Moral dilemmas and abortion decision-making: Lessons learnt from abortion research in England and Wales

Hoggart, Lesley

doi:10.1080/17441692.2018.1474482

Cited by 10 publications

(36 citation statements)

References 25 publications

(31 reference statements)

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“…The original studies were conducted between 2008 and 2016 in Scotland and England (see Table 1 for details). These datasets have already generated a substantial body of literature (see Hoggart 2012 , 2017 , 2019 ; Hoggart, Newton, and Bury 2015 , 2017 ; Purcell, Brown et al 2017 ; Purcell, Cameron et al 2014 , 2016 , 2017 ; Purcell, Riddell et al 2017 ).…”

Section: Methodsmentioning

confidence: 99%

Toward normalising abortion: findings from a qualitative secondary analysis study

Purcell

Maxwell

Bloomer

et al. 2020

Culture, Health & Sexuality

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In most settings worldwide, abortion continues to be highly stigmatised. Whilst a considerable body of literature has addressed abortion stigma, what is less commonly examined are the ways in which those with experience of abortion describe it in non-negative terms which may resist or reject stigma. Drawing on qualitative secondary analysis of five UK datasets using a narrative inquiry approach, we explore: the use of non-negative language around abortion, potential components of a normalising narrative, and constraints on non-negativity. As such, we present the first empirical UK study to critically examine how a dominant negative abortion narrative might be disrupted. ARTICLE HISTORY

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Section: Methodsmentioning

confidence: 99%

Toward normalising abortion: findings from a qualitative secondary analysis study

Purcell

Maxwell

Bloomer

et al. 2020

Culture, Health & Sexuality

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“…The datasets were produced in England and Scotland, respectively, and have generated a substantial literature [15][16][17][18][19][20][21][22]. They comprised 60 one-to-one interviews with health professionals working in abortion care or referral, including nurses, clinical support workers (CSWs), doctors and clinic managers.…”

Section: Methodsmentioning

confidence: 99%

Normalising abortion: what role can health professionals play?

Maxwell

Hoggart

Bloomer

et al. 2020

BMJ Sex Reprod Health

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BackgroundDespite being a common gynaecological procedure, abortion continues to be widely stigmatised. The research and medical communities are increasingly considering ways of reducing stigma, and health professionals have a role to play in normalising abortion as part of routine sexual and reproductive healthcare (SRH). We sought to investigate how health professionals may normalise abortion and challenge prevailing negative sociocultural narratives.MethodsAs part of the Sexuality and Abortion Stigma Study (SASS), qualitative secondary analysis was conducted on two datasets containing health professionals’ accounts of providing abortion in Scotland and England. A subsample of 20 interviews were subjected to in-depth, thematic analysis.ResultsFour key themes were identified in heath professionals’ accounts: (1) encountering resistance to abortion from others working in SRH; (2) contending with prevailing negative sociocultural narratives of abortion; (3) enacting overt positivity towards abortion provision; and (4) presenting abortion as part of normal, routine healthcare.ConclusionsIt is clear that negative attitudes toward abortion persist both inside and outside of healthcare systems, and need to be challenged in order to destigmatise those accessing and providing services. Health professionals can play a key role in normalising abortion, through the ways in which they frame their work and present abortion to women they treat, and others more widely. Our analysis suggests a key way to achieve this is by presenting abortion as part of normal, routine SRH, but that appropriate support and structural change are essential for normalisation to become embedded.

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“…In our study, men with traditional beliefs about gender roles were also more likely to be unsure of the HIV status of their last sexual partner. Other studies have reported that when men control the sexual relationship, they often distrust their female sexual partners [ 7 , 35 ] and deny their partner’s HIV status [ 21 ]. It is possible that female partners might not disclose their HIV status to male partners due to fear of discrimination, stigma, gossip, or abandonment [ 36 , 37 ].…”

Section: Discussionmentioning

confidence: 99%

“…Beliefs about gender roles and high risk sexual behaviours may underlie the human immunodeficiency virus (HIV) epidemic in South Africa [ 1 – 7 ]. Beliefs about gender roles are dynamic, context-specific [ 7 – 11 ], socially constructed [ 7 , 12 ] and influence how men interact with their sexual partners. Traditional roles of men are characterized by the beliefs that men are the primary bread-winners [ 13 ] and superior to women [ 13 , 14 ].…”

Section: Introductionmentioning

confidence: 99%

“…Men also had lower HIV treatment coverage (41%) than women (52%) and accounted for 58% of AIDS-related deaths [ 2 ]. Sexual behaviours that increase HIV risk among men include independent or impulsive sexual decision-making [ 6 , 7 , 10 , 11 , 17 , 18 ], refusal to test for HIV [ 19 , 20 ], not knowing or denial of partner HIV status [ 21 ], inconsistent condom use [ 22 , 23 ], and having multiple sexual partners [ 15 , 22 – 27 ]. Yet few studies have explored the association between beliefs about gender roles, high risk sexual behaviour, and health-seeking behaviour among men.…”

Section: Introductionmentioning

confidence: 99%

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High risk sexual behaviours associated with traditional beliefs about gender roles among men interested in medical male circumcision in South Africa

Chetty-Makkan

Grund²,

Muchiri

et al. 2021

AIDS Res Ther

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Background Beliefs about gender roles and high-risk sexual behaviours underlie the human immunodeficiency virus (HIV) epidemic in South Africa. Yet, there is limited information on the relationships between beliefs about gender roles and risky sexual behaviours. Few studies have explored the association between beliefs about gender roles, high risk sexual behaviour, and health-seeking behaviour among men. Methods We investigated associations between gender beliefs (dichotomised as traditional or progressive) and high-risk sexual behaviour among South African men presenting for medical male circumcision (Apr 2014 to Nov 2015). Results Of 2792 enrolled men, 47.4% reported traditional gender beliefs. Participant ages ranged between 18–46 years (median age 26 years; interquartile range, 21–31 years). Most participants had at least one sex partner over the last 12 months (68.2%). Younger men (18–24 years old vs. 25–46 years old) (odds ratio [OR], 1.5 [95% confidence interval (CI) 1.0–2.0]), those with multiple partners ([OR], 1.5 (CI) 1.3–1.8]) and participants unsure of their last partner’s HIV status (OR, 1.4 [95% CI 1.1–1.7]) were more likely to have traditional beliefs on gender roles. Conclusion Young men with traditional beliefs on gender roles may be more likely to engage in high-risk sexual behaviour and could be good candidates for HIV prevention programmes. N = 206 (max 350) Trial registration Name of registry: Clinicaltrials.gov; Trial registration number: NCT02352961; Date of registration: 30 January 2015 “Retrospectively registered”; URL of trial registry record: https://www.clinicaltrials.gov/

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Moral dilemmas and abortion decision-making: Lessons learnt from abortion research in England and Wales

Cited by 10 publications

References 25 publications

Toward normalising abortion: findings from a qualitative secondary analysis study

Toward normalising abortion: findings from a qualitative secondary analysis study

Normalising abortion: what role can health professionals play?

High risk sexual behaviours associated with traditional beliefs about gender roles among men interested in medical male circumcision in South Africa

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