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Can stories reduce abortion stigma? Findings from a longitudinal cohort study
Kate Cockrill1, Antonia Biggs1
1a Advancing New Standards in Reproductive Health , University of California , San Francisco , USA.
Reading abortion stories in book clubs encouraged women to disclose their own experiences and reduced stigma. This intervention improved feelings toward abortion and providers, especially with in-person sharing.
Area of Science:
- Social Psychology
- Reproductive Health
- Sociology
Background:
- Abortion stigma leads to secrecy, isolation, and social silence.
- Selective disclosure of abortion experiences is common among women.
- Lack of social support can exacerbate negative impacts of abortion stigma.
Purpose of the Study:
- To assess if a book club intervention can facilitate abortion disclosure.
- To evaluate if the intervention improves affective responses towards abortion and providers.
- To understand the impact of shared abortion narratives on stigma reduction.
Main Methods:
- 109 women in 13 all-female book clubs across 9 US states participated.
- Participants read and discussed a non-fiction book featuring abortion stories.
- Surveys were administered at baseline, immediately post-intervention, and at endline.
Main Results:
- In 10 of 13 discussions, at least one member disclosed a past abortion.
- 15 of 19 women who privately reported abortions self-disclosed during discussions.
- Participants reported more positive feelings toward women with abortions and providers post-intervention.
Conclusions:
- Exposure to abortion narratives in book clubs can reduce abortion stigma.
- In-person disclosure within groups led to greater and more lasting positive effects.
- Book club interventions show promise for supporting abortion disclosure and mitigating stigma.
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