Abortion stigma in healthcare: physicians’ perspectives

This study examines the stigmatizing attitudes, beliefs, and behaviors of physicians and senior medical students in Kayseri, a mid-sized city located in Central Anatolia, Türkiye, toward abortion, exploring the factors influencing these views. Given the limited research on abortion stigma among Turkish physicians, the study provides valuable insights into their role in shaping abortion access and perceptions. A cross-sectional study was conducted in December 2024 with 585 participants through face-to-face questionnaire administration during their workplace rest periods, including assistant and specialist physicians, general practitioners, and senior medical students. Data were collected using a questionnaire comprising sociodemographic questions and the Stigmatizing Attitudes, Beliefs, and Behaviors Scale Towards Abortion (STAS-SABAS). Statistical analysis included Mann-Whitney U, Kruskal-Wallis, and Spearman’s correlation tests. Results showed a mean stigma score of 26.48 ± 9.06, indicating low stigmatization levels. Male participants and those who supported abortion only for medical reasons had significantly higher stigma scores. Additionally, 18% of participants were unaware of Turkey’s legal abortion framework. Physicians unwilling to perform abortions despite training exhibited higher stigma levels. While 85.3% supported conscientious objection, those who did had higher stigma scores. The study highlights the need for enhanced reproductive health education to reduce stigma and improve abortion-related care. Raising awareness of legal rights and promoting nonjudgmental care can help ensure equitable abortion access.