“I am empowered by this opportunity”: The role of abortion funds as an antidote to abortion stigma

IF 1.8 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH SSM. Qualitative research in health Pub Date : 2024-09-06 DOI:10.1016/j.ssmqr.2024.100478
Al Garnsey , Jessica L. Liddell , Annie Glover , Celina M. Doria , Alex Buscaglia , Lauren Buxbaum
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Abstract

Beyond the many structural obstacles to obtaining abortion care in the United States, abortion stigma is a forceful impediment to accessing timely services and an injurious feature of the experience for some people who have abortions (Sorhaindo & Lavelanet, 2022). This study utilized a qualitative methodology to explore the experiences of 830 abortion fund applicants in the Rocky Mountain Region to better understand the unique barriers they face in accessing care, the role that stigma plays in influencing applications for abortion fund support, and inform strategies to expand support infrastructure for those facing isolation and hostility in their pursuit of care. For the applicants in this study, stigma was frequently cited as an impetus for seeking abortion fund support and a burdensome aspect of the experience itself. Stigma—whether internalized, perceived, enacted, or structural—prevented many applicants from seeking material or emotional support from their social networks and spurred the dissolution of interpersonal relationships—with far-reaching emotional and material consequences. The results suggest that abortion funds go far beyond merely providing material support, also acting as an antidote to the harms associated with abortion stigma by promoting feelings of interconnectedness and mutuality among applicants. While accounts of stigma were pervasive in the applications, so, too, were the myriad strategies of resistance that applicants called upon to challenge stigmatizing narratives and position their choice to have an abortion as both moral and necessary.

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"这个机会赋予我力量":堕胎基金作为堕胎耻辱化解剂的作用
在美国,除了获得堕胎护理的许多结构性障碍外,堕胎污名化也是获得及时服务的有力障碍,是一些堕胎者经历的伤害性特征(Sorhaindo & Lavelanet, 2022)。本研究采用定性方法探讨了落基山地区 830 名人工流产基金申请者的经历,以更好地了解他们在获得护理时面临的独特障碍、污名化在影响人工流产基金支持申请中所起的作用,以及为那些在寻求护理时面临孤立和敌意的人扩大支持基础设施的策略提供信息。对于本研究中的申请者而言,污名化经常被认为是寻求堕胎基金支持的一个推动因素,也是这一经历本身的一个负担。成见--无论是内在化的、感知到的、已实施的还是结构性的--阻止了许多申请人从其社会网络中寻求物质或情感支持,并刺激了人际关系的解体--造成了深远的情感和物质后果。研究结果表明,堕胎基金远不止提供物质支持这么简单,它还能通过促进申请者之间的相互联系和相互性来消除与堕胎鄙视相关的伤害。虽然在申请中普遍存在鄙视的说法,但申请者也采取了无数的抵抗策略来挑战鄙视的说法,并将其堕胎的选择定位为道德和必要的。
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CiteScore
1.60
自引率
0.00%
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0
审稿时长
163 days
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