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Abortion Stigma: A Systematic Review.

Franz Hanschmidt1, Katja Linde1, Anja Hilbert1

  • 1University of Leipzig, Germany.

Perspectives on Sexual and Reproductive Health
|April 3, 2016
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Abortion stigma negatively impacts women, causing distress and isolation due to fear of judgment and secrecy. More research is needed to understand and reduce this stigma.

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Area of Science:

  • Social Sciences
  • Psychology
  • Public Health

Background:

  • Stigma is a known risk factor for women's well-being.
  • Little research has focused specifically on abortion-related stigma.

Purpose of the Study:

  • To systematically review existing literature on abortion stigma.
  • To understand the experiences of individuals facing abortion stigma.
  • To identify public attitudes and interventions related to abortion stigma.

Main Methods:

  • Systematic literature search of Medline, PsycArticles, PsycInfo, PubMed, and Web of Science.
  • Search terms: "abortion OR pregnancy termination" AND "stigma*."
  • Inclusion criteria: studies addressing abortion stigma experiences, public attitudes, or interventions; published by February 2015; English or German language.

Main Results:

  • Included 7 quantitative and 7 qualitative studies, mostly from 2009 onwards.
  • Women experience fear of judgment, self-judgment, and a need for secrecy, linked to distress and isolation.
  • Public stigmatizing attitudes and stigma affecting abortion providers were noted; interventions were scarce.

Conclusions:

  • Abortion stigma leads to psychological distress and social isolation for women.
  • Evidence for interventions to reduce abortion stigma is limited.
  • Further research with validated measures is crucial to understand and mitigate abortion stigma's impact.