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Laura Swan

Senior Research Scientist, University of Wisconsin-Madison

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About Laura

Dr. Swan is a social worker and public health researcher dedicated to advancing reproductive health equity. Her work centers on expanding access to contraception and abortion, with a strong commitment to eliminating discrimination and coercion in care. Dr. Swan leads collaborative, mixed-methods research that investigates provider-driven coercion in contraceptive counseling, partner-perpetrated reproductive coercion, and the effects of state and federal policies on reproductive autonomy. Her current projects also explore the abortion preferences and experiences of Black birthing people, with the goal of informing more just and person-centered care.

Contributions

The Future of Birth Cost Recovery in Wisconsin

  • Emma Romell
  • Tiffany L. Green

Addressing Coercion in Contraceptive Care

In the News

Guest on Women's Healthcast, November 29, 2023.
Research discussed by Contraceptive Technology Update, in "Too Many Physicians Lack Accurate Information About Contraception," Relias Media, January 1, 2023.

Publications

"Provider-based Contraceptive Coercion: Understanding US Patient Experiences and Describing Implications for Measurement" (with Lindsay M. Cannon). International Journal of Environmental Research and Public Health 21, no. 6 (2024): 750.

Explores the frequency of contraceptive coercion experienced by reproductive-aged individuals assigned female at birth in the US, introducing a new measurement tool, the Coercion in Contraceptive Care Checklist. Findings show that over 1 in 3 participants had experienced contraceptive coercion in their lifetime. Provides evidence of the checklist's validity, reliability, and dimensionality.

"Reproductive Coercion in Heterosexual and Sexual Minority Emerging Adults: Prevalence and Behavioral Health Impact" (with Jacob Goffnett, Jennie Pless, and Tyler Andrews). Journal of Interpersonal Violence 38, no. 9 (2023): 6389-6406.

Examines partner-perpetrated reproductive coercion among a diverse sample of emerging adults. Finds that sexual attraction was a significant risk factor for experiencing reproductive coercion, with increased rates among plurisexual students compared to monosexual students. Additionally, reproductive coercion was associated with worse behavioral health outcomes.

"Health Care Provider Bias in the Appalachian Region: The Frequency and Impact of Contraceptive Coercion" (with Leigh G. Senderowicz, Tess Lefmann, and Gretchen E. Ely). Health Services Research 58, no. 4 (2023): 772-780.

Investigates the frequency and impact of healthcare provider-based contraceptive coercion in the Appalachian region of the United States. Findings show that over 1/3 of participants reported ever experiencing coercion in their contraceptive care, and those who experienced contraceptive coercion were less likely than those who did not experience coercion to be using their preferred contraception. Underscores the negative impact of coercion on reproductive autonomy, emphasizing the need for unbiased contraceptive care.

"Physician Beliefs About Contraceptive Methods as Abortifacients" (with Abigail S. Cutler, Madison Lands, Nicholas B. Schmuhl, and Jenny A. Higgins). American Journal of Obstetrics & Gynecology 228, no. 2 (2023): 237-239.

Examines Wisconsin physicians’ beliefs about how contraception works and the characteristics associated with these beliefs. Finds that physicians commonly hold misconceptions about IUDs and emergency contraception as abortifacients. Physicians' age, gender, religiosity, medical specialty, and educational exposure to abortion were associated with the likelihood of incorrectly believing that contraception causes abortion.

"Reproductive Coercion and Interpersonal Violence Victimization Experiences Among College Students" (with Annelise Mennicke and Youngmi Kim). Journal of Interpersonal Violence 36, no. 23 (2021): 11281-11303.

Examines associations between partner-perpetrated reproductive coercion and other forms of interpersonal violence among college students. Finds that people who have experienced partner-perpetrated reproductive coercion are more likely to have experienced other forms of interpersonal violence.

"The Impact of Us Policy on Contraceptive Access: A Policy Analysis" Reproductive Health 18, no. 235 (2021).

Identifies, organizes, and analyzes 2009-2019 US federal policy changes related to contraceptive access. Finds that contraceptive-related policy changes have fluctuated with election cycles and according to partisan divides, overall increasing contraceptive access and most often impacting the affordability of contraception.

"Validation of the Short-Form Reproductive Coercion Scale With Appalachian Women" (with Travis Hales, Gretchen E. Ely, Samantha L. Auerbach, and Kafuli Agbemenu). Contraception 104, no. 3 (2021): 265-270.

Tests the validity of the short-form Reproductive Coercion Scale in a sample of Appalachian women. Finds that, in this Appalachian sample, the scale performs better as a unidimensional measure rather than a two-dimensional one that separately measures pregnancy coercion and condom manipulation.

"Family Planning Practices in Appalachia: Focus Group Perspectives on Service Needs in the Context of Regional Substance Abuse" (with Samantha L. Auerbach, Gretchen E. Ely, Kafuli Agbemenu, Jessica Mencia, and Nimah R. Araf). International Journal of Environmental Research and Public Health 17, no. 4 (2020): 1198.

Identifies family planning practices and service needs in the Appalachian region of the US in the context of the opioid epidemic. Findings highlight stakeholder concerns around a lack of access to family planning services in Appalachia and concern around the lack of availability of substance use treatment services, which negatively impacts family planning access.