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Poverty and InequalitySexual and Reproductive HealthFamily, Maternal & Child HealthMethodology

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

TitleIntimate Partner Violence and PrEP Acceptability Among Low-Income, Young Black Women: Exploring the Mediating Role of Reproductive Coercion
Publication TypeJournal Article
Year of Publication2017
AuthorsWillie, T, Kershaw, T, Campbell, JC, Alexander, KA
JournalAIDS Behav
Date PublishedApr 13
ISBN Number1090-7165
Accession Number28409266
KeywordsBlack/African-American women, HIV, Intimate partner violence, Pre-exposure prophylaxis, Reproductive coercion
Abstract

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 18-25 years 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.