to describe RC and the use of RC safety strategies among Latina women receiving IPV services at an urban clinicMethodsQualitative descriptive methodology was used. A purposive sample of 13 Latinas aged 20 to 40 years was recruited. Semi‐structured interviews were transcribed and translated, then read to verify accuracy and gain understanding of overall responses, ensuring confirmability and trustworthiness. Two authors developed a codebook of a priori and emerging codes, and independently applied it. Discrepancies were triangulated with a third researcher, establishing credibility and confirmability. Codes were grouped into theoretical constructs.ResultsThemes included RC behaviors (with subthemes pregnancy pressure, birth control sabotage, and controlling pregnancy outcome), co‐occurrence of RC and IPV, and RC harm reduction strategies. New RC behaviors emerged, and immigration status was used as a method of coercive control. Cultural norms emerged as sources of vulnerability and resilience. Coercive partners were also violent. Harm reduction strategies included less detectable contraception; some sought community services, but others resorted to deception and stalling as the only tools available to them.DiscussionThe importance of translation services and clearly stating immigration risks from seeking help was apparent. Less detectable methods of contraception remain useful harm reduction strategies. Midwives should inquire about method fit and be mindful of honoring the request when patients ask to change methods. Cultural norms of strength and resilience emerged as vital sources of power and endurance. Nurses and researchers must consider how to support this and help women to access it. This diverse sample and the powerful voices of the women who participated make a significant contribution to the understanding of RC experienced by Latina women in the United States.

Young Women's Acknowledgment of Reproductive Coercion: A Qualitative Analysis.

Reproductive coercion (RC) is a form of violence perpetuated against women. It occurs when male partners adopt behaviors meant to control a woman's birth control or pregnancy despite her wishes. This amounts to interference with a woman's autonomy in reproductive decisions. The three main forms of RC are birth control sabotage (including nonconsensual condom removal), pregnancy coercion, and controlling the outcome of a pregnancy. This qualitative exploratory study examines issues in the acknowledgment of RC. Participants were 21 young women in Québec (Canada), who had experienced this form of violence. Results of individual semi-directed interviews reveal that RC can be difficult to acknowledge. A thematic analysis demonstrates that awareness is modulated by the manifestations of RC and by the emotional bond with the perpetrator. Acknowledgment of RC behavior varies according to the form that is experienced: Nonconsensual condom removal is the most readily identified, whereas acknowledgment of pregnancy pressure and pregnancy coercion takes longer, requiring repeated incidents before it is identified as a form of violence. In addition, acknowledgment is facilitated when relationships are casual and uncommitted compared with romantic and committed. Moreover, reading about the issue, confiding in a friend or acquaintance, and finding a new partner who respects one's reproductive rights facilitate RC acknowledgment. In contrast, not self-identifying as a victim, assuming responsibility for the incident, having a limited understanding of sexual violence, and experiencing other forms of violence with an intimate partner contribute to impede RC acknowledgment. Results are discussed in terms of practical implications for young adults and health care professionals.

Reproductive Coercion in the Perinatal Context [11F

INTRODUCTION: Reproductive coercion (RC), or behavior that interferes with contraception use and/or pregnancy autonomy, has been poorly assessed in the perinatal context. Our objective was to determine patient factors associated with RC and to explore associations between RC and pregnancy engagement. METHODS: This was a cross-sectional study utilizing an anonymous, self-administered, Spanish or English survey among women with at least one prior pregnancy. The RC questionnaire queried participants’ experience of birth control sabotage and/or pressure to become pregnant by a partner at the time of their most recent pregnancy. Surveys were distributed at a tertiary care center during routine outpatient visits. Descriptive and bivariable analyses were performed. RESULTS: In this sample of 93 women, 6.5% screened positive for RC. In the overall cohort, the mean age was 36.8 years, 79.6% were racial or ethnic minorities, and 41.9% were college graduates. Women reporting RC were younger (27.6vs.37.4 years, p=0.036) and reported more limited prenatal care (66.7%vs.25.3% with late/no prenatal care, p=0.049). There were trends demonstrating greater work insecurity, younger age at first pregnancy, poorer self-perception of health, and increased frequency of intimate partner violence (p&lt;0.075). Race/ethnicity and education did not differ by experience of RC. Women were significantly more likely to have had an undesired pregnancy or pregnancy ambivalence if they had experienced RC (p=0.004). CONCLUSION: In this unselected population, RC was present in a distinct minority of women without discrimination along racial, ethnic, education and economic lines. These data suggest that RC experience is associated with pregnancy ambivalence/unintendedness and poorer engagement in perinatal care.

Training reproductive health providers to talk about intimate partner violence and reproductive coercion: an exploratory study.

To explore the effect of provider communication-skills training on frequency of intimate partner violence (IPV) and reproductive coercion (RC) assessment, four family planning clinics were randomized to IPV/RC communication-skills building workshop or standard knowledge-based IPV/RC training and compared to historical controls from the same clinics (before any training). Female patients aged 16-29 completed after-visit surveys. Primary outcomes included provider discussion about IPV/RC, receipt of safety card with IPV/RC resources and patient disclosure of IPV/RC. Chi-square tests were used to compare groups that received training and historical controls. Participants (training: n = 103; historical control: n = 576) were predominantly white with mean age of 22. More patients reported discussion about healthy relationships in both training groups (78-90%) compared to historical controls (49-52%, P < 0.001 for both). Discussion on birth control sabotage and pregnancy coercion was infrequent with patient-participants in both groups (6-17 and 4-13%, respectively). More patients in the clinics that received training reported receiving a safety card (72-84%) as compared to historical controls (9%, P < 0.001 for both). Overall, in this exploratory study, both communication-skills and standard training improved frequency of IPV communication when compared to historical controls but with few differences when compared to each other.

Male partner reproductive coercion among women veterans

Male partner reproductive coercion is defined as male partners' attempts to promote pregnancy through interference with women's contraceptive behaviors and reproductive decision-making. Male partners may try to promote pregnancy through birth control sabotage such as taking away or destroying their partners' contraceptives, refusing to wear condoms, and/or verbally pressuring their partners to abstain from contraceptive use. Reproductive coercion is associated with an elevated risk for unintended pregnancy. Women who experience intimate partner violence, who are in racial/ethnic minorities, and who are of lower socioeconomic status are more likely to experience reproductive coercion. Women veterans who use Veterans Affairs for health care may be particularly vulnerable to reproductive coercion because they are disproportionally from racial/ethnic minority groups and experience high rates of intimate partner violence. We sought to examine the prevalence, correlates, and impact of reproductive coercion among women veterans who are served by the Veterans Affairs healthcare system. We analyzed data from a national telephone survey of women veterans aged 18-44 years, with no history of sterilization or hysterectomy, who had received care within the Veterans Affairs system in the previous 12 months. Participants who had sex with men in the last year were asked if they experienced male partner reproductive coercion. Adjusted logistic regression was used to examine the relationship between participant characteristics and male partner reproductive coercion and the relationship between reproductive coercion and the outcomes of contraceptive method used at last sex and pregnancy and unintended pregnancy in the last year. Among the 1241 women veterans in our study cohort, 11% reported experiencing male partner reproductive coercion in the past year. Black women, younger women, and single women were more likely to report reproductive coercion than their white, older, and married counterparts. Women who experienced military sexual trauma were also more likely to report reproductive coercion compared with women who did not report military sexual trauma. In adjusted analyses, compared with women who did not experience reproductive coercion, those who did were less likely at last sex to have used any method of contraception (76% vs 80%; adjusted odds ratio, 0.61; 95% confidence interval, 0.38-0.96), prescription contraception (43% vs 55%; adjusted odds ratio, 0.62; 95% confidence interval, 0.43-0.91), and their ideal method of contraception (35% vs 45%; adjusted odds ratio, 0.63; 95% confidence interval, 0.43-0.93). Those who reported coercion were more likely to have had a pregnancy in the last year (14% vs 10%; adjusted odds ratio, 2.07; 95% confidence interval, 1.17-3.64); there were no significant differences in unintended pregnancy by coercion status (6% vs 4%; adjusted odds ratio, 1.63; 95% confidence interval, 0.71-3.76). Eleven percent of women veterans in our sample experienced male partner reproductive coercion, which may impact their use of contraception and ability to prevent pregnancy.

Intimate Partner Violence and PrEP Acceptability Among Low-Income, Young Black Women: Exploring the Mediating Role of Reproductive Coercion.

A few studies suggest that women who experience intimate partner violence (IPV) are willing to use pre-exposure prophylaxis (PrEP), but no research has examined mediators of this relationship. The current study used path analysis to examine a phenomenon closely associated with IPV: reproductive coercion, or explicit male behaviors to promote pregnancy of a female partner without her knowledge or against her will. Birth control sabotage and pregnancy coercion-two subtypes of reproductive coercion behaviors-were examined as mediators of the relationship between IPV and PrEP acceptability among a cohort of 147 Black women 18-25years of age recruited from community-based organizations in an urban city. IPV experiences were indirectly related to PrEP acceptability through birth control sabotage (indirect effect=0.08; p<0.05), but not to pregnancy coercion. Findings illustrate the importance of identifying and addressing reproductive coercion when assessing whether PrEP is clinically appropriate and a viable option to prevent HIV among women who experience IPV.

An Examination of Domestic Violence Advocates' Responses to Reproductive Coercion.

Reproductive coercion (RC) is a form of intimate partner violence (IPV) that continues to lack adequate attention by both researchers and practitioners. RC is defined as "male partners' attempts to promote pregnancy in their female partners through verbal pressure and threats to become pregnant (pregnancy coercion), direct interference with contraception (birth control sabotage), and threats and coercion related to pregnancy continuation or termination (control of pregnancy outcomes)." This type of partner violence can have serious consequences on a survivor's health and well-being. Despite the fact that RC has been reported by many women experiencing IPV, and that this type of abuse appears to be disproportionately targeted against marginalized women, little is known about the extent to which advocates either proactively or reactively address it. To redress this, the current study involved a brief online survey sent to domestic violence victim service advocates across the United States and its territories. More than 700 advocates responded about their comfort, practices, and perceived barriers related to RC and survivors' sexual health. Despite identifying (a) low levels of discomfort when discussing most topics relating to RC and (b) few barriers to discussing RC, few advocates reported regularly engaging in RC-related practices. Both greater levels of discomfort and identification of more barriers were associated with less frequent coercion-related practice. Study implications highlight the need for more specialized advocate training, and organizational support for advocates to comfortably and safely provide information and support about RC to survivors.

A Systematic Review of Reproductive Coercion in International Settings.

Reproductive coercion is behavior that interferes with a woman's autonomous reproductive decision-making. It may take the form of birth control sabotage, pregnancy coercion, or controlling the outcome of a pregnancy. Perpetrators may be partners, a partner's family, or the woman's family. This article reviews the literature on reproductive coercion in international settings. In this review of 10 research studies, findings are presented on prevalence and type of reproductive coercion, associated factors, specific tactics, relationship with intimate partner violence and domestic violence (in-laws particularly), and implications for women's reproductive health. Findings highlight reproductive coercion as a subset of intimate partner violence that is poorly understood, especially in international settings. More research is needed on protective factors, how interventions can capitalize on protective factors, and the strategies women use to resist reproductive coercion. Policy implications and recommendations are discussed with particular attention to issues related to diverse social and cultural environments.

Reproductive Coercion: A Systematic Review

Reproductive coercion is a behavior that interferes with the autonomous decision-making of a woman, with regard to reproductive health. It may take the form of birth control sabotage, pregnancy coercion, or controlling the outcome of a pregnancy. The objectives of this article are to address the questions: (1) What is known about reproductive coercion, its prevalence, and correlates? (2) What strategies do women use to preserve their reproductive autonomy when experiencing reproductive coercion? (3) What interventions are effective to decrease reproductive coercion? In this review of 27 research studies, 12 contained findings regarding the general phenomenon of reproductive coercion and 19 contained findings about at least one component of reproductive coercion. Additionally, 11 studies contained findings related to the intersection of intimate partner violence (IPV) and reproductive coercion, 6 presented data on strategies women use to resist reproductive coercion, and 3 included intervention data. Variation in measurement makes synthesis of prevalence and correlate data challenging. The reviewed literature presents reproductive coercion as a phenomenon that disproportionately affects women experiencing concurrent IPV, women of lower socioeconomic status, single women, and African American, Latina and multiracial women. Women who experience reproductive coercion were found to present frequently for certain health services. Most data on reproductive coercion are descriptive, and there is need for further research to examine the co-occurrence with related phenomena such as IPV and unintended pregnancy. More research is also needed on the strategies women use to resist reproductive coercion as well as interventions aimed at survivors and perpetrators of reproductive coercion and health-care providers who encounter them.

Intimate partner violence and pregnant and parenting adolescents in out-of-home care: reflections on a data set and implications for intervention.

To present the findings from a data set reflecting intimate partner violence among adolescents who are pregnant and parenting and living in out-of-home care and to analyse these findings in order to generate potential interventions to address this significant issue. Because of their developmental stage, coupled with the stress of pregnancy and new parenthood, adolescent women who are pregnant or postpartum are often at a high risk of abuse. Violence may include physical, emotional/psychological, verbal and sexual abuse, along with birth control sabotage and pregnancy coercion. Adolescent mothers in out-of-home care such as foster care, juvenile detention facilities, kinship care or living in complex family circumstances may be at an even higher risk of intimate partner violence related to the increase in stress, conflict and tenuous situations. This descriptive study was designed, using baseline self-report and demographic data, to examine the relationship of pregnancy or parenting among adolescents with a fear of or reported involvement in intimate partner violence. A total of 151 sexually active, urban, system-involved youths in out-of-home care were assessed between 2012-2015 with a survey questionnaire assessment of sexual reproductive health behaviours, areas of risk and protective factors. The findings indicated a significant association between ever having been pregnant and fear of intimate partner violence. In this population, fear of intimate partner violence was prevalent among adolescent mothers, adding to the complexity of an already difficult family situation. Due to the small sample size and the potential correlation between intimate partner violence and adolescent motherhood, future longitudinal studies with larger samples of adolescents residing in out-of-home care are needed to better understand how this relationship impacts adolescent mothers, their children and families.

Reproductive coercion: an under-recognized challenge for primary care patients.

Reproductive coercion impacts many women of reproductive age. We sought to explore how reproductive coercion, including pregnancy coercion and birth control sabotage, impacts women in a primary care population. We administered a survey to women accessing care at a family medicine clinic in the Bronx, NY. Reproductive coercion was defined as a positive response to at least one of five questions adapted from previous studies. We assessed the association of reproductive and demographic characteristics with a lifetime history of reproductive coercion. At least one form of reproductive coercion was reported by 24% of the 97 respondents. Current lack of personal safety and a history of transactional sex for money or a place to stay were significantly associated with having experienced reproductive coercion (all P ≤ 0.02). Reproductive coercion was common among women of reproductive age at this urban family medicine clinic in an underserved community, and was associated with other forms of control and violence. Clinicians are advised to discuss birth control sabotage and pregnancy coercion with their patients.

Reproductive coercion: uncloaking an imbalance of social power

Reproductive coercion involves behavior that interferes with contraceptive and pregnancy choices of women and occasionally men. This includes birth control sabotage (intentional destruction of a woman's chosen method of contraception), pregnancy pressure (behaviors to coerce pregnancy against one's wishes), and pregnancy coercion (threats to direct the outcome of a pregnancy). All are associated with serious reproductive consequences including unintended pregnancy, abortion, sexually transmitted infections, poor pregnancy outcomes, and psychological trauma. This article presents an overview of the recent literature surrounding reproductive coercion and how it relates to the reproductive health outcomes of women, adolescents, and the lesbian, gay, bisexual, and transgender community. Men's experience with reproductive coercion will also be discussed. Clinical implications and evidence-based strategies for assessment and intervention will be identified.

Reproductive Coercion and Partner Violence Among College Women

Objective To examine reproductive coercion and partner violence among college women, a group that has not been previously examined. Design Cross‐sectional, electronic survey. Setting A large public university in the Northeast United States. Sample Inclusion criteria included the following: college women age 18 to 25, enrolled full‐ or part‐time, currently or previously sexually active, and English speaking. Data from 972 women were analyzed. Methods After Institutional Review Board approval, an e‐mail invitation was sent to female students. A web link to the informed consent and inclusion criteria was provided. Students who met study criteria could proceed to the survey. Survey questions were guided by concepts from the theory of planned behavior and included the Abuse Assessment Screen, the Reproductive Coercion Scale, and sexual history questions adapted from the Centers for Disease Control and Prevention. Completion of the survey implied consent. Results Almost 8% of participants (n = 76) reported reproductive coercion, including pregnancy coercion, birth control sabotage, or both. Women reported more pregnancy coercion (6.8%) than birth control sabotage (3.9%). Being told not to use any birth control was the most commonly reported act (6.8%, n = 62). Of women reporting reproductive coercion (n = 76), 57% also screened positive for relationship violence (95% confidence interval [CI] [2.74, 7.29]). Women who experienced reproductive coercion were also more likely to report a history of pregnancy (p < .001), history of abortion (p < .001), and unintended pregnancy (p < .001). Conclusion/Implications for Nursing Practice Pregnancy coercion and birth control sabotage occur among college women often in the context of intimate partner violence. Many women seek health care during the college years, and there are multiple opportunities for interactions between nurses and college women. In addition to screening and counseling for intimate partner violence, college health providers need to assess for reproductive coercion and tailor contraceptive counseling discussions accordingly. Nurses who provide women's health care should assess status of relationships, occurrence of violence, coercion, and ability to negotiate safer sex. These conversations should be framed within health promotion messages and discussions about safety for women during routine and episodic visits. This report was published in its entirety: Sutherland, M., Fantasia, H. C., & Fontenot, H. (2015). Reproductive coercion and partner violence among college women. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 44(2), 218–227. To examine reproductive coercion and partner violence among college women, a group that has not been previously examined. Cross‐sectional, electronic survey. A large public university in the Northeast United States. Inclusion criteria included the following: college women age 18 to 25, enrolled full‐ or part‐time, currently or previously sexually active, and English speaking. Data from 972 women were analyzed. After Institutional Review Board approval, an e‐mail invitation was sent to female students. A web link to the informed consent and inclusion criteria was provided. Students who met study criteria could proceed to the survey. Survey questions were guided by concepts from the theory of planned behavior and included the Abuse Assessment Screen, the Reproductive Coercion Scale, and sexual history questions adapted from the Centers for Disease Control and Prevention. Completion of the survey implied consent. Almost 8% of participants (n = 76) reported reproductive coercion, including pregnancy coercion, birth control sabotage, or both. Women reported more pregnancy coercion (6.8%) than birth control sabotage (3.9%). Being told not to use any birth control was the most commonly reported act (6.8%, n = 62). Of women reporting reproductive coercion (n = 76), 57% also screened positive for relationship violence (95% confidence interval [CI] [2.74, 7.29]). Women who experienced reproductive coercion were also more likely to report a history of pregnancy (p < .001), history of abortion (p < .001), and unintended pregnancy (p < .001). Pregnancy coercion and birth control sabotage occur among college women often in the context of intimate partner violence. Many women seek health care during the college years, and there are multiple opportunities for interactions between nurses and college women. In addition to screening and counseling for intimate partner violence, college health providers need to assess for reproductive coercion and tailor contraceptive counseling discussions accordingly. Nurses who provide women's health care should assess status of relationships, occurrence of violence, coercion, and ability to negotiate safer sex. These conversations should be framed within health promotion messages and discussions about safety for women during routine and episodic visits.