Reviewer’s report
Title: 
Men’s reproductive coercion of women. Prevalence, experiences, and
coping strategies. A mixed-method study in urban health facilities in León,
Nicaragua
Version: 
1 
Date: 
25 Jun 2021
Reviewer's report:
Thank you for the opportunity to review this manuscript, I have no COI to
disclose. 
The authors present a qualitative/quantitative study of females in Nicaragua and
their experiences with male reproductive coercion. The authors included more
than 300 women in their quantitative aspect of the study, and showed that a large
proportion faced reproductive coercion at some point in their lives. The authors
then interviewed 7 women who did face reproductive coercion on specific related
topics. This is a very interesting manuscript. The authors present a reality that
females face which is quite sad and unacceptable. The manuscript is very well
written. I only have minor comments. 
The abstract conclusion is way too strongly worded. Please use a softer language.
The introduction is more than 4 pages long. This is way too lengthy, the authors
spend so much time discussing endless details that are not so essential to have in
a background section. I will not go into specifics but please limit the introduction
to 1-2 pages maximum. Also, please remove all of the sub-headings in the
introduction, this gives the manuscript the appearance of a review paper (which
is it not). 
Please specify the final accepted statistical significance in the multivariable
model in your method section (you only specified the 0.02 from bivariate
models).
"Were included in the multivariate analysis" do you mean "multivariable"
because at the beginning of that section you say "multivariable".
Any reason why you did not interview women who did not face RC? If so please
specify in text. 
The same comment applies to the conclusion in the main text. Please use lighter
language. I understand the importance of the message you are sending, but this is
still a (relatively) small scale study, and so strong conclusions should not be
drawn.
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Is the study design appropriate to answer the research question (including the use
of appropriate controls), and are the conclusions supported by the evidence
presented?
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Yes
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from apparent manipulation?
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