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2017

Enacted abortion stigma in the United States

Study documenting how women and men who disclosed abortions perceived others' reactions and determinants of those perceptions and found that whereas most people disclosing an abortion received support or sympathy, a substantial minority received stigmatizing reactions, which could plausibly have a negative impact on health.

2017

Decidir para vivir: Historias de vida que haran eco en tu corazon

‘To decide in order to live’ is a radio novela about the histories of women and men who take important decisions in the face of difficult situations in their lives. These decisions break down barriers and are possible because they are based in human rights. The characters and situations are based on real-life – life stories that echo in your heart.

2017

Regulation of Conscientious Objection to Abortion: An International Comparative Multiple-Case Study

A comparative case study investigating the efficacy and acceptability of laws and policies that permit conscientious objection and ensure access to legal abortion service.

2016

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

A qualitative study exploring pregnancy intentions among low-income women in Western Pennsylvania. Authors found that women's reactions to antiabortion attitudes may perpetuate abortion stigma

2016

Abortion Stigma Around the World: A qualitative synthesis

A synthesis of qualitative literature that reports findings about abortion stigma paints a picture of how stigma appears in different geographic regions, and across the different levels of the ecological model.

2016

Abortion Stigma: A Systematic Review

A systematic literature review found that more research, using validated measures, is needed to enhance understanding of abortion stigma and thereby reduce its impact on affected individuals.

2016

Identifying indicators for quality abortion care: A systematic literature review

A systematic review of articles and reports focused on indicators of quality abortion care found that there is little agreement about indicators for measuring quality; more work is needed to ensure efforts to assess quality are informed and coordinated.

2015

Contextualizing Who has Abortions After the First Trimester

A video panel describing the different contexts of women who seek abortion after the first trimester.

2018

Stigma and agency: Exploring young Kenyan women's experiences with abortion stigma and individual agency

Although abortion is now legal in Kenya under expanded circumstances, access is limited and many providers and individuals still believe it is illegal. This study aimed to characterise Kenyan women’s perceptions and experiences with abortion and post-abortion care (PAC) services in Nairobi regarding barriers to care, beliefs about abortion, and perceived stigma. In response to stigma, participants developed a sense of agency and self-reliance, which allowed them to prioritise their own healthcare needs over the concerns of others. To adequately address perceived stigma as a barrier to abortion- and PAC-seeking, significant cultural norm shifting is required.

2016

Benevolent sexism, attitudes toward motherhood, and reproductive rights: A multi-study longitudinal examination of abortion attitudes

Although Benevolent Sexism (BS)—an ideology that highly reveres women who conform to traditional gender roles—is cloaked in a superficially positive tone, being placed upon a pedestal is inherently restrictive.

2018

Self-managed abortion in urban Haiti: A mixed-methods study

Although illegal abortion is believed to be widely practised in Haiti, few data exist on such practices. This study aimed to learn about illegal abortion access, methods, and perceived barriers to abortion-related care. Additionally, the study aimed to identify the proportion of unscheduled antepartum visits to a public hospital that were attributable to unsafe abortion in Cap Haitien, Haiti. Among the focus groups, there was widespread knowledge of misoprostol self-managed abortion. Women described use of multiple agents in combination with misoprostol. Men played key roles in abortion decision-making and in accessing misoprostol.

2017

Making Abortion Safer in Rwanda: Operationalization of the Penal Code of 2012 to Expand Legal Exemptions and Challenges

An evaluation was conducted to assess women's access to abortion services as part of an ongoing program to operationalize the new exemptions for legal abortion. Abortion stigma and court order requirement are major barriers to access services.

2017

Ethics surrounding the provision of abortion care

Analysis explores how stigma contributes to unethical behavior by physicians resulting in care that is delayed or refused.

2016

Abortion attitudes among South Africans: findings from the 2013 social attitudes survey

Analysis of nationally representative data to estimate the prevalence of negative abortion attitudes in South Africa and to identify racial, socioeconomic and geographic differences.

2015

Stigma's effect on social interaction and social media activity

Analysis of social media used and perceived stigma suggest that stigma has a similar dampening effect on face-to-face and Twitter interactions.

2015

Commentary : The Discursive Production of Abortion Stigma in the Texas Ultrasound Viewing Law

Analysis of Texas abortion law exploring how language in legislative documents use generates abortion stigma.

2017

The responsibility of gynecologists and obstetricians in providing safe abortion services within the limits of the law.

Approximately 47 000 women die each year worldwide as a result of the complications of unsafe abortion, almost exclusively in low- and middle-income countries with restrictive abortion laws. In these countries, very few women who comply with the conditions imposed by the law can access safe abortion services in the public health system. The main obstacle is the unwillingness of gynecologists and obstetricians to provide abortion services by claiming conscientious objection, which is often used to hide their fear of the stigma associated with abortion. This happens because many colleagues are unaware that without access to legal services these women will resort to an unsafe abortion and its consequences. This violates the statement from FIGO's Committee for the Ethical Aspects of Human Reproduction and Women's Health, which asserts that: “The primary conscientious duty of obstetrician–gynecologists is at all times to treat, or provide benefit and prevent harm, to the patients for whose care they are responsible. Any conscientious objection to treating a patient is secondary to this primary duty.”

2017

The democratic case for abortion in Ireland

Article about the movement towards a democractic vote for abortion rights in Ireland

2012

Investigating social consequences of unwanted pregnancy and unsafe abortion in Malawi: The role of stigma

Article analysis of the consequences of unsafe abortion in Malawi based on 485 in-depth interviews. Stigma related to unwanted pregnancy and to abortion discussed.

2014

Commentary: Abortion Provider Stigma and Mainstream Medicine

Article commentary discussion the stigmatization of abortion within the context of medicine.

2014

Commentary: Imagine a world without abortion stigma

Article commentary exploring what a world without abortion stigma might look like at the individual, community, and institutional level.

2009

Conceptualising abortion stigma

Article conceptualizing abortion stigma roots, manifestations and impacts. Lays out a research agenda to measure and map abortion stigma and impact on health.

2012

Correlates of perceived and internalized stigma among abortion patients in the USA: An exploration by race and Hispanic ethnicity

Article describing rates of internalized stigma in the USA; comparison by race/Hispanic ethnicity.

2013

Unsafe abortion: Regulation of the social body even beyond time and space

Article describing small rural community context in Ghana, contrasting social restrictions around abortion to national-level laws that permit it.

2008

Policy analysis of abortion in Indonesia: The dynamic of state power, human need and women's right

Article describing sociohistorical and geopolitical context for Indonesia's abortion laws and culture.

2013

Stigma of having an abortion: Development of a scale and characteristics of women experiencing abortion stigma

Article describing the development of a scale to measure individual-level abortion stigma. Includes an analysis of the characteristics of women who report abortion stigma.

2014

Developing a scale to measure stigmatizing attitudes and beliefs about women who have abortions: Results from Ghana and Zambia

Article describing the development of the Stigmatizing Attitudes, Beliefs, and Actions Scale grounded in qualitative research in Ghana and Zambia

2013

Politicization of abortion and the evolution of abortion counseling

Article describing the history and development of abortion counseling in the United States.

2014

Abortion stigma: The legacy of Casey

Article discussing abortion stigma and how it manifests. Includes an analysis of legal restrictions and abortion stigma in US Supreme Court decisions.

2011

Abortion stigma: A reconceptualization of constituents, causes, and consequences

Article discussing abortion stigma, drawing from social science literature to describe groups affected by abortion stigma.

2013

Addressing barriers to safe abortion

Article discussing barriers to safe abortion internationally

2014

Manufacturing Stigma: How Faith-based Organizations Demonize Abortion

Article discussing implications for privileging faith-based organizations for international development aid.

2009

Context of informal abortions in rural Ghana

Article discussing qualitative findngs contextualizing unsafe abortion in rural Ghana, identifying shame and stigma as a key theme.

2014

Reducing stigma in reproductive health

Article discussing the manifestation and consequences of stigma in reproductive health.

2007

Unsafe induced abortions among adolescent girls in Lusaka

Article examines circumstances underlying adolescent girls' decisions to have abortions outside of the health care setting. Stigma identified as a barrier to safe abortion.

2014

Scarlet letter: The Supreme Court and the language of abortion stigma

Article examines how the US Supreme Court's abortion decisions contribute to abortion stigma.

2011

Stigmatisation and commercialisation of abortion services in Poland: Turning sin into gold

Article examines the economic consequences of the stigmatisation and illegality of abortion and its almost complete removal from public health services in Poland since the late 1980s

2011

Social stigma and disclosure about induced abortion: Results from an exploratory study

Article examining abortion stigma in five countries. Stigma was perceived in both legally liberal and restrictive settings.

2005

Abortion practice in the Northeast Caribbean: "Just write down stomach pain"

Article examining abortion practice in the Carribean. Findings suggest that an increasing number of women are self-inducing abortions with misoprostol to avoid doctors, high fees and public stigma

2010

Informing abortion counseling: An examination of evidence-based practices used in emotional care for other stigmatized and sensitive health issues

Article examining evidence-based practices for providing emotional care for other stigmatized services. Discusses these strategies and applying them to abortion care settings.

2009

Men, women, and abortion in central Kenya: A study of lay narratives

Article examining lay narratives and their implications about abortion among men and women in central Kenya.

2016

Stigma rituals as pathways to activism: Stigma convergence in a Post-Abortion recovery group

Article examining stigma construction in "post-abortion recovery groups" and its linkages to anti-abortion activism

2013

Community attitudes towards childbearing and abortion among HIV-positive women in Nigeria and Zambia

Article examining stigmatizing attitudes towards abortion among HIV positive women who choose to end a pregnancy and those who choose to give birth.

2012

Stigma and abortion complications in the United States

Article explores relationship between stigma and abortion complications in the US, where unsafe abortion is rare.

2010

Obstacles to the integration of abortion into obstetrics and gynecology practice

Article explores the experience of doctors and how they are prevented and prohibited from performing abortions in both explicit and implicit ways.

2016

Conscientious objection to abortion provision: Why context matters

Article explores the role that stigma the role of a clinician as a social, economic, and political agent in determining how conscientious objection is practiced.

2011

Resistance and vulnerability to stigmatization in abortion work

Article exploring experience of stigma among health care providers. Findings suggest that the experience of stigma for those providing abortion care is not a static or fixed loss of status. It is a dynamic situation in which those vulnerable to stigmatization can avoid, resist, or transform the stigma that would attach to them by varying degrees within selective contex

2010

Qualitative exploration of HIV-positive pregnant women’s decision-making regarding abortion in Cape Town, South Africa

Article exploring HIV-positive women's abortion decisions in South Africa. Findings suggest that stigma and discrimination affect connections between abortion, pregnancy and HIV/AIDS, and that abortion may be more stigmatised than HIV/AIDS

2014

Qualitative investigation of low-income abortion clients’ attitudes toward public funding for abortion

Article exploring how low-income abortion clients in US states where public funding was and was not available perceived the role of public funding.

2011

Social constructions of unwanted pregnancy and abortion in Lima, Peru

Article exploring how men and women make decisions about pregancy and abortion in Peru. Stigma surrounding abortion and some pregnancies identified.

2014

Measuring stigma among abortion providers: Assessing the abortion provider stigma survey instrument

Article exploring psychometric properties of a scale to measure stigma experienced by abortion providers.

2013

Delay in termination of pregnancy among unmarried adolescents and young women attending a tertiary hospital abortion clinic in Trivandrum, Kerala, India

Article exploring the experience of young women terminating pregnancy in a tertiary hospital abortion clinic in India.

2014

Qualitative evidence on abortion stigma from Mexico City and five states in Mexico

Article exploring the sources, experiences and consequences of abortion stigma among women who had abortions, their male partners, and the general population.

2011

Abortion-possible and impossible: Stigma and the narratives of Ghanaian doctors who provide abortions

Article looking at social stigma, motherhood, and physicians' experience in Ghana.

2013

‘‘I’m not that type of person’’: Managing the stigma of having an abortion

Article offers a social-psychological framework for understanding how women manage the stigma of having an abortion.

2016

Destigmatization and health: Cultural constructions and the long-term reduction of stigma

Article presenting a sociological framework for understnading how new cultural constructions that draw equivalences and remove blame shape public and structural stigma over time.

2012

Public opinion about abortion-related stigma among Mexican Catholics and implications for unsafe abortion

Article presenting findings from a nationally representative survey about stigmatizing attitudes in Mexico.

2009

Perceptions and attitudes of a rural community to abortion in the Niger-Delta region of Nigeria

Article presenting results from qualitative inquiry into attitudes towards abortion and unwanted pregnancy in in Amukpe, Nigeria.

2012

Tale of the hearts: Deciding on abortion in Ethiopia

Article presenting theoretical framework for describing the narratives of abortion decision-making in Ethiopia.

2014

A Learning Agenda for Abortion Stigma: Recommendations from the Bellagio Expert Group Meeting

Article presents a refined conceptual framework for abortion stigma and proposes a learning agenda to guide research and programmatic efforts to address abortion stigma.

2013

Stigma: Advances in Theory and Research

Article presents a theoretical overview of stigma and a taxonomy of four types of stigma (public, self, by association, and structural).

2011

Stigma in abortion care: Application to a grounded theory study

Article presents an application of stigma theory to nurses attending abortions.

2004

Destigmatising abortion: Expanding community awareness of abortion as a reproductive health issue in Ghana

Article proposes three major strategies that would help to destigmatise abortion in the Ghana.

2009

Introducing abortion patients to a culture of support: A pilot study

Article providing results from qualitative pilot study of post-abortion intervention designed to mitigate the effects of abortion by creating a "culture of support." Results suggest that women felt positively about the intervention.

2012

Social and psychological consequences of abortion in Iran

Article reporting characteristics of women seeking abortion in Iran based on Iran Low Fertility Survey and exploring reasons for and consequences of abortion using in-depth interviews. Stigma discussed.

2014

Abortion providers, stigma and professional quality of life.

Article reporting findings from an evaluation of the Provider Share Workshop intervention to reduce stigma experienced by abortion providers in the US.

2013

Why women are dying from unsafe abortion: Narratives of Ghanaian abortion providers

Article reporting findings from interviews with Ghanain physicians, which identifies stigma as a key factor leading to abortion complications.

2014

Key ingredients to contact-based stigma change: a cross-validation.

Article reporting on a validation of the key ingredients of contact-based interventions to address stigma associated with mental illness.

2014

"Fear, shame and embarrassment": The stigma factor in postabortion care at Komfo Anokye teaching hospital, Kumasi, Ghana

Article reporting qualitative findings illustrating stigma as a factor in post-abortion care.

2017

Building the evidence base for stigma and discrimination-reduction programming in Thailand: development of tools to measure healthcare stigma and discrimination

Authors adapted global stigma and discrimination measurement tools and field tested them for use in Thailand, including a health facility questionnaire to capture staff attitudes, and the policy environment, and a brief questionnaire for people living with HIV to capture their experiences.

2017

Norms and stigma regarding pregnancy decisions during an unintended pregnancy: Development and predictors of scales among young women in the U.S. South

Authors developed an analyzed multi-dimensional measures of norms and stigmas around all pregnancy decisions in the U.S. South.

2017

Abortion as agentive action: reproductive agency among young women seeking post-abortion care in Uganda

Authors explored reproductive agency in relation to unsafe abortion among young women seeking post-abortion care and found that reproductive agency was constrained by gender norms and power imbalances and strongly influenced by stigma.

2013

Stigma as a fundamental cause of population health inequalities

Authors present a illustrative evidence on the health consequences of stigma and a conceptual framework describing the psychological and structural pathways through which stigma influences health.

2015

The stigma complex

Authors propose a framework to understand stigma using a multilevel approach that can be tailored to stigmatized statuses.

2017

The effects of a community-based intervention on women's knowledge and attitudes about safe abortion in intervention and comparison towns in Oromia, Ethiopia.

BACKGROUND: The aim of this post-intervention assessment was to measure the effects of community intervention on the knowledge and attitudes of women regarding safe abortion in Ethiopia. METHODS: In 2014, following implementation of an educational intervention on sexual and reproductive health from December 2012 to December 2013, 800 women were interviewed about their knowledge, attitudes and practices regarding abortion. Multivariate regression analyses of respondents' demographics, sources of abortion information, knowledge and attitudes about safe abortion were conducted. RESULTS: More women in the intervention community knew safe abortion was available in the community (76% vs. 57%; p < 0.001). Women in the intervention community had greater odds of feeling that women should have access to safe abortion services (adjusted odds ratio [aOR]: 1.55, 95% confidence interval [CI]: 1.06, 2.28) after adjusting for socio-demographic characteristics. They had significantly greater odds of feeling comfortable and confident talking to a healthcare provider (aOR: 2.44, 95% CI: 1.55, 3.84) and/or her partner (aOR: 2.47, 95% CI: 1.58, 3.85) about abortion. CONCLUSIONS: Increased mobilization of community networks in disseminating sexual health and abortion information was followed by increased knowledge of abortion services in the intervention community and improved reproductive choices for women.

2017

It's a Race Against the Clock": A Qualitative Analysis of Barriers to Legal Abortion in Bogota, Colombia

Barriers related to knowledge and information, along with logistic, emotional, financial, cultural and religious barriers culminated in delays in obtaining comprehensive abortion services. Religion influenced social stigma, which manifested most powerfully in the obstructive behavior of health care providers and health insurance companies. Lack of understanding of current laws on abortion and conscientious objection was evident on the part of patients, health care providers and insurers.

2016

"The Top Priority Is a Healthy Baby": Narratives of Health, Disability, and Abortion in Online Pregnancy Forum Discussions in the US and China.

Based on content analysis of online pregnancy forums, researchers identified attitudes towards abortion as a factor in women's decision-making about genetic screening.

2016

The Stigma of Reproductive Health Services Utilization by Unmarried Women

Based on qualitative interviews with unmarried women in Iran, researchers found that the stigma surrounding sexuality activity creates limitations for unmarried women in accessing reproductive health services, even when services are available.

2015

Abortion Stigma and Quality of Care: A framework for analysis and synthesis

Based on themes from an inroads-member discussion, this proposed framework integrates concepts of stigma with the WHO framework for quality care.

2015

Comprehensive Package for Reducing Stigma and Discrimination in Health Facilities

Best practice tools for health facilities to counter stigma related to HIV status, gender identity, sexual orientation, and behaviors such as sex work or drug use.

2014

Stories begetting stories: How pop culture reinforces abortion stigma—and can help end it

Blog post explores how popular culture can play a role in either upholding stigma or dismantling it.

2016

So you want to adapt a scale to measure abortion stigma?

Blog post highlights steps for identifying, adapting and implementing scales to measure abortion stigma.

2013

Using video to de-stigmatize abortion: An interview with Katie Gillum

Blog post reporting an interview with Katie Gillum about using video to destigmatize and normalize women's experiences with abortion.

2014

Stigmatized Meanings of Criminal Abortion Law

Book chapter examines how legal actors advovate, regulate and adjudicate abortion and its relationship to stigma.

2001

Facilitator’s guide to Facilitating Participatory Workshops on HIV/AIDS

Briefing that provides information, ideas and tools to help facilitate dynamic workshops. Aimed at CBOs and NGOs working HIV and AIDS. Not specific to stigma, but an essential skill in stigma busting.

2012

Facilitating Participatory Workshops

Briefing that provides information, ideas and tools to help facilitate dynamic workshops. Not specific to stigma, but an essential skill in stigma busting.

2015

Bold Action to Meet Women's Needs: Putting Abortion Pills in U.S. Women's Hands

Commentary and agenda for action for getting misoprostol in women's hands.

2013

Physicians, abortion provision and the legitimacy paradox

Commentary discussing legitimacy paradox: when abortion providers do not disclose their work, their silence perpetuates a stereotype that abortion work is unusual, or that legitimate, mainstream doctors do not perform abortions.

2014

Everything is not abortion stigma

Commentary examining conceptualization of abortion stigma and argument for precision in understanding stigma in order to carry out better research to understand and measure it, design interventions to mitigate it, and evaluate those interventions.

2013

Do women requesting only contraception find attendance at an integrated sexual health clinic more stigmatizing than attendance at a family planning–only clinic?

Comparison of reported HIV stigma experienced by women requesting contraception at inegrated sexual health clinics vs. family planning-only clinics in the UK. Perceived stigma is higher at integrated clinics than family planning-only.

2016

Doctors and witches, conscience and violence: Abortion provision on American television

Content analysis of television plotlines found that abortion is presented differently depending on legal setting, and that abortion provision is linked to violence

2015

Personal beliefs and professional responsibilities: Ethiopian midwives' attitudes toward providing abortion services after legal reform

Cross-sectional examination of midwives' attitudes toward abortion in Ethiopia to understand their decisions about service provision.

2015

Exploring ‘Glorious Motherhood’ in Chinese Abortion Law and Policy

Currently, abortion can be lawfully performed in China at any gestational stage for a wide range of social and medical reasons. This article critically explores the Chinese regulatory model of abortion in order to examine its practical effects on women

2015

Managing Stigma Effectively: What Social Psychology and Social Neuroscience Can Teach Us

Description of an 8-week course on managing stigma based on social psychology and social neuroscience research. Includes conceptualization of stigma and recommendations for intervention.

2015

Safe abortion information hotlines: An effective strategy for increasing women’s access to safe abortions in Latin America

Description of the implementation of 5 Safe Abortion Information Hotlines in countries where abortion is restricted.

2015

From unwanted pregnancy to safe abortion: Sharing information about abortion in Asia through animation

Description of the making of a film to share knowledge about barriers to safe abortion in Asia and to facilitate conversations about the right to safe abortion.

2017

Barriers to accessing abortion services and perspectives on using mifepristone and misoprostol at home in Great Britain

Despite the presence of abortion services in Great Britain, a diverse group of women still experiences logistical and personal barriers to accessing care through the formal healthcare system, or prefer the privacy of conducting their abortions in their own homes.