Psychosocial factors and pre-abortion psychological health: The significance of stigma

Steinberg, Julia R.; Tschann, Jeanne M.; Furgerson, Dorothy; Harper, Cynthia C.

doi:10.1016/j.socscimed.2015.12.007

Cited by 73 publications

(58 citation statements)

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“…Moreover, emerging evidence from samples in the United States and other countries indicate that RC may impact women’s mental health (e.g. PTSD symptoms, anxiety, stress symptoms), extending the literature on the health impacts of RC [18, 20]. …”

Section: Introductionmentioning

confidence: 80%

Psychometric properties and refinement of the Reproductive Coercion Scale

et al. 2017

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Objective Identification and refinement of psychometric properties of the Reproductive Coercion Scale (RCS) for use in survey research and clinical practice. Study Design Young women ages 16–29 seeking services in 24 Pennsylvania and 5 California family planning clinics completed questionnaires. Data were pooled for analysis (n=4,674), and underlying domains were assessed using Horn’s Parallel Analysis and Exploratory Factor Analysis. Multidimensional item response theory was used to refine the scale and assess reliability and validity of a short-form RCS. Results The full, 9-item RCS had two underlying domains: pregnancy coercion and condom manipulation. Five items were retained in the short form: three about pregnancy coercion (e.g. “told you not to use birth control…”) and two for condom manipulation (e.g., “taken off the condom while you were having sex…”; one of these items is the combination of two original items on damaging the condom that were combined because of similar statistical properties and face validity and a third item on removing the condom was retained on its own). Recent reproductive coercion was reported by 6.7% and 6.3% of the sample with the full and short-form RCS, respectively. Characteristics of women reporting reproductive coercion were similar with both forms. Conclusion Findings indicate that reproductive coercion includes pregnancy coercion and deliberate manipulation of condoms to promote pregnancy. Moreover, women experience RC across a continuum of severity. We selected items that varied in RC severity and discrimination to generate a 5-item short-form RCS for survey research and clinical practice.

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Section: Introductionmentioning

confidence: 80%

Psychometric properties and refinement of the Reproductive Coercion Scale

et al. 2017

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“…Abortion stigma has been widely identified across populations with varying religious preferences, gender norms and abortion regulations, and it manifests in individuals, communities, organizations, governments (by way of policies and laws) and the broader social discourse . Thus, not surprisingly, it affects many women undergoing abortion . Abortion stigma has been described as occurring across three domains: felt stigma (women's perception of others’ negative attitudes toward abortion), enacted stigma (women's experience of acts of abortion‐related violence or prejudice) and internalized stigma (women's own negative attitudes toward abortion) …”

mentioning

confidence: 99%

“…Abortion stigma can have negative emotional, physical, financial and social consequences. Although having an abortion itself is not associated with long‐term mental health sequelae, experiencing abortion stigma has been linked to regret, anger, sadness, guilt and stress . Additionally, stigmatizing abortion views may contribute to uncertainty regarding the decision to pursue an abortion .…”

mentioning

confidence: 99%

“…2,5,6 Thus, not surprisingly, it affects many women undergoing abortion. 2,3,[7][8][9][10][11][12][13][14][15][16][17][18][19] Abortion stigma has been described as occurring across three domains: felt stigma (women' s perception of others' negative attitudes toward abortion), enacted stigma (women' s experience of acts of abortion-related violence or prejudice) and internalized stigma (women' s own negative attitudes toward abortion). 8 Abortion stigma can have negative emotional, physical, fi nancial and social consequences.…”

mentioning

confidence: 99%

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Abortion Stigma Among Low‐Income Women Obtaining Abortions in Western Pennsylvania: A Qualitative Assessment

Gelman

Rosenfeld

Nikolajski

et al. 2016

Perspect Sexual Reproductive

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CONTEXT Abortion stigma may cause psychological distress in women who are considering having an abortion or have had one. This phenomenon has been relatively underexplored in low-income women, who may already be at an increased risk for poor abortion-related outcomes because of difficulties accessing timely and safe abortion services. METHODS A qualitative study conducted between 2010 and 2013 used semistructured interviews to explore pregnancy intentions among low-income women recruited from six reproductive health clinics in Western Pennsylvania. Transcripts from interviews with 19 participants who were planning to terminate a pregnancy or had had an abortion in the last two weeks were examined through content analysis to identify the range of attitudes they encountered that could contribute to or reflect abortion stigma, the sources of these attitudes and women’s responses to them. RESULTS Women commonly reported that partners, family members and they themselves held antiabortion attitudes. Such attitudes communicated that abortion is morally reprehensible, a rejection of motherhood, rare and thus potentially deviant, detrimental to future fertility and an irresponsible choice. Women reacted to external and internal negative attitudes by distinguishing themselves from other women who obtain abortions, experiencing negative emotions, and concealing or delaying their abortions. CONCLUSIONS Women’s reactions to antiabortion attitudes may perpetuate abortion stigma. Further research is needed to inform interventions to address abortion stigma and improve women’s abortion experiences.

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“…[26]. Iz tih razloga, u novije vreme se insistira na istraživanju psihosocijalnih faktora pre prekida trudnoće u cilju pronalaženja specifičnih stigma koje doprinose poremećaju mentalnog zdravlja nakon intervencije [27].…”

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On the phenomenon of unintended pregnancy and its potential consequences

Bjelica¹,

Bjelanović²,

Ćetković³

2016

Tim Med Glas

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Sažetak:Neželjena trudnoća je trudnoća koja je začeta u pogrešno vreme, neplanirana je i neželjena u momentu koncepcije. Smatra se da su oko polovine svih trudnoća u momentu nastanka neplanirane. Obično nastaju kao posledica nekorišćenja kontracepcije ili neadekvatne primene kontracepcije, dok se vrlo retko beleži pri redovnoj i pravilnoj upotrebi kontracepcije. Konsekvence neplanirane trudnoće mogu biti veoma ozbiljne i mogu predstavljati ozbiljno breme za decu, žene, muškarce i porodice. Neplanirana trudnoća može predstavljati uzrok maternalnog i perinatalnog morbiditeta i mortaliteta, kao i osnov za dalekosežne posledice po zdravlje dece rođene iz takvih trudnoća. S druge strane, tu su i moguće posledice artficijelnog prekida trudnoće kao metode rešavanja neželjene trudnoće -kako fizičke, tako i psihološke. Ključne reči: trudnoća, neželjena trudnoća, psihologija, mentalno zdravlje Summary:Unintended pregnancy is the pregnancy that has occurred in a wrong time, unplanned, and unwanted at the moment of the conception. It is thought that about one half of all pregnancies are not planned. Usually, it occurs as a consequence of not using contraception or using it in an inappropriate way, whereas it is very rare in regular and correct use of contraception. The consequences of unplanned pregnancy can be very serious and may represent a real burden to children, women, men, and families. Unplanned pregnacy may be a cause of maternal and perinatal morbidity and mortality, as well as the basis for far-reaching consequencies to the health of the born from such pregnancies. On the other hand, there are also possible consequencies -both physical and psychological -of artificial termination as a method of dealing with undesired pregnancies. Keywords:pregnancy, unwanted pregnancy, psychology, mental health PROBLEM NEŽELJENE TRUDNOĆE Neželjena trudnoća je trudnoća koja je začeta u pogrešno vreme, neplanirana je i neželjena u momentu koncepcije. Obično nastaje kao posledica nekorišćenja kontracepcije ili neadekvatne primene kontracepcije, dok se vrlo retko beleži pri redovnoj i pravilnoj upotrebi kontracepcije [1]. Neplanirana trudnoća nije retka pojava. Obično se vezuje za zemlje u razvoju, ali treba napomenuti da i u visoko razvijenim zemljama, kao što su Sjedinjene Američke Države, oko polovine svih trudnoća, u momentu koncepcije, su neplanirane trudnoće [2]. Na svetskom planu, prema podacima koje daje Global Health Council, u periodu 1995-2000. godine, u svetu je 1,3 milijardi žena, starosti između 15 i 45 godina, imalo više od 1,2 milijardi trudnoća, od kojih je, čak jedna četvrtina, odnosno 300 miliona, bilo neplanirano [3]. Smatra se, da su oko polovine svih trudnoća u momentu nastanka neplanirane. Od toga, neke postanu "planirane", a neke se završe prekidom trudnoće.Konsekvence neplanirane trudnoće mogu biti veoma ozbiljne i mogu predstavljati ozbiljno breme za decu, žene, muškarce i porodice.Neplanirana trudnoća može predstavljati uzrok maternalnog i perinatalnog morbiditeta i mortaliteta, kao i osnov za dalekosežne p...

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Psychosocial factors and pre-abortion psychological health: The significance of stigma

Cited by 73 publications

References 71 publications

Psychometric properties and refinement of the Reproductive Coercion Scale

Psychometric properties and refinement of the Reproductive Coercion Scale

Abortion Stigma Among Low‐Income Women Obtaining Abortions in Western Pennsylvania: A Qualitative Assessment

On the phenomenon of unintended pregnancy and its potential consequences

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