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Türkiye’de Yaşayan 18-49 Yaş Arası Bekar Kadınların Kürtaja Yönelik Damgalayıcı Tutum, İnanç ve Davranışlarının Belirlenmesi

Year 2024, Volume: 6 Issue: 2, 252 - 261
https://doi.org/10.46413/boneyusbad.1419115

Abstract

Amaç: Bu araştırmanın amacı, Türkiye’de yaşayan 18-49 yaş arası bekâr kadınların kürtaja yönelik damgalayıcı tutum, inanç ve davranışlarına etki eden faktörleri belirlemektir.
Gereç ve Yöntem: Tanımlayıcı tipteki araştırma, 1 Aralık 2021- 20 Şubat 2022 tarihleri arasında çevirim içi anket yolu ile elde edilmiş; 1016 bekar kadın örneklemi oluşturmuştur. Araştırma verileri, demografik soru formu ve Genç Kadınlarda Kürtaja Yönelik Damgalayıcı Tutum, İnanç ve Davranışlar Ölçeği ile elde edilmiştir.
Bulgular: Araştırma kapsamında yer alan kadınların Kürtaja Yönelik Damgalayıcı Tutum, İnanç ve Davranışlar Ölçeği puanlarının ortalaması 29.49 ± 10.428 olarak bulunmuştur. Araştırmaya dahil olan kadınların Kürtaja Yönelik Damgalayıcı Tutum, İnanç ve Davranışlar Ölçeği puanları yaş, öğrenim düzeyi, gelir durumu, kardeş sayısı, aktif cinsel hayat durumu, en uzun yaşanılan yer, yaşanılan bölge, inanç durumu ve ailesinde ya da yakın çevresinde kürtajın karşılanma şekli değişkenlerine göre istatistiksel olarak anlamlı farklılık göstermektedir (p<0,05).
Sonuç: Kadınların, kürtaja yönelik damgalayıcı tutum, inanç ve davranışlarının düşük seviyede olduğu, ancak pek çok değişkenin tutumları üzerinde etkili olduğu saptanmıştır. Sağlık çalışanları, kürtaj yaptıran kadınları değerlendirirken damgalanmaya maruz kalma durumlarını da göz önünde bulundurmalı, toplumsal damgalamayı yüksek düzeyde yaşayabilecekleri fark edebilmeli ve tespit ettiğinde uygun girişimlerde bulunmalıdır.

References

  • Adalı, T., Çavlin, A. (2019). Türkiye’de kürtajın yaygınlığı ve kürtaj kararını etkileyen faktörler. İstanbul Üniversitesi Sosyoloji Dergisi, 39(2): 359-378. doi:10.26650/SJ.2019.39.2.0105
  • Afhami, N., Bahadoran, P., Taleghani, H. R., Nekuei, N. (2016). The knowledge and attitudes of midwives regarding legal and religious commandments on induced abortion and their relationship with some demographic characteristics. Iranian Journal of Nursing and Midwifery Research 21(2):177-187. doi:10.4103/1735-9066.178244
  • Aniteye, P., O’Brien, B., Mayhew, S. H. (2016). Stigmatized by association: Challenges for abortion service providers in Ghana. BMC Health Services Research 16(1): 1-10. doi: 10.1186/s12913-016-1733-7
  • Baba, C. F., Casas, L., Ramm, A., Correa, S., Biggs, M. A. (2020). Medical and midwifery student attitudes toward moral acceptability and legality of abortion, following decriminalization of abortion in Chile. Sexual & Reproductive Healthcare, 24, 100502. doi:10.1016/j.srhc.2020.100502
  • Citernesi, A., Dubini, V., Uglietti, A., Ricci, E., Cipriani, S., Parazzini, F., Italian Aogoi Study Group on Violence on Women. (2015). Intimate partner violence and repeat induced abortion in Italy: a cross sectional study. The European Journal of Contraception & Reproductive Health Care, 20(5), 344-349. doi:10.3109/13625187.2014.992516
  • Cockrill, K., Biggs, A. (2018). Can stories reduce abortion stigma? Findings from a longitudinal cohort study. Culture, health & sexuality, 20(3), 335-350. doi:10.1080/13691058.2017.1346202
  • 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. doi:10.1363/4507913
  • 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):884-95. doi: 10.1007/s10943-016-0277-9
  • Fidan, A. (2021). Relıgion And Women’s Fertility in Turkey: An Islamic Context. Adıyaman Üniversitesi Sosyal Bilimler Enstitüsü Dergisi 14(39): 123-157. doi: 10.14520/adyusbd.923350
  • Güner, Ö., Öztürk, R. (2021). Turkish Validity and Reliability Study Of Stigmatizing Attitudes, Beliefs And Actions Scale Towards Abortion. IAAOJ Health Sciences 7(1):65-80.
  • Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü. 2018 Türkiye Nüfus ve Sağlık Araştırması, Temel Bulgular.
  • Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü, T.C. Cumhurbaşkanlığı Strateji ve Bütçe Başkanlığı ve TÜBİTAK. Ankara, Türkiye; 2019.p.159-170
  • 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
  • Holcombe, S. J., Burrowes, S., Hailu, D., Scott, R., Berhe, A. (2018). Professional pragmatism and abortion stigma: assessing the performance of the stigmatizing attitudes, beliefs and actions scale (SABAS) among Ethiopian midwives. African Journal of Reproductive Health, 22(2):26-39. doi:10.29063/ajrh2018/v22i2.3
  • Makenzius, M., McKinney, G., Oguttu, M., Romild, U. (2019). Stigma related to contraceptive use and abortion in Kenya: scale development and validation. Reproductive health, 16(1), 1-10. doi:10.1186/s12978-019-0799-1
  • Makleff, S., Wilkins, R., Wachsmann, H., Gupta, D., Wachira, M., Bunde, W., Baum, S. E. (2019). Exploring stigma and social norms in women’s abortion experiences and their expectations of care. Sexual and Reproductive Health Matters 27(3):50-64. doi:10.1080/26410397.2019.1661753
  • 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. doi: 10.1016/j.conx.2021.100062
  • Millar, E. (2020). Abortion stigma as a social process. Women’s Studies International Forum 78, 102328. doi: 10.1016/j.wsif.2019.102328
  • Mosley, E. A., King, E. J., Schulz, A. J., Harris, L. H., De Wet, N., Anderson, B. A. (2017). Abortion attitudes among South Africans: Findings from the 2013 social attitudes survey. Culture, Health and Sexuality, 19(8): 918–933. doi:10.1080/13691058.2016.1272715
  • Nandagiri, R. (2019). Like a mother-daughter relationship: Community health intermediaries' knowledge of and attitudes to abortion in Karnataka, India. Social Science & Medicine, 239, 112525. doi:10.1016/j.socscimed.2019.112525
  • Özdemir F. (2014). Muhafazakârlık ve Piyasa Kıskacında Kürtaj Hakkı. Toplum ve Hekim 29(5):387-398.
  • 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. doi: 10.1080/26410397.2019.1652028
  • Saadeh, R., Alfaqih, M., Odat, A., Allouh, M. Z. (2021). Attitudes of Medical and Health Sciences Students towards Abortion in Jordan. BioMed Research International, doi: 10.1155/2021/6624181
  • Shapiro, G. K. (2014). “Abortion law in Muslim-majority countries: an overview of the Islamic discourse with policy implications,” Health Policy and Planning 29(4): 483–494. doi:10.1093/heapol/czt040
  • 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, doi: 10.1080/03630242.2014.919982
  • 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
  • Şeşen, E., Ünalan, D. (2019). Framing Of News About Abortion Law in Written Press: Hurriyet, Evrensel And Yenı Safak Sample. Dördüncü Kuvvet 2 (1):53-66. doi:10.33464/dorduncukuvvet.539772
  • TÜİK. (2021). https://data.tuik.gov.tr/Bulten/Index?p=Istatistiklerle-Kadin-2021. Erişim tarihi: 15.11.2021
  • Thomas, R. G., Norris, A. H., Gallo, M. F. (2017). Anti-legal attitude toward abortion among abortion patients in the United States. Contraception 1;96(5):357-364. doi:10.1016/j.contraception.2017.07.166
  • Woodruff, K., Biggs, M. A., Gould, H., Foster, D. G. (2018). Attitudes toward abortion after receiving vs. being denied an abortion in the USA. Sexuality Research and Social Policy 15(4):452-463. doi:10.1007/s13178-018-0325-1
  • Yegon, E. K., Mwaniki, P. K., Echoka, E., Osur, J. (2016). Abortion related stigma: A case study of abortion stigma in regions with high and low incidences of unsafe abortion. East African Medical Journal, 93: 107–116.

Determining the Stigmatizing Attitudes, Beliefs and Actions of Unmarried Women at the Ages of 18-49 Living in Turkey Towards Abortion

Year 2024, Volume: 6 Issue: 2, 252 - 261
https://doi.org/10.46413/boneyusbad.1419115

Abstract

Aim: The purpose of this study is to determine the factors that affect the stigmatizing attitudes, beliefs and actions of unmarried women at the ages of 18-49 living in Turkey towards abortion.
Material and Method: This descriptive study was carried out with an online survey between 1 December 2021 and 20 February 2022 with the participation of 1016 unmarried women. The data were collected using a Demographic Information Form and the Stigmatizing Attitudes, Beliefs and Actions Scale.
Results: The mean Stigmatizing Attitudes, Beliefs and Actions Scale score of the participants was found as 29.49 ± 10.428, and statistically significant relationships were determined between the mean scores of the participants and their age, education level, income status, number of siblings, status of being sexually active, place of residence for the longest time, region of residence, belief status, and views about abortion in family and inner circle (p<0.05).
Conclusion: It was determined that the abortion-related stigmatizing attitude, belief and action levels of the participants were low, but their attitudes were influenced by several variables. Healthcare professionals should evaluate the attitudes of women towards abortion and make the appropriate interventions based on the social stigma levels of women.

References

  • Adalı, T., Çavlin, A. (2019). Türkiye’de kürtajın yaygınlığı ve kürtaj kararını etkileyen faktörler. İstanbul Üniversitesi Sosyoloji Dergisi, 39(2): 359-378. doi:10.26650/SJ.2019.39.2.0105
  • Afhami, N., Bahadoran, P., Taleghani, H. R., Nekuei, N. (2016). The knowledge and attitudes of midwives regarding legal and religious commandments on induced abortion and their relationship with some demographic characteristics. Iranian Journal of Nursing and Midwifery Research 21(2):177-187. doi:10.4103/1735-9066.178244
  • Aniteye, P., O’Brien, B., Mayhew, S. H. (2016). Stigmatized by association: Challenges for abortion service providers in Ghana. BMC Health Services Research 16(1): 1-10. doi: 10.1186/s12913-016-1733-7
  • Baba, C. F., Casas, L., Ramm, A., Correa, S., Biggs, M. A. (2020). Medical and midwifery student attitudes toward moral acceptability and legality of abortion, following decriminalization of abortion in Chile. Sexual & Reproductive Healthcare, 24, 100502. doi:10.1016/j.srhc.2020.100502
  • Citernesi, A., Dubini, V., Uglietti, A., Ricci, E., Cipriani, S., Parazzini, F., Italian Aogoi Study Group on Violence on Women. (2015). Intimate partner violence and repeat induced abortion in Italy: a cross sectional study. The European Journal of Contraception & Reproductive Health Care, 20(5), 344-349. doi:10.3109/13625187.2014.992516
  • Cockrill, K., Biggs, A. (2018). Can stories reduce abortion stigma? Findings from a longitudinal cohort study. Culture, health & sexuality, 20(3), 335-350. doi:10.1080/13691058.2017.1346202
  • 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. doi:10.1363/4507913
  • 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):884-95. doi: 10.1007/s10943-016-0277-9
  • Fidan, A. (2021). Relıgion And Women’s Fertility in Turkey: An Islamic Context. Adıyaman Üniversitesi Sosyal Bilimler Enstitüsü Dergisi 14(39): 123-157. doi: 10.14520/adyusbd.923350
  • Güner, Ö., Öztürk, R. (2021). Turkish Validity and Reliability Study Of Stigmatizing Attitudes, Beliefs And Actions Scale Towards Abortion. IAAOJ Health Sciences 7(1):65-80.
  • Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü. 2018 Türkiye Nüfus ve Sağlık Araştırması, Temel Bulgular.
  • Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü, T.C. Cumhurbaşkanlığı Strateji ve Bütçe Başkanlığı ve TÜBİTAK. Ankara, Türkiye; 2019.p.159-170
  • 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
  • Holcombe, S. J., Burrowes, S., Hailu, D., Scott, R., Berhe, A. (2018). Professional pragmatism and abortion stigma: assessing the performance of the stigmatizing attitudes, beliefs and actions scale (SABAS) among Ethiopian midwives. African Journal of Reproductive Health, 22(2):26-39. doi:10.29063/ajrh2018/v22i2.3
  • Makenzius, M., McKinney, G., Oguttu, M., Romild, U. (2019). Stigma related to contraceptive use and abortion in Kenya: scale development and validation. Reproductive health, 16(1), 1-10. doi:10.1186/s12978-019-0799-1
  • Makleff, S., Wilkins, R., Wachsmann, H., Gupta, D., Wachira, M., Bunde, W., Baum, S. E. (2019). Exploring stigma and social norms in women’s abortion experiences and their expectations of care. Sexual and Reproductive Health Matters 27(3):50-64. doi:10.1080/26410397.2019.1661753
  • 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. doi: 10.1016/j.conx.2021.100062
  • Millar, E. (2020). Abortion stigma as a social process. Women’s Studies International Forum 78, 102328. doi: 10.1016/j.wsif.2019.102328
  • Mosley, E. A., King, E. J., Schulz, A. J., Harris, L. H., De Wet, N., Anderson, B. A. (2017). Abortion attitudes among South Africans: Findings from the 2013 social attitudes survey. Culture, Health and Sexuality, 19(8): 918–933. doi:10.1080/13691058.2016.1272715
  • Nandagiri, R. (2019). Like a mother-daughter relationship: Community health intermediaries' knowledge of and attitudes to abortion in Karnataka, India. Social Science & Medicine, 239, 112525. doi:10.1016/j.socscimed.2019.112525
  • Özdemir F. (2014). Muhafazakârlık ve Piyasa Kıskacında Kürtaj Hakkı. Toplum ve Hekim 29(5):387-398.
  • 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. doi: 10.1080/26410397.2019.1652028
  • Saadeh, R., Alfaqih, M., Odat, A., Allouh, M. Z. (2021). Attitudes of Medical and Health Sciences Students towards Abortion in Jordan. BioMed Research International, doi: 10.1155/2021/6624181
  • Shapiro, G. K. (2014). “Abortion law in Muslim-majority countries: an overview of the Islamic discourse with policy implications,” Health Policy and Planning 29(4): 483–494. doi:10.1093/heapol/czt040
  • 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, doi: 10.1080/03630242.2014.919982
  • 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
  • Şeşen, E., Ünalan, D. (2019). Framing Of News About Abortion Law in Written Press: Hurriyet, Evrensel And Yenı Safak Sample. Dördüncü Kuvvet 2 (1):53-66. doi:10.33464/dorduncukuvvet.539772
  • TÜİK. (2021). https://data.tuik.gov.tr/Bulten/Index?p=Istatistiklerle-Kadin-2021. Erişim tarihi: 15.11.2021
  • Thomas, R. G., Norris, A. H., Gallo, M. F. (2017). Anti-legal attitude toward abortion among abortion patients in the United States. Contraception 1;96(5):357-364. doi:10.1016/j.contraception.2017.07.166
  • Woodruff, K., Biggs, M. A., Gould, H., Foster, D. G. (2018). Attitudes toward abortion after receiving vs. being denied an abortion in the USA. Sexuality Research and Social Policy 15(4):452-463. doi:10.1007/s13178-018-0325-1
  • Yegon, E. K., Mwaniki, P. K., Echoka, E., Osur, J. (2016). Abortion related stigma: A case study of abortion stigma in regions with high and low incidences of unsafe abortion. East African Medical Journal, 93: 107–116.
There are 32 citations in total.

Details

Primary Language English
Subjects Obstetrics and Gynocology Nursing
Journal Section RESEARCH ARTICLES
Authors

Kerime Derya Beydağ 0000-0002-7251-4882

Nursel Alp Dal 0000-0002-9364-3683

Early Pub Date August 17, 2024
Publication Date
Submission Date January 13, 2024
Acceptance Date April 30, 2024
Published in Issue Year 2024 Volume: 6 Issue: 2

Cite

APA Beydağ, K. D., & Alp Dal, N. (2024). Determining the Stigmatizing Attitudes, Beliefs and Actions of Unmarried Women at the Ages of 18-49 Living in Turkey Towards Abortion. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri Ve Araştırmaları Dergisi, 6(2), 252-261. https://doi.org/10.46413/boneyusbad.1419115
AMA Beydağ KD, Alp Dal N. Determining the Stigmatizing Attitudes, Beliefs and Actions of Unmarried Women at the Ages of 18-49 Living in Turkey Towards Abortion. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi. August 2024;6(2):252-261. doi:10.46413/boneyusbad.1419115
Chicago Beydağ, Kerime Derya, and Nursel Alp Dal. “Determining the Stigmatizing Attitudes, Beliefs and Actions of Unmarried Women at the Ages of 18-49 Living in Turkey Towards Abortion”. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri Ve Araştırmaları Dergisi 6, no. 2 (August 2024): 252-61. https://doi.org/10.46413/boneyusbad.1419115.
EndNote Beydağ KD, Alp Dal N (August 1, 2024) Determining the Stigmatizing Attitudes, Beliefs and Actions of Unmarried Women at the Ages of 18-49 Living in Turkey Towards Abortion. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi 6 2 252–261.
IEEE K. D. Beydağ and N. Alp Dal, “Determining the Stigmatizing Attitudes, Beliefs and Actions of Unmarried Women at the Ages of 18-49 Living in Turkey Towards Abortion”, Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi, vol. 6, no. 2, pp. 252–261, 2024, doi: 10.46413/boneyusbad.1419115.
ISNAD Beydağ, Kerime Derya - Alp Dal, Nursel. “Determining the Stigmatizing Attitudes, Beliefs and Actions of Unmarried Women at the Ages of 18-49 Living in Turkey Towards Abortion”. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi 6/2 (August 2024), 252-261. https://doi.org/10.46413/boneyusbad.1419115.
JAMA Beydağ KD, Alp Dal N. Determining the Stigmatizing Attitudes, Beliefs and Actions of Unmarried Women at the Ages of 18-49 Living in Turkey Towards Abortion. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi. 2024;6:252–261.
MLA Beydağ, Kerime Derya and Nursel Alp Dal. “Determining the Stigmatizing Attitudes, Beliefs and Actions of Unmarried Women at the Ages of 18-49 Living in Turkey Towards Abortion”. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri Ve Araştırmaları Dergisi, vol. 6, no. 2, 2024, pp. 252-61, doi:10.46413/boneyusbad.1419115.
Vancouver Beydağ KD, Alp Dal N. Determining the Stigmatizing Attitudes, Beliefs and Actions of Unmarried Women at the Ages of 18-49 Living in Turkey Towards Abortion. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi. 2024;6(2):252-61.

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