Young Women's Experiences Obtaining Judicial Bypass for Abortion in Texas
Young Women's Experiences Obtaining Judicial Bypass for Abortion in Texas
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DOI：
10.1016/j.jadohealth.2018.07.017
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发表时间：
2019-01-01
影响因子：
7.6
通讯作者：
Hays, Susan
中科院分区：
文献类型：
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作者：
Coleman-Minahan, Kate;Stevenson, Amanda Jean;Hays, Susan
目的：像许多州一样，德克萨斯州要求18岁以下的青少年获得父母同意才能获得堕胎护理。无法获得父母同意的青少年可以尝试通过法院系统获得司法绕过父母同意。人们对青少年绕过司法程序的经历知之甚少。与为青少年提供法律代理的组织简的正当程序合作，我们探索了青少年使用司法绕过程序的经历。方法：2016年9月至12月，我们对德克萨斯州20名16-19岁的青少年进行了电话采访，了解他们试图获得司法绕过程序的经历。数据分析包括基于与法院系统接触的理论和关于堕胎和青春期性行为的耻辱的归纳和演绎编码。结果：除了不可预测和逻辑负担，如寻找离开学校的时间和安排交通工具，参与者描述绕过过程是“吓人的”和“可怕的”，并描述了羞辱他们、向他们“说教”和诋毁他们成熟的证据的法官和诉讼监护人。数据显示，青少年通过将绕道程序的必要性和权威人士的不尊重待遇合理化，将他们经历的耻辱和创伤内在化。结论：我们发现绕道程序是一种惩罚形式，允许国家行为者羞辱青少年的个人决定。实施绕过程序是为了保护青少年免受所谓堕胎的负面情绪后果的影响，但我们的结果表明，绕过过程本身通过不可预测性和羞辱导致情感伤害。尽管参与者具有韧性，但这一过程可能会对青少年健康产生负面影响。(C)2018年青少年健康与医学学会。版权所有。
Purpose: Like many states, Texas requires parental consent for adolescents under 18 to access abortion care. Adolescents who cannot obtain parental consent can try to obtain a judicial bypass of parental consent through the court system. Little is known about adolescents' experiences with the judicial bypass process. Working with Jane's Due Process, an organization providing legal representation for adolescents, we explored adolescents' experiences with the judicial bypass process.Methods: We conducted phone interviews with 20 adolescents, 16-19 years old in Texas between September and December 2016 about their experiences trying to obtain a judicial bypass. Data analysis included inductive and deductive coding based on theories about engaging with the court system and stigma regarding abortion and adolescent sexuality.Results: In addition to unpredictability and logistic burdens such as finding time away from school and arranging transportation, participants described the bypass process as "intimidating" and "scary" and described judges and guardians-ad-litem who shamed them, "preached" at them, and discredited evidence of their maturity. Data suggest adolescents internalize stigma and trauma they experienced through rationalizing both the need for the bypass process and disrespectful treatment by authority figures.Conclusions: We found the bypass process functions as a form of punishment and allows state actors to humiliate adolescents for their personal decisions. The bypass process was implemented to protect adolescents from alleged negative emotional consequences of abortion, yet our results suggest the bypass process itself causes emotional harm through unpredictability and humiliation. Despite participants' resilience, the process may have negative consequences for adolescent health. (c) 2018 Society for Adolescent Health and Medicine. All rights reserved.