“It Was So Easy in a Situation That’s So Hard”: Structural Stigma and Telehealth Abortion

IF 6.3 1区 医学 Q1 PSYCHOLOGY, SOCIAL Journal of Health and Social Behavior Pub Date : 2025-01-08 DOI:10.1177/00221465241303873
Andréa Becker, Celina Doria, Leah R. Koenig, Jennifer Ko, Ushma Upadhyay
{"title":"“It Was So Easy in a Situation That’s So Hard”: Structural Stigma and Telehealth Abortion","authors":"Andréa Becker, Celina Doria, Leah R. Koenig, Jennifer Ko, Ushma Upadhyay","doi":"10.1177/00221465241303873","DOIUrl":null,"url":null,"abstract":"For decades, sociological research has examined the role of stigma in contributing to health disparities, yet such research seldom grapples with the interplay between individuals and structures. There is a particular paucity of research on abortion that concurrently examines individual experiences with stigma and structural barriers. In this article, we use telehealth abortion as a case, which now accounts for one in five abortions in the United States. We conducted 30 interviews and approach the data using a structural stigma framework in tandem with conceptualizations of felt, internalized, and enacted stigma. Findings advance a sociological theory of structural abortion stigma: a combination of structural barriers, internalized beliefs, and interpersonal shame. Telehealth reduces structural barriers to abortion and mitigates internal and interpersonal experiences of stigma. The latter is achieved by the ability to avoid the traditional abortion clinic, which many interviewees view as the site where stigma is produced and experienced.","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":"6 1","pages":""},"PeriodicalIF":6.3000,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Health and Social Behavior","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/00221465241303873","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHOLOGY, SOCIAL","Score":null,"Total":0}
引用次数: 0

Abstract

For decades, sociological research has examined the role of stigma in contributing to health disparities, yet such research seldom grapples with the interplay between individuals and structures. There is a particular paucity of research on abortion that concurrently examines individual experiences with stigma and structural barriers. In this article, we use telehealth abortion as a case, which now accounts for one in five abortions in the United States. We conducted 30 interviews and approach the data using a structural stigma framework in tandem with conceptualizations of felt, internalized, and enacted stigma. Findings advance a sociological theory of structural abortion stigma: a combination of structural barriers, internalized beliefs, and interpersonal shame. Telehealth reduces structural barriers to abortion and mitigates internal and interpersonal experiences of stigma. The latter is achieved by the ability to avoid the traditional abortion clinic, which many interviewees view as the site where stigma is produced and experienced.
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
“在如此艰难的情况下,这是如此容易”:结构性耻辱和远程医疗堕胎
几十年来,社会学研究一直在研究耻辱在促进健康差距方面的作用,但这些研究很少涉及个人和结构之间的相互作用。关于堕胎的研究特别缺乏,同时检查个人经历的耻辱和结构性障碍。在这篇文章中,我们以远程医疗堕胎为例,现在美国有五分之一的堕胎是远程医疗堕胎。我们进行了30次访谈,并使用结构柱头框架与感觉、内化和颁布的柱头概念化相结合来处理数据。研究结果提出了结构性堕胎耻辱的社会学理论:结构性障碍、内化信念和人际羞耻的结合。远程保健减少了流产的结构性障碍,减轻了内部和人际间的耻辱体验。后者是通过能够避免传统的堕胎诊所来实现的,许多受访者认为这是产生和经历耻辱的场所。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
CiteScore
6.50
自引率
4.00%
发文量
36
期刊介绍: Journal of Health and Social Behavior is a medical sociology journal that publishes empirical and theoretical articles that apply sociological concepts and methods to the understanding of health and illness and the organization of medicine and health care. Its editorial policy favors manuscripts that are grounded in important theoretical issues in medical sociology or the sociology of mental health and that advance theoretical understanding of the processes by which social factors and human health are inter-related.
期刊最新文献
Living with(out) Citizenship: The Impact of Naturalization on Mortality Risk among U.S. Immigrants. Children's Health Lifestyles And The Perpetuation Of Inequalities. Internalized Sexism and Well-Being in the United States. Cultural Authority and (Non)Compliance with Public Health Directives: The Effect of Legitimacy and Values on Behavior during the COVID-19 Pandemic. “It Was So Easy in a Situation That’s So Hard”: Structural Stigma and Telehealth Abortion
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1