Evidence map›Paper›PMID 26735332›Full record

ArticleSocial science & medicine (1982)2016

Psychosocial factors and pre-abortion psychological health: The significance of stigma.

Julia R Steinberg, Jeanne M Tschann, Dorothy Furgerson, Cynthia C Harper

Registry-linked trialAbstract read
In one paragraph

Article in Social science & medicine (1982), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04206514 (Strengthening Patient-Centered Accessibility, Respect, and Quality of Care for Post Abortion Care Through Peer and Nurse Based Phone Support), which is not on this map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04206514 nacompletednot on this mapstarted 2018, after this paper: background citation

Strengthening Patient-Centered Accessibility, Respect, and Quality of Care for Post Abortion Care Through Peer and Nurse Based Phone Support

TypeinterventionalSponsorUniversity of California, San FranciscoRan2018 to 2018Enrolled371ConditionsReproductive HealthArmsPerson Centered Care - Post Abortion Support
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  14. Feelings about abortion at time of care: Findings from an Ohio abortion facility.Sexuality research & social policy : journal of NSRC : SR & SP · 2025
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  20. "Sexual and reproductive health matters · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Julia R SteinbergDepartment of Family Science, University of Maryland College Park, USA. Electronic address: jrsteinb@umd.edu.
Jeanne M TschannDepartment of Psychiatry, University of California, San Francisco, USA.
Dorothy FurgersonPlanned Parenthood Mar Monte, San Jose, CA, USA.
Cynthia C HarperDepartment of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, USA.

Funding

UCSF/Kaiser-DOR Program for Developing Independent Women's Health ResearchersK12HD052163 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ADLER, NANCY E, BRINDIS, CLAIRE D. · 2005 to 2023
$9.3M
MARYLAND POPULATION RESEARCH CENTERR24HD041041 · NICHD · UNIV OF MARYLAND, COLLEGE PARK · PI RENDALL, MICHAEL S. · 2001 to 2016
$6.6M
Investigating the effects of depression on contraceptive behaviorsK01HD075834 · NICHD · UNIV OF MARYLAND, COLLEGE PARK · PI STEINBERG, JULIA RENEE · 2013 to 2018
$556k
NICHD NIH HHS K01 HD075834NICHD NIH HHS K12 HD052163NICHD NIH HHS R24 HD041041
6 · The paper itself

Abstract

rationaleMost research in mental health and abortion has examined factors associated with post-abortion psychological health. However, research that follows women from before to after their abortion consistently finds that depressive, anxiety, and stress symptoms are highest just before an abortion compared to any time afterwards.

objectiveThis finding suggests that studies investigating psychosocial factors related to pre-abortion mental health are warranted.

methodsThe current study uses data from 353 women seeking abortions at three community reproductive health clinics to examine predictors of pre-abortion psychological health. Drawing from three perspectives in the abortion and mental health literature, common risks, stress and coping, and sociocultural context, we conducted multivariable analyses to examine the contribution of important factors on depressive, anxiety, and stress symptoms just before an abortion, including sociodemographics, abortion characteristics, childhood adversities, recent adversities with an intimate partner, relationship context, future pregnancy desires, and perceived abortion stigma.

resultsChildhood and partner adversities, including reproductive coercion, were associated with negative mental health symptoms, as was perceived abortion stigma. Before perceived abortion stigma was entered into the model, 18.6%, 20.7%, and 16.8% of the variance in depressive, anxiety, and stress symptoms respectively, was explained. Perceived abortion stigma explained an additional 13.2%, 9.7%, and 10.7% of the variance in depressive, anxiety, and stress symptoms pre-abortion.

conclusionThis study, one of the first to focus on pre-abortion mental health as an outcome, suggests that addressing stigma among women seeking abortions may significantly lower their psychological distress.

Indexed as

PsychologySocial StigmaAbortion, InducedAbortion, SpontaneousAdaptation, PsychologicalAdolescentAdultFemaleHumansMental HealthPregnancyStress, PsychologicalAdverse experiencesPre-abortion psychological healthStigma

Identifiers

PMID26735332
PMCPMC4737478

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.