Cited by 52Reproductive Health and ContraceptionAdolescent Sexual and Reproductive HealthLGBTQ Health, Identity, and Policy

Adolescents obtaining abortion without parental consent: their reasons and experiences of social support

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Coleman‐Minahan, Kate, Jean Stevenson, Amanda, Obront, Emily, Hays, Susan·2020·Perspectives on Sexual and Reproductive Health

Abstract

CONTEXT: Most states require adolescents younger than 18 to involve a parent prior to obtaining an abortion, yet little is known about adolescents' reasons for choosing abortion or the social support received by those who seek judicial bypass of parental consent for abortion. METHODS: In-depth interviews were conducted with 20 individuals aged 16-19 who sought judicial bypass in Texas between 2015 and 2016 to explore why they chose to get an abortion, who they involved in their decision and what their experiences of social support were. Data were analyzed thematically using stigma and social support theories. RESULTS: Participants researched their pregnancy options and involved others in their decisions. They chose abortion because parenting would limit their futures, and they believed they could not provide a child with all of her or his needs. Anticipated stigma motivated participants to keep their decision private, although they desired emotional and material support. Not all male partners agreed with adolescents' decisions to seek an abortion, and agreement by some males did not guarantee emotional or material support; some young women described their partners' giving them the "freedom" to make the decision as avoiding responsibility. After a disclosure of their abortion decision, some participants experienced enacted stigma, including shame and emotional abuse. CONCLUSIONS: Abortion stigma influences adolescents' disclosure of their abortion decisions and limits their social support. Fears of disclosing their pregnancies and abortion decisions are justified, and policymakers should consider how laws requiring parental notification may harm adolescents. Further research is needed on adolescents' experiences with abortion stigma.

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  1. [18]National Academies of Sciences, The safety and quality of abortion care in the United States, Washington, DC: National Academies Press, 2018, http://www.nationalacademies.org/hmd/Reports/2018/the-safety-and-quality-of-abortion-care-in-the-united-states.aspx. 29897702

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Authors
Coleman‐Minahan, K., Jean Stevenson, A., Obront, E., & Hays, S.
Affiliations
  • University of Colorado Anschutz (US)
  • Department of Sociology University of Colorado Boulder
  • Austin, Texas
Corresponding author
Coleman‐Minahan, Kate
Venue
Perspectives on Sexual and Reproductive Health
Published
2020-03
Volume
52
Issue
1
Pages
15-22
ISSN
  • 1538-6341 (ISSN-L)
  • 1931-2393
OpenAlex
W3009077915
Cited by
52
References
35
Citations by year
2026: 7 · 2025: 11 · 2024: 11 · 2023: 12 · 2022: 3 · 2021: 4 · 2020: 4
FWCI
4.31
Type
journal article
Language
en
Open access
Locations
  • Perspectives on Sexual and Reproductive Health (publishedVersion, cc-by-nc-nd)
  • PubMed Central (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
Funders
  • National Institute of Child Health and Human Development (HD042849, HD066613)
  • Eunice Kennedy Shriver National Institute of Child Health and Human Development (P2CHD066613, HD042849, HD066613, P2CHD042849)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
  • Health Sciences › Health Professions › General Health Professions › Adolescent Sexual and Reproductive Health
  • Social Sciences › Psychology › Social Psychology › LGBTQ Health, Identity, and Policy
Keywords
adolescent abortion, judicial bypass, parental consent, abortion stigma, social support, enacted stigma, shame, emotional abuse, male partners, pregnancy decision-making, Texas
MeSH terms
Abortion, Induced, Adolescent, Decision Making, Female, Humans, Pregnancy, Pregnancy in Adolescence, Social Support, Texas, Parental Consent, Parental Notification, Young Adult, Social Stigma

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