Abortion after diagnosis of fetal anomaly: Psychometric properties of a German version of the individual level abortion stigma scale
Diagnosis of fetal anomaly is a significant life event and social stigma can negatively impact on the well-being of women opting for an abortion. This study investigated the psychometric properties of a measure of stigma among women who had had an abortion after diagnosis of fetal anomaly in a Germa...
Gespeichert in:
| Veröffentlicht in: | PloS one 2018-06, Vol.13 (6), p.e0197986-e0197986 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | e0197986 |
|---|---|
| container_issue | 6 |
| container_start_page | e0197986 |
| container_title | PloS one |
| container_volume | 13 |
| creator | Hanschmidt, Franz Nagl, Michaela Klingner, Johanna Stepan, Holger Kersting, Anette |
| description | Diagnosis of fetal anomaly is a significant life event and social stigma can negatively impact on the well-being of women opting for an abortion. This study investigated the psychometric properties of a measure of stigma among women who had had an abortion after diagnosis of fetal anomaly in a German setting.
The Individual Level Abortion Stigma (ILAS) scale was translated into German. Psychometric properties of the ILAS scale were examined among 130 women with a history of an abortion after diagnosis of fetal anomaly. Individual and situational factors associated with stigma in the context of an abortion after diagnosis of fetal anomaly were explored.
Factor analysis suggested a four-dimensional structure of the German version of the Individual Level Abortion Stigma scale (Cronbach's α, .83-.91), corresponding to the subscales of the original scale. Test-retest reliability was acceptable for the worries about judgment subscale, the self-judgment subscale, and the community condemnation subscale, but less convincing for the isolation subscale. Associations between the subscales and measures of depression, self-esteem and secrecy were found in directions consistent with theory. Women who did not perceive their fetus to have a low survival chance and women whose fetus was at higher gestational age reported higher levels of stigma, whereas higher perceived partner support was associated with lower levels of stigma.
Generalizability of study results was limited, as participants were recruited from one clinic in Germany and the study had a response rate of 46.5%.
The ILAS subscales are largely reliable and valid measures to assess stigma among women who have had an abortion after diagnosis of fetal anomaly. Suggestions for improving the assessment of stigma experienced in this population are outlined. The scales can be useful in research aiming at investigating psychological outcomes of abortion after diagnosis of fetal anomaly and improving care structures. |
| doi_str_mv | 10.1371/journal.pone.0197986 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_plos_</sourceid><recordid>TN_cdi_plos_journals_2054048379</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A542343495</galeid><doaj_id>oai_doaj_org_article_452472db6ac34db6a13139bef03f36f6</doaj_id><sourcerecordid>A542343495</sourcerecordid><originalsourceid>FETCH-LOGICAL-c692t-3fdc689c425a7103d50153633302fabf67b1f5aa3fd8a9a17e2253b3b4d679a13</originalsourceid><addsrcrecordid>eNqNk02P0zAQhiMEYpeFf4AgEhKCQ0sSO07MAalawVJppUV8Xa2JM25dOXGxk4re-eE423TVoD2gHByPn_cde-yJoudpMk9Jkb7b2N61YOZb2-I8SXnBS_YgOk85yWYsS8jDk_-z6In3myTJScnY4-gs4yWntKDn0Z9FZV2nbRuD6tDFtYZVa732sVWxwg5MDK1twOzfx1_8Xq5tg53TMt46u8WgxFsS4it0DbTxDp0f3EKsW2Os21rvdN0HG4M7DGbHdL7TqwZiL8Hg0-iRAuPx2TheRD8-ffx--Xl2fXO1vFxczyTjWTcjqpas5JJmORRpQuo8SXPCCCFJpqBSrKhSlQMErgQOaYFZlpOKVLRmRZiTi-jlwXdrrBdjAb3IkpwmtCQFD8TyQNQWNmLrdANuLyxocRuwbiUg7F8aFDTPaJHVFQNJ6DCkJCW8QpUQRZhiwevDmK2vGqwltp0DMzGdrrR6LVZ2J3LOC5LTYPBmNHD2V4--E432Eo2BFm1_2He4xpKVAX31D3r_6UZqFYoudKtsyCsHU7HIaUYooTwP1PweKnw1NlqG16Z0iE8EbyeCwHT4u1tB771Yfvv6_-zNzyn7-oRdI5hu7a3ph_fjpyA9gNJZ7x2quyKniRia5VgNMTSLGJslyF6cXtCd6Ngd5C_RwxCs</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2054048379</pqid></control><display><type>article</type><title>Abortion after diagnosis of fetal anomaly: Psychometric properties of a German version of the individual level abortion stigma scale</title><source>MEDLINE</source><source>DOAJ Directory of Open Access Journals</source><source>Public Library of Science (PLoS)</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>Free Full-Text Journals in Chemistry</source><creator>Hanschmidt, Franz ; Nagl, Michaela ; Klingner, Johanna ; Stepan, Holger ; Kersting, Anette</creator><contributor>Upadhyay, Ushma D.</contributor><creatorcontrib>Hanschmidt, Franz ; Nagl, Michaela ; Klingner, Johanna ; Stepan, Holger ; Kersting, Anette ; Upadhyay, Ushma D.</creatorcontrib><description>Diagnosis of fetal anomaly is a significant life event and social stigma can negatively impact on the well-being of women opting for an abortion. This study investigated the psychometric properties of a measure of stigma among women who had had an abortion after diagnosis of fetal anomaly in a German setting.
The Individual Level Abortion Stigma (ILAS) scale was translated into German. Psychometric properties of the ILAS scale were examined among 130 women with a history of an abortion after diagnosis of fetal anomaly. Individual and situational factors associated with stigma in the context of an abortion after diagnosis of fetal anomaly were explored.
Factor analysis suggested a four-dimensional structure of the German version of the Individual Level Abortion Stigma scale (Cronbach's α, .83-.91), corresponding to the subscales of the original scale. Test-retest reliability was acceptable for the worries about judgment subscale, the self-judgment subscale, and the community condemnation subscale, but less convincing for the isolation subscale. Associations between the subscales and measures of depression, self-esteem and secrecy were found in directions consistent with theory. Women who did not perceive their fetus to have a low survival chance and women whose fetus was at higher gestational age reported higher levels of stigma, whereas higher perceived partner support was associated with lower levels of stigma.
Generalizability of study results was limited, as participants were recruited from one clinic in Germany and the study had a response rate of 46.5%.
The ILAS subscales are largely reliable and valid measures to assess stigma among women who have had an abortion after diagnosis of fetal anomaly. Suggestions for improving the assessment of stigma experienced in this population are outlined. The scales can be useful in research aiming at investigating psychological outcomes of abortion after diagnosis of fetal anomaly and improving care structures.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0197986</identifier><identifier>PMID: 29894474</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Abortion ; Abortion, Induced - psychology ; Adult ; Analysis ; Attitudes ; Biology and Life Sciences ; Diagnosis ; Factor analysis ; Female ; Fetal diseases ; Fetal Diseases - diagnosis ; Fetuses ; Germany ; Gestational age ; Humans ; Medical diagnosis ; Medicine ; Medicine and Health Sciences ; Mental depression ; Mental disorders ; Multivariate Analysis ; People and Places ; Physical Sciences ; Pregnancy ; Properties (attributes) ; Psychological factors ; Psychometrics ; Psychosomatic medicine ; Quantitative psychology ; Regression Analysis ; Research and Analysis Methods ; Risk factors ; Self image ; Social Sciences ; Social Stigma ; Stigma ; Stigmas (botany) ; Surveys and Questionnaires ; Well being ; Women's health ; Womens health ; Young Adult</subject><ispartof>PloS one, 2018-06, Vol.13 (6), p.e0197986-e0197986</ispartof><rights>COPYRIGHT 2018 Public Library of Science</rights><rights>2018 Hanschmidt et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2018 Hanschmidt et al 2018 Hanschmidt et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-3fdc689c425a7103d50153633302fabf67b1f5aa3fd8a9a17e2253b3b4d679a13</citedby><cites>FETCH-LOGICAL-c692t-3fdc689c425a7103d50153633302fabf67b1f5aa3fd8a9a17e2253b3b4d679a13</cites><orcidid>0000-0001-8951-8321</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5997354/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5997354/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793,79600,79601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29894474$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Upadhyay, Ushma D.</contributor><creatorcontrib>Hanschmidt, Franz</creatorcontrib><creatorcontrib>Nagl, Michaela</creatorcontrib><creatorcontrib>Klingner, Johanna</creatorcontrib><creatorcontrib>Stepan, Holger</creatorcontrib><creatorcontrib>Kersting, Anette</creatorcontrib><title>Abortion after diagnosis of fetal anomaly: Psychometric properties of a German version of the individual level abortion stigma scale</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Diagnosis of fetal anomaly is a significant life event and social stigma can negatively impact on the well-being of women opting for an abortion. This study investigated the psychometric properties of a measure of stigma among women who had had an abortion after diagnosis of fetal anomaly in a German setting.
The Individual Level Abortion Stigma (ILAS) scale was translated into German. Psychometric properties of the ILAS scale were examined among 130 women with a history of an abortion after diagnosis of fetal anomaly. Individual and situational factors associated with stigma in the context of an abortion after diagnosis of fetal anomaly were explored.
Factor analysis suggested a four-dimensional structure of the German version of the Individual Level Abortion Stigma scale (Cronbach's α, .83-.91), corresponding to the subscales of the original scale. Test-retest reliability was acceptable for the worries about judgment subscale, the self-judgment subscale, and the community condemnation subscale, but less convincing for the isolation subscale. Associations between the subscales and measures of depression, self-esteem and secrecy were found in directions consistent with theory. Women who did not perceive their fetus to have a low survival chance and women whose fetus was at higher gestational age reported higher levels of stigma, whereas higher perceived partner support was associated with lower levels of stigma.
Generalizability of study results was limited, as participants were recruited from one clinic in Germany and the study had a response rate of 46.5%.
The ILAS subscales are largely reliable and valid measures to assess stigma among women who have had an abortion after diagnosis of fetal anomaly. Suggestions for improving the assessment of stigma experienced in this population are outlined. The scales can be useful in research aiming at investigating psychological outcomes of abortion after diagnosis of fetal anomaly and improving care structures.</description><subject>Abortion</subject><subject>Abortion, Induced - psychology</subject><subject>Adult</subject><subject>Analysis</subject><subject>Attitudes</subject><subject>Biology and Life Sciences</subject><subject>Diagnosis</subject><subject>Factor analysis</subject><subject>Female</subject><subject>Fetal diseases</subject><subject>Fetal Diseases - diagnosis</subject><subject>Fetuses</subject><subject>Germany</subject><subject>Gestational age</subject><subject>Humans</subject><subject>Medical diagnosis</subject><subject>Medicine</subject><subject>Medicine and Health Sciences</subject><subject>Mental depression</subject><subject>Mental disorders</subject><subject>Multivariate Analysis</subject><subject>People and Places</subject><subject>Physical Sciences</subject><subject>Pregnancy</subject><subject>Properties (attributes)</subject><subject>Psychological factors</subject><subject>Psychometrics</subject><subject>Psychosomatic medicine</subject><subject>Quantitative psychology</subject><subject>Regression Analysis</subject><subject>Research and Analysis Methods</subject><subject>Risk factors</subject><subject>Self image</subject><subject>Social Sciences</subject><subject>Social Stigma</subject><subject>Stigma</subject><subject>Stigmas (botany)</subject><subject>Surveys and Questionnaires</subject><subject>Well being</subject><subject>Women's health</subject><subject>Womens health</subject><subject>Young Adult</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNqNk02P0zAQhiMEYpeFf4AgEhKCQ0sSO07MAalawVJppUV8Xa2JM25dOXGxk4re-eE423TVoD2gHByPn_cde-yJoudpMk9Jkb7b2N61YOZb2-I8SXnBS_YgOk85yWYsS8jDk_-z6In3myTJScnY4-gs4yWntKDn0Z9FZV2nbRuD6tDFtYZVa732sVWxwg5MDK1twOzfx1_8Xq5tg53TMt46u8WgxFsS4it0DbTxDp0f3EKsW2Os21rvdN0HG4M7DGbHdL7TqwZiL8Hg0-iRAuPx2TheRD8-ffx--Xl2fXO1vFxczyTjWTcjqpas5JJmORRpQuo8SXPCCCFJpqBSrKhSlQMErgQOaYFZlpOKVLRmRZiTi-jlwXdrrBdjAb3IkpwmtCQFD8TyQNQWNmLrdANuLyxocRuwbiUg7F8aFDTPaJHVFQNJ6DCkJCW8QpUQRZhiwevDmK2vGqwltp0DMzGdrrR6LVZ2J3LOC5LTYPBmNHD2V4--E432Eo2BFm1_2He4xpKVAX31D3r_6UZqFYoudKtsyCsHU7HIaUYooTwP1PweKnw1NlqG16Z0iE8EbyeCwHT4u1tB771Yfvv6_-zNzyn7-oRdI5hu7a3ph_fjpyA9gNJZ7x2quyKniRia5VgNMTSLGJslyF6cXtCd6Ngd5C_RwxCs</recordid><startdate>20180612</startdate><enddate>20180612</enddate><creator>Hanschmidt, Franz</creator><creator>Nagl, Michaela</creator><creator>Klingner, Johanna</creator><creator>Stepan, Holger</creator><creator>Kersting, Anette</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0001-8951-8321</orcidid></search><sort><creationdate>20180612</creationdate><title>Abortion after diagnosis of fetal anomaly: Psychometric properties of a German version of the individual level abortion stigma scale</title><author>Hanschmidt, Franz ; Nagl, Michaela ; Klingner, Johanna ; Stepan, Holger ; Kersting, Anette</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-3fdc689c425a7103d50153633302fabf67b1f5aa3fd8a9a17e2253b3b4d679a13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Abortion</topic><topic>Abortion, Induced - psychology</topic><topic>Adult</topic><topic>Analysis</topic><topic>Attitudes</topic><topic>Biology and Life Sciences</topic><topic>Diagnosis</topic><topic>Factor analysis</topic><topic>Female</topic><topic>Fetal diseases</topic><topic>Fetal Diseases - diagnosis</topic><topic>Fetuses</topic><topic>Germany</topic><topic>Gestational age</topic><topic>Humans</topic><topic>Medical diagnosis</topic><topic>Medicine</topic><topic>Medicine and Health Sciences</topic><topic>Mental depression</topic><topic>Mental disorders</topic><topic>Multivariate Analysis</topic><topic>People and Places</topic><topic>Physical Sciences</topic><topic>Pregnancy</topic><topic>Properties (attributes)</topic><topic>Psychological factors</topic><topic>Psychometrics</topic><topic>Psychosomatic medicine</topic><topic>Quantitative psychology</topic><topic>Regression Analysis</topic><topic>Research and Analysis Methods</topic><topic>Risk factors</topic><topic>Self image</topic><topic>Social Sciences</topic><topic>Social Stigma</topic><topic>Stigma</topic><topic>Stigmas (botany)</topic><topic>Surveys and Questionnaires</topic><topic>Well being</topic><topic>Women's health</topic><topic>Womens health</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hanschmidt, Franz</creatorcontrib><creatorcontrib>Nagl, Michaela</creatorcontrib><creatorcontrib>Klingner, Johanna</creatorcontrib><creatorcontrib>Stepan, Holger</creatorcontrib><creatorcontrib>Kersting, Anette</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Opposing Viewpoints</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Meteorological & Geoastrophysical Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Materials Science Collection</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Meteorological & Geoastrophysical Abstracts - Academic</collection><collection>ProQuest Engineering Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Agricultural Science Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Engineering Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Environmental Science Database</collection><collection>Materials Science Collection</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hanschmidt, Franz</au><au>Nagl, Michaela</au><au>Klingner, Johanna</au><au>Stepan, Holger</au><au>Kersting, Anette</au><au>Upadhyay, Ushma D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Abortion after diagnosis of fetal anomaly: Psychometric properties of a German version of the individual level abortion stigma scale</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2018-06-12</date><risdate>2018</risdate><volume>13</volume><issue>6</issue><spage>e0197986</spage><epage>e0197986</epage><pages>e0197986-e0197986</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Diagnosis of fetal anomaly is a significant life event and social stigma can negatively impact on the well-being of women opting for an abortion. This study investigated the psychometric properties of a measure of stigma among women who had had an abortion after diagnosis of fetal anomaly in a German setting.
The Individual Level Abortion Stigma (ILAS) scale was translated into German. Psychometric properties of the ILAS scale were examined among 130 women with a history of an abortion after diagnosis of fetal anomaly. Individual and situational factors associated with stigma in the context of an abortion after diagnosis of fetal anomaly were explored.
Factor analysis suggested a four-dimensional structure of the German version of the Individual Level Abortion Stigma scale (Cronbach's α, .83-.91), corresponding to the subscales of the original scale. Test-retest reliability was acceptable for the worries about judgment subscale, the self-judgment subscale, and the community condemnation subscale, but less convincing for the isolation subscale. Associations between the subscales and measures of depression, self-esteem and secrecy were found in directions consistent with theory. Women who did not perceive their fetus to have a low survival chance and women whose fetus was at higher gestational age reported higher levels of stigma, whereas higher perceived partner support was associated with lower levels of stigma.
Generalizability of study results was limited, as participants were recruited from one clinic in Germany and the study had a response rate of 46.5%.
The ILAS subscales are largely reliable and valid measures to assess stigma among women who have had an abortion after diagnosis of fetal anomaly. Suggestions for improving the assessment of stigma experienced in this population are outlined. The scales can be useful in research aiming at investigating psychological outcomes of abortion after diagnosis of fetal anomaly and improving care structures.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>29894474</pmid><doi>10.1371/journal.pone.0197986</doi><tpages>e0197986</tpages><orcidid>https://orcid.org/0000-0001-8951-8321</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2018-06, Vol.13 (6), p.e0197986-e0197986 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_2054048379 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS); EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Abortion Abortion, Induced - psychology Adult Analysis Attitudes Biology and Life Sciences Diagnosis Factor analysis Female Fetal diseases Fetal Diseases - diagnosis Fetuses Germany Gestational age Humans Medical diagnosis Medicine Medicine and Health Sciences Mental depression Mental disorders Multivariate Analysis People and Places Physical Sciences Pregnancy Properties (attributes) Psychological factors Psychometrics Psychosomatic medicine Quantitative psychology Regression Analysis Research and Analysis Methods Risk factors Self image Social Sciences Social Stigma Stigma Stigmas (botany) Surveys and Questionnaires Well being Women's health Womens health Young Adult |
| title | Abortion after diagnosis of fetal anomaly: Psychometric properties of a German version of the individual level abortion stigma scale |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-07T11%3A07%3A46IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Abortion%20after%20diagnosis%20of%20fetal%20anomaly:%20Psychometric%20properties%20of%20a%20German%20version%20of%20the%20individual%20level%20abortion%20stigma%20scale&rft.jtitle=PloS%20one&rft.au=Hanschmidt,%20Franz&rft.date=2018-06-12&rft.volume=13&rft.issue=6&rft.spage=e0197986&rft.epage=e0197986&rft.pages=e0197986-e0197986&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0197986&rft_dat=%3Cgale_plos_%3EA542343495%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2054048379&rft_id=info:pmid/29894474&rft_galeid=A542343495&rft_doaj_id=oai_doaj_org_article_452472db6ac34db6a13139bef03f36f6&rfr_iscdi=true |