Examination of The Stigmating Attitudes, Behaviors and Affecting Factors of Women and Men Toward Abortion: The Example of A Muslim Country


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Authors

  • Ummahan YÜCEL Ege Üniversitesi
  • İlayda Nur İŞÇİ
  • Başak ELVAN

DOI:

https://doi.org/10.5281/zenodo.11374408

Keywords:

Abortion, Stigma, Scale

Abstract

The aim of this study is to determine the stigmatizing attitudes and behaviors of men and women towards abortion in Turkey, a Muslim country. Another aim of the study is to examine the factors affecting stigmatizing attitudes and behaviors. A total of 982 people, 701 women and 281 men over the age of 18, were included in the cross-sectional analytical study. In the study, convenience sampling, one of the non-random sampling types, was preferred to reduce costs and save time. Research data was collected through Google Forms and social media in 17 of Turkey's 81 provinces. Having participants from different provinces is a strong aspect of the research. Individual Information Form, Questionnaire for Determining Thoughts About Abortion, Stigmatizing Attitudes, Beliefs and Behavior Scale towards Abortion were used in data collection. In the study, it was found that participants with low education levels and living in rural areas, men, married people and those with more than two children had higher levels of stigmatizing attitudes towards abortion. It is thought that our research will contribute to the evaluation of the perspective on stigma regarding abortion

References

Adalı, T., & Çavlin, A. (2019). Türkiye’de Kürtajın Yaygınlığı ve Kürtaj Kararını Etkileyen Faktörler. İstanbul University Journal of Sociology, 39(2), 359-378.

Adebayo, A. (1990). Male attitudes toward abortion: An analysis of urban survey data. Social Indicators Research, 22, 213-228.

Akbulut, S., & Kılıçlı, A. (2022). Stigmatizing attitudes, beliefs, and actions of women towards abortion in rural regions with high fertility. Electron J Gen Med. 2022; 19 (6): em401.

Bahr, S. J., & Marcos, A. C. (2003). Cross-cultural attitudes toward abortion: Greeks versus Americans. Journal of Family Issues, 24(3), 402-424.

Barnartt, S. N., & Harris, R. J. (1982). Recent changes in predictors of abortion attitudes. Sociology and Social Research, 66, 320-334.

Belfrage, M., Ortiz Ramírez, O., & Sorhaindo, A. (2020). Story Circles and abortion stigma in Mexico: a mixed-methods evaluation of a new intervention for reducing individual level abortion stigma. Culture, Health & Sexuality, 22(1), 96-111.

Benin, M. H. (1985). Determinants of opposition to abortion: An analysis of the hard and soft scales. Sociological Perspectives, 28, 199-216.

Betzig, L., & Lombardo, L. H. (1992). Who’s pro-choice and why. Ethology and Sociobiology, 13(1), 49-71. https://doi.org/10.1016/0162-3095(92)90006-P

Bozbeyoğlu, A. Ç. (2011). Doğurganlık kontrolünde rasyonelliğin sınırları: Türkiye kürtaj ve gebeliği önleyici yöntem kullanımı. Fe Dergi, 3(1), 23-37

Böke, k. (2009). Sosyal Bilimlerde Araştırma, Kaan Böke (Der.) Sosyal Bilimlerde Araştırma Yöntemleri: 3-32. İstanbul: Alfa.

Cárdenas, R., Labandera, A., Baum, S. E., Chiribao, F., Leus, I., Avondet, S., & Friedman, J. (2018). “It’s something that marks you”: abortion stigma after decriminalization in Uruguay. Reproductive health, 15(1), 1-11.

Cetinkaya, A., Özmen, D., Uyar, F., & Tayhan, A. (2019). Reliability and validity of the Turkish version of the Individual-Level Abortion Stigma Scale: a methodological study. BMJ open, 9(4), e024686.

Chan, D. W. (2003). Hardiness and its role in the stress–burnout relationship among prospective Chinese teachers in Hong Kong. Teaching and teacher Education, 19(4), 381-395.

Cinsiyet, K. H. Ü. T., Merkezi, K. Ç. A., Kılınç, F. R., Quirant Quiles, R. M., Aldanmaz, B., & O’Neil, M. L. (2016). Yasal Ancak Ulaşılabilir Değil: Türkiye'deki Devlet Hastanelerinde Kürtaj Hizmetleri.

Cockrill, K., & Hessini, L. (2014). Introduction: bringing abortion stigma into focus. Women & Health, 54(7), 593-598.

Cockrill, K., Upadhyay, U. D., Turan, J., & Greene Foster, D. (2013). The stigma of having an abortion: development of a scale and characteristics of women experiencing abortion stigma. Perspectives on Sexual and Reproductive Health, 45(2), 79-88.

Cowan, S. K. (2017). Enacted abortion stigma in the United States. Social science & medicine, 177, 259-268.

Cutler, A. S., Lundsberg, L. S., White, M. A., Stanwood, N. L., & Gariepy, A. M. (2021). Characterizing community-level abortion stigma in the United States. Contraception, 104(3), 305-313.

Çavlin, A., Tezcan, S., & Ergöçmen, B. (2014). Kadınların Bakış Açısından Kürtaj. Nüfusbilim Dergisi, 34(1), 51-67.

Çokar, M. Benim Bedenim, benim kararım: isteyerek düşüğün yasaklanmasına karşı sivil tepkinin etik boyutu. Turkish Journal of Public Health, 10(Özel Sayı), 94-105.

D’Antonio, W. V., & Stack, S. (1980). Religion, ideal family size, and abortion: Extending Renzi’s hypothesis. Journal for the Scientific Study of Religion, 19, 397-408.

Dempsey, B., Favier, M., Mullally, A., & Higgins, M. F. (2021). Exploring providers’ experience of stigma following the introduction of more liberal abortion care in the Republic of Ireland. Contraception, 104(4), 414-419.

Dölen, İ. (2012). Kürtaj Gerçeği- Türk Jinekoloji ve Obstetrik Derneği görüşü. Turkish Journal of Public Health, Volume 10 special issue, 75-82. Retrieved from https://dergipark.org.tr/en/pub/tjph/issue/68493/1071801

Ekmekci P. E. (2017). Abortion in Islamic Ethics, and How it is Perceived in Turkey: A Secular, Muslim Country. Journal of religion and health, 56(3), 884–895. 23 https://doi.org/10.1007/s10943-016-0277-9

Espósito, C. L., & Basow, S. A. (1995). College student’s attitudes toward abortion: The role of knowledge and demographic variables. Journal of Applied Social Psychology, 25(22), 1996- 2017. https://doi.org/10.1111/j.1559-1816.1995.tb01828.x

Granger, M. (2021). Isolating Abortion Stigma from Women Who Have Had Abortions: A Look at Undergraduate Students at a Christian University.

Grossman D, Holt K, Peña M, Lara D, Veatch M, Córdova D. Selfinduction of abortion among women in the United States. Reproductive Health Matters 2010; 18:136– 146.

Güner, Ö. & Öztürk, R. (2021). Kürtaja Yönelik Damgalayıcı Tutum, İnanç ve Davranışlar Ölçeği’nin Türkçe Geçerlilik ve Güvenirlilik Çalışması. International Anatolia Academic Online Journal Health Sciences, 7 (1) , 65-80 . Retrieved from https://dergipark.org.tr/en/pub/iaaojh/issue/57725/895428

Hanschmidt, F., Linde, K., Hilbert, A., Riedel‐Heller, S. G., & Kersting, A. (2016). Abortion stigma: a systematic review. Perspectives on sexual and reproductive health, 48(4), 169-177.

Harris, L. H., Debbink, M., Martin, L., & Hassinger, J. (2011). Dynamics of stigma in abortion work: findings from a pilot study of the Providers Share Workshop. Social Science & Medicine, 73(7), 1062-1070.

Holten, L., de Goeij, E., & Kleiverda, G. (2021). Permeability of abortion care in the Netherlands: a qualitative analysis of women’s experiences, health professional perspectives, and the internet resource of Women on Web. Sexual and Reproductive Health Matters, 29(1), 1917042.

Inglehart, R., Basanez, M., & Moreno, A. (1998). Human values and beliefs: A crosscultural sourcebook. Ann Arbor: University of Michigan Press.

Jelen, T. G., & Wilcox, C. (2003). Causes and consequences of public attitudes toward abortion: A review and research agenda. Political Research Quarterly, 56(4), 489-500.

Jelen, T. G., & Wilcox, C. (2003). Causes and consequences of public attitudes toward abortion: A review and research agenda. Political Research Quarterly, 56(4), 489-500.

Katz, A. J., Ramirez, A. M., Bercu, C., Filippa, S., Dirisu, O., Egwuatu, I., ... & Baum, S. E. (2022). “I just have to hope that this abortion should go well”: Perceptions, fears, and experiences of abortion clients in Nigeria. Plos one, 17(2), e0263072

Keskin, İ. (2015). Kürtaj tartışmaları ve feminizm. Fe Dergi, 7(1), 85-95.

Kim, E., Singh, S., Bommaraju, A., Norris, A. H., & Bessett, D. (2021). “We have to respect that option”: The abortion aversion complex in safety-net healthcare organizations. Social Science & Medicine, 291, 114468.

Kirkman, M., Rowe, H., Hardiman, A., Mallett, S., & Rosenthal, D. (2009). Reasons women give for abortion: a review of the literature. Archives of women's mental health, 12, 365-378.

Koç, Ö., Özkan, H., & Bekmezci, H. (2016). Evaluating the correlation between maternal role and parenting behavior.

Kumar, A., Hessini, L., & Mitchell, E. M. (2009). Conceptualising abortion stigma. Culture, health & sexuality, 11(6), 625–639. https://doi.org/10.1080/13691050902842741

Levandowski, B. A., Kalilani‐Phiri, L., Kachale, F., Awah, P., Kangaude, G., & Mhango, C. (2012). Investigating social consequences of unwanted pregnancy and unsafe abortion in

Loll, D., & Hall, K. S. (2019). Differences in abortion attitudes by policy context and between men and women in the World Values Survey. Women & health, 59(5), 465-480.

Love, G. (2021). Abortion stigma, class and embodiment in neoliberal England. Culture, Health & Sexuality, 23(3), 317-332.

Lynxwiler, J., & Gay, D. (1996). The abortion attitudes of black women. Journal of Black Studies, 27, 260-277.25

Maddow-Zimet, I., Lindberg, L. D., & Castle, K. (2021). State-Level Variation in Abortion Stigma and Women and Men’s Abortion Underreporting in the USA. Population research and policy review, 40(6), 1149-1161.

Martin, L. A., Debbink, M., Hassinger, J., Youatt, E., & Harris, L. H. (2014). Abortion providers, stigma and professional quality of life. Contraception, 90(6), 581-587.

McMurtrie SM, García SG, Wilson KS, et al. Public opinion about abortion-related stigma among Mexican Catholics and implications for unsafe abortion. Int J Gynecol Obstet. 2012;118(Suppl. 2):S160–S166. Crossref. )

Medyascope. ‘Kürtaj olan kadınlar anlatıyor (10): “Hastanede bana ‘bildirmiyoruz’ demişlerdi ama kürtaj olduğum e-nabız kayıtlarında çıkıyor” Erişim tarihi: 24.04.2022 https://medyascope.tv/2020/08/13/kurtaj-olan-kadinlar-anlatiyor-10-hastanede-bana-bildirmiyoruz-demislerdi-ama-kurtaj-oldugum-e-nabiz-kayitlarinda-cikiyor/

Meurice, M. E., Otieno, B., Chang, J. J., & Makenzius, M. (2021). Stigma surrounding contraceptive use and abortion among secondary school teachers: A cross-sectional study in Western Kenya. Contraception: X, 3, 100062., Otieno, B., Chang, J. J., & Makenzius, M. (2021). Stigma surrounding contraceptive use and abortion among secondary school teachers: A cross-sectional study in Western Kenya. Contraception: X, 3, 100062.

Millar, E. (2020, January). Abortion stigma as a social process. In Women's Studies International Forum (Vol. 78, p. 102328). Pergamon.

Misra, R., & Panigrahi, B. (1998). Effect of age, gender and race on abortion attitude. International Journal of Sociology and Social Policy, 18, 94-118.

Moore, K. A., & Stief, T. M. (1991). Changes in marriage and fertility behavior: Behavior versus attitudes of young adults. Youth and Society, 22(3), 362-386. https://doi.org/10.1177/0044118X91022003004

O’Donnell, J., Weitz, T. A., & Freedman, L. R. (2011). Resistance and vulnerability to stigmatization in abortion work. Social science & medicine, 73(9), 1357-1364.

Ogland, C. P., & Verona, A. P. (2011). Religion and attitudes toward abortion and abortion policy in Brazil. Journal for the Scientific Study of Religion, 50(4), 812-821.

Öcek, Z. A., Çiçeklioğlu, M., Yücel, U., & Özdemir, R. (2014). Family medicine model in Turkey: a qualitative assessment from the perspectives of primary care workers. BMC family practice, 15(1), 1-15.

Patev, A. J., Hood, K. B., & Hall, C. J. (2019). The interacting roles of abortion stigma and gender on attitudes toward abortion legality. Personality and Individual Differences, 146, 87–92. doi: 10.1016/j.paid.2019.04.005

Rehnström Loi, U., Otieno, B., Oguttu, M., Gemzell-Danielsson, K., Klingberg-Allvin, M., Faxelid, E., & Makenzius, M. (2019). Abortion and contraceptive use stigma: a cross-sectional study of attitudes and beliefs in secondary school students in western Kenya. Sexual and reproductive health matters, 27(3), 20-31.

Rocca, C. H., Samari, G., Foster, D. G., Gould, H., & Kimport, K. (2020). Emotions and decision rightness over five years following an abortion: An examination of decision difficulty and abortion stigma. Social science & medicine, 248, 112704.

Rossi, A. S., & Sitaraman, B. (1988). Abortion in context: Historical trends and future changes. Family Planning Perspectives, 20, 273-281.

Roug, A., Muse, E. A., Smith, W. A., Mazet, J. A., Kazwala, R. R., Harvey, D., ... & Clifford, D. L. (2016). Demographics and parasites of A frican buffalo (S yncerus caffer S parrman, 1779) in R uaha N ational P ark, T anzania. African Journal of Ecology, 54(2), 146-153

Schnell, F., & McConatha, J. T. (1996). Value differences and abortion attitudes: A generational analysis. Journal of Social Behavior and Personality, 11, 289-306.

Scott, J. (1998). Generational changes in attitudes to abortion: A cross-national comparison. European Sociological Review, 14, 177-190.

Shellenberg KM, Moore AM, Bankole A, JuarezF, Omideyi AK, Palomino N, Tsui AO. Social stigma and disclosure about induced abortion: results from an exploratory study. Global Public Health 2011; 6(1):S111-S125 27

Shellenberg, K. M., & Tsui, A. O. (2012). Correlates of perceived and internalized stigma among abortion patients in the USA: an exploration by race and Hispanic ethnicity. International Journal of Gynecology & Obstetrics, 118, S152-S159.

Shellenberg, K. M., Hessini, L., & Levandowski, B. A. (2014). Developing a scale to measure stigmatizing attitudes and beliefs about women who have abortions: results from Ghana and Zambia. Women & health, 54(7), 599-616.

Simon, R. J. (1998). Abortion: Statutes, policies, and public attitudes the world over. Westport, CT: Praeger.

Sorhaindo, A. M., Juárez-Ramírez, C., Olavarrieta, C. D., Aldaz, E., Mejia Pineros, M. C., & Garcia, S. (2014). Qualitative evidence on abortion stigma from Mexico City and five states in Mexico. Women & Health, 54(7), 622-640.

Sorhaindo, A. M., Karver, T. S., Karver, J. G., & Garcia, S. G. (2016). Constructing a validated scale to measure community-level abortion stigma in Mexico. Contraception, 93(5), 421-431.

Stone, H., & Henderson, K. L. (2021). Abortion Stigma.

Szafran, R. F., & Clagett, A. F. (1988). Variable predictors of attitudes toward the legalization of abortion. Social Indicators Research, 20(3), 271-290. https://doi.org/10.1007/BF00302399

Şimşek, H. Ve Yıldırım, A. (2011). Sosyal bilimlerde nitel araştırma yöntemleri. Ankara: Seçkin Yayıncılık.

Telli, P., Cesuroğlu, T., & Aksu Tanık, F. (2019). How Do Pronatalist Policies Impact Women’s Access to Safe Abortion Services in Turkey?. International Journal of Health Services, 49(4), 799-816.

Türkiye Nüfus ve Sağlık Araştırması Raporu (TNSA). (2018).Ankara. Erişim tarihi:11.03.2022, http://fs.hacettepe.edu.tr/hips/dosyalar/Araştırmalar%20-%20raporlar/2018%20TNSA/TNSA2018_ana_Rapor_compressed.pdf

Türkiye Nüfus ve Sağlık Araştırması Raporu (TNSA).(2013).Ankara. Erişim tarihi:11.03.2022, http://fs.hacettepe.edu.tr/hips/dosyalar/Araştırmalar%20-%20raporlar/2013%20tnsa/TNSA_2013_ana_rapor

Ünalan D, Şeşen E. Kürtaj yasası ile ilgili haberlerin ulusal basında çerçevelenmesi: hürriyet, evrensel ve yeni şafak örneği. Dördüncü Kuvvet Uluslararası Hakemli Dergisi 2019; 2(1):53-66.

Warriner IK, Shah IH. Preventing Unsafe Abortion and its Consequences: Priorities for Research and Action, NewYork: Guttmacher Institute, 2006

Wetstein, M. E. (1996).Abortion rates in the United States: The influence of opinion and policy. Albany, NY: State University of New York Press.

World Health Organization. (2021). Preventing unsafe abortion. Geneva:. Erişim tarihi:10.03.2022

Wright, L. S., & Rogers, R. R. (1987). Variables related to pro-choice attitudes among undergraduates. Adolescence, 22(87), 517-524.

Yıldırım, M., & Reşitoğlu, H. Ü. Özneden Nesneye İtilme: Kadın Deneyimi Olarak Kürtaj/Repressing From Subject To Object: Abortion as a experience of woman. Akdeniz Kadın Çalışmaları ve Toplumsal Cinsiyet Dergisi, 3(1), 102-128.

Yıldırım, S. (2018). Hak, cinayet ve politika üçgeninde kürtaj hakkı. Sosyal ve Beşeri Bilimler Araştırmaları Dergisi, 19(42 Kadın Çalışmaları Özel Sayısı), 55-76.

Yousfi, R., Beatty, E., Patev, A.,& Dunn, C. (2020). Effect of Political Ideology, Femininity, and Gender on Abortion Stigma

Published

2024-05-29

How to Cite

YÜCEL, U., İŞÇİ, İlayda N., & ELVAN, B. (2024). Examination of The Stigmating Attitudes, Behaviors and Affecting Factors of Women and Men Toward Abortion: The Example of A Muslim Country. GEVHER NESIBE JOURNAL OF MEDICAL AND HEALTH SCIENCES, 9(2), 247–260. https://doi.org/10.5281/zenodo.11374408

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