title: Mental health impacts of reproductive coercion among women in Côte d'Ivoire.
abstract: OBJECTIVE
  To assess the independent associations of partner-perpetrated reproductive coercion, intimate partner violence (IPV), in-law reproductive coercion, and in-law abuse with recent probable post-traumatic stress disorder (PTSD), and to test their relationship with PTSD symptoms when controlling for the other types of abuse among partnered women in rural Côte d'Ivoire.
  
  
  METHODS
  Cross-sectional analyses were conducted using logistic generalized estimating equations, which accounted for village-level clustering. Data were drawn from baseline data from a randomized controlled trial among 24 villages in rural Côte d'Ivoire (n=953 partnered women). Three adjusted models were used to test associations of reproductive coercion and abuse with probable PTSD.
  
  
  RESULTS
  Partner-perpetrated reproductive coercion was experienced by 176 (18.5%) women. In model 3, which accounted for the co-occurrence of abuses, partner-perpetrated reproductive coercion (odds ratio [OR] 2.3; 95% confidence interval [CI], 1.4-3.9) and partner-perpetrated IPV (OR 1.7; 95% CI, 1.1-2.7) were the most significant predictors of past-week probable PTSD (P<0.05).
  
  
  CONCLUSIONS
  Reproductive coercion may be a significant contributor to poor mental health. The mental health impacts of reproductive coercion and IPV should be considered within psychosocial programming for rural Ivorian communities to address the full range of traumatic experiences that may have been experienced by women.
authors: University of Pittsburgh School of Medicine, Division of Adolescent Medicine, Children's Hospital of Pittsburgh of UPMC, Pittsburgh, USA. Electronic address: heather.mccauley@chp.edu.
authors: Heather L
authors: HL
authors: McCauley
authors: Department of Chronic Disease Epidemiology, Yale University School of Public Health, New Haven, USA; Center for Interdisciplinary Research on AIDS, Yale University, New Haven, USA.
authors: Kathryn L
authors: KL
authors: Falb
authors: Albany Medical College, Albany, USA.
authors: Tara
authors: T
authors: Streich-Tilles
authors: Innovations for Poverty Action, Abidjan, Côte d'Ivoire.
authors: Denise
authors: D
authors: Kpebo
authors: Department of Chronic Disease Epidemiology, Yale University School of Public Health, New Haven, USA; Center for Interdisciplinary Research on AIDS, Yale University, New Haven, USA.
authors: Jhumka
authors: J
authors: Gupta
mesh_terms: D000328:Adult; D007560:Cote d'Ivoire; D003430:Cross-Sectional Studies; D017579:Domestic Violence / Q000523:psychology*; D005260:Female; D006801:Humans; D008603:Mental Health; D008875:Middle Aged; D011247:Pregnancy; D043762:Reproductive Behavior / Q000523:psychology*; D012742:Sex Offenses / Q000523:psychology*; D013313:Stress Disorders, Post-Traumatic / Q000209:etiology*; D016387:Women's Health
keywords: Gender-based violence; In-law abuse; In-law reproductive coercion; Intimate partner violence; Mental health; Partner-perpetrated reproductive coercion; Post-traumatic stress disorder; Reproductive control