Emotions and decision rightness over five years following an abortion: An examination of decision difficulty and abortion stigma
Emotions and decision rightness over five years following an abortion: An examination of decision difficulty and abortion stigma
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DOI：
10.1016/j.socscimed.2019.112704
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发表时间：
2020-03-01
影响因子：
5.4
通讯作者：
Kimport, Katrina
中科院分区：
文献类型：
--
作者：
Rocca, Corinne H.;Samari, Goleen;Kimport, Katrina
背景资料：尽管薄弱的理论基础和充分的研究表明，妇女在堕胎后感到高度的决策正确性和救济，声称堕胎本身就有压力，并导致出现负面情绪和遗憾，这巩固了美国州一级规范堕胎的法律。尽管如此，学术界确实确定了使妇女处于短期负面堕胎后情绪风险中的因素，包括决策困难和在社区中感知堕胎耻辱感，这表明了后来出现或持续的堕胎后负面情绪背后的可能机制。使用五年的纵向数据，从2008年至2010年期间在美国30家机构寻求堕胎的妇女中收集了堕胎后一周和五年内每半年一次的数据，我们调查了妇女的情绪和五年来认为堕胎是正确决定的感觉（n=667）。我们使用混合效应回归模型，通过决策困难和感知社区堕胎耻辱感来检查情绪和堕胎决策正确性随时间的变化。结果：我们没有发现任何证据表明出现负面情绪或堕胎决策后悔;积极和消极情绪在前两年下降，之后趋于平稳，决策正确性保持较高和稳定（预测百分比：基线时97.5%，5年时99.0%）。在堕胎后5年，所有女性最常感受到的情绪仍然是解脱（0-4级预测平均值：1.0;悲伤和内疚为0.6;遗憾，愤怒和快乐为0.4）。尽管随着时间的推移，决策困难和耻辱水平的情绪收敛水平，这两个因素仍然是最重要的预测负面情绪和决策non-rightness years later.Conclusions：这些结果增加了科学证据表明，有关堕胎的情绪与个人和社会背景，并不是一个产品的堕胎程序本身。调查结果对以情感伤害索赔为前提的监管堕胎政策的合理性提出了挑战。
Background: Despite weak theoretical grounding and ample research indicating women feel high levels of decision rightness and relief post-abortion, claims that abortion is inherently stressful and causes emergent negative emotions and regret undergirds state-level laws regulating abortion in the United States. Nonetheless, scholarship does identify factors that put a woman at risk for short-term negative postabortion emotions including decision difficulty and perceiving abortion stigma in ones community pointing to a possible mechanism behind later emergent or persistent post-abortion negative emotions.Methods: Using five years of longitudinal data, collected one week post-abortion and semi-annually for five years from women who sought abortions at 30 US facilities between 2008 and 2010, we examined women's emotions and feeling that abortion was the right decision over five years (n=667). We used mixed effects regression models to examine changes in emotions and abortion decision rightness over time by decision difficulty and perceived community abortion stigma.Results: We found no evidence of emerging negative emotions or abortion decision regret; both positive and negative emotions declined over the first two years and plateaued thereafter, and decision rightness remained high and steady (predicted percent: 97.5% at baseline, 99.0% at five years). At five years postabortion, relief remained the most commonly felt emotion among all women (predicted mean on 0-4 scale: 1.0; 0.6 for sadness and guilt; 0.4 for regret, anger and happiness). Despite converging levels of emotions by decision difficulty and stigma level over time, these two factors remained most important for predicting negative emotions and decision non-rightness years later.Conclusions: These results add to the scientific evidence that emotions about an abortion are associated with personal and social context, and are not a product of the abortion procedure itself. Findings challenge the rationale for policies regulating access to abortion that are premised on emotional harm claims.