Hendrix Tayler, Roncoroni Julia, Magdamo Brigid, Whitaker Salina, Zareba Kornelia, Grieco Noelle
Department of Counseling Psychology, Morgridge College of Education, University of Denver, Denver, Colorado, USA.
Department of Obstetrics & Gynecology, College of Medicine & Health Sciences (CMHS), United Arab Emirates University (UAEU), Al Ain, UAE.
Womens Health Rep (New Rochelle). 2023 May 30;4(1):271-279. doi: 10.1089/whr.2022.0092. eCollection 2023.
Existing abortion stigma research has rarely isolated the reason for termination; thus, the consequences of termination for medical reasons (TFMR) are poorly understood. We aimed to understand the association of stigma and social support with decision satisfaction in TFMR.
We performed a cross-sectional study on the experiences of 132 individuals who had a TFMR in the second or third trimester. We recruited participants Facebook. Most participants were non-Hispanic White (85.6%), between 31 and 40 years old (72.7%), highly educated (84.1% with a 4-year degree), and married (89.4%). Participants completed an online demographic data questionnaire, including questions about stigma and social support, and an adapted satisfaction with decision survey. We used -tests to explore the connection of stigma and social support with decision satisfaction.
Results did not reveal an association between stigma and decision satisfaction, but showed that higher social support is associated with higher decision satisfaction. Decision satisfaction was higher in participants who experienced more than one source of support [(130) = 2.527, = 0.01], compared with those reporting only one source of support, and in those who experienced support from a relative [(130) = 1.983, = 0.049] and physician [(130) = 2.357, = 0.020] than in those who did not.
Social support can alleviate the suffering related to TFMR. Exploring how different forms of social support, including therapy groups, can impact decision satisfaction might help develop interventions to improve postabortion outcomes.
Provider training must encourage providers to (1) support patients having a TFMR and (2) connect patients with other sources of support.
现有的堕胎污名研究很少区分终止妊娠的原因；因此，对于因医学原因终止妊娠（TFMR）的后果了解甚少。我们旨在了解污名和社会支持与TFMR决策满意度之间的关联。
我们对132名在孕中期或孕晚期进行TFMR的个体经历进行了横断面研究。我们通过脸书招募参与者。大多数参与者是非西班牙裔白人（85.6%），年龄在31至40岁之间（72.7%），受过高等教育（84.1%拥有四年制学位），并且已婚（89.4%）。参与者完成了一份在线人口统计数据问卷，包括有关污名和社会支持的问题，以及一份改编后的决策满意度调查问卷。我们使用t检验来探究污名和社会支持与决策满意度之间的联系。
结果未显示污名与决策满意度之间存在关联，但表明更高的社会支持与更高的决策满意度相关。与仅报告一种支持来源的参与者相比，经历了不止一种支持来源的参与者的决策满意度更高[（130）=2.527，P=0.01]，并且与未得到支持的参与者相比，得到亲属支持[（130）=1.983，P=0.049]和医生支持[（130）=2.357，P=0.020]的参与者的决策满意度更高。
社会支持可以减轻与TFMR相关的痛苦。探索不同形式的社会支持，包括治疗小组，如何影响决策满意度可能有助于开发改善堕胎后结局的干预措施。
提供者培训必须鼓励提供者（1）支持进行TFMR的患者，以及（2）将患者与其他支持来源联系起来。
