Status of Abortion-Related Stigma in Nepal using Stigmatizing Attitudes, Beliefs, and Actions Scale.

Jagadishwor Ghimire, Bibek Kumar Lal, Suresh Mehata, Nisha Kumari Joshi, Amit Timilsina, Kritee Lamichhane, Parash Prasad Phuyal, Bhogendra Raj Dotel, Manish Gautam, Sanju Maharjan, Sujan Karki
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Abstract

Background: Despite substantial improvements in the accessibility of safe abortion services nationwide, a noticeable underutilization of these services persists, primarily attributable to the presence of social stigma. This stigma leads to discrimination, abuse, and poor healthcare. This study aims to understand and address abortion stigma among Nepali women of reproductive age.

Methods: This cross-sectional study involved 2286 women of reproductive age across Nepal. SABAS was used to measure abortion stigma, which includes 18 questions. Quantitative data was collected through face-to-face interviews using structured questionnaires on kobo collect. Stata 15.0 software was used for data analysis.

Results: The mean SABAS score was 46.5 out of 90, indicating moderate abortion stigma in Nepal. Negative stereotypes and beliefs about abortion were more prevalent, with over 80% believing a woman's health deteriorates after abortion. Discrimination tendencies were lower, with less than 10% endorsing teasing, pointing fingers, or disgrace. Fear of contagion was also relatively low, with less than 20% agreeing that women who had abortions made others ill. Factors such as age, caste/ethnicity, education, marital status, wealth, and provinces were associated with varying levels of stigma, and women of higher age group, Madhesh, Dalit, Muslim, lower education levels, widowed, poor, Madhes province were linked to higher stigma scores. The study found that stigma levels varied among different groups.

Conclusions: The stigma level on abortion is higher in upper age group, Madheshi, Dalit, Muslim, lower education levels, widowed, poor, Madhesh province women in Nepal. Similarly, the negative stereotype and discrimination and exclusion is also high while the fear of contagion is low among Nepalese women and girls.

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使用污名化态度、信念和行动量表了解尼泊尔与堕胎有关的污名化状况。
背景:尽管在全国范围内,安全堕胎服务的可及性有了很大改善,但这些服务的利用率仍然明显不足,这主要归因于社会耻辱感的存在。这种耻辱感导致了歧视、虐待和不良的医疗保健。本研究旨在了解和解决尼泊尔育龄妇女对人工流产的成见:这项横断面研究涉及尼泊尔全国 2286 名育龄妇女。SABAS 用于测量堕胎耻辱感,其中包括 18 个问题。定量数据是通过面对面访谈,使用 kobo collect 上的结构化问卷收集的。数据分析使用 Stata 15.0 软件:SABAS 的平均得分为 46.5(满分 90 分),表明尼泊尔存在中度堕胎耻辱感。关于堕胎的负面刻板印象和观念较为普遍,超过 80% 的人认为堕胎后妇女的健康会恶化。歧视倾向较低,只有不到 10%的人赞同取笑、指责或羞辱。对传染的恐惧也相对较低,只有不到 20% 的人认为堕胎妇女会使其他人生病。年龄、种姓/民族、教育程度、婚姻状况、财富和省份等因素与不同程度的成见有关,高年龄组、马德西人、达利特人、穆斯林、教育程度较低、丧偶、贫穷、马德西省份的妇女的成见得分较高。研究发现,不同群体的成见程度各不相同:结论:尼泊尔高年龄组、马德西人、达利特人、穆斯林、教育水平较低、丧偶、贫困、马德西省的妇女对堕胎的成见程度较高。同样,尼泊尔妇女和女孩对堕胎的负面成见、歧视和排斥也较高,而对传染的恐惧较低。
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来源期刊
CiteScore
1.40
自引率
0.00%
发文量
81
审稿时长
15 weeks
期刊介绍: The journal publishes articles related to researches done in the field of biomedical sciences related to all the discipline of the medical sciences, medical education, public health, health care management, including ethical and social issues pertaining to health. The journal gives preference to clinically oriented studies over experimental and animal studies. The Journal would publish peer-reviewed original research papers, case reports, systematic reviews and meta-analysis. Editorial, Guest Editorial, Viewpoint and letter to the editor are solicited by the editorial board. Frequently Asked Questions (FAQ) regarding manuscript submission and processing at JNHRC.
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