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“这会让你感觉更真实”:经历堕胎及与堕胎相关接触后的堕胎态度

"It Makes It More Real to You": Abortion Attitudes Following Experience and Contact With Abortion.

作者信息

Baker Julieta, Lozano Nicole, Shrestha Aneeka, Kayser Ssanyu, Adair Lora

机构信息

Life Sciences, Brunel University London, Uxbridge, UK.

Department of Psychology, Angelo State University, San Angelo, Texas, USA.

出版信息

Perspect Sex Reprod Health. 2025 Jun;57(2):198-210. doi: 10.1111/psrh.70019. Epub 2025 Jun 18.

DOI:10.1111/psrh.70019
PMID:40534175
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12204123/
Abstract

INTRODUCTION

When positioned as part of a cluster of related social and political attitudes, abortion attitudes are characterized as somewhat fixed from a young age. The extent to which abortion attitudes are malleable, and can be shaped by experience, is under-researched in the United Kingdom (UK).

METHODS

To address this gap, we conducted semi-structured interviews with individuals with (N = 12) and without (N = 16) abortion experience living in the United Kingdom, consisting of England, Scotland, Wales or Northern Ireland. Inductive thematic analysis was used to address the research question: How does experience and/or contact with abortion shape attitudes towards abortion?

RESULTS

The theme From Abstract Idea to Reality illustrates participants' understanding of how abortion attitudes are developed by contact with real, lived experiences of abortion-someone's own and/or their friends' or acquaintances' abortions. Participants were clear that proximity to abortion helped them, and others, to see abortion as tangible, personal, and sensory ("reality") as opposed to intangible, imagined, and conceptual ("abstract"). Subthemes capture our participants' understanding of abortion as a reality as opposed to something imagined; abortion is a complex issue and abortion experiences are varied (Complexity of Abortion), attitudes towards abortion are largely stable (Consistency of Attitudes), and abortion, and the people who seek abortion in the United Kingdom, is still stigmatized (Persistent Stigma).

CONCLUSION

Our themes and discussion provide direction for future scholarship considering contact as a stigma reduction strategy, highlighting some potential benefits but also urging caution in oversimplifying a complicated social issue.

摘要

引言

当堕胎态度被定位为一系列相关社会和政治态度的一部分时,其特点是从年轻时就有点固定。在英国,堕胎态度的可塑性以及能在多大程度上受到经历影响这方面的研究较少。

方法

为填补这一空白,我们对居住在英国(包括英格兰、苏格兰、威尔士或北爱尔兰)有堕胎经历(N = 12)和无堕胎经历(N = 16)的个体进行了半结构化访谈。采用归纳主题分析法来解决研究问题:与堕胎的经历和/或接触如何塑造对堕胎的态度?

结果

“从抽象概念到现实”这一主题阐述了参与者对于堕胎态度如何通过与真实的堕胎生活经历(某人自己的和/或其朋友或熟人的堕胎经历)接触而形成的理解。参与者明确表示,与堕胎的亲近感帮助他们以及其他人将堕胎视为切实、个人且有感官体验的(“现实”),而非无形、想象和概念化的(“抽象”)。子主题体现了我们的参与者对堕胎是现实而非想象事物的理解;堕胎是一个复杂问题且堕胎经历各不相同(堕胎的复杂性),对堕胎的态度基本稳定(态度的一致性),并且在英国,堕胎以及寻求堕胎的人仍然受到污名化(持续的污名)。

结论

我们的主题和讨论为未来将接触作为减少污名化策略的学术研究提供了方向,既突出了一些潜在益处,也敦促在过于简化一个复杂的社会问题时要谨慎。

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本文引用的文献

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Exploring provider preference and provision of abortion methods and stigma: Secondary analysis of a United Kingdom provider survey.探索提供者的偏好和提供堕胎方法及耻辱感:对英国提供者调查的二次分析。
Perspect Sex Reprod Health. 2024 Mar;56(1):50-59. doi: 10.1111/psrh.12254. Epub 2024 Mar 8.
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Triumphs and trials with the UK abortion law: The power of collaboration in abortion reform.英国堕胎法的成败:堕胎改革中的合作力量。
Int J Gynaecol Obstet. 2024 Feb;164 Suppl 1:5-11. doi: 10.1002/ijgo.15331.
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Barriers and delays in access to abortion care: a cross-sectional study of people traveling to obtain care in England and the Netherlands from European countries where abortion is legal on broad grounds.获取堕胎护理的障碍和延迟:一项横断面研究,研究对象为从广泛允许堕胎的欧洲国家前往英格兰和荷兰获取堕胎护理的人。
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Impact of approval of home use of misoprostol in England on access to medical abortion: An interrupted time series analysis.米索前列醇在英国获批家庭使用对药物流产可及性的影响:一项中断时间序列分析
Int J Gynaecol Obstet. 2024 Jan;164(1):286-297. doi: 10.1002/ijgo.15044. Epub 2023 Aug 24.
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Strategies to reduce stigma and discrimination in sexual and reproductive healthcare settings: A mixed-methods systematic review.减少性与生殖健康护理环境中耻辱感和歧视的策略:一项混合方法的系统评价
PLOS Glob Public Health. 2022 Jun 15;2(6):e0000582. doi: 10.1371/journal.pgph.0000582. eCollection 2022.
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Individual changes in abortion knowledge and attitudes.堕胎知识和态度的个体变化。
Soc Sci Med. 2023 Mar;320:115722. doi: 10.1016/j.socscimed.2023.115722. Epub 2023 Jan 25.
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Abortion Access and the Benefits and Limitations of Abortion- Legal Frameworks: Lessons from the United Kingdom.堕胎机会和堕胎法律框架的利弊:来自英国的经验教训。
Camb Q Healthc Ethics. 2023 Jul;32(3):378-390. doi: 10.1017/S096318012200086X. Epub 2023 Jan 23.
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Interventions to reduce stigma related to contraception and abortion: a scoping review.减少避孕和堕胎相关耻辱感的干预措施:范围综述。
BMJ Open. 2022 Nov 17;12(11):e063870. doi: 10.1136/bmjopen-2022-063870.
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Why does abortion stigma matter? A scoping review and hybrid analysis of qualitative evidence illustrating the role of stigma in the quality of abortion care.为何堕胎污名至关重要?一项范围综述及定性证据的混合分析,阐明污名在堕胎护理质量中的作用。
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The Impact of First-Person Abortion Stories on Community-Level Abortion Stigma: A Randomized Trial.第一人称堕胎故事对社区层面堕胎污名的影响:一项随机试验。
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