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“这是一种印记”:乌拉圭堕胎非刑罪化后的耻辱感。

"It's something that marks you": Abortion stigma after decriminalization in Uruguay.

机构信息

International Planned Parenthood/Western Hemisphere Region, New York, USA.

Hampshire College, Amherst, USA.

出版信息

Reprod Health. 2018 Sep 10;15(1):150. doi: 10.1186/s12978-018-0597-1.

DOI:10.1186/s12978-018-0597-1
PMID:30201009
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6131825/
Abstract

BACKGROUND

Abortion stigma is experienced by women seeking abortion services and by abortion providers in a range of legal contexts, including Uruguay, where abortion was decriminalized up to 12 weeks gestation in 2012. This paper analyzes opinions and attitudes of both abortion clients and health professionals approximately two years following decriminalization and assesses how abortion stigma manifests among these individuals and in institutions that provide care.

METHODS

In 2014, we conducted twenty in-depth, semi-structured interviews with abortion clients (n = 10) and health care professionals (n = 10) in public and private facilities across Uruguay's health system. Interviews were recorded, transcribed, and then coded for thematic analysis.

RESULTS

We find that both clients and health professionals express widespread satisfaction with the implementation of the new law. However, there exist critical points in the service where stigmatizing ideas and attitudes continue to be reproduced, such as the required five-day waiting period and in interactions with hospital staff who do not support access to the service. We also document the prevalence of stigmatizing ideas around abortion that continue to circulate outside the clinical setting.

CONCLUSION

Despite the benefits of decriminalization, abortion clients and health professionals still experience abortion stigma.

摘要

背景

在包括乌拉圭在内的一系列法律背景下,寻求堕胎服务的女性和堕胎提供者都经历了堕胎耻辱,乌拉圭在 2012 年将妊娠 12 周内的堕胎合法化。本文分析了堕胎合法化后大约两年时堕胎客户和卫生专业人员的意见和态度,并评估了堕胎耻辱感在这些人和提供护理的机构中是如何表现出来的。

方法

2014 年,我们在乌拉圭的卫生系统中,对公共和私人设施中的 10 名堕胎客户和 10 名医疗保健专业人员进行了 20 次深入的半结构化访谈。访谈进行了录音、转写,然后进行了主题分析。

结果

我们发现,客户和卫生专业人员都对新法律的实施表示普遍满意。然而,在服务中存在一些关键点,仍然存在着歧视性的想法和态度,例如需要五天的等待期,以及与不支持获得该服务的医院工作人员的互动。我们还记录了在临床环境之外继续流传的关于堕胎的污名化观念的普遍性。

结论

尽管堕胎合法化带来了好处,但堕胎客户和卫生专业人员仍然经历着堕胎耻辱。

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本文引用的文献

1
From risk and harm reduction to decriminalizing abortion: The Uruguayan model for women's rights.从降低风险和危害到堕胎合法化:乌拉圭的妇女权利模式。
Int J Gynaecol Obstet. 2016 Aug;134(S1):S3-S6. doi: 10.1016/j.ijgo.2016.06.003.
2
Implementation of the risk and harm reduction strategy against unsafe abortion in Uruguay: From a university hospital to the entire country.乌拉圭针对不安全堕胎的风险降低与危害减少战略的实施:从一家大学医院到整个国家。
Int J Gynaecol Obstet. 2016 Aug;134 Suppl 1:S7-S11. doi: 10.1016/j.ijgo.2016.06.007.
3
The role of medical abortion in the implementation of the law on voluntary termination of pregnancy in Uruguay.药物流产在乌拉圭自愿终止妊娠法实施中的作用。
Int J Gynaecol Obstet. 2016 Aug;134 Suppl 1:S12-5. doi: 10.1016/j.ijgo.2016.06.006.
4
Qualitative evidence on abortion stigma from Mexico City and five states in Mexico.来自墨西哥城和墨西哥五个州的关于堕胎污名化的定性证据。
Women Health. 2014;54(7):622-40. doi: 10.1080/03630242.2014.919983.
5
[Between the stigma and the law: legal abortion in Mexico City].在耻辱与法律之间:墨西哥城的合法堕胎
Salud Publica Mex. 2014 Jan-Feb;56(1):56-62.
6
Conscientious objection or fear of social stigma and unawareness of ethical obligations.出于良心拒服兵役或害怕社会耻辱以及不了解道德义务。
Int J Gynaecol Obstet. 2013 Dec;123 Suppl 3:S57-9. doi: 10.1016/S0020-7292(13)60003-X.
7
Latin American women's experiences with medical abortion in settings where abortion is legally restricted.拉丁美洲妇女在堕胎合法受限的环境下的药物流产经历。
Reprod Health. 2012 Dec 22;9(1):34. doi: 10.1186/1742-4755-9-34.
8
[Representations and experiences of obstetrician/gynecologists with legal and illegal abortion in two maternity-hospitals in Salvador da Bahia].[巴伊亚州萨尔瓦多市两家妇产医院妇产科医生对合法与非法堕胎的认知及经历]
Cien Saude Colet. 2012 Jul;17(7):1745-54. doi: 10.1590/s1413-81232012000700013.
9
Unintended pregnancy in the United States: incidence and disparities, 2006.美国意外妊娠:发生率和差异,2006 年。
Contraception. 2011 Nov;84(5):478-85. doi: 10.1016/j.contraception.2011.07.013. Epub 2011 Aug 24.
10
Dynamics of stigma in abortion work: findings from a pilot study of the Providers Share Workshop.堕胎工作中的污名动态: Providers Share Workshop 试点研究的结果。
Soc Sci Med. 2011 Oct;73(7):1062-70. doi: 10.1016/j.socscimed.2011.07.004. Epub 2011 Jul 28.