Martin Lisa A, Debbink Michelle, Hassinger Jane, Youatt Emily, Eagen-Torkko Meghan, Harris Lisa H
a Women's and Gender Studies , University of Michigan-Dearborn , Dearborn , Michigan , USA.
Women Health. 2014;54(7):641-61. doi: 10.1080/03630242.2014.919981.
We explored the psychometric properties of 15 survey questions that assessed abortion providers' perceptions of stigma and its impact on providers' professional and personal lives referred to as the Abortion Provider Stigma Survey (APSS). We administered the survey to a sample of abortion providers recruited for the Providers' Share Workshop (N = 55). We then completed analyses using Stata SE/12.0. Exploratory factor analysis, which resulted in 13 retained items and identified three subscales: disclosure management, resistance and resilience, and discrimination. Stigma was salient in abortion provider's lives: they identified difficulties surrounding disclosure (66%) and felt unappreciated by society (89%). Simultaneously, workers felt they made a positive contribution to society (92%) and took pride in their work (98%). Paired t-test analyses of the pre- and post-Workshop APSS scores showed no changes in the total score. However, the Disclosure Management subscale scores were significantly lower (indicating decreased stigma) for two subgroups of participants: those over the age of 30 and those with children. This analysis is a promising first step in the development of a quantitative tool for capturing abortion providers' experiences of and responses to pervasive abortion stigma.
我们探讨了15个调查问题的心理测量特性，这些问题评估了堕胎服务提供者对耻辱感的认知及其对提供者职业和个人生活的影响，该调查被称为堕胎服务提供者耻辱感调查（APSS）。我们对为提供者分享研讨会招募的堕胎服务提供者样本（N = 55）进行了该调查。然后我们使用Stata SE/12.0完成了分析。探索性因素分析产生了13个保留项目，并确定了三个子量表：披露管理、抵抗与复原力以及歧视。耻辱感在堕胎服务提供者的生活中很突出：他们指出了围绕披露的困难（66%），并感到不被社会认可（89%）。同时，工作人员认为他们为社会做出了积极贡献（92%），并为自己的工作感到自豪（98%）。对研讨会前后APSS分数的配对t检验分析显示总分没有变化。然而，对于两个参与者亚组：30岁以上的人和有孩子的人，披露管理子量表分数显著更低（表明耻辱感降低）。该分析是开发一种定量工具以捕捉堕胎服务提供者对普遍存在的堕胎耻辱感的经历和反应的有前景的第一步。
