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Characterizing community-level abortion stigma in the United States
Abigail S Cutler1, Lisbet S Lundsberg1, Marney A White2
1Department of Obstetrics, Gynecology and Reproductive Sciences, Yale School of Medicine, New Haven, CT, USA.
Catholic, Evangelical or Protestant religious affiliation and Republican political affiliation are linked to higher abortion stigma and less support for abortion care policies. Understanding these associations is key to reducing stigma.
Area of Science:
- Social Science
- Public Health
- Sociology
Background:
- Abortion stigma negatively impacts individuals seeking abortion care.
- Understanding community-level stigma is crucial for public health interventions.
- Factors influencing abortion stigma require further investigation.
Purpose of the Study:
- To estimate community-level abortion stigma among U.S. adults.
- To identify factors associated with high abortion stigma.
- To characterize opinions on policies supportive of abortion care.
Main Methods:
- Nationally representative online survey of U.S. adults in December 2018.
- Utilized multivariable logistic regression analysis.
- Employed the Community Attitudes Abortion Scale (CAAS), REES, and CLASS subscales.
Main Results:
- Catholic, Evangelical or Protestant religious affiliations and Republican political affiliation were associated with higher abortion stigma.
- Catholic identity was linked to high stigma across all measurement tools.
- These affiliations also correlated with less favorable opinions toward abortion care policies.
Conclusions:
- Religion and political identity are significant factors associated with abortion stigma.
- Multiple measurement tools are necessary for a comprehensive understanding of stigma.
- Addressing these factors may help reduce barriers to abortion care.
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