Embracing complexity to challenge stigma: a qualitative analysis of representations of abortion in a Polish storytelling initiative.

IF 2.6 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Alina Paczesna
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引用次数: 0

Abstract

Testimonies of abortion experiences are largely silenced in many contexts around the world, including Poland, and stigma affects how abortion is represented. Pro-choice initiatives, which support abortion rights, aim to challenge stigma through the sharing of personal abortion experiences (i.e. abortion storytelling). However, these initiatives may simultaneously construct normative hierarchies of abortion and stigmatise abortion stories which do not fit context-specific, politicised norms. This study draws on data purposefully sampled from a pro-choice abortion storytelling initiative in Poland, conducted between 2020 and 2021, and organised by the Abortion Dream Team (ADT; Aborcyjny Dream Team), an influential Polish organisation campaigning for abortion access and rights. By conducting a qualitative document analysis of 73 first-person abortion stories shared in this initiative, I explored how abortion was represented, and whether, and how, these representations challenged abortion stigma and its manifestation in normative hierarchies of abortion. Using reflexive thematic analysis, I identified four main themes. My findings show that abortion is represented as a valid decision, both a positive and challenging experience, and an embodied process. The stories shared in the ADT storytelling initiative challenge stigma and deconstruct normative hierarchies of abortion by representing abortion as a complex experience imbued with multiple, and often contradictory, meanings. This study highlights the existence of positive and non-stigmatising representations of abortion in Poland and shows that abortion storytelling can challenge dominant narratives around abortion. These findings therefore have broader significance, as they suggest that abortion storytelling may serve as an effective tool to destigmatise abortion and advance abortion rights. DOI:10.1080/26410397.2025.2535835.

拥抱复杂性,挑战耻辱:波兰叙事活动中堕胎表现的定性分析。
在包括波兰在内的世界各地,堕胎经历的证词在很大程度上是沉默的,耻辱影响了堕胎的表现方式。支持堕胎权利的亲堕胎倡议旨在通过分享个人堕胎经历(即讲述堕胎故事)来挑战耻辱。然而,这些举措可能同时构建了堕胎的规范等级,并使不符合特定背景的政治化规范的堕胎故事污名化。这项研究从波兰的一个支持堕胎的故事倡议中有目的地抽取数据,该倡议于2020年至2021年进行,由堕胎梦之队(ADT;堕胎梦之队(Aborcyjny Dream Team)是一个有影响力的波兰组织,致力于争取堕胎的权利。通过对本次活动中分享的73个第一人称堕胎故事进行定性文献分析,我探讨了堕胎是如何被代表的,以及这些代表是否以及如何挑战堕胎耻辱及其在堕胎规范等级中的表现。通过反身性主题分析,我确定了四个主要主题。我的研究结果表明,堕胎被认为是一个有效的决定,既是一个积极的和具有挑战性的经历,也是一个具体化的过程。在ADT讲故事的倡议中分享的故事挑战了耻辱,解构了堕胎的规范等级,将堕胎描述为一种充满多重且往往相互矛盾的意义的复杂经历。这项研究强调了波兰存在的积极和非污名化的堕胎表现,并表明堕胎故事可以挑战围绕堕胎的主导叙事。因此,这些发现具有更广泛的意义,因为它们表明,讲述堕胎故事可能是消除堕胎污名和促进堕胎权利的有效工具。DOI: 10.1080 / 26410397.2025.2535835。
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
Sexual and Reproductive Health Matters
Sexual and Reproductive Health Matters Medicine-Obstetrics and Gynecology
CiteScore
4.00
自引率
8.30%
发文量
63
审稿时长
16 weeks
期刊介绍: SRHM is a multidisciplinary journal, welcoming submissions from a wide range of disciplines, including the social sciences and humanities, behavioural science, public health, human rights and law. The journal welcomes a range of methodological approaches, including qualitative and quantitative analyses such as policy analysis; mixed methods approaches to public health and health systems research; economic, political and historical analysis; and epidemiological work with a focus on SRHR. Key topics addressed in SRHM include (but are not limited to) abortion, family planning, contraception, female genital mutilation, HIV and other STIs, human papillomavirus (HPV), maternal health, SRHR in humanitarian settings, gender-based and other forms of interpersonal violence, young people, gender, sexuality, sexual rights and sexual pleasure.
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