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There is a bad history of forced sterilization in Puerto Rico. That's because it was a U.S. possession on which the majority of people did not speak English, and on which there was a fear of overpopulation. U.S. states with large Hispanic populations, notably California, also "encouraged" Hispanic women to be sterilized.
This source claims that the rate could be as high as one woman in three from the 1930s to the 1970s. (The law allowing this was repealed in the 1960s).
All this corresponded with the rise of the American eugenics movement in the first half of the 20th century. Therefore, this policy appears to have been the result of "semi official" policy promulgated by people with an "understanding" of the desirability of sterilizing poor, ethnic women, although (technically) without official sponsorship. It was inflicted on the most vulnerable people in American society, that is people with the least knowledge of English, or of American traditions and notions of "civil rights."