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Personality and Individual Differences 146 (2019) 87–92

Contents lists available at ScienceDirect

Personality and Individual Differences


journal homepage: www.elsevier.com/locate/paid

The interacting roles of abortion stigma and gender on attitudes toward T


abortion legality

Alison J. Patev , Kristina B. Hood, Calvin J. Hall
Virginia Commonwealth University, 806 W. Franklin St., Richmond, VA 23284, United States of America

A R T I C LE I N FO A B S T R A C T

Keywords: Abortion remains a hot-button political topic in the United States. Previous research demonstrates the impact of
Abortion religiosity and gender on attitudes toward abortion legality. However, limited work has examined the re-
Abortion legality attitudes lationship between abortion stigma and abortion legality attitudes. Furthermore, as both gender and religiosity
Abortion stigma are connected to stigma, it is plausible that gender, religiosity, and stigma might interact to drive abortion
Gender
legality attitudes. The current work used an online, self-administered sample of U.S. adults, recruited via
Religiosity
Amazon's Mechanical Turk. A moderated moderation analysis aimed to demonstrate the effects of abortion
stigma on abortion legality attitudes, and explore interactions between gender, religiosity, and abortion stigma.
Results showed a significant main effect of stigma on legality attitudes, such that increased stigma was related to
more negative attitudes. Furthermore, there was a significant three-way interaction of religiosity, gender, and
stigma. For men, religiosity significantly predicted abortion legality attitudes at low stigma, but for women,
religiosity was related to legality attitudes at all levels of stigma. These results have implications for prediction of
abortion legality attitudes, policy support, and voting behaviors and can inform abortion stigma reduction
programs.

1. Introduction individuals who have had abortions and those who have not. Finally,
those who have had an abortion experience a loss of social status and
Abortion rates in the United States (U.S.) have steadily declined, discrimination (Kumar et al., 2009; Shellenberg et al., 2014). Although
decreasing by 25% between 2008 and 2014 (Jones & Jerman, 2017). stigma can be held against abortion providers and pro-choice suppor-
Despite these decreases, about 24% of all women between ages 15–44 ters (Norris et al., 2011), this work only addresses stigmatizing attitudes
will have an abortion in their lifetimes (Jones & Jerman, 2017). For toward individuals who have sought abortions.
women who seek or receive an abortion, significant abortion stigma still To examine stigmatizing abortion attitudes, we use the framework
exists (Kumar, Hessini, & Mitchell, 2009; Norris et al., 2011; for stigmatizing attitudes, beliefs, and actions (Shellenberg et al.,
Hanschmidt, Linde, Hilbert, Riedel-Heller, & Kersting, 2016). Stigma is 2014). This framework has three components. The first is labeling and
a social process reproduced by socially dominant members of society stereotyping, which reflects negative attributes and stereotypes assigned
(Link & Phelan, 2001), who hold and share stigmatizing attitudes to- to women who have received abortions. The second component is ex-
ward, perpetuate stereotypes about, and discriminate against in- clusion and discrimination, reflecting agreement with discrimination
dividuals from marginalized groups (Hanschmidt et al., 2016). against and ostracizing of women who have had abortions. The final
In U.S. society, individuals who seek abortions are highly stigma- component is a fear of contagion, which suggests that abortion is un-
tized. Stigma leads individuals who have not had abortions to assign clean or unhealthy, and women who seek abortion might contaminate
negative attributes to those who seek abortion (Kumar et al., 2009; or corrupt others. These stigmatizing attitudes and beliefs are a crucial
Norris et al., 2011). Stigmatizing views of abortion, such as a violation part of abortion stigma perpetuation.
of traditional expectations of womanhood, lead to the process by which Understanding abortion stigma is important, as it is related to ne-
stigma is perpetuated (Link & Phelan, 2001; Shellenberg, Hessini, & gative outcomes for women have sought abortion. Research shows that
Levandowski, 2014). First, dominant social beliefs surrounding wo- stigma can lead to psychological distress before and after an abortion
manhood, motherhood, and morality lead to stereotyping women who (Major & Gramzow, 1999; Steinberg, Tschann, Furgerson, & Harper,
seek abortion as deviant and selfish. Then, separation occurs between 2017). Following an abortion, women are more likely to experience


Corresponding author at: Virginia Commonwealth University, 806 W. Franklin St., P.O. Box 842018, Richmond, VA 23284, United States of America.
E-mail address: patevaj@mymail.vcu.edu (A.J. Patev).

https://doi.org/10.1016/j.paid.2019.04.005
Received 25 October 2018; Received in revised form 6 March 2019; Accepted 2 April 2019
0191-8869/ © 2019 Elsevier Ltd. All rights reserved.
A.J. Patev, et al. Personality and Individual Differences 146 (2019) 87–92

distress if they perceive more stigma (Major & Gramzow, 1999) and are attitudes surrounding abortion, abortion stigma is a social process by
more likely to isolate themselves, resulting in less social support which stigmatizing attitudes, beliefs, and actions, are enacted toward
(O'Donnell, O'Carroll, & Toole, 2018). Further, increased abortion individuals who have sought abortion. In the context of this study,
stigma may lead to life-threatening medical complications, as in- stigma and stigmatizing attitudes are externalized, meaning that they
dividuals who perceive stigma may be less likely to seek care for post- are enacted against women. In contrast, abortion legality attitudes are
abortion complications (Harris, 2012). As abortion stigma can nega- attitudes held by anyone, and do not inherently discredit or marginalize
tively impact the health of individuals who seek abortion, it is im- women seeking abortion (though laws and stigma are linked; see Kumar
portant to understand factors leading to stigmatizing attitudes. et al., 2009). Generally, these attitudes are toward the act of abortion
One factor associated with abortion legality attitudes and stigma- itself and opinions on whether it should remain legal. It is reasonable to
tizing attitudes is religiosity. Four common themes define religiosity suggest a connection between stigmatizing attitudes and abortion leg-
across numerous religions and beliefs, called the “four B's”: believing, ality attitudes. Individuals who hold more stigmatizing attitudes are
bonding, behaving, and belonging (Saroglou, 2011). It is not necessary likely to think women who seek abortion are immoral or dirty, (Kumar
for each component to appear in equal measure for each individual, et al., 2009). Through their actions, women who have had abortions are
leading to a range of ways that religiosity manifests. Although some perceived to violate social norms (Kumar et al., 2009). Because ideas
have taken a limited approach to defining religiosity, such as “partici- about women who have sought abortions stem from the action they
pation in religious activities” (Begun & Walls, 2015), the current work have taken, it is plausible that individuals will feel negatively toward
takes a broader approach, defining religiosity as individuals' percep- that action as well. That is, endorsing abortion stigma will be connected
tions of their connection to a religion. This approach is necessary due to to negative attitudes toward abortion legality.
the various aspects of religiosity and the lack of necessity for adherence Support for legal abortion continues to hold a majority in the United
to all dimensions of religiosity. States. Currently, 57% of Americans believe that abortion should be
In the U.S., more religious individuals are less likely to support legal legal in all or most cases (Pew Research Center, 2018a), although
abortion (Pew Research Center, 2018a). Religiosity has been linked to opinions remain divided along party lines. Nearly 71% of Republicans
abortion stigma, and is an important factor for the creation of abortion reported that abortion should be illegal, while 91% of Democrats re-
stigma (Kumar et al., 2009; Norris et al., 2011). Frohwirth, Coleman, ported that abortion should be legal (Pew Research Center, 2018a).
and Moore (2018) interviewed women who had abortions and found Most recently, the confirmation of U.S. Supreme Court conservative
that increased religiosity was associated with experiences of perceived Justice Brett Kavanaugh has led to uneasiness among pro-choice acti-
and felt stigma and ostracism. In a quantitative study of self-stigmati- vists, as his confirmation could threaten Roe v. Wade (Matthews, 2018).
zation, religious women who had sought abortion who endorsed sig- With the prominence of the abortion debate comes an availability of
nificantly increased abortion stigma than non-religious individuals stigmatizing public messages regarding abortion. Furthering our un-
(Cockrill, Upadhyay, Turan, & Greene Foster, 2013). However, the re- derstanding of abortion stigma may begin to reduce stigma and help
lationship between religiosity and abortion legality attitudes may differ combat negative attitudes and improve outcomes for those seeking
when gender is considered. abortions. Moreover, advanced knowledge of abortion legality attitudes
Gender is implicated in differences in abortion legality attitudes. may help predict policy support and voting behavior. Therefore, a
First, “gender” is an expansive term that includes many identities be- comprehensive understanding of factors impacting abortion legality
yond the traditional, binary, including individuals who identify as attitudes is warranted.
genderqueer, gender non-conforming, or agender. Despite this ex-
pansive definition of gender, to our knowledge, most studies of abortion 1.1. Purpose
legality attitudes focus on a binary gender, such in a 2018 Pew Research
Center (2018a) study. Another study (Begun & Walls, 2015) demon- Limited work demonstrates a connection between abortion stigma-
strated how sexism was related to abortion legality attitudes. In- tizing attitudes and attitudes regarding abortion legality. The current
dividuals who endorsed increased levels of sexism also endorsed anti- online, self-administered study examined the unique effect of abortion
choice attitudes compared to individuals who endorsed less sexism stigmatizing attitudes on abortion legality attitudes, as well as the im-
(Begun & Walls, 2015). Other findings suggest that women are more pact of stigmatizing attitudes on the connection between religiosity and
likely to support legal abortion than men (Pew Research Center, abortion legality attitudes, after controlling for political ideology.
2018a). However, religiosity might impact women's attitudes differ- Moreover, it is reasonable to suggest that religiosity may impact the
ently than men, partly due to gender and religion socialization pro- relationship between abortion stigmatizing attitudes and abortion leg-
cesses that emphasize motherhood as a primary role for women. Cis- ality attitudes, but that these relationships might differ based on
gender U.S. women tend to be more religious than men (e.g., Pew gender. Thus, our second aim was to examine, using a moderated
Research Center, 2014; Schnabel, 2015). Nonetheless, existing research moderation, how gender interacted with religiosity and abortion stig-
suggests that after controlling for religiosity, women still emerge as matizing attitudes. We predict that the interaction of religiosity and
more supportive of abortion legality than men (Barkan, 2014). Thus, it stigmatizing attitudes will differ dependent on individuals' gender.
is evident that gender is a crucial aspect of abortion legality attitudes.
Moreover, it is plausible to suggest that gender also impacts en- 2. Method
dorsement of stigmatizing attitudes. A connection is likely, considering
that abortion stigma stems from gendered ideas about women, wo- 2.1. Sample
manhood, and motherhood (Kumar et al., 2009; Norris et al., 2011).
Women are disproportionately targets of abortion-related stigma, as This sample was recruited in winter 2017, shortly after the in-
they are the individuals receiving most abortions (Norris et al., 2011); auguration of U.S. President Donald Trump. Participants included 311
therefore, it is possible that gender might change individuals' en- individuals recruited via Amazon's Mechanical Turk (MTurk). MTurk is
dorsement of abortion stigma. It is plausible that women, under- an online marketplace on which researchers can post “tasks,” such as
standing the decisions that other women may have to make, may hold online surveys, to reach samples they may not be able to recruit at their
less stigma toward other women. However, it is equally possible that universities. Participants scroll through a list and agree to complete
women may be harsher judges and hold more stigma. Thus, it is im- tasks in exchange for money credited to their Amazon accounts.
portant to explore the role of gender in abortion-stigmatizing attitudes. Moreover, MTurk data has been found to be equally reliable, if not
Limited research examines stigmatizing attitudes and their re- more so, than college samples (Goodman, Cryder, & Cheema, 2012).
lationship to attitudes about abortion legality. While both deal with The recruitment criteria stipulated that participants were living in the

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A.J. Patev, et al. Personality and Individual Differences 146 (2019) 87–92

United States, were over 18, and able to read and respond in English. between these individuals, individuals identifying as men, and in-
After initial data screening, eight participants were removed. Two dividuals identifying as women.
participants were removed who identified as gender non-conforming,
and one was removed due to a missing gender value. Another five were 2.3. Procedure
removed due to missing values on one or more of the variables, leaving
a final sample of 303 individuals. Of this final sample, 143 individuals The current work was approved by the institutional IRB.
(47%) identified as a man and 160 individuals (53%) identified as a Participants, culled from MTurk, completed this study via the survey
woman. The mean age was 36.57 (SD = 12.35), with a range of 18 to website Qualtrics in the winter of 2017. Participants first electronically
71. An overwhelming majority, 240 individuals (78%) identified their consented, then completed the survey, including the religiosity and
race as White, while 21 (7%) identified their race as Black, and 18 political ideology items, the SABAS, abortion legality items, and gender
individuals each (6%) identified their race as Hispanic/Latino or Asian. item. The measures in this study were part of a larger survey. The entire
The remaining 3% identified as biracial, a race not listed, Native survey took no more than an hour and fifteen minutes to complete. The
American, or had missing data. A majority of the sample, 180 in- items specific to this study took less than ten minutes to complete.
dividuals (59%) identified as being religious, while 123 (41%) identi- Finally, participants were provided with closing information that re-
fied as non-religious. The sample was fairly mixed in terms of self-rated iterated the purpose of the study, offered national suicide, sexual as-
political ideology, with the largest percentage (17%) identifying as sault, and reproductive health resources, as well as the researchers'
“very liberal,” then “neither liberal nor conservative” (16%), “moder- contact information. Finally, they were granted an incentive of $1.25,
ately conservative” (15%), and “moderately liberal” (14%). Participants credited to their Amazon account.
represented all regions of the country, mostly the South (30%), Midwest
(23%), Northeast (18%), and Southwest (16%). Almost all fifty U.S.
states were represented, with the highest percentage from California 3. Results
(12%), Florida (8%), and Texas (8%).
3.1. Preliminary results
2.2. Materials
Correlations among variables were conducted and are in Table 1.
2.2.1. Religiosity Significant correlations emerged among abortion stigma, abortion leg-
Self-reported religiosity was assessed using one item, “Do you re- ality attitudes, and religiosity, though gender did not significantly
gard yourself a religious person?” Response items included “Yes” or correlate with any variable. The correlation between abortion stigma
“No.” and abortion legality attitudes was moderate at r = −0.63, but does
not exceed the cutoff of r = 0.7 (Tabachnick & Fidell, 2001), which
2.2.2. Political ideology would indicate multicollinearity between variables. Indices of multi-
One item assessed self-reported political ideology. Individuals re- collinearity showed a tolerance of 0.89 (tolerance values should be
sponded to the question, “How would you rate yourself on the following greater than 0.2; Menard, 1995), and a variance inflation factor (VIF) of
scale?” Response options ranged from 1 (As conservative as it gets) to 9 1.13, which is less than the cutoff value of 10 (Myers, 1990). This
(As liberal as it gets), with an option in the middle (5) indicating neither evidence suggests no multicollinearity between the two variables.
liberal nor conservative. Higher scores indicate more liberal attitudes. Preliminary evidence from our sample suggests that women hold
less abortion stigmatizing attitudes than men do. An independent
2.2.3. Stigmatizing Attitudes, Beliefs, and Actions Scale (SABAS; samples t-test was conducted to examine differences between men and
Shellenberg et al., 2014) women on endorsement of abortion stigmatizing attitudes. On average,
This 18-item measures assesses individuals' stigmatizing attitudes women reported less abortion stigmatizing attitudes (M = 32.82,
toward individuals who have sought abortion and includes three sub- SD = 13.25) than did men (M = 37.52, SD = 13.77). This difference
scales congruent with the components of stigmatizing attitudes, beliefs, was significant, t(303) = 3.03, p = .003. Thus, women in this sample
and actions: the negative stereotyping subscale, the exclusion and dis- endorsed lower levels of abortion stigmatizing attitudes, compared to
crimination subscale, and the fear of contagion subscale. In this work, men in the sample.
the measure was totaled to get a complete stigma score. Higher scores
indicate increased stigma. Reliability for this measure was also ex- 3.2. Moderated moderation
cellent at α = 0.93.
To examine whether gender impacts the moderating effects of
2.2.4. Abortion legality attitudes abortion stigmatizing attitudes on the relationship between religiosity
We assessed abortion legality attitudes using a combination of three and abortion legality attitudes a moderated moderation using Hayes's
items taken from the Political Ideology Scale (adapted from Shook & (2013) PROCESS regression-based tool was used. After controlling for
Fazio, 2009): “Abortion is wrong, because everyone, even unborn ba- political affiliation, results demonstrated that religiosity was positively
bies, have the right to life,” “Abortion should be illegal,” and “It's a associated with abortion legality attitudes. Those who identified as
woman's constitutional right to choose whether or not to have an religious reported more negative attitudes toward abortion legality B
abortion.” Items used a five-point Likert scale ranging from 1 (Agree (SE) = 1.84(0.33), p < .001. Further, stigmatizing attitudes were ne-
Strongly) to 5 (Disagree Strongly), and the third item was reverse- gatively associated with abortion legality attitudes. Those who reported
coded. Lower scores indicated more negative attitudes toward abortion
legality. The overall alpha for these items was good, α = 0.87. Table 1
Correlations for all variables.
2.2.5. Gender Variable 1 2 3 4
Participants' self-identified gender was assessed using one item,
⁎⁎⁎
“With which gender do you identify?” Options were “Man,” “Woman,” 1 Abortion stigma – −0.63 0.05 −0.27⁎⁎⁎
2 Abortion legality attitudes – 0.08 0.42⁎⁎⁎
“Gender non-conforming,” and “Not listed.” Only three individuals
3 Gender – 0.05
identified as “gender non-conforming” or “not listed” in the sample and 4 Religiosity –
were removed from the analyses. This was necessary as this sample size
⁎⁎⁎
does not provide adequate statistical power to make comparisons p < .001.

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A.J. Patev, et al. Personality and Individual Differences 146 (2019) 87–92

more stigmatizing attitudes toward people who seek abortions reported religious women had more negative abortion legality attitudes, despite
more negative attitudes toward abortion legality B(SE) = −0.11(0.01), abortion stigmatizing attitudes. For men, religiosity was related to more
p < .001. There were no significant interactions between religiosity negative abortion legality attitudes, but at low levels of abortion stig-
and abortion stigmatizing attitudes, p = .22, between religiosity and matizing attitudes. No significant difference was found between re-
gender, p = .64, and between gender and abortion stigmatizing atti- ligious and non-religious men at high stigma. These findings suggest
tudes p = .08. that religion could play an important role in attitudes toward abortion
However, there was a statistically significant interaction between legality for men lower in stigma attitudes, but for men high in stigma
abortion stigmatizing attitudes, religiosity, and gender, B endorsement. In women, religiosity played an important role in the
(SE) = 0.11(0.05), p = .01. Bootstrap analyses demonstrated that for relationship between abortion stigma and abortion legality attitudes.
men, levels of religiosity and abortion stigma significantly affect their Religious women who reported increased stigma had more negative
attitudes toward abortion legality. For men who report less stigmatizing attitudes toward abortion legality than those who were not religious.
attitudes, those who identify as religious had more negative attitudes For the women in this sample, despite level of stigma, religion nega-
toward abortion legality than those who identified as not religious [B tively affected abortion legality attitudes. These results imply that for
(SE) = 3.18(0.76), p < .001]. However, men who reported more women, religiosity leads to more stigmatizing attitudes and more op-
stigmatizing attitudes, religiosity did not influence their attitudes to- position to abortion legality. These results may attributable to increased
ward abortion legality [B(SE) = 0.46(0.64), p = .47]. For women, the religiosity among women (Pew Research Center, 2014; Schnabel,
relationship between abortion stigma and abortion legality attitudes 2015).
also depended on religiosity. For women who report less stigmatizing
attitudes, those who identify as religious had more negative attitudes 4.1. Limitations
toward abortion legality than those who identified as not religious [B
(SE) = 1.40(0.53), p = .009]. However, unlike the men, for women One limitation of the current study was the lack of representation in
who reported more stigmatizing attitudes, religiosity matters. Those our sample. The sample for this study was overwhelmingly White,
who identify as religious had more negative attitudes toward abortion (78%) and identified with a Christian faith (47%). It is possible that if
legality than those who identified as not religious [B(SE) = 2.11(0.74), the sample had been racially or religiously more diverse, the results of
p = .005]. See Fig. 1 for the details of the 3-way interaction. the current study may be different. For instance, research suggests that
Black and Hispanic Americans rate religion as more important to their
4. Discussion lives than White Americans (Pew Research Center, 2018a). Regardless
of religiosity, however, Black individuals are just as likely as White
The current research investigated relationships between religiosity, individuals to support legal abortion in all or most cases (Pew Research
abortion stigmatizing attitudes, gender, and their interacting effects on Center, 2018a). Moreover, abortion support varies widely among dif-
abortion legality attitudes. Results demonstrated that individuals ferent religions; Jewish, Buddhist, and Hindu individuals tend to sup-
holding more stigmatizing attitudes had more negative attitudes toward port abortion at higher rates, compared to Muslim and Christian-iden-
abortion legality. Inconsistent with previous literature (McMurtie, tified individuals (Masci, 2018). These factors should be considered in
Garcia, Wilson, Diaz-Olavarrieta, & Fawcett, 2012), we did not find that subsequent study.
abortion stigmatizing attitudes significantly moderated the relationship A second limitation of the study was the use a 1-item measure of
between religiosity and abortion legality attitudes. The moderation's religiosity. While the measure allowed for adequate determination of
non-significance could be attributed to the effect of gender on abortion religiosity, it did not allow individuals to report strength of religiosity.
legality attitudes. Future research should use a more comprehensive measure, such as the
Interestingly, our findings suggest a statistically significant inter- Daily Spiritual Experiences Scale (Underwood & Teresi, 2002), along
action between abortion stigma, religiosity, and gender, such that with inquiry into how level of religiosity may affect the current study's

Fig. 1. The moderating effects of gender and abortion stigma on the connection between religiosity and abortion legality attitudes.

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variables of interest. Moreover, more inclusive measures of religiosity whether religiosity, gender, and stigma interact to drive individuals'
and spirituality should be used to examine religious affiliation as well, decisions when voting on abortion. This information is pertinent for
as previous research demonstrates gender differences in religiosity and activists, politicians, and other stakeholders in abortion policies, and
religiousness based on type of religion. For instance, Christian women can be used to target voters and cull support for specific policies.
are more religious than Christian men, but Jewish and Islamic men are In sum, the current study revealed that gender influences how re-
more religious than women of their faiths (Freese & Montgomery, 2007; ligiosity and abortion stigmatizing attitudes predict abortion legality
Pew Research Center, 2014). attitudes. For women, increased religiosity leads to more negative
Third, a high correlation between abortion stigma and abortion abortion legality attitudes across the board, regardless of stigmatizing
legality attitudes (r = −0.63) may be considered a limitation. This attitude endorsement. For men, religiosity matters when they hold less
value may raise some red flags regarding multicollinearity and the stigmatizing attitudes. These findings provide a novel picture of abor-
distinctness of these items. However, this value does not exceed tradi- tion stigmatizing attitudes and its relationship to abortion legality at-
tional cutoff values of 0.7 (Tabachnik & Fidell, 2001) or 0.8 (Berry & titudes and highlight factors that lead to abortion policy support or
Feldman, 1985), which have been used to indicate whether additional rejection. Ultimately, these findings aid in the fight to combat abortion
tests may discern multicollinearity. Further, tolerance was greater than stigma and improve outcomes for individuals who seek abortion.
0.2 and VIF was less than 10, indicating that the two variables are
unlikely multicollinear. Subsequent research should further distinguish Declarations of interest
between these two constructs, as well as between related constructs
such as morality, social dominance orientation, and sexism. None.
A final limitation was the assessment of political ideology using a
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