Objectives We sought to identify the correlates of reproductive coercion (RC) among women in Kingston, Jamaica and Hanoi, Vietnam.

Study design We analyzed data from two cross-sectional studies: 1) a study of 222 women, 18-25 years of age, attending a clinic in Kingston, Jamaica in 2018-2019 and 2) a study of 500 women, 18-45 years of age, receiving care at a hospital in Hanoi, Vietnam in 2017-2018. Shared eligibility criteria between the populations included being sexually active and not desiring pregnancy. We categorized women as experiencing RC if they indicated that their male partner had engaged in at least one of the following: had pressured them to become pregnant, would stop them if they wanted to use a method to prevent pregnancy, had messed with or made it difficult to use a method to prevent pregnancy, or had ever stopped them from using a method to prevent pregnancy. We used logistic regression to examine associations between demographic factors and experiencing RC.

Results RC from a male partner was common in both populations, with a prevalence of 44% in Jamaica and 17% in Vietnam. Lower educational attainment was correlated with RC in Jamaica. Correlates in Vietnam included younger age and a history of forced sex or experiencing intimate partner violence.

Conclusions RC among women in Jamaica and Vietnam appeared to be more common among those who held other characteristics associated with low power. Considering the role of a male partner is critical to promote reproductive justice.

Implications Reproductive coercion from a male partner was more common with lower educational attainment in Kingston, Jamaica and among women of younger age and a history of forced sex or intimate partner violence in Hanoi, Vietnam.

The authors have declared no competing interest.

This work was supported by the Bill & Melinda Gates Foundation (OPP1171894), the Society of Family Planning Research Fund (SFPRF11-04), and the National Center for Advancing Translational Sciences (UL1TR001070). The sponsors had no role in the study design, collection, analysis and interpretation of data, writing of the report, and decision to submit the article for publication.

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The details of the IRB/oversight body that provided approval or exemption for the research described are given below:

The Ohio State University Institutional Review Board provided ethical review of both studies, in addition to ethical review committees at the Jamaica Ministry of Health and the Hanoi School of Public Health IRB for respective study populations.

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