"Technically an abortion": Understanding perceptions and definitions of abortion in the United States.

"Technically an abortion": Understanding perceptions and definitions of abortion in the United States.
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DOI:
10.1016/j.socscimed.2023.116216
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发表时间:
2023-10
影响因子:
5.4
通讯作者:
Lindberg, Laura D.
Lindberg, Laura D.
中科院分区:
医学2区
文献类型:
--
作者:
VandeVusse, Alicia J.;Mueller, Jennifer;Kirstein, Marielle;Strong, Joe;Lindberg, Laura D.

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美国的反堕胎立法利用错误信息和忽视医学定义来限制获得基本医疗保健的机会。对于最有可能需要这种护理的个人如何定义堕胎,一般来说或与流产不同,以及这可能如何影响获得,利用和护理经验,人们知之甚少。使用认知访谈(n = 64)和全国在线调查(n = 2009)的混合方法卡片分类和小插曲数据,我们检查了个人对怀孕结果(包括堕胎和流产)的理解。我们的研究结果表明,人们对堕胎的构成有不同的看法。许多答复者在对怀孕结果进行分类时考虑了“意图”,并侧重于区分流产和堕胎的干预措施。特别是,医疗干预被认为是堕胎的一个决定性特征。对怀孕经历缺乏了解以及对怀孕早期的模糊不清也影响了受访者对堕胎的理解。我们发现,堕胎和流产的定义是社会构建和多层次的。提高我们对堕胎和流产定义的理解,通过阐明可能导致错误报告生殖经历的潜在混淆领域,以及强调堕胎反对者可能利用模糊定义的方式,改善生殖健康研究。
Anti-abortion legislation in the United States exploits misinformation and ignores medical definitions to curtail access to essential healthcare. Little is known about how individuals most likely to need this care define abortion, in general or as distinct from miscarriage, and how this might impact access to, utilization of, and experiences of care. Using mixed-method card sort and vignette data from cognitive interviews (n = 64) and a national online survey (n = 2009), we examined individuals’ understandings of pregnancy outcomes including abortion and miscarriage. Our findings show that people hold varying ideas of what constitutes an abortion. Many respondents considered ‘intent’ when classifying pregnancy outcomes and focused on intervention to distinguish between miscarriages and abortions. Particularly, medical intervention was found as a defining feature of abortion. Lack of knowledge regarding pregnancy experiences and ambiguity surrounding early stages of pregnancy also influenced respondents’ understanding of abortion. We find that abortion and miscarriage definitions are socially constructed and multi-layered. Advancing our understanding of abortion and miscarriage definitions improves reproductive health research by elucidating potential areas of confusion that may lead to misreporting of reproductive experiences as well as highlighting ways that blurred definitions may be exploited by abortion opponents.
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