Couple and Family Psychology: Research and Practice, Vol 13(1), Mar 2024, 15-30; doi:10.1037/cfp0000226
The nature of couple communication patterns could demonstrate inherent power imbalances present in the couple relationship. Power dynamics may affect couples’ decisions. Rooted in a feminist perspective, power differentials reflect societal norms of women where when partnered with men and have less influence in decision-making. This study focused on contraception methods (i.e., birth control pills and condoms were the most commonly used in this sample) decision-making. We utilized data collected through the National Couples Survey who sampled male–female, heterosexual couples recruited from U.S. cities (Baltimore, MD; Durham, NC; Seattle, WA; Saint Louis, MO) in 2005–2006 (Grady et al., 2009; n = 570 eligible couples). An actor–partner interdependence model (APIM), using multilevel modeling, tested couple dynamics (e.g., coercion, communication) and contraception decision-making. Results of the adjusted APIM showed men who perceived their partner engaged in more coercion tactics decided contraception choice less frequently. Men’s relationship satisfaction increased when women reported making the contraception decision. Actor–partner effects and covariates explained 13.96% of the variance in male contraception decision-making while explaining 10.61% of the variance in female contraception decision-making. As most contraceptives are designed for the female body, this could show women making a decision that is best for their body, but may also be a sign of a power imbalance where men perceive partner coercion, perhaps, because of her efforts to choose for herself. (PsycInfo Database Record (c) 2024 APA, all rights reserved)