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Bodies and Battlefields: Sexual and Reproductive Health and Rights in the Colombian Armed Conflict
Stockholms universitet, Samhällsvetenskapliga fakulteten, Sociologiska institutionen.ORCID-id: 0000-0002-8413-1731
2021 (Engelska)Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
Abstract [en]

Since the Second World War, most contemporary wars have taken place within countries and imposed overwhelming stressors on civilian populations. Women living in conflict may be particularly at risk of sexual and reproductive health concerns, including pregnancy-related mortality and morbidity that could have been prevented, a lack of access to health care goods and services, and conflict-related sexual violence. Conflict thus poses a serious challenge to development at the individual, household, community and national levels.

This doctoral dissertation in sociological demography investigates how the Colombian armed conflict has shaped women’s sexual and reproductive health and rights (SRHR). It takes a mixed methods approach based on material from three sources: information about local conflict violence from the Uppsala Conflict Database Program, micro-level data from the Demographic and Health Surveys, and original interviews with stakeholders in women’s rights and peacebuilding in Colombia.

The thesis consists of four independent articles focused on different aspects of SRHR in relation to conflict.

Based on a Radical Reproductive Justice framework, Study I investigates how matters of sexuality and reproduction have gained political meaning with intersectional dimensions in the context of the Colombian armed conflict.

Studies II and III both explore how women’s family planning behavior relates to conflict. While the former looks at modern contraceptive use from a cross-sectional perspective, the latter takes a longitudinal approach to analyzing women’s uptake of sterilization, the only contraceptive method that represents a definitive stop to women’s reproductive careers.

In Study IV, the interlinkages between two forms of violent experiences are analyzed: exposure to armed conflict and intimate partner violence against women. The article also presents novel analyses of how victimized women’s relationships are affected by ongoing conflict.

Colombia is an interesting case to study due to its uniquely longstanding conflict since the mid-20th century, with high-quality data available since the late 1980s. The country’s ongoing peace process has had an unprecedented focus on gender and women’s rights. This yields a moment of opportunity for research efforts to contribute new evidence that may help guide transitional justice processes as well as comprehensive SRHR interventions. The thesis contributes to knowledge about gendered demographic and health outcomes of war, and how contextual factors such as violent conflict affects women’s lives and agency.

Ort, förlag, år, upplaga, sidor
Stockholm: Department of Sociology, Stockholm University , 2021. , s. 55
Serie
Dissertation series / Stockholm University Demography Unit, ISSN 1404-2304 ; 22
Nyckelord [en]
armed conflict, gender, women’s health, sexual and reproductive health and rights, radical reproductive justice, gender-based violence, family planning, contraception, Colombia
Nationell ämneskategori
Sociologi (exklusive socialt arbete, socialpsykologi och socialantropologi)
Forskningsämne
sociologisk demografi
Identifikatorer
URN: urn:nbn:se:su:diva-197114ISBN: 978-91-7911-620-0 (tryckt)ISBN: 978-91-7911-621-7 (digital)OAI: oai:DiVA.org:su-197114DiVA, id: diva2:1597598
Disputation
2021-11-19, Nordenskiöldsalen, Geovetenskapens hus, Svante Arrhenius väg 12 and online via Zoom, public link is available at the department website, Stockholm, 10:00 (Engelska)
Opponent
Handledare
Tillgänglig från: 2021-10-27 Skapad: 2021-09-27 Senast uppdaterad: 2022-02-25Bibliografiskt granskad
Delarbeten
1. Reproductive justice in the Colombian armed conflict
Öppna denna publikation i ny flik eller fönster >>Reproductive justice in the Colombian armed conflict
(Engelska)Manuskript (preprint) (Övrigt vetenskapligt)
Abstract [en]

This article explores the impacts of armed conflict on women’s sexual and reproductive health and rights in Colombia. A Radical Reproductive Justice frame is introduced to the study of human security, to analyze how matters of sexuality and reproduction gain political meaning in the war context. The empirical material builds on original interviews with stakeholders in women’s rights and peacebuilding. According to the findings from this study, multiple actors involved in conflict have used women’s health as an instrument in politically motivated strategies to increase their power. Beyond the purposeful politicization of SRHR, women’s health has also suffered from collateral damages of war due to a range of factors not only resulting from military tactics. This distinction between destruction and decay is seldom made explicitly in research, but is important to understand how the impact of war on women can be remedied. The most marginalized women have been particularly affected in a discriminatory nexus of poverty, ethnicity, and geographic inequality. The findings highlight how rights on paper are not enough, since intersectional forces require differential policy responses to guarantee reproductive justice.

Nyckelord
women’s health, sexual and reproductive health and rights, radical reproductive justice, sexual violence, armed conflict, Colombia
Nationell ämneskategori
Sociologi (exklusive socialt arbete, socialpsykologi och socialantropologi)
Forskningsämne
sociologisk demografi
Identifikatorer
urn:nbn:se:su:diva-197113 (URN)
Forskningsfinansiär
Kungliga Vetenskapsakademien, SO2018–0042
Tillgänglig från: 2021-09-27 Skapad: 2021-09-27 Senast uppdaterad: 2022-02-25Bibliografiskt granskad
2. Conflict and Contraception in Colombia
Öppna denna publikation i ny flik eller fönster >>Conflict and Contraception in Colombia
2019 (Engelska)Ingår i: Studies in family planning, ISSN 0039-3665, E-ISSN 1728-4465, Vol. 50, nr 2, s. 87-112Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

This study explores how armed conflict relates to contraceptive use in Colombia, combining data from the Uppsala Conflict Data Program and Demographic and Health Surveys 1990-2016. Our study is the first systematic effort to investigate whether and how violent conflict influences women's contraceptive use, using nationally representative data across all stages of women's reproductive careers. With fixed effects linear probability models, we adjust for location-specific cultural, social, and economic differences. The results show that although modern contraceptive use increased over time, it declined according to conflict intensity across location and time. We find no evidence that this relationship varied across socioeconomic groups. Increased fertility demand appears to explain a small portion of this relationship, potentially reflecting uncertainty about losing a partner, but conflict may also result in lack of access to contraceptive goods and services.

Nationell ämneskategori
Sociologi Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi
Identifikatorer
urn:nbn:se:su:diva-170870 (URN)10.1111/sifp.12087 (DOI)000473541500001 ()30868587 (PubMedID)
Tillgänglig från: 2019-07-23 Skapad: 2019-07-23 Senast uppdaterad: 2022-02-26Bibliografiskt granskad
3. Contraceptive choice as risk reduction? The relevance of local violence for women’s uptake of sterilization in Colombia
Öppna denna publikation i ny flik eller fönster >>Contraceptive choice as risk reduction? The relevance of local violence for women’s uptake of sterilization in Colombia
2021 (Engelska)Ingår i: Population Studies, ISSN 0032-4728, E-ISSN 1477-4747Artikel i tidskrift (Refereegranskat) Epub ahead of print
Abstract [en]

Altered childbearing behaviour has been observed in many settings of violent conflict, but few studies have addressed fertility control. This is the first study to investigate empirically the relationship between local conflict and uptake of sterilization, the only contraceptive method that reflects a definitive stop to childbearing. The study is based on Colombia, a middle-income, low-fertility, and long-term conflict setting. It builds on a mixed methods approach, combining survey and conflict data with expert interviews. Fixed effects regressions show that local conflict is generally associated with an increased sterilization uptake. The interviews suggest that women may opt for sterilization when reversible methods become less accessible because of ongoing violence. Since sterilization is a relatively available contraceptive option in Colombia, it may represent a risk-aversion strategy for women who have completed their fertility goals. These findings can enlighten research and programmes on fertility and family planning in humanitarian contexts.

Nyckelord
armed conflict, family planning, contraception, sterilization, reproductive health, risk, Colombia
Nationell ämneskategori
Sociologi
Forskningsämne
sociologisk demografi
Identifikatorer
urn:nbn:se:su:diva-195973 (URN)10.1080/00324728.2021.1953118 (DOI)000683660900001 ()
Forskningsfinansiär
Kungliga Vetenskapsakademien, SO2018–0042
Tillgänglig från: 2021-08-30 Skapad: 2021-08-30 Senast uppdaterad: 2022-02-25
4. Hidden Casualties: The Links between Armed Conflict and Intimate Partner Violence in Colombia
Öppna denna publikation i ny flik eller fönster >>Hidden Casualties: The Links between Armed Conflict and Intimate Partner Violence in Colombia
2021 (Engelska)Ingår i: Politics & Gender, ISSN 1743-923X, E-ISSN 1743-9248Artikel i tidskrift (Refereegranskat) Epub ahead of print
Abstract [en]

The Colombian peace process was internationally celebrated for its unprecedented focus on women’s experiences of war, but the everyday violence women that may face in their homes was not acknowledged. This article explores the links between exposure to local armed conflict violence and individual women’s experiences of intimate partner violence. I combine pooled nationally representative data on individual women’s experiences of intimate partner violence with information about the intensity of conflict during 2004–16. Results of fixed-effects linear probability models show that conflict was generally linked to a slightly elevated risk of women experiencing emotional, physical, and sexual violence perpetrated by their partner. Among women who had experienced intimate partner violence, conflict was related to an increased probability of being partnered at interview, which could reflect women staying in abusive relationships because conflict normalizes violence or increases women’s reluctance to leave those relationships.

Nyckelord
intimate partner violence, armed conflict, gender, women’s health, Colombia
Nationell ämneskategori
Sociologi (exklusive socialt arbete, socialpsykologi och socialantropologi)
Forskningsämne
sociologisk demografi
Identifikatorer
urn:nbn:se:su:diva-197112 (URN)10.1017/S1743923X2100043X (DOI)000778888500001 ()2-s2.0-85135254347 (Scopus ID)
Tillgänglig från: 2021-09-27 Skapad: 2021-09-27 Senast uppdaterad: 2023-04-26

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