Evidence map›Paper›PMID 27166869›Full record

ArticlePerspectives on sexual and reproductive health2016

Social Norms and Stigma Regarding Unintended Pregnancy and Pregnancy Decisions: A Qualitative Study of Young Women in Alabama.

Whitney Smith, Janet M Turan, Kari White, Kristi L Stringer, Anna Helova, Tina Simpson, Kate Cockrill

Abstract read
In one paragraph

Article in Perspectives on sexual and reproductive health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 3 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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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

7 authors.

Whitney SmithDepartment of Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham.
Janet M TuranDepartment of Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham.
Kari WhiteDepartment of Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham.
Kristi L StringerDepartment of Medical Sociology, College of Arts and Sciences/ Center for Outcomes and Effectiveness Research and Education, University of Alabama at Birmingham.
Anna HelovaDepartment of Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham.
Tina SimpsonDepartment of Pediatrics, School of Medicine, University of Alabama at Birmingham.
Kate CockrillSea Change Program, Tides Foundation, Oakland, CA.

Funding

UAB Health Services Research (HSR) Training ProgramT32HS013852 · AHRQ · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI LEVITAN, EMILY B, MUGAVERO, MICHAEL J · 2003 to 2024
$8.0M
Substance Abuse Stigma and Engagement in HIV Care: A Mixed Methods InvestigationF31DA037106 · NIDA · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI STRINGER, KRISTI LYNN · 2014 to 2017
$116k
AHRQ HHS T32 HS013852NIDA NIH HHS F31 DA037106
6 · The paper itself

Abstract

contextSocial norms and stigma may play important roles in reproductive health behavior and decision making among young women in the U.S. South, who disproportionately experience unintended pregnancies. No research has described the presence and manifestations of social norms and stigmas associated with unintended pregnancy and related decision making from the perspective of this population.

methodsSix focus groups and 12 cognitive interviews were conducted between December 2013 and July 2014 with 46 low-income women aged 19-24 living in Birmingham, Alabama; respondents were recruited from two public health department centers and a community college. Semistructured interview guides were used to facilitate discussion about social perceptions of unintended pregnancy and related pregnancy decisions. Sessions were audio-recorded, and transcripts were analyzed using a theme-based approach.

resultsParticipants described community expectations that pregnancy occur in the context of monogamous relationships, in which both partners are mature, educated and financially stable. However, respondents reported that unintended pregnancy outside of these circumstances was common, and that the community expected young women faced with unintended pregnancies to bear and raise their children. Women who chose to do so were viewed more positively than were women who chose abortion or adoption. The community generally considered these alternatives to parenting unacceptable, and participants discussed them in terms of negative labels, social judgment and nondisclosure.

conclusionsFindings suggest a need to reduce stigma and create a social environment in which young women are empowered to make the best reproductive decisions for themselves.

Indexed as

Attitude to HealthSocial NormsSocial StigmaAbortion, InducedAlabamaFemaleHumansPregnancyPregnancy, UnplannedPrejudiceQualitative ResearchSelf EfficacySocioeconomic FactorsSurveys and Questionnaires

Identifiers

PMID27166869
PMCPMC5022769

What OpenQuestion holds

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Registered trials

None linked

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.