{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T11:55:43Z","timestamp":1792151743543,"version":"4.4.0"},"reference-count":28,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T00:00:00Z","timestamp":1792108800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T00:00:00Z","timestamp":1792108800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp;amp; Obste"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To examine the discrepancy between a single\u2010item harassment screening and a behaviorally anchored stigma scale among Colombian physicians who provide voluntary termination of pregnancy (VTP), and to explore how providers who do not identify as victims describe their experiences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In a national mixed\u2010methods study with a primarily quantitative approach, 163 VTP\u2010providing physicians completed an anonymous survey (November 2024\u2013January 2025) that included a single dichotomous harassment screen and a 19\u2010item scale adapted from the Abortion Provider Stigma Scale. Responses were compared using chi\u2010square tests, and open\u2010ended testimonies were analyzed through inductive content analysis and presented in a joint display.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>While only 25.2% of providers identified as victims, a much larger proportion reported specific negative experiences, such as being judged by other health workers (52.8%). Among the 122 providers who reported no harassment, 39.3% still reported being judged, and 18%\u201324% endorsed feelings of shaming, differential treatment, concealment, and negative experiences after disclosure. Items indicating positive experiences showed no significant gap. Testimonies indicated a normalization of stigma, framing it as an expected part of the work.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The notable gap in recognition suggests that single\u2010item screening tends to underestimate the level of stigma in this group, which has important implications for how provider well\u2010being is monitored and protected.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.71430","type":"journal-article","created":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T11:28:26Z","timestamp":1792150106000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Harassment and structural violence against abortion providers in Colombia: A national mixed\u2010methods study"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3852-936X","authenticated-orcid":false,"given":"Mar\u00eda Alejandra","family":"Guti\u00e9rrez\u2010Torres","sequence":"first","affiliation":[{"name":"Boston College School of Social Work Research Program on Children and Adversity  Chestnut Hill Massachusetts USA"},{"name":"Global Doctors for Choice  Bogot\u00e1 Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Cristina","family":"Gonz\u00e1lez\u2010V\u00e9lez","sequence":"additional","affiliation":[{"name":"Global Doctors for Choice  Bogot\u00e1 Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Gil","sequence":"additional","affiliation":[{"name":"Global Doctors for Choice  Bogot\u00e1 Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salom\u00e9","family":"Valencia","sequence":"additional","affiliation":[{"name":"Global Doctors for Choice  Bogot\u00e1 Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alice","family":"Miller","sequence":"additional","affiliation":[{"name":"Yale University School of Public Health  New Haven Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,16]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"Amnesty\u2010International.An unstoppable movement: A global call to recognize and protect those who defend the right to abortion: Executive Summary.Amnesty International.2023."},{"key":"e_1_2_11_3_1","doi-asserted-by":"crossref","DOI":"10.2307\/j.ctv17vf79f","volume-title":"Willing and Unable: Doctors' Constraints in Abortion Care","author":"Freedman LR","year":"2010"},{"issue":"1","key":"e_1_2_11_4_1","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1016\/j.contraception.2012.08.031","article-title":"Physicians, abortion provision and the legitimacy paradox","volume":"87","author":"Harris LH","year":"2013","journal-title":"Contraception"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2011.07.004"},{"issue":"1","key":"e_1_2_11_6_1","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1016\/j.whi.2017.10.004","article-title":"Evaluation of abortion stigma in the workforce: development of the revised abortion providers stigma scale","volume":"28","author":"Martin LA","year":"2018","journal-title":"Womens Health Issues"},{"issue":"4","key":"e_1_2_11_7_1","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1002\/ijgo.12672","article-title":"Abortion as a human right: the struggle to implement the abortion law in Colombia","volume":"143","author":"Stifani BM","year":"2018","journal-title":"Int J Gynaecol Obstet"},{"key":"e_1_2_11_8_1","unstructured":"Constitutional Court of Colombia.Sentencia C\u2010355\/06.2006."},{"key":"e_1_2_11_9_1","unstructured":"Constitutional Court of Colombia.Sentencia C\u2010055\/22.2022."},{"issue":"6","key":"e_1_2_11_10_1","doi-asserted-by":"crossref","first-page":"1031","DOI":"10.1080\/17441692.2018.1504101","article-title":"The decriminalisation of abortion in Colombia as cautionary tale. Social movements, numbers and socio\u2010technical struggles in the promotion of health as a right","volume":"14","author":"Maldonado OJ","year":"2019","journal-title":"Glob Public Health"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjsrh-2024-202468"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1037\/0021-9010.84.3.390"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1744-6570.2003.tb00752.x"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1348\/096317909X481256"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamahealthforum.2024.0139"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amsu.2020.07.033"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/soin.12277"},{"key":"e_1_2_11_18_1","doi-asserted-by":"crossref","unstructured":"FelstinerWLF AbelRL SaratA.The emergence and transformation of disputes: naming blaming claiming.1981.","DOI":"10.2307\/3053505"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2023.110083"},{"key":"e_1_2_11_20_1","first-page":"273","volume-title":"Research Design: Qualitative, Quantitative, and Mixed Methods Approaches","author":"Creswell JW","year":"2014"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0039139"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732305276687"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1370\/afm.1865"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1177\/16094069221104564"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1258\/jhsrp.2007.007074"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1177\/0146167290162006"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1177\/000276484027003008"},{"issue":"6","key":"e_1_2_11_28_1","doi-asserted-by":"crossref","first-page":"625","DOI":"10.1080\/13691050902842741","article-title":"Conceptualising abortion stigma","volume":"11","author":"Kumar A","year":"2009","journal-title":"Cult Health Sex"},{"key":"e_1_2_11_29_1","unstructured":"FIGO.Advocacy for safe abortion: gynaecologists and obstetricians for change.2022."}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.71430","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ijgo.71430","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.71430","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T11:28:30Z","timestamp":1792150110000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/ijgo.71430"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,16]]},"references-count":28,"alternative-id":["10.1002\/ijgo.71430"],"URL":"https:\/\/doi.org\/10.1002\/ijgo.71430","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,16]]},"assertion":[{"value":"2026-01-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-23","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-16","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"ijgo.71430"}}