Navigating Abortion Stigma: Abortion Identity Centrality, Stigma Management Strategies, and Psychological Outcomes

IF 3 2区社会学 Q2 PSYCHOLOGY, DEVELOPMENTAL

Sex Roles Pub Date : 2025-05-08 DOI:10.1007/s11199-025-01588-0

Kathleen O’Shea, Laurel B. Watson

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引用次数: 0

Abstract

On June 24, 2022, the Supreme Court overruled Roe v. Wade in a landmark decision that reversed decades of legal precedent for abortion access at the national level, instead returning decisions about reproductive autonomy to individual states. This decision both reflects and produces abortion stigma, which has been linked to harmful psychosocial outcomes among abortion recipients. In a sample of 269 primarily White, heterosexual, cisgender women, this study sought to examine the relation between abortion stigma and psychological outcomes through abortion identity centrality. Additionally, we explored the role of two potential stigma-management strategies in these relations—abortion history disclosure and reproductive justice advocacy. Results indicated that abortion stigma was related to greater levels of distress and lower psychological well-being. The relation between abortion stigma and psychological well-being through abortion identity centrality was non-significant at high levels of reproductive justice advocacy, primarily due to advocacy’s buffering role in the relation between abortion identity centrality and psychological well-being. Furthermore, abortion stigma was significantly negatively related to psychological well-being at moderate to higher levels of disclosure. Mental health providers are encouraged to consider the roles of abortion stigma on the mental health of those who have experienced abortion, while also considering potential stigma-management strategies.

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流产污名化：流产身份中心性、污名化管理策略和心理结果

2022年6月24日，最高法院驳回了罗伊诉韦德案，这是一个具有里程碑意义的决定，推翻了几十年来在国家层面上堕胎的法律先例，而是将有关生殖自主权的决定归还给了各个州。这一决定既反映了堕胎耻辱，也产生了堕胎耻辱，这与堕胎接受者的有害心理社会后果有关。本研究以269名白人、异性恋、顺性女性为样本，试图通过堕胎身份中心性来检验堕胎耻辱与心理结果之间的关系。此外，我们探讨了两种潜在的耻辱感管理策略在这些关系中的作用-堕胎史披露和生殖正义倡导。结果表明，流产污名与较高的痛苦水平和较低的心理健康水平有关。在高水平的生殖正义倡导下，堕胎污名化通过堕胎认同中心性与心理健康之间的关系不显著，这主要是由于倡导在堕胎认同中心性与心理健康之间的关系中起缓冲作用。此外，堕胎耻辱在中等至较高程度的披露与心理健康显著负相关。鼓励精神卫生服务提供者考虑堕胎耻辱对经历过堕胎的人的精神健康的作用，同时也考虑潜在的耻辱管理策略。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Sex Roles Multiple-

CiteScore

7.20

自引率

5.30%

发文量

期刊介绍： Sex Roles: A Journal of Research is a global, multidisciplinary, scholarly, social and behavioral science journal with a feminist perspective. It publishes original research reports as well as original theoretical papers and conceptual review articles that explore how gender organizes people’s lives and their surrounding worlds, including gender identities, belief systems, representations, interactions, relations, organizations, institutions, and statuses. The range of topics covered is broad and dynamic, including but not limited to the study of gendered attitudes, stereotyping, and sexism; gendered contexts, culture, and power; the intersections of gender with race, class, sexual orientation, age, and other statuses and identities; body image; violence; gender (including masculinities) and feminist identities; human sexuality; communication studies; work and organizations; gendered development across the life span or life course; mental, physical, and reproductive health and health care; sports; interpersonal relationships and attraction; activism and social change; economic, political, and legal inequities; and methodological challenges and innovations in doing gender research.