堕胎污名与心理健康：社会支持的调节作用

IF 2.3 2区医学 Q1 OBSTETRICS & GYNECOLOGY

Contraception Pub Date : 2025-10-13 DOI:10.1016/j.contraception.2025.111116

JA Brown, A DiOrio, JR Steinberg

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引用次数: 0

摘要

目的堕胎污名在美国很普遍，对育龄人群的心理健康有害。然而，人们对可能减轻这种伤害的保护性因素，特别是堕胎的披露和社会支持知之甚少。本研究旨在探讨(1)堕胎前的心理健康症状（抑郁、焦虑、社交焦虑）与堕胎污名的关系；(2)流产信息披露与伴侣、母亲、朋友等三种来源的社会支持是否有调节作用。方法：我们使用了一项前瞻性队列研究的基线调查数据，该研究收集了591名18岁及以上的人，他们在2023年11月至2025年1月期间在马里兰州和佛罗里达州寻求并接受了诊所堕胎。分别对目标1和目标2进行线性回归分析和适度分析。结果流产污名感越高，抑郁、焦虑、社交焦虑症状越明显。社会支持缓和了堕胎耻辱与焦虑症状和社交焦虑之间的关联。具体来说，这种耻辱感在所有级别的伴侣支持（即低、中、高）中都与社交焦虑症状呈正相关，但在伴侣支持度低的人群中最为明显。此外，对于获得中度和高度产妇支持（但不低）的人来说，感知到的堕胎耻辱与焦虑和社交焦虑症状呈正相关。堕胎披露并没有缓和这种耻辱与精神健康症状之间的联系。结论：本研究增加了关于堕胎耻辱与心理健康的新兴文献，研究结果表明，社会支持对这种关联的影响可能因来源而异。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

ABORTION STIGMA AND MENTAL HEALTH: THE MODERATING ROLE OF SOCIAL SUPPORT

Objectives

Abortion stigma is prevalent in the US, and is deleterious to the mental health of people of reproductive age. However, little is known about protective factors that may attenuate such harms, particularly abortion disclosure and social support. This study aims to examine (1) associations between perceived abortion stigma and mental health symptoms before an abortion (ie, depression, anxiety, social anxiety); and (2) whether abortion disclosure and social support from three sources (ie, partner, mother, friend) moderate these associations.

Methods

We utilized baseline survey data that were collected for a prospective cohort study of 591 people aged 18 or older who sought and received clinic abortions in Maryland and Florida between November 2023 and January 2025. Linear regression analyses and moderation analyses were performed to test Aims 1 and 2, respectively.

Results

Higher perceived abortion stigma predicted greater symptoms of depression, anxiety, and social anxiety. Social support moderated the associations between abortion stigma and symptoms of anxiety and social anxiety. Specifically, such stigma was positively associated with social anxiety symptoms at all levels of partner support (ie, low, moderate, high), but was strongest for those with low partner support. Additionally, perceived abortion stigma was positively associated with symptoms of anxiety and social anxiety for people with moderate and high maternal support (but not low). Abortion disclosure did not moderate the associations between this stigma and mental health symptoms.

Conclusions

This study adds to the emerging literature on perceived abortion stigma and mental health, and findings suggest that the effect of social support on this association may vary based on source.

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来源期刊

Contraception 医学-妇产科学

CiteScore

4.70

自引率

17.20%

发文量

211

审稿时长

69 days

期刊介绍： Contraception has an open access mirror journal Contraception: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review. The journal Contraception wishes to advance reproductive health through the rapid publication of the best and most interesting new scholarship regarding contraception and related fields such as abortion. The journal welcomes manuscripts from investigators working in the laboratory, clinical and social sciences, as well as public health and health professions education.