OTHER / RESEARCH PAPER
Relationship between individuals’ stigmatizing attitudes towards abortion, family planning attitudes, and fatalism in health: a cross-sectional study
1
Department of Public Health Nursing, Faculty of Health Sciences, Kafkas University, Kars, Türkiye
2
Department of Nursing, Faculty of Health Sciences, Kocaeli Health and Technology University, Kocaeli, Türkiye
3
Department of Public Health Nursing, Faculty of Health Sciences, Sakarya University, Serdivan, Türkiye
Submission date: 2024-09-21
Final revision date: 2024-11-11
Acceptance date: 2024-11-19
Online publication date: 2024-12-11
Corresponding author
Nida Efetürk
Department of Nursing, Faculty of Health Sciences, Kocaeli Health and Technology University, Yeniköy Mahallesi Ilıca Caddesi No:29, Başiskele/Kocaeli, Türkiye
Department of Nursing, Faculty of Health Sciences, Kocaeli Health and Technology University, Yeniköy Mahallesi Ilıca Caddesi No:29, Başiskele/Kocaeli, Türkiye
Health Prob Civil. 2026;20(3):388-401
KEYWORDS
TOPICS
ABSTRACT
Background:
Abortion regulations and associated social stigma in Türkiye significantly influence access to reproductive health services and decision-making. Societal beliefs in fatalism and religious influences further shape healthcare utilization, contributing to increased risky behaviors and reluctance to seek treatment.
Material and methods:
This study investigates the relationship between stigmatizing attitudes towards abortion, attitudes towards family planning, and religious health fatalism. Designed as a descriptive and correlational study, it included 1,495 participants aged 18 and older. Data were analyzed using SPSS 27-V.
Results:
The participants exhibited moderate levels of stigmatizing attitudes towards abortion and health-related fatalism and high levels of positive attitudes towards family planning. Pearson correlation analysis revealed a moderate negative relationship between stigmatizing attitudes towards abortion and attitudes towards family planning, alongside a moderate positive relationship between stigmatizing attitudes towards abortion and health-related fatalism.
Conclusions:
The findings highlight that opposition to abortion negatively impacts attitudes towards family planning, with religious beliefs and fatalistic views significantly shaping these attitudes. Community awareness programs addressing stigma around abortion and family planning can enhance service accessibility. Moreover, culturally sensitive counseling and educational initiatives addressing the influence of religious and fatalistic beliefs could foster a better understanding of reproductive health, improving health outcomes within society.
Abortion regulations and associated social stigma in Türkiye significantly influence access to reproductive health services and decision-making. Societal beliefs in fatalism and religious influences further shape healthcare utilization, contributing to increased risky behaviors and reluctance to seek treatment.
Material and methods:
This study investigates the relationship between stigmatizing attitudes towards abortion, attitudes towards family planning, and religious health fatalism. Designed as a descriptive and correlational study, it included 1,495 participants aged 18 and older. Data were analyzed using SPSS 27-V.
Results:
The participants exhibited moderate levels of stigmatizing attitudes towards abortion and health-related fatalism and high levels of positive attitudes towards family planning. Pearson correlation analysis revealed a moderate negative relationship between stigmatizing attitudes towards abortion and attitudes towards family planning, alongside a moderate positive relationship between stigmatizing attitudes towards abortion and health-related fatalism.
Conclusions:
The findings highlight that opposition to abortion negatively impacts attitudes towards family planning, with religious beliefs and fatalistic views significantly shaping these attitudes. Community awareness programs addressing stigma around abortion and family planning can enhance service accessibility. Moreover, culturally sensitive counseling and educational initiatives addressing the influence of religious and fatalistic beliefs could foster a better understanding of reproductive health, improving health outcomes within society.
REFERENCES (36)
1.
Terce C, Turan G, Uckan HH, Eser A, Ozler MR, Gunbay S, et al. The analysis of pregnancies terminated before and after the limit of viability: a medicolegal view. J Forensic Leg Med. 2023; 95: 102491. https://doi.org/10.1016/j.jflm....
2.
Yılmazbilek M. [Feminist perspective on voluntary childlessness and abortion debates]. Marmara Univ Women’s Gender Studies J. 2022; 6(1): 201-213 (in Turkish). https://doi.org/10.29228/mukat....
3.
Ratcliffe SE, Smylie CS, Pinkus RT, Dar-Nimrod I, Juraskova I, Dhillon HM. What is the optimal tool for measuring abortion stigma? A systematic review. Eur J Contracept Reprod Health Care. 2023; 28(2): 97-112. https://doi.org/10.1080/136251....
4.
Casey SE, Isa GP, Isumbisho Mazambi E, Giuffrida MM, Jayne Kulkarni M, Perera SM. Community perceptions of the impact of war on unintended pregnancy and induced abortion in Protection of Civilian sites in Juba, South Sudan. Glob Public Health. 2021; 17(9): 2176-2189. https://doi.org/10.1080/174416....
5.
Napier-Raman S, Hossain SZ, Mpofu E, Lee M-J, Liamputtong P, Dune T. Abortion experiences and perspectives amongst migrants and refugees: a systematic review. International Journal of Environmental Research and Public Health. 2024; 21(3): 312. https://doi.org/10.3390/ijerph....
6.
Aniteye P, O’Brien B, Mayhew SH. Stigmatized by association: challenges for abortion service providers in Ghana. BMC Health Services Research. 2016; 16: 1-10. https://doi.org/10.1186/s12913....
7.
Yıldırım MS, Yıldız M, Okyar G. Family planning attitudes, religious orientation and fatalistic tendency levels: a descriptive-correlational study in Turkey. J Relig Health. 2021; 60: 4115-4131. https://doi.org/10.1007/s10943....
8.
Bobov G, Capık C. The reliability and validity of the Religious Health Fatalism Scale in Turkish Language. Journal of Religion and Health. 2020; 59: 1080-1095. https://doi.org/10.1007/s10943....
9.
Mendoza-Catalán Geu DN, Figueroa-Perea JG, Gallegos-Cabriales EC, Salazar-González BC, Onofre- Rodríguez DJ, González-Ramírez J. Fatalistic beliefs, self-care, and HbA1c in Mexican men with type 2 diabetes mellitus: a cross-sectional study. Medicine. 2023; 102(31). https://doi.org/10.1097/MD.000....
10.
Bakan AB, Aslan G, Yıldız M. Determination of breast cancer fatalism in women and the investigation of the relationship between women’s cervical cancer and pap smear test health beliefs with religious orientation and fatalism. J Relig Health. 2021; 60: 1856-1876. https://doi.org/10.1007/s10943....
11.
Dayapoglu N, Ayyıldız Nİ, Şeker D. Determination of health fatalism and the factors affecting health fatalism in patients with epilepsy in the North of Turkey. Epilepsy Behavior. 2021; 115: 107641. https://doi.org/10.1016/j.yebe....
12.
TÜİK. [Address-based population registration system]. 2022 [Internet]. Ankara: Turkish Statistical Institute [access 2023 Jun 20]. Available from: https://data.tuik.gov.tr/Kateg... (in Turkish).
13.
TÜİK. [Children with statistics] [Internet]. Ankara: Turkish Statistical Institute; 2022 [access 2023 Jun 20]. Available from: https://data.tuik.gov.tr/Bulte... (in Turkish).
14.
www.medhesap.com [Internet]. [Universal Known Sample Calculation System]. Medhesap; 2023 [access 2024 Jun 20]. Available from: https://www.medhesap.com/ornek... (in Turkish).
15.
Gürbüz S, Şahin F. [Research methods in social sciences]. 3rd edition. Ankara: Seçkin Yayıncılık; 2016 (in Turkish).
16.
Güner Ö, Öztürk R. [Turkish validity and reliability study of stigmatizing attitudes, beliefs and actions scale towards abortion]. International Anatolia Academic Online Journal Health Sciences. 2021; 7(1): 65-80 (in Turkish).
17.
Örsal Ö, Kubilay G. [Developing Family Planning Attitude Scale]. Istanbul University Florence Nightingale Nursing School Journal. 2007; 15(60): 155-164 (in Turkish).
18.
Shellenberg KM, Hessini L, Levandowski BA. Developing a scale to measure stigmatizing attitudes and beliefs about women who have abortions: results from Ghana and Zambia. Women & Health. 2014; 54(7): 599-616. https://doi.org/10.1080/036302....
19.
Franklin MD, Schlundt DG, Wallston KA. Development and validation of a religious health fatalism measure for the African-American faith community. Journal of Health Psychology. 2008; 13(3): 323-335. https://doi.org/10.1177/135910....
20.
Tabachnick BG, Fidell LS, Ullman JB. Using multivariate statistics. Volume 6. Boston, MA: Pearson; 2013.
21.
Yeşilçınar İ, Şahin E, Yavan T. [Identification of the men’s attitudes towards family planning methods]. İKÇÜSBFD. 2022; 7(3): 577-583 (in Turkish).
22.
Hacettepe University Institute of Population Studies. [Turkey Demographic and Health Survey (TNSA) 2013 Main Report]. Ankara: Hacettepe University Institute of Population Studies; 2014 [access 2023Sep 10]. Available from: https://fs.hacettepe.edu.tr/hi... (in Turkish).
23.
Fox M. Abortion rates go down when countries make it legal: report. Charlotte: NBC News; 2018 March 20 [access 2024 Nov 8]. Available from: https://www.nbcnews.com/health....
24.
Asmamaw DB, Tafere TZ, Negash WD. Prevalence of teenage pregnancy and its associated factors in high fertility sub-Saharan Africa countries: a multilevel analysis. BMC Women’s Health. 2023; 23: 1-10. https://doi.org/10.1186/s12905....
25.
Sökmen Y, Kaya Odabaş R, Karaçam Z. The use of family planning methods and the methods used in Turkey: A systematic review and meta-analysis. Journal of Educational Research in Nursing. 2022; 19(1): 65-79. https://doi.org/10.5152/jern.2....
26.
Demirtaş Alpsalaz S, Tuğut N. The relationship between married women’s exposure to violence from their spouse and family planning attitudes and behaviors. Gevher Nesibe Journal of Medicine and Health Sciences. 2023; 8(1): 14-24. https://doi.org/10.5281/zenodo....
27.
Cresswell JA, Schroeder R, Dennis M, Owolabi O, Vwalika B, Musheke M, et al. Women’s knowledge and attitudes surrounding abortion in Zambia: a cross-sectional survey across three provinces. BMJ Open. 2016; 6: e010076. https://doi.org/10.1136/bmjope....
28.
Üstündağ-Budak AM, Larkin M, Greville-Harris G, Blissett J. Mothers’ accounts of their stillbirth experiences and of their subsequent relationships with their living infant: an interpretative phenomenological analysis. BMC Pregnancy and Childbirth. 2015; 15: 263. https://doi.org/10.1186/s12884....
29.
Erdoğan Ö, Işıl Ö, İlhan N, Cural K, Gül Ş, Yazgan M, et al. [Perspectives and stigmatization tendencies of university students studying in health-related departments towards different groups exposed to stigmatization]. Haliç University Journal of Health Sciences. 2021; 4(3): 187-199 (in Turkish). https://doi.org/10.48124/husag....
30.
Küğcümen G, Işık C, Kala Ş. Investigation of the attitudes of women of reproductive age to family planning with the anxiety they experienced during the pandemic period. Int J Caring Sci. 2023; 16(1): 420-429.
31.
Sorhaindo AM, Lavelanet AF. Why does abortion stigma matter? A scoping review and hybrid analysis of qualitative evidence illustrating the role of stigma in the quality of abortion care. Soc Sci Med. 2022; 311: 115271. https://doi.org/10.1016/j.socs....
32.
Holcombe SJ, Burrowes S, Hailu D, Scott R, Berhe A. 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. 2018; 22(2): 26-39.
33.
Makenzius M, McKinney G, Oguttu M, Romild U. Stigma related to contraceptive use and abortion in Kenya: scale development and validation. Reproductive Health. 2019; 16: 136. https://doi.org/10.1186/s12978....
34.
López MM, Celis KF, Forteza CG, Saltijeral MT, Schiavon R, Collado ME, et al. Relationship between perceived stigma and depressive symptomatology in women who legally interrupt pregnancy in Mexico City. Salud Mental. 2019; 42(1): 25-32. https://doi.org/10.17711/SM.01....
35.
Rehnström Loi U, Gemzell-Danielsson K, Faxelid E, Klingberg-Allvin M. Health care providers’ perceptions of and attitudes towards induced abortions in sub-Saharan Africa and Southeast Asia: a systematic literature review of qualitative and quantitative data. BMC Public Health. 2015; 15: 139. https://doi.org/10.1186/s12889....
36.
Perković R, Hrkać A, Dujić G, Ćurlin M, Krišto B. The influence of religiosity and personality dimensions on the attitudes about abortion. Psychiatria Danubina. 2019; 31(Suppl. 5): 805-813.
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| ISSN: | 2353-6942 |
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