“If I Control Your Body, I Can Fully Control You”: Interpersonal and Structural Violence Findings from the Georgia Medication Abortion Project

IF 2.5 2区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY
Elizabeth C. Neilson, Sequoia Ayala, Z. Jah, Indya Hairston, T. Hailstorks, Teja Vyavahare, Alexalin Gonzalez, N. Hernandez, Kwajelyn Jackson, S. Bailey, K. Hall, D. D. Diallo, E. Mosley
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引用次数: 1

Abstract

Access to medication abortion—the use of medications rather than a surgical procedure for pregnancy termination—is an essential reproductive healthcare service. Following the overturn of Roe v. Wade and federal abortion protections in the United States, medication abortion and telemedicine for abortion are increasingly vital. Black, Latinx, and lower-income women in the United States already experience disproportionate barriers to abortion care and interpersonal and structural violence—interconnected, social systems that police bodily autonomy. This current study examined qualitative data from a larger community-led, reproductive justice project on medication abortion perspectives among Black and Latinx women in a large, urban center in Georgia. We used thematic analysis to examine interviews ( N  =  82) with key informants ( n  =  20) and interviews ( n  =  32) and focus groups ( n  =  30) with Black and Latinx women ages 18–51 years. Four violence-related themes were identified: (a) sexual assault and intimate partner violence as reasons for abortion; (b) reproductive coercion by partners and family members; (c) reproductive coercion by predominantly White providers; and (d) abortion bans, the legacy of enslavement, immigration enforcement, and poverty as structural violence. Shifting family planning care to be patient- and community-centered, in conjunction with policy advocacy to change oppressive systems, is critical.
“如果我控制你的身体,我就能完全控制你”:佐治亚州药物流产项目的人际和结构性暴力调查结果
获得药物流产——使用药物而不是手术终止妊娠——是一项重要的生殖保健服务。在罗诉韦德案和美国联邦堕胎保护被推翻后,药物流产和堕胎远程医疗变得越来越重要。美国的黑人、拉丁裔和低收入女性在堕胎护理、人际暴力和结构性暴力方面已经遇到了不成比例的障碍——这些是相互关联的、监督身体自主的社会制度。目前的这项研究调查了一个由社区主导的生殖正义项目的定性数据,该项目涉及佐治亚州一个大型城市中心黑人和拉丁裔妇女的药物流产观点。我们使用主题分析来检验访谈(N  =  82)与关键线人(n  =  20) 和访谈(n  =  32)和焦点组(n  =  30)与18-51岁的黑人和拉丁裔女性。确定了四个与暴力有关的主题:(a)性侵犯和亲密伴侣暴力是堕胎的原因;(b) 伴侣和家庭成员的生殖胁迫;(c) 以白人为主的提供者的生殖胁迫;以及(d)堕胎禁令、奴役的遗留问题、移民执法和作为结构性暴力的贫困。将计划生育护理转变为以患者和社区为中心,再加上政策倡导以改变压迫性制度,这一点至关重要。
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来源期刊
CiteScore
6.10
自引率
5.00%
发文量
50
期刊介绍: Psychology of Women Quarterly (PWQ) is a feminist, scientific, peer-reviewed journal that publishes empirical research, critical reviews and theoretical articles that advance a field of inquiry, teaching briefs, and invited book reviews related to the psychology of women and gender. Topics include (but are not limited to) feminist approaches, methodologies, and critiques; violence against women; body image and objectification; sexism, stereotyping, and discrimination; intersectionality of gender with other social locations (such as age, ability status, class, ethnicity, race, and sexual orientation); international concerns; lifespan development and change; physical and mental well being; therapeutic interventions; sexuality; social activism; and career development. This journal will be of interest to clinicians, faculty, and researchers in all psychology disciplines, as well as those interested in the sociology of gender, women’s studies, interpersonal violence, ethnic and multicultural studies, social advocates, policy makers, and teacher education.
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