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

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...

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Main Authors: Jessamyn Bowling, Megan Simmons, Donna Blekfeld-Sztraky, Elizabeth Bartelt, Brian Dodge, Vikram Sundarraman, Brindaa Lakshmi, Debby Herbenick
Format: Article
Language:English
Published: SAGE Publishing 2021-07-01
Series:Medicine Access @ Point of Care
Online Access:https://doi.org/10.1177/23992026211027698
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author Jessamyn Bowling
Megan Simmons
Donna Blekfeld-Sztraky
Elizabeth Bartelt
Brian Dodge
Vikram Sundarraman
Brindaa Lakshmi
Debby Herbenick
author_facet Jessamyn Bowling
Megan Simmons
Donna Blekfeld-Sztraky
Elizabeth Bartelt
Brian Dodge
Vikram Sundarraman
Brindaa Lakshmi
Debby Herbenick
author_sort Jessamyn Bowling
collection DOAJ
description 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.
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spelling doaj.art-8df70c017eb04327ab3b486daa2ed2d22022-12-21T21:34:39ZengSAGE PublishingMedicine Access @ Point of Care2399-20262021-07-01510.1177/23992026211027698“It’s a walk of shame”: Experiences of unintended pregnancy and abortion among sexual- and gender-minoritized females in urban IndiaJessamyn Bowling0Megan Simmons1Donna Blekfeld-Sztraky2Elizabeth Bartelt3Brian Dodge4Vikram Sundarraman5Brindaa Lakshmi6Debby Herbenick7Department of Public Health Sciences, University of North Carolina at Charlotte, Charlotte, NC, USAIndiana University, Bloomington, IN, USADepartment of Public Health Sciences, University of North Carolina at Charlotte, Charlotte, NC, USAUniversity of Buffalo, Buffalo, NY, USAIndiana University, Bloomington, IN, USANirangal, Chennai, IndiaNirangal, Chennai, IndiaIndiana University, Bloomington, IN, USABackground: 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.https://doi.org/10.1177/23992026211027698
spellingShingle Jessamyn Bowling
Megan Simmons
Donna Blekfeld-Sztraky
Elizabeth Bartelt
Brian Dodge
Vikram Sundarraman
Brindaa Lakshmi
Debby Herbenick
“It’s a walk of shame”: Experiences of unintended pregnancy and abortion among sexual- and gender-minoritized females in urban India
Medicine Access @ Point of Care
title “It’s a walk of shame”: Experiences of unintended pregnancy and abortion among sexual- and gender-minoritized females in urban India
title_full “It’s a walk of shame”: Experiences of unintended pregnancy and abortion among sexual- and gender-minoritized females in urban India
title_fullStr “It’s a walk of shame”: Experiences of unintended pregnancy and abortion among sexual- and gender-minoritized females in urban India
title_full_unstemmed “It’s a walk of shame”: Experiences of unintended pregnancy and abortion among sexual- and gender-minoritized females in urban India
title_short “It’s a walk of shame”: Experiences of unintended pregnancy and abortion among sexual- and gender-minoritized females in urban India
title_sort it s a walk of shame experiences of unintended pregnancy and abortion among sexual and gender minoritized females in urban india
url https://doi.org/10.1177/23992026211027698
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