Footman, Katy;
Bright, Suzanna;
Kavanagh, Jayne;
Parnham, Emma;
Bury, Louise;
Hoggart, Lesley;
(2024)
Exploring provider preference and provision of abortion methods and stigma: Secondary analysis of a United Kingdom provider survey.
Perspectives on Sexual and Reproductive Health
, 56
(1)
pp. 50-59.
10.1111/psrh.12254.
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Abstract
INTRODUCTION: Method choice is an important component of quality abortion care and qualitative research suggests that abortion stigma can influence provider preference and provision of abortion methods. This study is the first to explore the relationships between abortion providers' method preferences, their provision of medication or instrumentation abortion or both methods, and abortion stigma. METHODS: We conducted secondary analysis of a survey of United Kingdom (UK) abortion providers (N = 172) to describe and compare providers' self-reported method preferences and provision. We used multinomial logistic regression to assess the association between method preference and provider experiences of abortion stigma (measured using a revised Abortion Provider Stigma Scale (APSS)), adjusting for relevant provider and facility characteristics. RESULTS: Almost half (52%) of providers reported that they only provided medication abortion care, while 5% only provided instrumentation abortion care and 43% provided both methods. Most (62%) preferred to provide both methods while 32% preferred to provide only medication abortion and 6% only instrumentation abortion. There was no significant difference in revised APSS scores by provider method preference or provision. DISCUSSION: Most surveyed UK abortion providers prefer to offer both methods, but over half only provide medication abortion. This may reflect patients' preferences for medication abortion, and health system and legal constraints on instrumentation abortion. Addressing these systemic constraints on method provision could expand patient choice. Providers' method preference was not significantly associated with provider stigma but future research should consider the influence of structural stigma on method provision at the health system level.
| Type: | Article |
|---|---|
| Title: | Exploring provider preference and provision of abortion methods and stigma: Secondary analysis of a United Kingdom provider survey |
| Location: | United States |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1111/psrh.12254 |
| Publisher version: | https://doi.org/10.1111/psrh.12254 |
| Language: | English |
| Additional information: | © 2024 The Authors. Perspectives on Sexual and Reproductive Health published by Wiley Periodicals LLC on behalf of University of Ottawa. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
| Keywords: | Social Sciences, Demography, Family Studies, abortion, quality of care, service providers, MEDICAL ABORTION, SAFE ABORTION, PUBLIC-SECTOR, SOUTH-AFRICA, CARE, SATISFACTION, TERMINATION, QUALITY, ENGLAND, IMPACT |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > UCL Medical School |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10189977 |
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