The “abortion imaginary”: Shared perceptions and personal representations among everyday Americans

By: Tricia C. Bruce, Kendra Hutchens, and Sarah K. Cowan

Published in: Science Advances 10 (9)

Drawing upon 217 in-depth interviews and the concept of the “social imaginary,” we introduce the “abortion imaginary”—a set of shared understandings regarding abortion and abortion patients. We identify four interrelated facets of the U.S. abortion imaginary pertaining to who gets an abortion and why: maternal inevitability, economic decision-making, relationship precarity, and emotional fragility. We then show how shared perceptions of abortion patients diverge into polarized opinions, revealing how those who know someone who has had an abortion differ from those who do not. Centering personal “exemplars,” we integrate conceptual work on social imaginaries with contact theory to illuminate how divergent opinions coexist with shared cultural understandings.

Stasis and Sorting of Americans’ Abortion Opinions: Political Polarization Added to Religious and Other Differences

By: Michael Hout, Stuart Perrett, & Sarah K. Cowan

Published in: Socius 8, 2022

Americans disagree on legal abortion now about as much as they did in the 1970s, but their attitudes now sort much more according to political identity. Differences of opinion by religion, gender, race, and work that were key to understanding abortion attitudes in the 1970s persisted through 2021. The General Social Survey shows that first conservatives increased their opposition to legal abortion rights; their mean score dropped 1.1 points (on a 6-point scale) from 3.8 to 2.7 from 1974 to 2004. As conservatives’ opinions leveled off, liberals increased their support of abortion rights from 4.7 in 2004 to 5.3 or 5.4 in 2021 (because of Covid-19, survey mode changed, creating uncertainty about the sources of change). Women were significantly more divided by political ideology than men were throughout the time series, but gendered political differences did not displace or reduce religious, educational, racial, or work-life differences.

Willing but unable: Physicians' referral knowledge as barriers to abortion care

By: Elizabeth M. Anderson, Sarah K. Cowan, Jenny A. Higgins, Nicholas B. Schmuhl, & Cynthie K. Wautlet

Published in: Social Science and Medicine - Population Health 17 (2022)

Abortion care is a crucial part of reproductive healthcare. Nevertheless, its availability is constrained by numerous forces, including care referrals within the larger healthcare system. Using a unique study of physician faculty across multiple specialties, we examine the factors associated with doctors' ability to refer patients for abortion care among those who were willing to consult in the care of a patient seeking an abortion (N = 674). Even though they were willing to refer a patient for an abortion, half (53%) of the physicians did not know how and whom to make those referrals, though they care for patients who may need them. Those with the least referral knowledge had not been taught abortion care during their medical training and were in earlier stages of their career than those who had more knowledge. This research exposes another obstacle for those seeking an abortion, a barrier that would be overcome with a clear and robust referral system within and across medical specialties.