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. 2021 Jul 31:5:23992026211027698.
doi: 10.1177/23992026211027698. eCollection 2021 Jan-Dec.

"It's a walk of shame": Experiences of unintended pregnancy and abortion among sexual- and gender-minoritized females in urban India

Jessamyn Bowling  1 , Megan Simmons  2 , Donna Blekfeld-Sztraky  1 , Elizabeth Bartelt  3 , Brian Dodge  2 , Vikram Sundarraman  4 , Brindaa Lakshmi  4 , Debby Herbenick  2
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"It's a walk of shame": Experiences of unintended pregnancy and abortion among sexual- and gender-minoritized females in urban India

Jessamyn Bowling et al. Med Access Point Care. .

Abstract

Background: Unintended pregnancy and safe abortion access in India remain critical public health concerns. The health of sexual- and gender-minoritized females (SGMF; those assigned female at birth and identify as other than heterosexual and/or as other than cisgender women) in India is understudied.

Aim: We examined experiences of unintended pregnancy and abortion among SGMF individuals in urban India.

Methods: We used focus group discussions (n = 8 individuals in two groups) and interviews (n = 20) with SGMF individuals. Data were collected in December 2017. Transcripts were analyzed using a priori thematic analysis and then open thematic analysis in Dedoose online software.

Results: Nine participants experienced or suspected they had unintended pregnancies. Pregnancy circumstances were mostly due to sex without using a barrier method. Participants discussed using traditional methods to induce abortion or changing their approach to contraception. Social support was often lacking, though partners were supportive of abortion choices. Participants reported stigma and surveillance from family, friends, providers, and community members.

Conclusion: These findings highlight the effects of stigma in relation to abortion and unintended pregnancy on health and relationships.

Keywords: India; LGBTQ; abortion; bisexual; contraception; lesbian; sexual & gender minority (SGM).

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Conflict of interest statement

Declaration of conflicting interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

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References

    1. Moseson H, Mahanaimy M, Dehlendorf C, et al.. “. . . Society is, at the end of the day, still going to stigmatize you no matter which way”: a qualitative study of the impact of stigma on social support during unintended pregnancy in early adulthood. PLoS ONE 2019; 14(5): e0217308. - PMC - PubMed
    1. Rice WS, Turan B, Stringer KL, et al.. Norms and stigma regarding pregnancy decisions during an unintended pregnancy: development and predictors of scales among young women in the U.S. PLoS ONE 2017; 12(3): e0174210. - PMC - PubMed
    1. Smith W, Turan JM, White K, et al.. Social norms and stigma regarding unintended pregnancy and pregnancy decisions: a qualitative study of young women in Alabama. Perspect Sex Reprod Health 2016; 48(2): 73–81. - PMC - PubMed
    1. Sedgh G, Bearak J, Singh S, et al.. Abortion incidence between 1990 and 2014: global, regional, and subregional levels and trends. Lancet 2016; 388(10041): 258–267. - PMC - PubMed
    1. Singh S, Shekhar C, Acharya R, et al.. The incidence of abortion and unintended pregnancy in India, 2015. Lancet Glob Health 2018; 6(1): e111–e120. - PMC - PubMed

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