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Difficult Questions With Many Gray Areas: Nuanced Abortion Attitudes Among Physicians
Madelyne Z Greene1, Nicholas B Schmuhl2, Daniel L Pellicer3
1School of Nursing, University of Wisconsin-Madison, Madison, Wisconsin, mgreene8@wisc.edu.
Physicians express nuanced views on abortion, often distancing themselves from the procedure despite supporting access. Acknowledging this ambivalence can foster open discourse and improve reproductive health outcomes.
Area of Science:
- Medical Ethics
- Sociology of Medicine
- Reproductive Health
Background:
- Abortion is a complex issue influencing physicians' attitudes and behaviors, shaped by social and political factors.
- Physicians' views on abortion are not solely scientific, mirroring public complexities.
- Support for abortion access coexists with reluctance to be involved in consultations.
Purpose of the Study:
- To investigate the nuances and complexities within physicians' attitudes toward abortion.
- To analyze qualitative physician responses regarding abortion.
Main Methods:
- Qualitative analysis of open-ended survey responses from physicians.
- Utilized modified concept mapping and theme generation techniques.
- Analyzed 222 responses, yielding 487 data units.
Main Results:
- Physician comments categorized into two main themes: depersonalization from abortion and expressions of nuance/ambivalence.
- Ambivalence and nuanced attitudes stemmed from a range of individual to structural factors.
- Most physicians supported abortion access, yet many avoided direct involvement.
Conclusions:
- Physicians' abortion attitudes are complex and not binary, with nuances sometimes perceived negatively.
- Addressing physician ambivalence and depersonalization can lead to more open discourse.
- Acknowledging these complexities may help address structural issues and advance reproductive justice goals.
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