{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T22:57:58Z","timestamp":1790895478205,"version":"4.1.0"},"reference-count":28,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2015,3,24]],"date-time":"2015-03-24T00:00:00Z","timestamp":1427155200000},"content-version":"vor","delay-in-days":82,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of the International AIDS Society"],"published-print":{"date-parts":[[2015,1]]},"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>Forced and coerced sterilization is an internationally recognized human rights violation reported by women living with HIV (WLHIV) around the globe. Forced sterilization occurs when a person is sterilized without her knowledge or informed consent. Coerced sterilization occurs when misinformation, intimidation tactics, financial incentives or access to health services or employment are used to compel individuals to accept the procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Drawing on community\u2010based research with 285 WLHIV from four Latin American countries (El Salvador, Honduras, Mexico and Nicaragua), we conduct thematic qualitative analysis of reports of how and when healthcare providers pressured women to sterilize and multivariate logistic regression to assess whether social and economic characteristics and fertility history were associated with pressure to sterilize.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A quarter (23%) of the participant WLHIV experienced pressure to sterilize post\u2010diagnosis. WLHIV who had a pregnancy during which they (and their healthcare providers) knew their HIV diagnosis were almost six times more likely to experience coercive or forced sterilization than WLHIV who did not have a pregnancy with a known diagnosis (OR 5.66 CI 95% 2.35\u201313.58 <jats:italic>p<\/jats:italic>\u22640.001). WLHIV reported that healthcare providers told them that living with HIV annulled their right to choose the number and spacing of their children and their contraceptive method, employed misinformation about the consequences of a subsequent pregnancy for women's and children's health, and denied medical services needed to prevent vertical (mother\u2010to\u2010child) HIV transmission to coerce women into accepting sterilization. Forced sterilization was practiced during caesarean delivery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The experiences of WLHIV indicate that HIV\u2010related stigma and discrimination by healthcare providers is a primary driver of coercive and forced sterilization. WLHIV are particularly vulnerable when seeking maternal health services. Health worker training on HIV and reproductive rights, improving counselling on HIV and sexual and reproductive health for WLHIV, providing State mechanisms to investigate and sanction coercive and forced sterilization, and strengthening civil society to increase WLHIV's capacity to resist coercion to sterilize can contribute to preventing coercive and forced sterilization. Improved access to judicial and non\u2010judicial mechanisms to procure justice for women who have experienced reproductive rights violations is also needed.<\/jats:p><\/jats:sec>","DOI":"10.7448\/ias.18.1.19462","type":"journal-article","created":{"date-parts":[[2015,3,24]],"date-time":"2015-03-24T03:33:49Z","timestamp":1427168029000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":51,"title":["Experiences of coercion to sterilize and forced sterilization among women living with HIV in Latin America"],"prefix":"10.1002","volume":"18","author":[{"given":"Tamil","family":"Kendall","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claire","family":"Albert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,3,24]]},"reference":[{"key":"e_1_2_11_2_1","volume-title":"Against her will: forced and coerced sterilization of women worldwide","author":"Open Society Foundation","year":"2011"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(03)15175-6"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)61050-2"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2011.05.002"},{"key":"e_1_2_11_6_1","volume-title":"\u201cAt the hospital there are no human rights\u201d: reproductive and sexual rights violations of women living with HIV in Namibia","author":"Ahmed A","year":"2012"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0968-8080(12)39643-2"},{"key":"e_1_2_11_8_1","first-page":"77","article-title":"Coerced and forced sterilization of HIV\u2010positive women in Namibia","volume":"13","author":"Mallet J","year":"2008","journal-title":"HIV AIDS Policy Law Rev"},{"key":"e_1_2_11_9_1","unstructured":"Women of the Asia Pacific Network of People Living with HIV.Positive and pregnant: how dare you: APN+ [Internet].2012[cited 2014 Sep 1]. 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