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Updated: Oct 12, 2025

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Exploring Experiences Responding to the Individual Level Abortion Stigma Scale: Methodological Considerations From

Alexandra Wollum1, Shelly Makleff2, Sarah E Baum1

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Frontiers in Global Women'S Health
|November 24, 2021
PubMed
Summary

Participants reported mixed emotions when completing the Individual-Level Abortion Stigma (ILAS) scale, with some finding it therapeutic and others experiencing discomfort. Timing of scale administration is crucial to mitigate potential negative impacts.

Keywords:
ILASMexicoabortion stigmaindividual-level abortion stigma scalemethodologyresearch participation effects

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Area of Science:

  • Reproductive Health
  • Social Psychology
  • Qualitative Research

Background:

  • The Individual-Level Abortion Stigma (ILAS) scale measures stigma experienced by individuals who have abortions.
  • Global use of the ILAS scale is established, but participant experiences completing it remain under-researched.
  • This study investigates women's reactions to the ILAS scale in Mexico.

Purpose of the Study:

  • To assess women's experiences and feelings when completing the ILAS scale.
  • To explore reactions to specific ILAS sub-scales: self-judgement, worries about judgement, isolation, and community condemnation.
  • To understand the impact of timing on participant experiences with the ILAS scale.

Main Methods:

  • Conducted 10 in-depth interviews with women approximately six months post-abortion.
  • Explored overall and sub-scale specific experiences with the ILAS.
  • Employed thematic and framework analysis for data interpretation.

Main Results:

  • Participant experiences ranged from therapeutic to causing distress and doubt.
  • Negative reactions were common for 'worries about judgement' and 'community condemnation' sub-scales.
  • Most participants felt completing the scale sooner after an abortion would be more challenging.

Conclusions:

  • Completing abortion stigma scales can elicit both positive and negative emotional responses.
  • Scale implementation may inadvertently increase discomfort or perpetuate stigma.
  • Careful consideration of timing and participant safeguards is essential when using stigma scales.