Attitudes toward Abortion among Providers of Reproductive Health Care

• Published in: Women's health issues Vol. 26; no. 5; pp. 511 - 516
• Main Authors: Dodge, Laura E., ScD, MPH, Haider, Sadia, MD, MPH, Hacker, Michele R., ScD, MSPH
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.09.2016
• Subjects: Abortion, Induced; Abortion, Legal - economics; Adult; Attitude of Health Personnel; Female; Health Knowledge, Attitudes, Practice; Health Personnel - psychology; Humans; Middle Aged; Obstetrics; Obstetrics and Gynecology; Physicians - ethics; Physicians - psychology; Pregnancy; Religion; Sex Factors; Socioeconomic Factors; Surveys and Questionnaires
• ISSN: 1049-3867; 1878-4321
• DOI: 10.1016/j.whi.2016.06.005

Abstract Background Access to abortion continues to decrease in the United States. The aim of this study was to explore attitudes toward abortion among clinicians who provide reproductive health care. Methods Clinician members of several reproductive health professional organizations completed a self-administered survey that assessed their attitudes toward abortion. Results A total of 278 clinicians who provided clinical reproductive health services within the United States were included. Nearly all strongly agreed that abortion should be available in cases of rape (89.6%), incest (89.2%), life endangerment (93.2%), health endangerment (91.0%), and fetal anomaly (85.9%). Although most strongly disagreed that spousal notification (81.3%) and spousal consent (86.6%) should be required for married women, fewer strongly disagreed that parental notification (57.6%) and parental consent (66.9%) should be required for minors. Respondents were generally supportive of private insurance coverage (70.1% strongly agreed) and Medicaid coverage (65.0% strongly agreed) for abortion services. Support for legal abortion and public funding of abortion were significantly associated with being female (both p  ≤ .03) and having no personal religious affiliation (both p  ≤ .04). Younger respondents and men were more supportive of third-party involvement and mandatory counseling (all p  ≤ .02). Abortion providers were significantly more supportive of abortion access (legality of abortion, public and private funding, no third-party involvement, and no mandated counseling) than nonproviders (all p  < .001). Conclusions Although reproductive health care providers were generally supportive of legal abortion and funding for abortion, lower support among younger respondents may indicate future difficulties in maintaining a clinical workforce that is willing to provide abortion care.