medigraphic.com
SPANISH

Salud Mental

ISSN 0185-3325 (Print)
Órgano Oficial del Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2024, Number 1

<< Back Next >>

Salud Mental 2024; 47 (1)

Psychosocial profiles of women who legally terminated a pregnancy in Mexico City

Flores-Celis K, Cordero OM, Ramos-Lira LE
Full text How to cite this article

Language: English
References: 46
Page: 35-43
PDF size: 200.76 Kb.


Key words:

Induced abortion, stigma, autonomy, reproductive health, gender violence.

ABSTRACT

Introduction. Reproductive autonomy enables a person to freely decide their life plan, including sexual and reproductive health. However, its exercise can be constrained by health determinants and other structural conditions. Knowing the background of women who undergo a Legal Interruption of Pregnancy (LIP) helps identify patterns of inequality and their impact on the exercise of reproductive autonomy. Objective. To analyze the profile of women who legally terminate a pregnancy in Mexico City. Method. Latent class analysis, with the participation of 274 women who terminated a first trimester pregnancy at a public facility. Results. Model of two latent classes: adult (68.34%) and young women (31.65%). Stigma was the predictor variable for class; the higher the score, the lower the probability of belonging to the adult group (p = .019). Adult women were characterized by having lower educational attainment, engaging in unpaid activities, having at least one child, and having had previous abortions, having experienced intimate partner violence in the past twelve months and reporting that their partners did not agree with the interruption of their pregnancy. Young women were students, partnered and reported that their partners had agreed with them to request an abortion. Discussion and conclusion. Despite the legal changes effected, stigma is still present in the abortion demand and access, particularly for women with certain characteristics. It would be useful to include interventions to reduce stigma in counseling, using an approach based on previous experience.


REFERENCES

  1. Bearak, J., Popinchalk, A., Ganatra, B., Moller, A.-B., Tunçalp, Ö., Beavin, C.,Kwok, L., & Alkema, L. (2020). Unintended pregnancy and abortion by income,region, and the legal status of abortion: estimates from a comprehensive modelfor 1990–2019. The Lancet Global Health, 8(9), e1152-e1161. doi: 10.1016/S2214-109X(20)30315-6

  2. Belfrage, M., Ortiz Ramírez, O., & Sorhaindo, A. (2020). Story Circles and abortionstigma in Mexico: a mixed-methods evaluation of a new intervention forreducing individual level abortion stigma. Culture, Health & Sexuality, 22(1),96-111. doi: 10.1080/13691058.2019.1577493

  3. Biggs, M. A., Brown, K., & Foster, D. G. (2020). Perceived abortion stigma andpsychological well-being over five years after receiving or being denied anabortion. PloS One, 15(1), e0226417. doi: 10.1371/journal.pone.0226417

  4. Biggs, M. A., Gould, H., & Foster, D. G. (2013). Understanding why women seekabortions in the US. BMC Women’s Health, 13(1). doi: 10.1186/1472-6874-13-29

  5. Centro Nacional de Equidad de Género y Salud Reproductiva. (2022). LineamientoTénico para la Atención del Aborto Seguro en México. Access date August 10,2023

  6. Chibber, K. S., Biggs, M. A., Roberts, S. C. M., & Foster, D. G. (2014). The Role ofIntimate Partners in Women’s Reasons for Seeking Abortion. Women’s HealthIssues, 24(1), e131-e138. doi: 10.1016/j.whi.2013.10.007

  7. Cleeve, A., Faxelid, E., Nalwadda, G., & Klingberg-Allvin, M. (2017). Abortionas agentive action: Reproductive agency among young women seeking postabortioncare in Uganda. Culture, Health & Sexuality, 19(11), 1286-1300. doi:10.1080/13691058.2017.1310297

  8. Cockrill, K., Upadhyay, U. D., Turan, J., & Greene Foster, D. (2013). The Stigmaof Having an Abortion: Development of a Scale and Characteristics of WomenExperiencing Abortion Stigma. Perspectives on Sexual and ReproductiveHealth, 45(2), 79-88. doi: 10.1363/4507913

  9. Collado Miranda, M., & Mora-Ríos, J. (2020). Estigma y aborto: experiencias demujeres y personal de salud en los servicios de ILE en la Ciudad de México.En L. Cedeño Peña, & O. Tena Guerrero (Eds). Interrupción embarazo desdela experiencia de las mujeres: aportaciones interdisciplinarias (pp. 95-127).México: CEICH - UNAM.

  10. Cordero-Oropeza, R., García-Méndez, M., Cordero-Oropeza, M., & Corona-Maldonado, J. J. (2021). Characterization of alcohol consumption and relatedproblems in university students from Mexico City. Salud Mental, 44(3), 107-115. doi: 10.17711/SM.0185-3325.2021.015

  11. Cullen, P., & Korolczuk, E. (2019). Challenging abortion stigma: framing abortion inIreland and Poland. Sexual and Reproductive Health Matters, 27(3), 1686197.doi: 10.1080/26410397.2019.1686197

  12. Encuesta Nacional de la Dinámica Demográfica [ENADID]. (2018). INEGI. https://www.inegi.org.mx/programas/enadid/2018

  13. Figueroa-Lara, A., Aracena-Genao, B., Reyes-Morales, H., & Lamadrid-Figueroa, H.(2012). Factors associated with the seeking of legal induced abortion services inMexico City in 2010. Salud Pública de México, 54(4), 401-409. doi: 10.1590/s0036-36342012000400010

  14. Finer, L. B., Frohwirth, L. F., Dauphinee, L. A., Singh, S., & Moore, A. M.(2005). Reasons U.S. Women Have Abortions: Quantitative and QualitativePerspectives. Perspectives on Sexual and Reproductive Health, 37(3), 110-118.doi: 10.1363/psrh.37.110.05

  15. González-Forteza, C. Solís Torres, C., Jiménez Tapia, A., Hernández Fernández, I.,González-González, A., Juárez García, F., Medina-Mora, M. E., & FernándezVárela Mejía, H. (2011). Confiabilidad y validez de la escala de depresión CESDenun censo de estudiantes de nivel medio superior y superior, en la Ciudad deMéxico. Salud Mental, 34(1), 53-59.

  16. Goodman, S. H. (2020). Intergenerational Transmission of Depression. AnnualReview of Clinical Psychology, 16, 213-238. doi: 10.1146/annurevclinpsy-071519-113915Grace, K. T., & Anderson, J. C. (2016). Reproductive Coercion: A Systematic Review.Trauma, Violence, & Abuse, 19(4), 371-390. doi: 10.1177/1524838016663935

  17. Hanschmidt, F., Linde, K., Hilbert, A., Riedel‐Heller, S. G., & Kersting, A. (2016).Abortion stigma: a systematic review. Perspectives on Sexual and ReproductiveHealth, 48(4), 169-177. doi: 10.1363/48e8516

  18. Helfferich, C., Hessling, A., Klindworth, H., & Wlosnewski, I. (2014). Unintendedpregnancy in the life-course perspective. Advances in Life Course Research, 21,74-86. doi: 10.1016/j.alcr.2014.04.002

  19. INEGI. (2022). Encuesta Nacional sobre la Dinámica de las Relaciones en losHogares [ENDIREH] 2021. Retrieved from https://www.inegi.org.mx/programas/endireh/2021/

  20. Kirkman, M., Rowe, H., Hardiman, A., Mallett, S., & Rosenthal, D. (2009). Reasonswomen give for abortion: A review of the literature. Archives of Women’s MentalHealth, 12(6), 365-378. doi: 10.1007/s00737-009-0084-3

  21. Lara, M. A., Navarro, C., Navarrete, L., Cabrera, A., Almanza, J., Morales, F., &Juárez, F. (2006). Depressive symptoms in pregnancy and associated factors inpatients of three health institutions in Mexico City. Salud Mental, 29(4), 55-62.Major, B., Appelbaum, M., Beckman, L., Dutton, M. A., Russo, N. F. & West, C.(2009). Abortion and mental health: Evaluating the evidence. AmericanPsychologist, 64(9), 863-890. doi: 10.1037/a0017497

  22. Major, B., Cozzarelli, C., Cooper, M. L., Zubek, J., Richards, C., Wilhite, M., &Gramzow, R. H. (2000). Psychological responses of women after first-trimesterabortion. Archives of General Psychiatry, 57(8), 777-784. doi: 10.1001/archpsyc.57.8.777

  23. Makleff, S., Wilkins, R., Wachsmann, H., Gupta, D., Wachira, M., Bunde, W.,Radhakrishnan, U., Cislaghi, B., & Baum, S. E. (2019). Exploring stigmaand social norms in women’s abortion experiences and their expectationsof care. Sexual and Reproductive Health Matters, 27(3), 50-64. doi:10.1080/26410397.2019.1661753

  24. Martin, L. A., Hassinger, J. A., Seewald, M., & Harris, L. H. (2018). Evaluationof abortion stigma in the workforce: development of the revised abortionproviders stigma scale. Women’s Health Issues, 28(1), 59-67. doi: 10.1016/j.whi.2017.10.004

  25. Monroy Cazorla, L., Vidal Uribe, R. S., & Saade Hazin, A. (2009). Análisis de ClasesLatentes. Una técnica para detectar heterogeneidad en poblaciones. CuadernoTécnico 2. Centro Nacional de Evaluación para la Educación Superior, A.C.(Ceneval)

  26. Moreno López, M., Flores Celis, K., González-Forteza, C., Saltijeral, M. T.,Schiavon, R., Collado, M. E., Ortiz, O., & Ramos Lira, L. (2019). Relationshipbetween perceived stigma and depressive symptomatology in women wholegally interrupt pregnancy in Mexico City. Salud Mental, 42(1), 25-32. doi:10.17711/SM.0185-3325.2019.004

  27. Norris, A., Bessett, D., Steinberg, J. R., Kavanaugh, M. L., De Zordo, S., & Becker,D. (2011). Abortion stigma: a reconceptualization of constituents, causes,and consequences. Women’s Health Issues, 21(3), S49-S54. doi: 10.1016/j.whi.2011.02.010

  28. Orihuela-Cortés, F., Álvarez del Río, A., Lagunes-Córdoba, R., & Marván, M.L. (2023). Stigma toward women who have had an induced abortion andassociated variables. Women’s Reproductive Health, 10(2), 303-314. doi:10.1080/23293691.2022.2094738

  29. OʼDonnell, A. T., O’Carroll, T., & Toole, N. (2018). Internalized stigma and stigmarelatedisolation predict women’s psychological distress and physical healthsymptoms post-abortion. Psychology of Women Quarterly, 42(2), 220-234. doi:10.1177/0361684317748937

  30. Ramos-Lira, L., & Saltijeral Méndez, M. T. (2008). ¿Violencia episódica o terrorismoíntimo? Una propuesta exploratoria para clasificar la violencia contra lamujer en las relaciones de pareja. Salud Mental, 31(6), 469-478. Retrievedfrom http://www.scielo.org.mx/scielo.php?script=sci_abstract&pid=S0185-33252008000600007&lng=es&nrm=iso&tlng=es

  31. Ramos-Lira, L., Flores Celis, K., Moreno López, M., Saltijeral, M. T., & Wagner,F. (2023). Depression and associated psychosocial factors following a legalabortion in Mexico. Revista Latinoamericana de Psicología, 55, 64-72. doi:10.14349/rlp.2023.v55.8

  32. Ramos-Lira, L., Saltijeral-Méndez, M. T., Romero-Mendoza, M., Caballero-Gutiérrez, M. A., & Martínez-Vélez, N. A. (2001). Violencia sexual y problemasasociados en una muestra de usuarias de un centro de salud. Salud Pública deMéxico, 43(3), 182-191. doi: 10.1590/S0036-36342001000300002

  33. Reyna, C., & Brussino, S. (2011). Revisión de los fundamentos del análisis declases latentes y ejemplo de aplicación en el área de las adicciones. TrastornosAdictivos, 13(1), 11-19. doi: 10.1016/S1575-0973(11)70004-6

  34. Schiavon, R., & Troncoso, E. (2020). Inequalities in access to and quality of abortionservices in Mexico: Can task-sharing be an opportunity to increase legal andsafe abortion care? International Journal of Gynecology & Obstetrics, 150(S1),25-33. doi: 10.1002/ijgo.13002

  35. Secretaría de Salud de la Ciudad de México [SEDESA]. (2022). Interrupción Legaldel Embarazo. Estadísticas Abril 2007‒31 de diciembre 2022. Ciudad deMéxico: Secretaría de Salud de la Ciudad de México. Retrieved from http://ile.salud.cdmx.gob.mx/wp-content/uploads/ILE_WEB_may_2023.pdf (Accessdate August 10, 2023)

  36. Singer, E. O. (2018). Lawful sinners: reproductive governance and moral agencyaround abortion in Mexico. Culture, Medicine, and Psychiatry, 42(1), 11-31.doi: 10.1007/s11013-017-9550-y

  37. Singh, S., Sedgh, G., & Hussain, R. (2010). Unintended Pregnancy: WorldwideLevels, Trends, and Outcomes. Studies in Family Planning, 41(4), 241-250. doi:10.1111/j.1728-4465.2010.00250.x

  38. Sorhaindo, A. M., Juárez-Ramírez, C., Olavarrieta, C. D., Aldaz, E., Mejía Piñeros,M. C., & Garcia, S. (2014). Qualitative evidence on abortion stigma fromMexico City and five states in Mexico. Women & Health, 54(7), 622-640. doi:10.1080/03630242.2014.919983

  39. Sorhaindo, A. M., Karver, T. S., Karver, J. G., & Garcia, S. G. (2016). Constructinga validated scale to measure community-level abortion stigma in Mexico.Contraception, 93(5), 421-431. doi: 10.1016/j.contraception.2016.01.013

  40. Steinberg, J. R., Tschann, J. M., Furgerson, D., & Harper, C. C. (2016). Psychosocialfactors and pre-abortion psychological health: The significance of stigma.Social Science & Medicine, 150, 67-75. doi: 10.1016/j.socscimed.2015.12.007

  41. Stockman, J. K., Lucea, M. B., & Campbell, J. C. (2013). Forced sexual initiation,sexual intimate partner violence and HIV risk in women: A global review ofthe literature. AIDS and Behavior, 17(3), 832-847. doi: 10.1007/s10461-012-0361-4

  42. Strunin, L., Díaz-Martínez, A., Díaz-Martínez, L. R., Kuranz, S., Hernández-Ávila,C., & Fernández-Varela, H. (2015). Changes in alcohol use among first yearuniversity students in Mexico. Substance Use & Misuse, 50(1), 106-113. doi:10.3109/10826084.2014.960591

  43. Suprema Corte de Justicia de la Nación. (2022). Acción de Inconsticionalidad148/207. Pub. L. No. 148/2017. Access date March 30, 2023.

  44. Upadhyay, U. D., Dworkin, S. L., Weitz, T. A., & Foster, D. G. (2014). Developmentand validation of a reproductive autonomy scale. Studies in Family Planning,

  45. 45(1), 19-41. doi: 10.1111/j.1728-4465.2014.00374.x45. Valdez-Santiago, R., Villalobos, A., Arenas-Monreal, L., Flores-Celis, K., & Ramos-Lira, L. (2020). Abuso sexual infantil en México: Conductas de riesgo eindicadores de salud mental en adolescentes. Salud Pública de México, 62(6),661-671. doi: 10.21149/11924

  46. Wollum, A., Makleff, S., & Baum, S. E. (2021). Exploring experiences respondingto the individual level abortion stigma scale: Methodological considerationsfrom in-depth interviews. Frontiers in Global Women’s Health, 2, 678101. doi:10.3389/fgwh.2021.678101




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Salud Mental. 2024;47