Study: Women in Abusive Relationships Choose 'Secret' Birth Control
LatestA new study has found that women in abusive relationships are less likely to use birth control. When they do use contraception, abused women choose more discreet methods — IUDs, injections, or even sterilization — that they don’t have to disclose, and that their partners are unable to refuse, deny to them or sabotage.
The study, authored by four professors at McGill University and published in a journal put out by the Public Library of Science, shows that abuse often has a direct effect on women’s contraception choices. It suggests that medical providers looking to reduce the incidence of STIs and HIV have to ask women about violence in their relationships, and work with them to find a birth control option that’s not subject to interference from their partners.
“When talking to abused women, I had often heard them mention they were opting for contraception methods their male partner could not refuse,” Lauren Maxwell, a PhD student at McGill University, told the research news website Futurity. “I wanted to know whether, across countries, women who experience intimate partner violence are less able to use contraception, which might explain why rates of abortion and HIV transmission are higher among women abused by their partners.” (The World Health Organization says abused women are more likely to contract HIV, for a variety of reasons: rape can increase vaginal trauma and tearing, for one, which opens the door to future HIV infections. Also, as the WHO notes, “violence and fear of violence” can make it hard for women to “negotiate safe sex.”)