Contraceptive interference in young people’s intimate relationships: An exploratory narrative analysis

Contraceptive interference is enacted by an intimate partner and aims to prevent the effective use of contraception or barrier methods, undermining the other partner’s choices. Contraceptive interference poses increased risks to the sexual and reproductive health of individuals who experience it. However, little is known about how young people in Canada experience it. The objectives of this article are to explore the various forms of contraceptive interference, identify the perpetrators’ control strategies, and document the effects of these behaviours on the contraceptive autonomy among young people. Through individual interviews, sixteen individuals, aged 17–23, shared instances of contraceptive interference experienced within their intimate relationships. Exploratory narrative analysis reveals three metanarratives where participants (a) feel unheard in their contraceptive choices due to their partner’s negligence and disengagement, (b) feel unconsidered as their partner exhibits entitlement and imposes their preferences, and (c) feel trapped by their partner’s coercive behaviours and restrictions. The results underscore the need to continue the conceptual and empirical exploration of contraceptive interference. A better understanding of contraceptive interference by health professionals would help provide appropriate support to young people. Sex education should also address this issue to encourage respect for others’ preferences regarding safer sex.