Towards a poststructural understanding of abortion and social class in England

Glob Public Health. 2018 Jun;13(6):754-764. doi: 10.1080/17441692.2017.1337798. Epub 2017 Jun 13.

Abstract

Despite previous research suggesting that social class influences experiences of and attitudes to abortion, there is a dearth of research which studies the intersection of abortion and social class in England. Across the UK, abortion rates and experiences differ by region and socio-economic status, reflecting broader health inequalities. Contemporary austerity in the UK creates an imperative for new research which contextualises the experience of abortion within this socio-historical moment, and the worsening inequalities which have accompanied it. Whilst work on abortion and social inequality exists, it has often approached class as an a priori category. I argue that contemporary post-structural work on class provides a framework to go beyond this approach by examining how these social classifications occur; who has the power to classify; and how these classifications might be resisted. This framework is demonstrated with emerging findings from a life history study of abortion experiences in England. The applications of this to the work on abortion are potentially rich, because the act of ending a pregnancy invites classification from many quarters, from the legal (legal/illegal) to the medical (early/late) to the moral (deserved/undeserved). This work, therefore, speaks to public health concerns about access to and stigma around abortion and social inequalities.

Keywords: Abortion; England; austerity; inequality; social class.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Abortion, Induced / psychology*
  • England
  • Female
  • Health Services Accessibility
  • Humans
  • Pregnancy
  • Social Class*
  • Social Stigma