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Area of Science:

  • Reproductive Health
  • Survey Methodology
  • Sociology

Background:

  • Abortion is a sensitive behavior with significant underreporting in surveys.
  • Underreporting compromises the accuracy of sexual and reproductive health research.
  • Existing survey methods struggle to capture comprehensive abortion data.

Purpose of the Study:

  • To develop and evaluate new survey questions designed to improve abortion reporting.
  • To understand how women interpret and respond to questions about abortion experiences.
  • To reduce stigma and intrusiveness associated with abortion-related survey items.

Main Methods:

  • Cognitive interviews were conducted with 64 cisgender women aged 18-49 in two US states.
  • New question formats were developed focusing on clarity, reduced stigma, and increased motivation.
  • Participants' interpretations and responses to novel survey items were assessed.

Main Results:

  • Including abortion within a list of sexual and reproductive health services improved reporting.
  • A lifetime yes/no question about abortion experience was more effective than asking for the number of abortions.
  • An improved introductory statement for abortion questions enhanced respondent engagement.

Conclusions:

  • Survey measurement of abortion can be significantly improved through question design.
  • Enhanced reporting of abortion data can lead to more robust sexual and reproductive health research.
  • Addressing survey sensitivity and clarity is crucial for accurate behavioral data collection.