‘Stigma R us’: Stigma management at the intersection of abortion care and transgender care in family planning clinics

Ingraham, Natalie; Hann, Lena

doi:10.1016/j.ssmqr.2022.100043

Cited by 2 publications

(3 citation statements)

References 36 publications

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“…One limitation of our study is that we focused on cisgender women as the imagined target of consequences for seeking and/or getting an abortion in the U.S. because this was the identity that participants both explicitly and implicitly imagined when asked about abortion care. We did not ask participants to imagine transgender or non-binary individuals and the consequences they might face; however, prior research indicates that the stigma individuals face is both greater and more severe (Ingraham & Hann, 2022; Moseson et al, 2021). Future researchers are encouraged to investigate both real and imagined consequences for transgender and non-binary people who seek abortion care.…”

Section: Discussionmentioning

confidence: 99%

Abortion Stigma: Imagined Consequences for People Seeking Abortion Care in the United States

Baker

Papp

Crawford

et al. 2022

Psychology of Women Quarterly

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Prior to and since the 2022 Dobbs decision, U.S. state laws have endorsed individuals surveilling and punishing those associated with abortion care. This practice presents an urgent need to understand the characteristics of abortion stigma, particularly the perspectives of individuals with stigmatizing beliefs. To examine the concept and characteristics of abortion stigma, we interviewed 55 individuals about whether they thought there should be consequences for getting an abortion and, if so, what the consequences should be. Adults from three states (Michigan, Kansas, and Arizona) were purposively sampled to include a range of abortion identities and levels of religious engagement. We used reflexive thematic analysis to code and interpret the data. Participants imagined consequences including financial penalties, incarceration, and forced sterilization. Three themes highlighted how abortion was described as violating the law, women's gender roles, and religious doctrine; accordingly, abortion was imagined as deserving of negative consequences, although abortion was legal in all states during data collection. We argue that these imagined consequences relied on carceral logics and interconnected sexist, racist, and classist stereotypes that reflect and reproduce abortion stigma. This study deepens the understanding of abortion stigma from the perspective of the stigmatizer, underscoring the danger of legislation grounded in stigmatizing beliefs.

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Section: Discussionmentioning

confidence: 99%

Abortion Stigma: Imagined Consequences for People Seeking Abortion Care in the United States

Baker

Papp

Crawford

et al. 2022

Psychology of Women Quarterly

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“…There are few abortion providers and midwives in the South, 23,26 and most health insurance plans do not cover abortion or midwifery care. 23,27 Persons seeking abortion services or midwifery care in the South must often drive outside of their community to receive these services. 28,29 Likewise, midwives experience many regulatory practice barriers similar to abortion providers.…”

Section: Barriers To Midwifery and Abortion Care: Providers And Practicementioning

confidence: 99%

“…In deciding to add midwifery services, CHOICES staff recognized that the barriers were the same for many pregnant people accessing abortion and accessing midwifery care. There are few abortion providers and midwives in the South, 23,26 and most health insurance plans do not cover abortion or midwifery care 23,27 . Persons seeking abortion services or midwifery care in the South must often drive outside of their community to receive these services 28,29 .…”

Section: Barriers To Midwifery and Abortion Care: Providers And Practicementioning

confidence: 99%

A Model of True CHOICES: Learnings from a Comprehensive Sexual and Reproductive Health Clinic in Tennessee that Provides Abortions and Opened the City's First Birth Center

Grayson

Quinones

Oseguera

2022

J Midwife Womens Health

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CHOICES: Memphis Center for Reproductive Health staff is passionate about ensuring that everyone has access to the full continuum of comprehensive reproductive health care (including abortion, gender‐affirming care, miscarriage management, and community birth) regardless of race, gender identity, sexual orientation, HIV status, economic status, or religious beliefs. Memphis, Tennessee, has a history of limited community birth options (birthing outside of hospital walls). In 2017, when home birth services were added to CHOICES and plans for opening Memphis’ first freestanding birth center were being imagined, it was intentional to create a model in which midwifery care could be accessible for patients who may be eligible for state‐funded health care services, those considered at higher health risk than traditional low‐risk midwifery patients, or both. In fact, individuals and their families with limited out‐of‐pocket funds and those historically marginalized would purposely receive holistic, individualized care based on their unique health care needs and personal desires, driven by a reproductive justice framework. In this article, we outline the success and challenges of addressing the reproductive health needs of marginalized communities, including the benefits of a nonprofit business model, operationalizing reproductive justice concepts, and the reclamation of Black midwifery. We also discuss the challenges of caring for Black birthing people and providing abortion and gender‐affirming care in a politically hostile environment. Although individuals have complex needs, at its core, CHOICES believes that every person must be seen as whole human beings and that each can be cared for by a midwife. The CHOICES approach is informed by evidence‐based information, clinical judgment, and an intentional partnership with and investment in a people who have historically been and are presently pushed to the margins, neglected, and blamed for poor health outcomes and demise. Striving to adapt the CHOICES model of care in other parts of the country is important now more than ever following the Supreme Court decision to overturn Roe v. Wade.

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‘Stigma R us’: Stigma management at the intersection of abortion care and transgender care in family planning clinics

Cited by 2 publications

References 36 publications

Abortion Stigma: Imagined Consequences for People Seeking Abortion Care in the United States

Abortion Stigma: Imagined Consequences for People Seeking Abortion Care in the United States

A Model of True CHOICES: Learnings from a Comprehensive Sexual and Reproductive Health Clinic in Tennessee that Provides Abortions and Opened the City's First Birth Center

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