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2019, Number 1

Salud Mental 2019; 42 (1)

Relationship between perceived stigma and depressive symptomatology in women who legally interrupt pregnancy in Mexico City

Moreno López M, Flores Celis K, González-Forteza C, Saltijeral MT, Schiavon R, Collado ME, Ortiz O, Ramos LL
Full text How to cite this article

Language: English
References: 42
Page: 25-32
PDF size: 339.72 Kb.


Key words:

Induced abortion, abortion stigma, depressive symptoms, pregnancy interruption.

ABSTRACT

Introduction. Although the international literature suggests that women who interrupt a pregnancy in safe conditions do not develop mental health problems, it continues to be a highly stigmatized issue by broad social sectors. It is therefore not surprising that abortion stigma is one of the main factors associated with the presence of mental health problems in women who abort voluntarily. This study explores the association between perceived abortion stigma and depressive symptomatology. Method. In a non-probabilistic convenience sample, 114 users of a Legal Interruption of Pregnancy Clinic in Mexico City were interviewed with a structured instrument. Results. Respondents obtained low scores of internalized stigma and reported feeling confident that they had made the right decision to terminate their pregnancies, and at peace with themselves. The highest scores for abortion stigma were reported in the group with high depressive symptomatology, with no statistically significant differences being observed due to the sociodemographic characteristics explored. The participants in this study were more concerned about what others might think about their decision to terminate a pregnancy and about how their abortion might affect their relationship with them. Discussion and conclusion. These concerns highlight the need to reduce the negative social stigma surrounding abortion and to provide interventions in the same direction among women who interrupt a pregnancy legally in order to reduce the risk of mental health problems such as depression.


REFERENCES

  1. Becker, D. & Díaz Olavarrieta, C. (2013). Decriminalization of abortion in Mexico City: the effects on women’s reproductive rights. American Journal of Public Health, 103(4), 590-593. doi: 10.2105/AJPH.2012.301202

  2. Biggs, M. A., Upadhyay, U. D., McCulloch, C. E., & Foster, D. G. (2017). Women’s mental health and well-being 5 years after receiving or being denied an abortion: A prospective, longitudinal cohort study. JAMA psychiatry, 74(2), 169-178. doi: 10.1001/jamapsychiatry.2016.3478

  3. Broen, A., Moum, T., Bødtker, A., & Ekeberg, Ø. (2005). The course of mental health after miscarriage and induced abortion: a longitudinal, five-year follow-up study. BMC medicine, 3(1), 1. doi: 10.1186/1741-7015-3-18

  4. Centre for Reproductive Rights. (2018). The World´s abortion laws 2018. Retrieved from: http://worldabortionlaws.com

  5. Cockrill, K. & Hessini, L. (2014). Introduction: Bringing Abortion Stigma into Focus. Women & Health, 54(7), 593-598. doi: 10.1080/03630242.2014.947218

  6. Cockrill, K., Upadhyay, U., 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. doi: 10.1363/4507913

  7. Erviti, J., Castro, R., & Sánchez, I. A. S. (2006). Las luchas clasificatorias en torno al aborto: el caso de los médicos en hospitales públicos de México. Estudios sociológicos, 24(72), 637-665.

  8. Fergusson, D. M., Horwood, L. J., & Boden, J. M. (2008). Abortion and mental health disorders: evidence from a 30-year longitudinal study. The British Journal of Psychiatry, 193(6), 444-451. doi: 10.1192/bjp.bp.108.056499

  9. Flores Celis, K. (2016). Las emociones y sintomatología depresiva en mujeres que interrumpen el embarazo en la Ciudad de México. Master’s thesis. Universidad Nacional Autónoma de México.

  10. Ganatra, B., Gerdts, C., Rossier, C., Johnson Jr, B. R., Tunçalp, Ö., Assifi, A., ... & Bearak, J. (2017). Global, regional, and subregional classification of abortions by safety, 2010–14: estimates from a Bayesian hierarchical model. The Lancet, 390(10110), 2372-2381. doi: 10.1016/S0140-6736(17)31794-4

  11. González-Forteza, C., Ramos, L., Jiménez, A., & Wagner, F. A. (2008). Aplicación de la escala de Depresión del Center of Epidemiological Studies en adolescentes de la Ciudad de México. Salud Pública de México, 50(4), 292-299. doi: 10.1590/ S0036-36342008000400007

  12. Grupo de Información en Reproducción Elegida (GIRE). (2018). Plataforma de consultas: causales de aborto en códigos penales estatales. Mexico City.

  13. 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. doi: 10.1363/48e8516

  14. Huang, Z., Hao, J., Su, P., Huang, K., Xing, X., Cheng, D., ... & Tao, F. (2012). The impact of prior abortion on anxiety and depression symptoms during a subsequent pregnancy: data from a population-based cohort study in China. Klinik Psikofarmakoloji Bülteni-Bulletin of Clinical Psychopharmacology, 22(1), 51-58. doi: 10.5455/bcp.20111102040509

  15. Kimport, K., Foster, K., & Weitz, T. A. (2011). Social sources of women’s emotional difficulty after abortion: lessons from women’s abortion narratives. Perspectives on sexual and reproductive health, 43(2), 103-109. doi: 10.1363/4310311

  16. Kumar, A., Hessini, L., & Mitchell, E. M. (2009). Conceptualizing abortion stigma. Culture, Health & Sexuality, 11(6), 625-639. doi: 10.1080/13691050902842741

  17. Lafaurie, M. M., Grossman, D., Troncoso, E., Billings, D., Chávez Alvarado, S., Maira, G., Martínez, I., Mora, M., & Ortiz, O. (2005). El aborto con medicamentos en América latina: Las experiencias de las mujeres en México, Colombia, Ecuador y Perú. Mexico: Population Council.

  18. Lamas, M. (2014). Entre el estigma y la ley: La interrupción legal del embarazo en el DF. Salud Pública de México, 56(1), 56-62.

  19. Lerner, S., Guillaume, A., & Melgar, L. (2016). Realidades y falacias en torno al aborto: salud y derechos humanos. El Colegio de México AC.

  20. LeTourneau, K. & Tyson, H. (2016). Combatiendo el estigma. La red internacional para la reducción de la discriminación y el estigma en torno al aborto: INROADS. Retrieved from: http://clacaidigital.info/handle/123456789/916

  21. Lloret-Segura, S., Ferreres-Traver, A., Hernández-Baeza, A., & Tomás-Marco, I. (2014). El análisis factorial exploratorio de los ítems: una guía práctica, revisada y actualizada. Anales de psicología, 30(3), 1151-1169. doi: 10.6018/ analesps.30.3.199361

  22. Major, B., Appelbaum, M., Beckman, L., Dutton, M. A., Russo, N. F., & West, C. (2009). Abortion and mental health: Evaluating the evidence. American Psychologist, 64(9), 863-890. doi: 10.1037/a0017497

  23. McMurtrie, S. M., García, S. G., Wilson, K. S., Diaz‐Olavarrieta, C., & Fawcett, G. M. (2012). Public opinion about abortion‐related stigma among Mexican Catholics and implications for unsafe abortion. International Journal of Gynecology & Obstetrics, 118(S2), S160-S166. doi: 10.1016/S0020-7292(12)60016-2

  24. Becker, D. & Díaz Olavarrieta, C. (2013). Decriminalization of abortion in Mexico City: the effects on women’s reproductive rights. American Journal of Public Health, 103(4), 590-593. doi: 10.2105/AJPH.2012.301202 2. Biggs, M. A., Upadhyay, U. D., McCulloch, C. E., & Foster, D. G. (2017). Women’s mental health and well-being 5 years after receiving or being denied an abortion: A prospective, longitudinal cohort study. JAMA psychiatry, 74(2), 169-178. doi: 10.1001/jamapsychiatry.2016.3478 3. Broen, A., Moum, T., Bødtker, A., & Ekeberg, Ø. (2005). The course of mental health after miscarriage and induced abortion: a longitudinal, five-year follow-up study. BMC medicine, 3(1), 1. doi: 10.1186/1741-7015-3-18 4. Centre for Reproductive Rights. (2018). The World´s abortion laws 2018. Retrieved from: http://worldabortionlaws.com 5. Cockrill, K. & Hessini, L. (2014). Introduction: Bringing Abortion Stigma into Focus. Women & Health, 54(7), 593-598. doi: 10.1080/03630242.2014.947218 6. Cockrill, K., Upadhyay, U., 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. doi: 10.1363/4507913 7. Erviti, J., Castro, R., & Sánchez, I. A. S. (2006). Las luchas clasificatorias en torno al aborto: el caso de los médicos en hospitales públicos de México. Estudios sociológicos, 24(72), 637-665. 8. Fergusson, D. M., Horwood, L. J., & Boden, J. M. (2008). Abortion and mental health disorders: evidence from a 30-year longitudinal study. The British Journal of Psychiatry, 193(6), 444-451. doi: 10.1192/bjp.bp.108.056499 9. Flores Celis, K. (2016). Las emociones y sintomatología depresiva en mujeres que interrumpen el embarazo en la Ciudad de México. Master’s thesis. Universidad Nacional Autónoma de México. 10. Ganatra, B., Gerdts, C., Rossier, C., Johnson Jr, B. R., Tunçalp, Ö., Assifi, A., ... & Bearak, J. (2017). Global, regional, and subregional classification of abortions by safety, 2010–14: estimates from a Bayesian hierarchical model. The Lancet, 390(10110), 2372-2381. doi: 10.1016/S0140-6736(17)31794-4 11. González-Forteza, C., Ramos, L., Jiménez, A., & Wagner, F. A. (2008). Aplicación de la escala de Depresión del Center of Epidemiological Studies en adolescentes de la Ciudad de México. Salud Pública de México, 50(4), 292-299. doi: 10.1590/ S0036-36342008000400007 12. Grupo de Información en Reproducción Elegida (GIRE). (2018). Plataforma de consultas: causales de aborto en códigos penales estatales. Mexico City. 13. 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. doi: 10.1363/48e8516 14. Huang, Z., Hao, J., Su, P., Huang, K., Xing, X., Cheng, D., ... & Tao, F. (2012). The impact of prior abortion on anxiety and depression symptoms during a subsequent pregnancy: data from a population-based cohort study in China. Klinik Psikofarmakoloji Bülteni-Bulletin of Clinical Psychopharmacology, 22(1), 51-58. doi: 10.5455/bcp.20111102040509 15. Kimport, K., Foster, K., & Weitz, T. A. (2011). Social sources of women’s emotional difficulty after abortion: lessons from women’s abortion narratives. Perspectives on sexual and reproductive health, 43(2), 103-109. doi: 10.1363/4310311 16. Kumar, A., Hessini, L., & Mitchell, E. M. (2009). Conceptualizing abortion stigma. Culture, Health & Sexuality, 11(6), 625-639. doi: 10.1080/13691050902842741 17. Lafaurie, M. M., Grossman, D., Troncoso, E., Billings, D., Chávez Alvarado, S., Maira, G., Martínez, I., Mora, M., & Ortiz, O. (2005). El aborto con medicamentos en América latina: Las experiencias de las mujeres en México, Colombia, Ecuador y Perú. Mexico: Population Council. 18. Lamas, M. (2014). Entre el estigma y la ley: La interrupción legal del embarazo en el DF. Salud Pública de México, 56(1), 56-62. 19. Lerner, S., Guillaume, A., & Melgar, L. (2016). Realidades y falacias en torno al aborto: salud y derechos humanos. El Colegio de México AC. 20. LeTourneau, K. & Tyson, H. (2016). Combatiendo el estigma. La red internacional para la reducción de la discriminación y el estigma en torno al aborto: INROADS. Retrieved from: http://clacaidigital.info/handle/123456789/916 21. Lloret-Segura, S., Ferreres-Traver, A., Hernández-Baeza, A., & Tomás-Marco, I. (2014). El análisis factorial exploratorio de los ítems: una guía práctica, revisada y actualizada. Anales de psicología, 30(3), 1151-1169. doi: 10.6018/ analesps.30.3.199361 22. Major, B., Appelbaum, M., Beckman, L., Dutton, M. A., Russo, N. F., & West, C. (2009). Abortion and mental health: Evaluating the evidence. American Psychologist, 64(9), 863-890. doi: 10.1037/a0017497 23. McMurtrie, S. M., García, S. G., Wilson, K. S., Diaz‐Olavarrieta, C., & Fawcett, G. M. (2012). Public opinion about abortion‐related stigma among Mexican Catholics and implications for unsafe abortion. International Journal of Gynecology & Obstetrics, 118(S2), S160-S166. doi: 10.1016/S0020-7292(12)60016-2 24. Mondragón y Kalb, M., Ahued Ortega, A., Morales Velazquez, J., Díaz Olavarrieta, C., Valencia Rodríguez, J., Becker, D., & García, S. G. (2011). Patient characteristics and service trends following abortion legalization in Mexico City, 2007-10. Studies in family planning, 42(3), 159-166. doi: 10.1111/j.1728- 4465.2011.00277.x

  25. Munk-Olsen, T., Laursen, T. M., Pedersen, C. B., Lidegaard, Ø., & Mortensen, P. B. (2011). Induced first-trimester abortion and risk of mental disorder. New England Journal of Medicine, 364(4), 332-339. doi: 10.1056/NEJMoa0905882

  26. National Collaborating Centre for Mental Health. (2011). Induced abortion and mental health: A systematic review of the mental health outcomes of induced abortion, including their prevalence and associated factors. London: Academy of Medical Royal Colleges.

  27. O’Donnell, A. T., O’Carroll, T., & Toole, N. (2018). Internalized stigma and stigma-related isolation predict women’s psychological distress and physical health symptoms post-abortion. Psychology of Women Quarterly. doi: 10.1177/0361684317748937

  28. Pedersen, W. (2008). Abortion and depression: a population-based longitudinal study of young women. Scandinavian Journal of Public Health, 36(4), 424-428. doi: 10.1177/1403494807088449

  29. Ralph, L., Gould, H., Baker, A., & Foster, D. G. (2014). The role of parents and partners in minors’ decisions to have an abortion and anticipated coping after abortion. Journal of Adolescent Health, 54(4): 428-434. doi: 10.1016/j. jadohealth.2013.09.021

  30. Rees, D. I. & Sabia, J. J. (2007). The relationship between abortion and depression: new evidence from the fragile families and child wellbeing study. Medical Science Monitor, 13(10), CR430-CR436. PMID: 17901849

  31. Robinson, G. E., Stotland, N. L., Russo, N. F., Lang, J. A., & Occhiogrosso, M. (2009). Is there an “abortion trauma syndrome”? Critiquing the evidence. Harvard Review of Psychiatry, 17(4), 268-290. doi: 10.1080/10673220903149119

  32. Rocca, C. H., Kimport, K., Roberts, S. C., Gould, H., Neuhaus, J., & Foster, D. G. (2015). Decision rightness and emotional responses to abortion in the United States: A longitudinal study. PLoS One, 10(7), e0128832. doi: 10.1371/journal. pone.0128832

  33. Russo, N. F. (2014). Abortion, unwanted childbearing, and mental health. Salud Mental, 37(4), 283-291.

  34. Secretaría de Salud de la Ciudad de México. (2018). Estadísticas Abril de 2007 – Agosto de 2018. Retrieved from: http://ile.salud.cdmx.gob.mx/wp-content/ uploads/Interrupcion-Legal-del-Embarazo-Estadisticas-2007-2017-20-de-abrilde- 2017.pdf

  35. 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. Int J Gynaecol Obstet., 118(Suppl 2), 152-9. doi: 10.1016/S0020- 7292(12)60015-0

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

  37. 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. doi: 10.1016/j.contraception.2016.01.013

  38. Steinberg, J. R. & Tschann, J. M. (2013). Childhood adversities and subsequent risk of one or multiple abortions. Social Science & Medicine, 81, 53-59. doi: 10.1016/j.socscimed.2012.11.011

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

  40. Taft, A. J. & Watson, L. F. (2008). Depression and termination of pregnancy (induced abortion) in a national cohort of young Australian women: the confounding effect of women’s experience of violence. BMC Public Health, 8(1), 75. doi: 10.1186/1471-2458-8-75

  41. Vigneta. E., Polis, C. B., Sridhara, S. K., & Blum, R. W. (2008). Abortion and long-term mental health outcomes: a systematic review of the evidence. Contraception, 78(6), 436-450. doi: 10.1016/j.contraception.2008.07.005




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Salud Mental. 2019;42