Modeling lay people’s ethical views on abortion: A Q‐methodology study
Autor: | Syed N. Alvi, Rakad Hammami, Suraya Kawadry, Muhammad M. Hammami |
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Rok vydání: | 2020 |
Předmět: |
Adult
Male medicine.medical_specialty Health (social science) Demographics Context (language use) Abortion Morals Fetus Asian People Pregnancy medicine Humans Relation (history of concept) Empirical evidence Health Policy Abortion Induced Issues ethics and legal aspects Attitude Family medicine Abortion Legal Consequentialism Principlism Female Congenital disease Psychology |
Zdroj: | Developing World Bioethics. 22:67-75 |
ISSN: | 1471-8847 1471-8731 |
DOI: | 10.1111/dewb.12290 |
Popis: | BACKGROUND It isn't clear how lay people balance the various ethical interests when addressing medical issues. We explored lay people's ethical resolution models in relation to abortion. METHODS In a tertiary healthcare setting, 196 respondents rank-ordered 42 opinion-statements on abortion following a 9-category symmetrical distribution. Statements' scores were analyzed by averaging-analysis and Q-methodology. RESULTS Respondents' mean (SD) age was 34.5(10.5) years, 53% were women, 68% Muslims (31% Christians), 28% Saudis (26% Filipinos), and 38% healthcare-related. The most-agreeable statements were "Acceptable if health-benefit to woman large," "Acceptable if congenital disease risk large," and "Woman's right if fetus has congenital disease." The most-disagreeable statements were "State's right even if woman disagrees," "Acceptable even with no congenital disease risk," and "Father's right even if woman disagrees." Q-methodology identified several resolution models that were multi-principled, consequentialism-dominated, and associated with respondents' demographics. The majority of Christian women and men identified with and supported a relatively "fetus rights plus State authority-oriented" model. The majority of Muslim women and men identified with and supported a "conception-oriented" model and "consequentialism plus virtue-oriented" model, respectively. One or more of three motives-related statements received extreme ranks on averaging-analysis and in 33% of the models. CONCLUSIONS 1) On average, consequentialism, focusing on a woman's health-benefit and congenital disease risk, was the predominant approach. This was followed by the rights approach, favoring a woman's interest but taking context into account. 2) Q-methodology identified various ethical resolution models that were multi-principled and partially associated with respondents' demographics. 3) Motives were important to some respondents, providing empirical evidence against adequacy of principlism. |
Databáze: | OpenAIRE |
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