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Beyond knowledge: Introducing embodied aversion through the case of contraception.

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A new study introduces "embodied aversion," an unconscious feeling influencing contraceptive choices. This aversion, stemming from internalized stigma, can override conscious knowledge of contraceptive benefits, impacting reproductive autonomy.

Keywords:
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Area of Science:

  • Reproductive Health
  • Social Science
  • Contraceptive Research

Background:

  • Family planning traditionally focuses on individual knowledge and attitudes towards contraception.
  • Social science highlights structural influences on contraceptive beliefs and behaviors.
  • Embodied knowledge, shaped by social context, informs personal contraceptive effectiveness.

Purpose of the Study:

  • To identify and define a previously unrecognized factor in contraceptive decision-making.
  • To explore the concept of "embodied aversion" in relation to contraceptive method choice.
  • To understand how embodied aversion impacts patient-centered care and reproductive autonomy.

Main Methods:

  • Qualitative analysis of in-depth interviews with 59 self-identified women.
  • Conducted between 2017-2018 in Delaware, USA.
  • Utilized affect theory and stigma theory to interpret findings.

Main Results:

  • Identified "embodied aversion" as a significant factor in contraceptive decision-making.
  • Embodied aversion is an orientation away from implantable/insertable methods due to internalized stigma.
  • This aversion can override conscious considerations of contraceptive efficacy, ease of use, and duration.

Conclusions:

  • Embodied aversion is a critical, yet overlooked, dimension of contraceptive use experience.
  • Understanding embodied aversion is vital for enhancing patient-centered care and shared decision-making.
  • Addressing embodied aversion can improve reproductive autonomy and contraceptive method choice.