outline for abortion research paper

Abortion Research Paper: Example, Outline, & Topics

The long-standing debate surrounding abortion has many opponents and advocates. Groups known as Pro-Choice and Pro-Life argue which approach is better, with no easy solution in sight. This ethical complexity is what makes abortion a popular topic for argumentative writing. As a student, you need to tackle it appropriately.

If this task sounds daunting, read this guide by our custom-writing experts to get excellent writing tips on handling this assignment. You will also find here:

• abortion topics and prompts,
• a research paper outline,
• a free essay sample.
• 🤔 Why Is Abortion a Good Topic?
• ☑️ Research Paper Prompts
• 👨‍⚕️ Abortion Research Questions
• 📚 Research Topics
• 🔬 Before You Start
• ✍️ Step-by-Step Writing Guide

📋 Abortion Research Paper Example

🔍 references, 🤔 why is abortion a good research topic.

Abortion studies are a vast area of research and analysis. It touches upon numerous domains of life, such as politics, medicine, religion, ethics, and human rights perspectives.

Like gun control or euthanasia, the abortion debate offers no evident answers to what kind of regulation is preferable. According to a recent survey, 61% of US adults are in favor of abortion , while 37% think it should be illegal. The arguments from both sides make sense, and there is no “yes-no” solution.

All this makes investigating the abortion debate a valuable exercise to hone your critical analysis skills. It will teach you to back up your claims with sound evidence while giving credit to counterarguments. Besides, expanding the body of abortion research is beneficial for the American community and women’s rights.

☑️ Abortion Research Paper Prompts

The first step to writing a successful paper is choosing an appropriate topic. Abortion is surrounded by numerous legal, medical, ethical, and social debates. That’s why the choice of ideas is virtually endless.

Don’t know where to start? Check out the prompts and creative titles below.

Should Abortion Be Legal: Research Paper Prompt 

You can approach this question from several perspectives. For example, propose a new legal framework for regulating eligibility for abortion. Some states allow the procedure under certain circumstances, such as a threat to a woman’s health. Should it be made legal in less extreme situations, too?

Anti-Abortion Research Paper Prompt

The legal status of abortions is still disputed in many countries. The procedure’s most ardent opponents are Catholic religious groups. In an anti-abortion paper, you may list ethical or faith-based claims. Focus on the right-to-life arguments and give scientific evidence regarding embryo’s rights.

Abortion and Embryonic Stem Cell Research Prompt   

Stem cell research is a dubious issue that faces strong opposition from ethical and religious activists. Here are some great ideas for an essay on this topic:

• Start by explaining what stem cells are.
• Outline the arguments for and against their use in research.
• Link this discussion to the status of abortion.

Abortion Law Research Paper Prompt

If you get an abortion-related assignment in your Legal Studies class, it’s better to take a legislative approach to this issue. Here’s what you can do:

• Study the evolution of abortion laws in the US or other countries.
• Pinpoint legal gaps.
• Focus on the laws’ strengths and weaknesses.

Abortion Breast Cancer Research Prompt

Increasing research evidence shows the link between abortion and breast cancer development . Find scholarly articles proving or refuting this idea and formulate a strong argument on this subject. Argue it with credible external evidence.

Abortion Ethics Research Paper Prompt 

Here, you can focus on the significance of the discussion’s ethical dimension. People who are against abortion often cite the ethics of killing an embryo. You can discuss this issue by quoting famous thinkers and the latest medical research. Be sure to support your argument with sound evidence.

👨‍⚕️ Questions about Abortion for Research Paper

• How does technology reframe the abortion debate?
• Is there new ethics of abortion in the 21 st century?
• How did the abortion debate progress before the Roe v. Wade decision?
• How is the abortion debate currently being shaped on social media?
• How do abortion rights advocates conceptualize the meaning of life?
• Can the abortion debate be called a culture war?
• What are women’s constitutional abortion rights?
• How does abortion reshape the concept of a person?
• How does the abortion debate fit in the post-Socialist transition framework of the European community?
• Where does the abortion debate stand in the politics of sexuality?

📚 Abortion Topics for Research Paper

• The changing legal rhetoric of abortion in the US.
• Constructing abortion as a legal problem.
• Regendering of the US’ abortion problem.
• Evolution of public attitudes to abortion in the US.
• Choice vs. coercion in the abortion debate.
• Abortion and sin in Catholicism.
• Artificial wombs as an innovative solution to the abortion debate.
• Religious belief vs. reason in the abortion debate.
• Introduction of pregnant women’s perspectives into the abortion debate: dealing with fetal abnormalities.
• The role of ultrasound images in the evolution of women’s abortion intentions.

🔬 Research Papers on Abortions: Before You Start

Before discussing how to write an abortion paper, let’s focus on the pre-writing steps necessary for a stellar work. Here are the main points to consider.

Abortion Research Design 

Before you start exploring your topic, you need to choose between a qualitative and quantitative research design:

💬 Qualitative studies focus on words and present the attitudes and subjective meanings assigned to the concept of abortion by respondents.

🧪 Quantitative studies , in turn, focus on numbers and statistics. They analyze objective evidence and avoid subjective interpretations.  

Pick a research design based on your research skills and the data you’re planning to analyze:

• If you plan to gain insight into people’s opinions, attitudes, and life experiences related to abortion, it’s better to go for an interview and qualitative analysis.
• If you have a survey and want to focus on descriptive statistics, it’s better to stick to quantitative methods .

Abortion Research Paper Outline Format

Next, it’s time to choose the format of your paper’s outline. As a rule, students use one of the 3 approaches:

You can learn more about these formats from our article on how to write an outline .

Choosing Headings & Subheadings

A strong title can save your paper, while a poor one can immediately kill the readers’ interest. That’s why we recommend you not to underestimate the importance of formulating an attention-grabbing, exciting heading for your text.

Here are our best tips to make your title and subheadings effective:

• A good title needs to be brief. It’s up to 5 words, as a rule. Subheadings can be longer, as they give a more extended explanation of the content.
• Don’t be redundant. Make sure the subheadings are not duplicating each other.
• Mind the format. For instance, if your paper is in the APA format, you need to use proper font size and indentation. No numbering of headings and subheadings is necessary as in the outline. Ensure the reader understands the hierarchy with the help of heading level distinctions.

Components of an Effective Outline

According to academic writing conventions, a good outline should follow 4 essential principles:

• Parallelism . All components of your outline need to have a similar grammatical structure. For example, if you choose infinitives to denote actions, stick to them and don’t mix them with nouns and gerunds.
• Coordination . Divide your work into chunks with equal importance. This way, you will allocate as much weight to one point as to all the others. Your outline’s sections of similar hierarchy should have equal significance.
• Subordination . The subheadings contained within one heading of a higher order should all be connected to the paper’s title.
• Division . The minimum number of subheadings in each outline heading should be 2. If you have only one point under a heading, it’s worth adding another one.

Use this list of principles as a cheat sheet while creating your outline, and you’re sure to end up with well-organized and structured research!

Abortion Research Paper Outline Example

To recap and illustrate everything we’ve just discussed, let’s have a look at this sample abortion outline. We’ve made it in the decimal format following all effective outlining principles—check it out!

• History of abortion laws in the USA.
• Problem: recent legal changes challenge Roe vs. Wade .
• Thesis statement: the right to abortion should be preserved as a constitutional right
• The fundamental human right to decide what to do with their body.
• Legal abortions are safer.
• Fetuses don’t feel pain at the early stages of development.
• Abortion is murder.
• Fetuses are unborn people who feel pain at later stages.
• Abortion causes lifelong psychological trauma for the woman.
• Roe vs. Wade is a pro-choice case.
• The constitutional right to privacy and bodily integrity.
• Conclusion.

✍️ Abortion Research Paper: How to Write

Now, let’s proceed to write the paper itself. We will cover all the steps, starting with introduction writing rules and ending with the body and conclusion essentials.

Abortion Introduction: Research Paper Tips  

When you begin writing an abortion paper, it’s vital to introduce the reader to the debate and key terminology. Start by describing a broader issue and steadily narrow the argument to the scope of your paper. The intro typically contains the key figures or facts that would show your topic’s significance.

For example, suppose you plan to discuss the ethical side of abortion. In this case, it’s better to structure the paper like this:

• Start by outlining the issue of abortion as a whole.
• Introduce the arguments of pro-choice advocates, saying that this side of the debate focuses on the woman’s right to remove the fetus from her body or leave it.
• Cite the latest research evidence about fetuses as living organisms, proceeding to debate abortion ethics.
• End your introduction with a concise thesis statement .

Thesis on Abortion for a Research Paper

The final part of your introduction is a thesis—a single claim that formulates your paper’s main idea. Experienced readers and college professors often focus on the thesis statement’s quality to decide whether the text is worth reading further. So, make sure you dedicate enough effort to formulate the abortion research paper thesis well!

Don’t know how to do it? These pro tips will surely help you write a great thesis:

Abortion Research Paper Body

Now, it’s time to proceed to the main body of your paper. It should expand on the main idea in more detail, explaining the details and weighing the evidence for and against your argument.

The secret of effective writing is to go paragraph by paragraph . Your essay’s body will have around 2-5 of them, and the quality of each one determines the value of the whole text.

Here are the 4 easy steps that can help you excel in writing the main part of your essay:

• Start each paragraph with a topic sentence. It functions as a mini-thesis statement and communicates the paragraph’s main idea.
• Then, expand it with additional facts and evidence. It’s better to back that information with external sources, showing that it’s not your guesswork. Make sure you properly analyze the citations and show how they fit into your broader research.
• A paragraph should end with a concise wrap-up. Write a concluding sentence restating the topic sentence or a transition linking to the next section.

Research Papers on Abortions: Conclusion

The conclusion of an abortion paper also plays a major role in the overall impression that your paper will produce. So, how do you make it interesting?

Instead of simply restating the thesis and enumerating your points, it’s better to do the following:

• Focus on the broader implications of the issue you’ve just discussed.
• Mention your study’s limitations and point out some directions for further research.
• It’s also a good idea to include a call to action , which can help create a sense of urgency in the readers.

Abortion Articles for Research Paper & Other Sources

Every research paper ends with “works cited” or a reference page enumerating the sources used for the assignment. A rule of thumb is to cite credible, authoritative publications from governmental organizations and NGOs and academic articles from peer-reviewed journals. These sources will make your research more competent and professional, supporting your viewpoint with objective scientific information.

Here are some databases that can supply top-quality data to back the abortion-related claims in a research paper:

Feel free to check these databases for studies related to your subject. It’s best to conduct preliminary research to see whether your topic has enough supporting evidence. Also, make sure there are plenty of new studies to back your arguments! Abortion is a fast-changing field of research, so it’s best only to use publications no more than 5 years old.

To learn more about credible research sources, check out our guide on choosing reliable websites .

We’ve taught you all you need to write a well-researched and thoughtful abortion paper. Finally, we want to give you an example of an essay on the topic “ Should Abortion Rights Be Preserved? ” Check it out to gain inspiration.

Now you know all the details of abortion paper writing. Use our tips to choose a topic, develop sound arguments, and impress your professor with a stellar piece on this debatable subject!   

• The Ultimate Guide to Writing a Research Paper: Grammarly
• Scholarly Articles on Abortion: Gale
• Unintended Pregnancy and Abortion Worldwide: Guttmacher Institute
• Why Abortion Should Be Legal: News 24
• Pro and Con: Abortion: Britannica
• Organizing Academic Research Papers: The Introduction: Sacred Heart University
• How to Write a Thesis Statement for a Research Paper: Steps and Examples: Research.com
• Abortion: American Psychological Association
• Writing a Research Paper: University of Wisconsin-Madison  
• Writing a Research Paper: Purdue University
• A Process Approach to Writing Research Papers: University of California, Berkeley
• What Is Qualitative vs. Quantitative Study?: Grand Canyon University
• Decimal Outlines: Texas A&M University
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How to Write Abortion Research Paper Homework?

Table of Contents

Looking for easy tips on how to write a research paper on abortion? We’ve got you covered!

Abortion is probably the most controversial subject in modern society. It includes a number of complex questions concerning ethical, moral, legal, medical, philosophical, and religious issues related to the deliberate ending of pregnancy before normal childbirth.

Public opinions are polarized; they have strong feelings for or against this subject. That’s why writing a good abortion research paper with work cited requires in-depth research of existing literature. Students have to find a decent amount of relevant arguments (statistics, facts) about positive and negative aspects of the problem and create a convincing piece.

Abortion research paper specifics

Abortion research paper is a piece of academic writing based on original research performed by a writer. The author’s task is to analyze and interpret research findings on a particular topic.

Although research paper assignments may vary widely, there are two common types – analytical and argumentative.

• In argumentative essay students have to establish their position in a thesis statement and convince their audience to adopt this point of view.
• In analytical essay students state a research question, take a neutral stance on a topic, presenting information in a form of well-supported critical analysis without persuading the audience to adopt any particular point of view.

Thorough writing a college research paper on the subject is critical – it can help students develop their own opinions and build a strong argument.

Research paper on abortion: writing hints & tips

Abortion is among political and moral issues on which Americans are genuinely split. Their opinions on this controversial issue remain unchanged since 1995. There are two primary moral and legal questions related to the abortion debate, which divides public opinion for generations:

• Are abortions morally wrong?
• Should they be legal or banned?

Although these questions seem straightforward, they are more complex than students think. There are two separate camps. People who favor the “pro-choice” stance support the right of women to choose whether she carries a pregnancy to term or not. They think that abortions are acceptable.

People who take the strict religious “pro-life” stance think that abortions are always wrong because the fetus has rights and we should treat it the same way as any other human being.

If you have to write an argumentative research paper, you must choose either “pro-life” or “pro-choice” stance and develop a convincing argument to persuade readers.

If your research paper is analytical, you should examine both sides of the issue, evaluate the most important arguments, provide a balanced overview of both approaches, analyzing their weak and strong points.

Religion plays a great role in the debate but there are a lot of non-religious issues. Here are the most important ethical and legal issues, involving the rights of women and the rights of a fetus.

• Is fetus a human being and does it have the basic legal right to live?
• Does life begin at conception?
• Should we consider the fetus a separate being or is it a part of its mother?
• Does the fetus’ right to life have a priority over the woman’s right to control her body?
• Under what circumstances is it acceptable to terminate the fetus’ life?
• Can the removing of a fetus be considered as a murder?
• Is it better to abort an unwanted child or allow it to be neglected by parents?
• Can adoption be alternative to termination of pregnancy?
• Is it possible to find a balance between the rights of a mother and those of a fetus?

A lot of arguments in favor of this procedure are based on respect for women’s reproductive rights.

“Pro-choice” camp argues that a woman is a person with her own rights and not a fetus’ carrier.

They say that governmental or religious authorities shouldn’t limit a woman’s right to control her own body. Besides, the fetus can’t be regarded as a separate entity because it can’t exist outside a woman’s womb.

Opponents of this procedure speak about respect for all forms of life, fetus’ right to life, and argue that it is actually the kill of an innocent human being.

Best abortion research paper topics

The first step in writing a research paper is selecting a good manageable topic that interests you and defining a research question or a thesis statement.

Wondering where to find powerful abortion research paper topics? Here is a short list of interesting ideas. Feel free to pick any of them for creating your own writings. You may also use them as a source of inspiration and further research of a specific issue.

• Impact of legalizing abortions on the birth rate.
• How terminations of pregnancies are regulated around the world.
• How termination of pregnancy is considered within moral terms.
• Analyze regional differences in Americans’ attitude to termination of pregnancy.
• Examine the generation gap in abortion support.
• Feminist beliefs and abortion rights supporters.
• What is the future of abortion politics?
• Give an overview of the legislation on the termination of pregnancies around the world.
• The medical complications of pregnancy termination.
• Discuss the abortion debate and human rights.
• How having an abortion affects a woman’s life.
• Will the abortion debate ever end?
• How can we reduce the demand for termination of pregnancy?
• Moral aspects of pregnancy termination.
• Legal aspects of the abortion conflict.
• Should termination of pregnancy be treated as a health issue?
• Electoral politics and termination of pregnancy.
• Is the termination of pregnancy a human issue or a gender issue?
• Philosophical aspects of the abortion debate.
• Liberal views on the termination of pregnancy.
• Abortion demographics: race, poverty, and choice.
• Why does the public support for legal termination of pregnancy remains high?
• Should men be allowed to discuss the termination of pregnancy?
• Is the abortion a “women’s only” issue?
• Woman’s mental health after abortion.

How to write an abortion research paper outline?

Now let’s discuss how to write an abortion research paper outline. First, you have to write a thesis statement that summarizes the main point of your paper and outlines supporting points. The thesis will help you organize your structure and ensure that you stay focused while working on your project. Make a thesis statement strong, specific, and arguable.

After defining the thesis statement, you need to brainstorm ideas that are supporting the thesis in the best way. When it comes to the level of detail in an outline, you should take into account the length of a college project. You should choose the most suitable subtopics and arrange them logically. Decide which order is the most effective in arguing your thesis. Your paper should include at least 3 parts: an introduction, main body, and conclusion.

Have a look at simple abortion research paper outline example .

Introduction

• Hook sentence
• Thesis statement
• Transition to Main Body
• History of abortion
• Abortion demographics in countries where it is legal
• Impact of legal termination of pregnancy on women’s life and health
• Negative consequences of illegal termination of pregnancy
• What measures should be taken to reduce the number of abortions?
• Transition to Conclusion
• Unexpected twist or a final argument
• Food for thought

Academic writing is very challenging, especially if it involves complex controversial topics . Writing an abortion research paper is a time-consuming and arduous task, which involves a lot of researching, reading, writing, revising, rewriting, editing, and proofreading. Make sure you are ready to create several drafts and then improve the content and style to make your paper perfect.

We hope that our quick tips will help you get started. But if you are new to academic writing, a good idea is to find well-written abortion research paper examples. Read and analyze them to have a better idea about proper paper structure, academic writing style, references, and different approaches to organizing thoughts.

How about we take care of your abortion research paper, while you enjoy your free time? Several clicks and we’re on!

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Abortion Argumentative Essay: Definitive Guide

Published: 22nd Dec 2016   |   Last Updated: 18th Nov 2024   |   Views: 130243

Academic writing

Abortion remains a debatable issue even today, especially in countries like the USA, where a controversial ban was upheld in 13 states at the point this article was written. That’s why an essay on abortion has become one of the most popular tasks in schools, colleges, and universities. When writing this kind of essay, students learn to express their opinion, find and draw arguments and examples, and conduct research.

It’s very easy to speculate on topics like this. However, this makes it harder to find credible and peer-reviewed information on the topic that isn’t merely someone’s opinion. If you were assigned this kind of academic task, do not lose heart. In this article, we will provide you with all the tips and tricks for writing about abortion.

Where to begin?

Conversations about abortion are always emotional. Complex stories, difficult decisions, bitter moments, and terrible diagnoses make this topic hard to cover. Some young people may be shocked by this assignment, while others would be happy to express their opinion on the matter.

One way or another, this topic doesn't leave anyone indifferent. However, it shouldn’t have an effect on the way you approach the research and writing process. What should you remember when working on an argumentative essay about abortion?

• Don’t let your emotions take over. As this is an academic paper, you have to stay impartial and operate with facts. The topic is indeed sore and burning, causing thousands of scandals on the Internet, but you are writing it for school, not a Quora thread.
• Try to balance your opinions. There are always two sides to one story, even if the story is so fragile. You need to present an issue from different angles. This is what your tutors seek to teach you.
• Be tolerant and mind your language. It is very important not to hurt anybody with the choice of words in your essay. So make sure you avoid any possible rough words. It is important to respect people with polar opinions, especially when it comes to academic writing. 
• Use facts, not claims. Your essay cannot be based solely on your personal ideas – your conclusions should be derived from facts. Roe v. Wade case, WHO or Mayo Clinic information, and CDC are some of the sources you can rely on.

Speaking of Outline

An argumentative essay on abortion outline is a must-have even for experienced writers. In general, each essay, irrespective of its kind or topic, has a strict outline. It may be brief or extended, but the major parts are always the same:

• Introduction. This is a relatively short paragraph that starts with a hook and presents the background information on the topic. It should end with a thesis statement telling your reader what your main goal or idea is.
• Body. This section usually consists of 2-4 paragraphs. Each one has its own structure: main argument + facts to support it + small conclusion and transition into the next paragraph.
• Conclusion. In this part, your task is to summarize all your thoughts and come to a general conclusive idea. You may have to restate some info from the body and your thesis statement and add a couple of conclusive statements without introducing new facts.

Why Is It Important To Create an Outline?

• You will structure your ideas. We bet you’ve got lots on your mind. Writing them down and seeing how one can flow logically into the other will help you create a consistent paper. Naturally, you will have to abandon some of the ideas if they don’t fit the overall narrative you’re building.
• You can get some inspiration. While creating your outline, which usually consists of some brief ideas, you can come up with many more to research. Some will add to your current ones or replace them with better options.
• You will find the most suitable sources. Argumentative essay writing requires you to use solid facts and trustworthy arguments built on them. When the topic is as controversial as abortion, these arguments should be taken from up-to-date, reliable sources. With an outline, you will see if you have enough to back up your ideas.
• You will write your text as professionals do. Most expert writers start with outlines to write the text faster and make it generally better. As you will have your ideas structured, the general flow of thoughts will be clear. And, of course, it will influence your overall grade positively.

Abortion Essay Introduction

The introduction is perhaps the most important part of the whole essay. In this relatively small part, you will have to present the issue under consideration and state your opinion on it. Here is a typical introduction outline:

• The first sentence is a hook grabbing readers' attention.
• A few sentences that go after elaborate on the hook. They give your readers some background and explain your research.
• The last sentence is a thesis statement showing the key idea you are building your text around.

Before writing an abortion essay intro, first thing first, you will need to define your position. If you are in favor of this procedure, what exactly made you think so? If you are an opponent of abortion, determine how to argue your position. In both cases, you may research the point of view in medicine, history, ethics, and other fields.

When writing an introduction, remember:

• Never repeat your title. First of all, it looks too obvious; secondly, it may be boring for your reader right from the start. Your first sentence should be a well-crafted hook. The topic of abortion worries many people, so it’s your chance to catch your audience’s attention with some facts or shocking figures.
• Do not make it too long. Your task here is to engage your audience and let them know what they are about to learn. The rest of the information will be disclosed in the main part. Nobody likes long introductions, so keep it short but informative.
• Pay due attention to the thesis statement. This is the central sentence of your introduction. A thesis statement in your abortion intro paragraph should show that you have a well-supported position and are ready to argue it. Therefore, it has to be strong and convey your idea as clearly as possible. We advise you to make several options for the thesis statement and choose the strongest one.

Hooks for an Abortion Essay

Writing a hook is a good way to catch the attention of your audience, as this is usually the first sentence in an essay. How to start an essay about abortion? You can begin with some shocking fact, question, statistics, or even a quote. However, always make sure that this piece is taken from a trusted resource.

Here are some examples of hooks you can use in your paper:

• As of July 1, 2022, 13 states banned abortion, depriving millions of women of control of their bodies.
• According to WHO, 125,000 abortions take place every day worldwide.
• Is abortion a woman’s right or a crime?
• Since 1994, more than 40 countries have liberalized their abortion laws.
• Around 48% of all abortions are unsafe, and 8% of them lead to women’s death.
• The right to an abortion is one of the reproductive and basic rights of a woman.
• Abortion is as old as the world itself – women have resorted to this method since ancient times.
• Only 60% of women in the world live in countries where pregnancy termination is allowed.

Body Paragraphs: Pros and Cons of Abortion

The body is the biggest part of your paper. Here, you have a chance to make your voice concerning the abortion issue heard. Not sure where to start? Facts about abortion pros and cons should give you a basic understanding of which direction to move in.

First things first, let’s review some brief tips for you on how to write the best essay body if you have already made up your mind.

Make a Draft

It’s always a good idea to have a rough draft of your writing. Follow the outline and don’t bother with the word choice, grammar, or sentence structure much at first. You can polish it all later, as the initial draft will not likely be your final. You may see some omissions in your arguments, lack of factual basis, or repetitiveness that can be eliminated in the next versions.

Trust Only Reliable Sources

This part of an essay includes loads of factual information, and you should be very careful with it. Otherwise, your paper may look unprofessional and cost you precious points. Never rely on sources like Wikipedia or tabloids – they lack veracity and preciseness.

Edit Rigorously

It’s best to do it the next day after you finish writing so that you can spot even the smallest mistakes. Remember, this is the most important part of your paper, so it has to be flawless. You can also use editing tools like Grammarly.

Determine Your Weak Points

Since you are writing an argumentative essay, your ideas should be backed up by strong facts so that you sound convincing. Sometimes it happens that one argument looks weaker than the other. Your task is to find it and strengthen it with more or better facts.

Add an Opposing View

Sometimes, it’s not enough to present only one side of the discussion. Showing one of the common views from the opposing side might actually help you strengthen your main idea. Besides, making an attempt at refuting it with alternative facts can show your teacher or professor that you’ve researched and analyzed all viewpoints, not just the one you stand by.

If you have chosen a side but are struggling to find the arguments for or against it, we have complied abortion pro and cons list for you. You can use both sets if you are writing an abortion summary essay covering all the stances.

Why Should Abortion Be Legal

If you stick to the opinion that abortion is just a medical procedure, which should be a basic health care need for each woman, you will definitely want to write the pros of abortion essay. Here is some important information and a list of pros about abortion for you to use:

• Since the fetus is a set of cells – not an individual, it’s up to a pregnant woman to make a decision concerning her body. Only she can decide whether she wants to keep the pregnancy or have an abortion. The abortion ban is a violation of a woman’s right to have control over her own body.
• The fact that women and girls do not have access to effective contraception and safe abortion services has serious consequences for their own health and the health of their families.
• The criminalization of abortion usually leads to an increase in the number of clandestine abortions. Many years ago, fetuses were disposed of with improvised means, which included knitting needles and half-straightened metal hangers. 13% of women’s deaths are the result of unsafe abortions.
• Many women live in a difficult financial situation and cannot support their children financially. Having access to safe abortion takes this burden off their shoulders. This will also not decrease their quality of life as the birth and childcare would.
• In countries where abortion is prohibited, there is a phenomenon of abortion tourism to other countries where it can be done without obstacles. Giving access to this procedure can make the lives of women much easier.
• Women should not put their lives or health in danger because of the laws that were adopted by other people.
• Girls and women who do not have proper sex education may not understand pregnancy as a concept or determine that they are pregnant early on. Instead of educating them and giving them a choice, an abortion ban forces them to become mothers and expects them to be fit parents despite not knowing much about reproduction.
• There are women who have genetic disorders or severe mental health issues that will affect their children if they're born. Giving them an option to terminate ensures that there won't be a child with a low quality of life and that the woman will not have to suffer through pregnancy, birth, and raising a child with her condition.
• Being pro-choice is about the freedom to make decisions about your body so that women who are for termination can do it safely, and those who are against it can choose not to do it. It is an inclusive option that caters to everyone.
• Women and girls who were raped or abused by their partner, caregiver, or stranger and chose to terminate the pregnancy can now be imprisoned for longer than their abusers. This implies that the system values the life of a fetus with no or primitive brain function over the life of a living woman.
• People who lived in times when artificial termination of pregnancy was scarcely available remember clandestine abortions and how traumatic they were, not only for the physical but also for the mental health of women. Indeed, traditionally, in many countries, large families were a norm. However, the times have changed, and supervised abortion is a safe and accessible procedure these days. A ban on abortion will simply push humanity away from the achievements of the civilized world.

Types of Abortion

There are 2 main types of abortions that can be performed at different pregnancy stages and for different reasons:

• Medical abortion. It is performed by taking a specially prescribed pill. It does not require any special manipulations and can even be done at home (however, after a doctor’s visit and under supervision). It is considered very safe and is usually done during the very first weeks of pregnancy.
• Surgical abortion. This is a medical operation that is done with the help of a suction tube. It then removes the fetus and any related material. Anesthesia is used for this procedure, and therefore, it can only be done in a hospital. The maximum time allowed for surgical abortion is determined in each country specifically.

Cases When Abortion Is Needed

Center for Reproductive Rights singles out the following situations when abortion is required:

• When there is a risk to the life or physical/mental health of a pregnant woman.
• When a pregnant woman has social or economic reasons for it.
• Upon the woman's request.
• If a pregnant woman is mentally or cognitively disabled.
• In case of rape and/or incest.
• If there were congenital anomalies detected in the fetus.

Countries and Their Abortion Laws

• Countries where abortion is legalized in any case: Australia, Albania, Bosnia and Herzegovina, Belgium, Canada, Denmark, Sweden, France, Germany, Greece, Italy, Hungary, the Netherlands, Norway, Ukraine, Moldova, Latvia, Lithuania, etc.
• Countries where abortion is completely prohibited: Angola, Venezuela, Egypt, Indonesia, Iraq, Lebanon, Nicaragua, Oman, Paraguay, Palau, Jamaica, Laos, Haiti, Honduras, Andorra, Aruba, El Salvador, Dominican Republic, Sierra Leone, Senegal, etc.
• Countries where abortion is allowed for medical reasons: Afghanistan, Israel, Argentina, Nigeria, Bangladesh, Bolivia, Ghana, Israel, Morocco, Mexico, Bahamas, Central African Republic, Ecuador, Ghana, Algeria, Monaco, Pakistan, Poland, etc. 
• Countries where abortion is allowed for both medical and socioeconomic reasons: England, India, Spain, Luxembourg, Japan, Finland, Taiwan, Zambia, Iceland, Fiji, Cyprus, Barbados, Belize, etc.

Why Abortion Should Be Banned

Essays against abortions are popular in educational institutions since we all know that many people – many minds. So if you don’t want to support this procedure in your essay, here are some facts that may help you to argument why abortion is wrong:

• Abortion at an early age is especially dangerous because a young woman with an unstable hormonal system may no longer be able to have children throughout her life. Termination of pregnancy disrupts the hormonal development of the body.
• Health complications caused by abortion can occur many years after the procedure. Even if a woman feels fine in the short run, the situation may change in the future.
• Abortion clearly has a negative effect on reproductive function. Artificial dilation of the cervix during an abortion leads to weak uterus tonus, which can cause a miscarriage during the next pregnancy.
• Evidence shows that surgical termination of pregnancy significantly increases the risk of breast cancer.
• In December 1996, the session of the Council of Europe on bioethics concluded that a fetus is considered a human being on the 14th day after conception.

You are free to use each of these arguments for essays against abortions. Remember that each claim should not be supported by emotions but by facts, figures, and so on.

Health Complications After Abortion

One way or another, abortion is extremely stressful for a woman’s body. Apart from that, it can even lead to various health problems in the future. You can also cover them in your cons of an abortion essay:

• Continuation of pregnancy. If the dose of the drug is calculated by the doctor in the wrong way, the pregnancy will progress.
• Uterine bleeding, which requires immediate surgical intervention.
• Severe nausea or even vomiting occurs as a result of a sharp change in the hormonal background.
• Severe stomach pain. Medical abortion causes miscarriage and, as a result, strong contractions of the uterus.
• High blood pressure and allergic reactions to medicines.
• Depression or other mental problems after a difficult procedure.

Abortion Essay Conclusion

After you have finished working on the previous sections of your paper, you will have to end it with a strong conclusion. The last impression is no less important than the first one. Here is how you can make it perfect in your conclusion paragraph on abortion:

• It should be concise. The conclusion cannot be as long as your essay body and should not add anything that cannot be derived from the main section. Reiterate the key ideas, combine some of them, and end the paragraph with something for the readers to think about.
• It cannot repeat already stated information. Restate your thesis statement in completely other words and summarize your main points. Do not repeat anything word for word – rephrase and shorten the information instead.
• It should include a call to action or a cliffhanger. Writing experts believe that a rhetorical question works really great for an argumentative essay. Another good strategy is to leave your readers with some curious ideas to ponder upon.

Abortion Facts for Essay

Abortion is a topic that concerns most modern women. Thousands of books, research papers, and articles on abortion are written across the world. Even though pregnancy termination has become much safer and less stigmatized with time, it still worries millions. What can you cover in your paper so that it can really stand out among others? You may want to add some shocking abortion statistics and facts:

• 40-50 million abortions are done in the world every year (approximately 125,000 per day).
• According to UN statistics, women have 25 million unsafe abortions each year. Most of them (97%) are performed in the countries of Africa, Asia, and Latin America. 14% of them are especially unsafe because they are done by people without any medical knowledge.
• Since 2017, the United States has shown the highest abortion rate in the last 30 years.
• The biggest number of abortion procedures happen in the countries where they are officially banned. The lowest rate is demonstrated in the countries with high income and free access to contraception.
• Women in low-income regions are three times more susceptible to unplanned pregnancies than those in developed countries.
• In Argentina, more than 38,000 women face dreadful health consequences after unsafe abortions.
• The highest teen abortion rates in the world are seen in 3 countries: England, Wales, and Sweden.
• Only 31% of teenagers decide to terminate their pregnancy. However, the rate of early pregnancies is getting lower each year.
• Approximately 13 million children are born to mothers under the age of 20 each year.
• 5% of women of reproductive age live in countries where abortions are prohibited.

We hope that this abortion information was useful for you, and you can use some of these facts for your own argumentative essay. If you find some additional facts, make sure that they are not manipulative and are taken from official medical resources.

Abortion Essay Topics

Do you feel like you are lost in the abundance of information? Don’t know what topic to choose among the thousands available online? Check our short list of the best abortion argumentative essay topics:

• Why should abortion be legalized essay
• Abortion: a murder or a basic human right?
• Why we should all support abortion rights
• Is the abortion ban in the US a good initiative?
• The moral aspect of teen abortions
• Can the abortion ban solve birth control problems?
• Should all countries allow abortion?
• What consequences can abortion have in the long run?
• Is denying abortion sexist?
• Why is abortion a human right?
• Are there any ethical implications of abortion?
• Do you consider abortion a crime?
• Should women face charges for terminating a pregnancy?

How To Create Good Titles for Abortion Essays?

• Write down the first associations. It can be something that swirls around in your head and comes to the surface when you think about the topic. These won’t necessarily be well-written headlines, but each word or phrase can be the first link in the chain of ideas that leads you to the best option.
• Irony and puns are not always a good idea. Especially when it comes to such difficult topics as abortion. Therefore, in your efforts to be original, remain sensitive to the issue you want to discuss.
• Never make a quote as your headline. First, a wordy quote makes the headline long. Secondly, readers do not understand whose words are given in the headline. Therefore, it may confuse them right from the start. If you have found a great quote, you can use it as your hook, but don’t forget to mention its author.
• Try to briefly summarize what is said in the essay. What is the focus of your paper? If the essence of your argumentative essay can be reduced to one sentence, it can be used as a title, paraphrased, or shortened.
• Write your title after you have finished your text. Before you just start writing, you might not yet have a catchy phrase in mind to use as a title. Don’t let it keep you from working on your essay – it might come along as you write.

Abortion Essay Example

We know that it is always easier to learn from a good example. For this reason, our writing experts have complied a detailed abortion essay outline for you. For your convenience, we have created two options with different opinions.

Topic: Why Should Abortion Be Legal?

Introduction – hook + thesis statement + short background information

Essay hook: More than 59% of women in the world do not have access to safe abortions, which leads to dreading health consequences or even death.

Thesis statement: Since banning abortions does not decrease their rates but only makes them unsafe, it is not logical to ban abortions.

Body – each paragraph should be devoted to one argument

Argument 1: Woman’s body – women’s rules. + example: basic human rights.

Argument 2: Banning abortion will only lead to more women’s death. + example: cases of Polish women.

Argument 3: Only women should decide on abortion. + example: many abortion laws are made by male politicians who lack knowledge and first-hand experience in pregnancies.

Conclusion – restated thesis statement + generalized conclusive statements + cliffhanger

Restated thesis: The abortion ban makes pregnancy terminations unsafe without decreasing the number of abortions, making it dangerous for women.

Cliffhanger: After all, who are we to decide a woman’s fate?

Topic: Why Should Abortion Be Banned?

Essay hook: Each year, over 40 million new babies are never born because their mothers decide to have an abortion.

Thesis statement: Abortions on request should be banned because we cannot decide for the baby whether it should live or die.

Argument 1: A fetus is considered a person almost as soon as it is conceived. Killing it should be regarded as murder. + example: Abortion bans in countries such as Poland, Egypt, etc.

Argument 2: Interrupting a baby’s life is morally wrong. + example: The Bible, the session of the Council of Europe on bioethics decision in 1996, etc.

Argument 3: Abortion may put the reproductive health of a woman at risk. + example: negative consequences of abortion.

Restated thesis: Women should not be allowed to have abortions without serious reason because a baby’s life is as priceless as their own.

Cliffhanger: Why is killing an adult considered a crime while killing an unborn baby is not?

Examples of Essays on Abortion

There are many great abortion essays examples on the Web. You can easily find an argumentative essay on abortion in pdf and save it as an example. Many students and scholars upload their pieces to specialized websites so that others can read them and continue the discussion in their own texts.

In a free argumentative essay on abortion, you can look at the structure of the paper, choice of the arguments, depth of research, and so on. Reading scientific papers on abortion or essays of famous activists is also a good idea. Here are the works of famous authors discussing abortion.

A Defense of Abortion by Judith Jarvis Thomson

Published in 1971, this essay by an American philosopher considers the moral permissibility of abortion. It is considered the most debated and famous essay on this topic, and it’s definitely worth reading no matter what your stance is.

Abortion and Infanticide by Michael Tooley

It was written in 1972 by an American philosopher known for his work in the field of metaphysics. In this essay, the author considers whether fetuses and infants have the same rights. Even though this work is quite complex, it presents some really interesting ideas on the matter.

Some Biological Insights into Abortion by Garret Hardin

This article by American ecologist Garret Hardin, who had focused on the issue of overpopulation during his scholarly activities, presents some insights into abortion from a scientific point of view. He also touches on non-biological issues, such as moral and economic. This essay will be of great interest to those who support the pro-choice stance.

H4 Hidden in Plain View: An Overview of Abortion in Rural Illinois and Around the Globe by Heather McIlvaine-Newsad 

In this study, McIlvaine-Newsad has researched the phenomenon of abortion since prehistoric times. She also finds an obvious link between the rate of abortions and the specifics of each individual country. Overall, this scientific work published in 2014 is extremely interesting and useful for those who want to base their essay on factual information.

H4 Reproduction, Politics, and John Irving’s The Cider House Rules: Women’s Rights or “Fetal Rights”? by Helena Wahlström

In her article of 2013, Wahlström considers John Irving’s novel The Cider House Rules published in 1985 and is regarded as a revolutionary work for that time, as it acknowledges abortion mostly as a political problem. This article will be a great option for those who want to investigate the roots of the abortion debate.

FAQs On Abortion Argumentative Essay

Is abortion immoral.

This question is impossible to answer correctly because each person independently determines their own moral framework. One group of people will say that abortion is a woman’s right because only she has power over her body and can make decisions about it. Another group will argue that the embryo is also a person and has the right to birth and life.

In general, the attitude towards abortion is determined based on the political and religious views of each person. Religious people generally believe that abortion is immoral because it is murder, while secular people see it as a normal medical procedure. For example, in the US, the ban on abortion was introduced in red states where the vast majority have conservative views, while blue liberal states do not support this law. Overall, it’s up to a person to decide whether they consider abortion immoral based on their own values and beliefs.

Is Abortion Legal?

The answer to this question depends on the country in which you live. There are countries in which pregnancy termination is a common medical procedure and is performed at the woman's request. There are also states in which there must be a serious reason for abortion: medical, social, or economic. Finally, there are nations in which abortion is prohibited and criminalized. For example, in Jamaica, a woman can get life imprisonment for abortion, while in Kenya, a medical worker who volunteers to perform an abortion can be imprisoned for up to 14 years.

Is Abortion Safe?

In general, modern medicine has reached such a level that abortion has become a common (albeit difficult from various points of view) medical procedure. There are several types of abortion, as well as many medical devices and means that ensure the maximum safety of the pregnancy termination. Like all other medical procedures, abortion can have various consequences and complications.

Abortions – whether safe or not - exist in all countries of the world. The thing is that more than half of them are dangerous because women have them in unsuitable conditions and without professional help. Only universal access to abortion in all parts of the world can make it absolutely safe. In such a case, it will be performed only after a thorough assessment and under the control of a medical professional who can mitigate the potential risks.

How Safe Is Abortion?

If we do not talk about the ethical side of the issue related to abortion, it still has some risks. In fact, any medical procedure has them to a greater or lesser extent.

The effectiveness of the safe method in a medical setting is 80-99%. An illegal abortion (for example, the one without special indications after 12 weeks) can lead to a patient’s death, and the person who performed it will be criminally liable in this case.

Doctors do not have universal advice for all pregnant women on whether it is worth making this decision or not. However, many of them still tend to believe that any contraception - even one that may have negative side effects - is better than abortion. That’s why spreading awareness on means of contraception and free access to it is vital.

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Start Learning About Your Topic

Create research questions to focus your topic, featured current news, find articles in library databases, find web resources, find books in the library catalog, cite your sources, key search words.

Use the words below to search for useful information in books and articles .

• birth control
• pro-choice movement
• pro-life movement
• reproductive rights
• Roe v. Wade
• Dobbs v. Jackson Women's Health Organization (Dobbs v. Jackson)

Background Reading:

It's important to begin your research learning something about your subject; in fact, you won't be able to create a focused, manageable thesis unless you already know something about your topic.

This step is important so that you will:

• Begin building your core knowledge about your topic
• Be able to put your topic in context
• Create research questions that drive your search for information
• Create a list of search terms that will help you find relevant information
• Know if the information you’re finding is relevant and useful

If you're working from off campus , you'll be prompted to sign in if you aren't already logged in to your MJC email or Canvas. If you are prompted to sign in, use the same credentials you use for email and Canvas. 

Most current background reading 

• Issues and Controversies: Should Women in the United States Have Access to Abortion? June 2022 article (written after the Supreme Court overturned Roe v Wade) that explores both sides of the abortion debate.
• Access World News: Abortion The most recent news and opinion on abortion from US newspapers.

More sources for background information

• CQ Researcher Online This link opens in a new window Original, comprehensive reporting and analysis on issues in the news. Check the dates of results to be sure they are sufficiently current.
• Gale eBooks This link opens in a new window Authoritative background reading from specialized encyclopedias (a year or more old, so not good for the latest developments).
• Gale In Context: Global Issues This link opens in a new window Best database for exploring the topic from a global point of view.

Choose the questions below that you find most interesting or appropriate for your assignment.

• Why is abortion such a controversial issue?
• What are the medical arguments for and against abortion?
• What are the religious arguments for and against abortion?
• What are the political arguments for and against abortion?
• What are the cultural arguments for and against abortion?
• What is the history of laws concerning abortion?
• What are the current laws about abortion?
• How are those who oppose access to abortion trying to affect change?
• How are those who support access to abortion trying to affect change?
• Based on what I have learned from my research, what do I think about the issue of abortion?
• State-by-State Abortion Laws Updated regularly by the Guttmacher Institute
• What the Data Says About Abortion in the U.S. From the Pew Research Center in March of 2024, a look at the most recent available data about abortion from sources other than public opinion surveys.

Latest News on Abortion from Google News

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• Gale Databases This link opens in a new window Search over 35 databases simultaneously that cover almost any topic you need to research at MJC. Gale databases include articles previously published in journals, magazines, newspapers, books, and other media outlets.
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• Facts on File Databases This link opens in a new window Facts on File databases include: Issues & Controversies , Issues & Controversies in History , Today's Science , and World News Digest .
• MEDLINE Complete This link opens in a new window This database provides access to top-tier biomedical and health journals, making it an essential resource for doctors, nurses, health professionals and researchers engaged in clinical care, public health, and health policy development.
• Access World News This link opens in a new window Search the full-text of editions of record for local, regional, and national U.S. newspapers as well as full-text content of key international sources. This is your source for The Modesto Bee from January 1989 to the present. Also includes in-depth special reports and hot topics from around the country. To access The Modesto Bee , limit your search to that publication. more... less... Watch this short video to learn how to find The Modesto Bee .

Browse Featured Web Sites:

• American Association of Pro-Life Obstetricians and Gynecologists Medical information and anti-abortion rights advocacy.
• American Congress of Obstetricians and Gynecologists Use the key term "abortion" in the search box on this site for links to reports and statistics.
• Guttmacher Institute Statistics and policy papers with a world-wide focus from a "research and policy organization committed to advancing sexual and reproductive health and rights worldwide."
• NARAL Pro-Choice America This group advocates for pro-abortion rights legislation. Current information abortion laws in the U.S.
• National Right to Life Committee This group advocates for anti-abortion rights legislation in the U.S.

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You'll use the library catalog to search for books, ebooks, articles, and more.

• OneSearch (Library Catalog) OneSearch provides simple, one-stop searching for books and e-books, videos, articles, digital media, and more.

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• Last Updated: Nov 13, 2024 11:57 AM
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Home — Blog — Topic Ideas — 50 Abortion Essay Topics: Researching Abortion-Related Subjects

List of Abortion Argumentative Essay Topics

List of abortion research paper topics, choosing abortion research paper topics, 50 abortion essay topics: researching abortion-related subjects.

Abortion remains a contentious social and political issue, with deeply held beliefs and strong emotions shaping the debate. It is a topic that has been at the forefront of public discourse for decades, sparking heated arguments and evoking a range of perspectives from individuals, organizations, and governments worldwide.

The complexity of abortion stems from its intersection with fundamental human rights, ethical principles, and societal norms. It raises questions about the sanctity of life, individual autonomy, gender equality, and public health, making it a challenging yet critically important subject to explore and analyze.

This guide provides a comprehensive overview of the significance of choosing the right abortion essay topics and abortion title ideas , offering valuable insights and practical advice for students navigating this challenging yet rewarding endeavor. By understanding the multifaceted nature of abortion and its far-reaching implications, students can make informed decisions about their topic selection, setting themselves up for success in producing well-researched, insightful, and impactful essays.

Choosing the Right Abortion Essay Topic

For students who are tasked with writing an essay on abortion, choosing the right topic is essential. A well-chosen topic can be the difference between a well-researched, insightful, and impactful piece of writing and a superficial, uninspired, and forgettable one.

This guide delves into the significance of selecting the right abortion essay topic, providing valuable insights for students embarking on this challenging yet rewarding endeavor. By understanding the multifaceted nature of abortion and its far-reaching implications, students can identify topics that align with their interests, research capabilities, and the overall objectives of their essays.

Abortion remains a contentious social and political issue, with deeply held beliefs and strong emotions shaping the debate on abortion topics . It is a topic that has been at the forefront of public discourse for decades, sparking heated arguments and evoking a range of perspectives from individuals, organizations, and governments worldwide.

Abortion argumentative essay topics typically revolve around the ethical, legal, and societal aspects of this controversial issue. These topics often involve debates and discussions, requiring students to present well-reasoned arguments supported by evidence and persuasive language.

• The Bodily Autonomy vs. Fetal Rights Debate: A Balancing Act
• Exploring Abortion Rights: An Argumentative Analysis
• Gender Equality and Reproductive Freedom in the Abortion Debate
• Considering Abortion as a Human Right
• The Impact of Abortion Stigma on Women's Mental Health
• Abortion: A Controversial Issue
• Persuasive Speech Outline on Abortion
• Laughing Matters: Satire and the Abortion Debate
• Abortion Is Bad
• Discussion on Whether Abortion is a Crime
• Abortion Restrictions and Women's Economic Opportunity
• Government Intervention in Abortion Regulation
• Religion, Morality, and Abortion Attitudes
• Parental Notification and Consent Laws
• A Persuasive Paper on the Issue of Abortion

Ethical Considerations: Abortion raises profound ethical questions about the sanctity of life, personhood, and individual choice. Students can explore these ethical dilemmas by examining the moral implications of abortion, the rights of the unborn, and the role of personal conscience in decision-making.

Legal Aspects: The legal landscape surrounding abortion is constantly evolving, with varying regulations and restrictions across different jurisdictions. Students can delve into the legal aspects of abortion by analyzing the impact of laws and policies on access, safety, and the well-being of women.

Societal Impact: Abortion has a significant impact on society, influencing public health, gender equality, and social justice. Students can explore the societal implications of abortion by examining its impact on maternal health, reproductive rights, and the lives of marginalized communities.

Effective Abortion Topics for Research Paper

Research papers on abortion demand a more in-depth and comprehensive approach, requiring students to delve into historical, medical, and international perspectives on this multifaceted issue.

Medical Perspectives: The medical aspects of abortion encompass a wide range of topics, from advancements in abortion procedures to the health and safety of women undergoing the procedure. Students can explore medical perspectives by examining the evolution of abortion techniques, the impact of medical interventions on maternal health, and the role of healthcare providers in the abortion debate.

Historical Analysis: Abortion has a long and complex history, with changing attitudes, practices, and laws across different eras. Students can engage in historical analysis by examining the evolution of abortion practices in ancient civilizations, tracing the legal developments surrounding abortion, and exploring the shifting social attitudes towards abortion throughout history.

International Comparisons: Abortion laws and regulations vary widely across different countries, leading to diverse experiences and outcomes. Students can make international comparisons by examining abortion access and restrictions in different regions, analyzing the impact of varying legal frameworks on women's health and rights, and identifying best practices in abortion policies.

• The Socioeconomic Factors and Racial Disparities Shaping Abortion Access
• Ethical and Social Implications of Emerging Abortion Technologies
• Abortion Stigma and Women's Mental Health
• Telemedicine and Abortion Access in Rural Areas
• International Human Rights and Abortion Access
• Reproductive Justice and Other Social Justice Issues
• Men's Role in Abortion Decision-Making
• Abortion Restrictions and Social Disparities
• Racial and Ethnic Disparities in Abortion Access
• Alternative Approaches to Abortion Regulation
• Political Ideology and Abortion Policy Debates
• Public Health Campaigns for Informed Abortion Decisions
• Abortion Services in Conflict-Affected Areas
• Healthcare Providers and Medical Ethics of Abortion
• International Cooperation on Abortion Policies

By exploring these topics and subtopics for abortion essays , students can gain a more comprehensive understanding of the multifaceted nature of the abortion debate and choose a specific focus that aligns with their interests and research objectives.

When selecting research paper topics on abortion, it is essential to consider factors such as research feasibility, availability of credible sources, and the potential for original contributions.

Abortion is a complex and multifaceted issue that intersects with various aspects of society and individual lives. By broadening the scope of abortion-related topics, students can explore a wider range of perspectives and insights.

• Abortion Social Issue
• Exploring the Complexity of Abortion: Historical, Medical and Personal Perspectives
• Abortion: A Comprehensive Research
• An Examination of Abortion and its Health Implications on Women
• Abortion Introduction
• Comparative Analysis of Abortion Laws Worldwide
• Historical Evolution of Abortion Rights and Practices
• Impact of Abortion on Public Health and Maternal Mortality
• Abortion Funding and Access to Reproductive Healthcare
• Role of Misinformation and Myths in Abortion Debates
• International Perspectives on Abortion and Reproductive Freedom
• Abortion and the UN Sustainable Development Goals
• Abortion and Gender Equality in the Global Context
• Abortion and Human Rights: A Legal and Ethical Analysis
• Religious and Cultural Influences on Abortion Perceptions
• Abortion and Social Justice: Addressing Disparities and Marginalization
• Anti-abortion and Pro-choice Movements: Comparative Analysis and Impact
• Impact of Technological Advancements on Abortion Procedures and Access
• Ethical Considerations of New Abortion Technologies and Surrogacy
• Role of Advocacy and Activism in Shaping Abortion Policy and Practice
• Measuring the Effectiveness of Abortion Policy Interventions

Navigating the complex landscape of abortion-related topics can be a daunting task, but it also offers an opportunity for students to delve into a range of compelling issues and perspectives. By choosing the right topic, students can produce well-researched, insightful, and impactful essays that contribute to the ongoing dialogue on this important subject.

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Standardizing abortion research outcomes (STAR): Results from an international consensus development study

Katherine c whitehouse, bianca m stifani, james mn duffy, caron r kim, mitchell d creinin, teresa depiñeres, beverly winikoff, kristina gemzell-danielsson, jennifer blum, renee bracey sherman, antonella f lavelanet, dalia brahmi, daniel grossman, anand tamang, hailemichael gebreselassie, rodolfo gomez ponce de leon, bela ganatra.

• Author information
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Corresponding author. [email protected]

Received 2021 Apr 21; Revised 2021 Jul 1; Accepted 2021 Jul 2.

This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/3.0/).

To develop a minimum data set, known as a core outcome set, for future abortion randomized controlled trials.

Study design

We extracted outcomes from quantitative and qualitative systematic reviews of abortion studies to assess using a modified Delphi method. Via email, we invited researchers, clinicians, patients, and healthcare organization representatives with expertise in abortion to rate the importance of the outcomes on a 9-point Likert scale. After 2 rounds, we used descriptive analyses to determine which outcomes met the predefined consensus criteria. We finalized the core outcome set during a series of consensus development meetings.

We entered 42 outcomes, organized in 15 domains, into the Delphi survey. Two-hundred eighteen of 251 invitees (87%) provided responses (203 complete responses) for round 1 and 118 of 218 (42%) completed round2. Sixteen experts participated in the development meetings. The final outcome set includes 15 outcomes: 10 outcomes apply to all abortion trials (successful abortion, ongoing pregnancy, death, hemorrhage, uterine infection, hospitalization, surgical intervention, pain, gastrointestinal symptoms, and patients’ experience of abortion); 2 outcomes apply to only surgical abortion trials (uterine perforation and cervical injury), one applies only to medical abortion trials (uterine rupture); and 2 apply to trials evaluating abortions with anesthesia (over-sedation/respiratory depression and local anesthetic systemic toxicity).

Using robust consensus science methods we have developed a core outcome set for future abortion research.

Implications

Standardized outcomes in abortion research could decrease heterogeneity among trials and improve the quality of systematic reviews and clinical guidelines. Researchers should select, collect, and report these core outcomes in future abortion trials. Journal editors should advocate for core outcome set reporting.

Keywords: Surgical abortion, Medical abortion, Clinical trials, Core outcomes

1. Introduction

Clinicians rely on research evidence to inform decisions regarding treatment. Ideally, evidence should come from well-designed and methodologically sound clinical trials. However, inconsistencies in research outcomes, even for a single medical topic, can prevent accurate comparisons between trials or systematic evaluation of outcomes across trials [1] . Studies with poorly measured or inconsistently reported outcomes can compromise the quality of systematic reviews and clinical guidelines [2] .

In 2010, researchers, health service users, journal editors, and other key stakeholders came together to establish the Core Outcome Measures in Effectiveness Trials (COMET) initiative. Their goal was to facilitate “the development and application of agreed standardized sets of outcomes, known as core outcome sets [ 3 , 4 ].” The aim of a core outcome set is to define a minimum list of outcomes that researchers should report and measure in any clinical trial on a certain subject. COMET also promotes patient/public involvement in outcome set development [3] , [4] , [5] , [6] . If key stakeholders are not involved in the selection of research outcomes, they may lack relevance [2] .

Editors of more than 80 reproductive health journals, including Contraception , endorsed the Core Outcomes in Women's Health (CROWN) initiative, which aims to “harmonize outcome reporting in women's health research” [7] . To date, researchers have developed core outcome sets for a variety of reproductive health topics, including the prevention of preterm birth, endometriosis, and preeclampsia [8] , [9] , [10] , [11] .

The Standardizing Abortion Research (STAR) outcomes project aims to define a core outcome set for abortion-related research. Abortion is a common experience worldwide, with an estimated 73 million abortions annually [12] . Robust, well-developed clinical trials and guidelines on abortion provide information that can enhance safety, effectiveness, and acceptability of these ubiquitous services. Thus far, researchers have reported on a variety of outcomes in abortion clinical trials, with some efforts to standardize medical abortion effectiveness and surgical abortion outcomes reporting [ 13 , 14 ]. The STAR project is a 3-stage international and interdisciplinary effort to identify the most relevant outcomes for abortion-related research [15] . Here, we describe the results of an international consensus development study to agree on the core outcomes that future abortion trials and systematic reviews should select, collect, and report.

2. Materials and methods

We developed a protocol for the STAR project, with reference to the COMET handbook and protocols describing the development of other core outcomes in reproductive health [ 16 , 17 ]. We registered the protocol prospectively in the COMET database and the CROWN initiative endorsed the project [15] . At the start, we formed an international advisory group with experience and expertise in abortion care, research, and core outcome set development. The group included service providers, researchers, advocates, nongovernmental organizations (NGO) representatives, and methodologists from countries across the range of World Bank income classifications [18] . World Health Organization (WHO) researchers provided overall study management.

Guided by the COMET initiative guidelines [ [8] , [9] , [10] , [19] , [20] , [21] ], the STAR project included three stages with all methods described in our published protocol [15] . In brief, during the first stage, we identified a preliminary list of potential core outcomes by performing systematic reviews of randomized clinical abortion trials and qualitative studies on patient experiences with abortion.

We present the second stage, in which we performed a modified Delphi process and held consensus meetings. We described the methods of the second stage in our published protocol with further details here [15] . We aimed to recruit a sample of approximately 200 participants diverse in their sociodemographic characteristics, location, and experience with abortion via the methods outlined in our protocol. To reach abortion patients/representatives, we contacted abortion activists and group networks to share our recruitment invitation and further disseminate it via snowballing. In the survey, we presented the outcomes in lay terms so all participants could understand them. We duplicated most of the outcomes across the domains of surgical and medical abortion. For example, one outcome was “ongoing viable pregnancy after medical abortion” and another was “ongoing viable pregnancy after surgical abortion.” We wanted to assess whether participants viewed outcome importance differently if it was related to medical versus surgical abortion. We used the COMET Delphi Management platform to administer the surveys (Delphi Manager, University of Liverpool, Liverpool, UK), which only allowed survey access online and in English. We sent e-mail reminders to those who registered but did not complete the survey.

Participants scored outcomes on a Likert scale of 1to 9 with 1to 3 as “not important,” 4to 6 as “important but not critical,” and 7to 9 as “critical,” per Grading of Recommendations Assessment, Development and Evaluation guidelines [22] . Participants could skip outcomes, as desired. At the end of round one, participants could contribute additional outcomes. We carried all outcomes from round 1, including the additional ones, into round 2. We invited all registered participants from round 1 to participate in round 2. We reminded them of their round one scores, shared a graph of how each stakeholder group scored the outcomes, and asked them to rescore all the outcomes. At the completion of round 2, we calculated median and interquartile ranges for each outcome and determined if the participants had reached consensus per the COMET definitions of “consensus in” (at least 70% of participants scored an outcome as “critical” and less than 15% scored it as “not important”), “consensus out” (at least 70% of participants scored an outcome as “not important” and less than 15% scored it as “critical”), or “no consensus” (outcomes not meeting the definition of “consensus in” or “no consensus”) [ 15 , 17 ]. After the second round, the study management team determined that participants had achieved sufficient consensus and there was no need for further rounds.

After the Delphi process, we held a series of virtual consultation meetings from Aprilto June 2020 with the study advisory group and the WHO secretariat. We ratified the outcomes that met criteria for “consensus in” and determined which “no consensus” outcomes to retain. If an outcome was important, however not required, the group could designate it as an outcome for “consideration.” We also discussed the semantics of the included outcomes, which were translated back from lay language into technical terms and aimed to align the terminology with existing outcomes literature [ 13 , 14 ]. We assigned gender-neutral terminology to be inclusive of non-binary abortion patients.

We used R (version 3.0.3, 2014) and SAS Studio (20121, Cary, NC) software, with Kruskal-Wallis testing, for comparison of outcome scores across respondent types at a significance level at 5%. The WHO Ethics Review Committee approved the study.

In our literature reviews, we identified 218 abortion clinical trials and 32 qualitative studies, which reported on 177 and 13 outcomes, respectively ( Fig. 1 ). From this initial inventory, we synthesized a preliminary list of 42 outcomes across 15 domains ( Appendix A ). We entered these domains and outcomes into the first round of the Delphi survey. After round one, we added 9 additional outcomes as suggested by survey respondents. In the second round, respondents evaluated 51 outcomes.

Flowchart of identification and selection of core outcomes for abortion trials during the Delphi process and consensus meetings.

Of the 251 invitees who registered to take the surveys, 218 (87%) provided responses of which 203 (81%) completed all questions in round 1. In round 2, 118 of the 218 (42%) participants responded. Table 1 shows the demographic characteristics of the survey and consultation meeting participants. Clinicians were the most represented group in the survey, while the consensus meeting included more researchers. At all stages, most participants identified as white and represented high-income countries in the EURO (Europe) or AMRO (the Americas) regions. The percentage of participants who lived in low and lower-middle income countries ranged from 14 to 18%.

Characteristics of participants in Delphi surveys and consultation meetings conducted to identify core outcomes for abortion trials

All data presented as n (%) or mean ± standard deviation (SD)

WHO regions: AFRO,Africa; AMRO,The Americas EMRO Eastern Mediterranean; EURO, Europe; SEARO (South-East Asia), WPRO (Western Pacific)

According to World Bank classification [18]

Table 2 shows the outcomes that met “consensus in” criteria across all participants. Appendix B lists the outcomes for which there was “no consensus” after round two. No outcomes met criteria for “consensus out.” We show outcome ratings across stakeholder groups in Table 3 . Of note, patients/representatives more highly rated “anxiety” ( p =0.01) and “sadness” ( p =0.002), though even in that group, the average score for these outcomes was below 7. “Ongoing pregnancy” had average scores above 7 in all groups but had higher scores among clinicians and researchers than other groups ( p =0.03). “Pain” had mean scores above 7 among patients and NGO representatives but not among other stakeholders ( p =0.02).

“Consensus in” a outcomes from all respondent groups c who participated in the second round (n=118) of a Delphi survey conducted to identify core outcomes for abortion trials

Data are n (%) of participants across all groups who rated the outcome as critical (score 7–9)

“Consensus in” defined as when at least 70% of participants scored an item as 7 to 9 (critical) and less than 15% score it as 1 to 3 (not important)

The term, “side effect,” was used as lay terminology in the survey

Participant groups were: researchers, abortion providers, abortion patients or patient representatives, NGO representatives, and others

Not included in final core outcome set based on consensus discussions

Outcome scores a that differed across respondent groups in the second round of a Delphi survey conducted to identify core outcomes for abortion trials

All data presented as median (interquartile range presented as the difference between the 3rd and 1st quartile).

Participants scored outcomes on a scale of 1 to 9 with 1 to 3 as “not important,” 4 to 6 as “important but not critical,” and 7 to 9 as “critical”

Based on Kruskal-Wallis test. This table only shows outcomes for which the Kruskal Wallis test reached statistical significance at a level of 5%.

At the consensus meeting, we identified a final list of 13 outcomes for medical abortion and 14 outcomes for surgical abortion. After combining the duplicate outcomes for medical and surgical abortion, we obtained a final list of 15 unique outcomes. While venous thromboembolic event (VTE) met criteria for “consensus in,” the group decided to exclude this outcome in the final set, concluding that VTEs were not related specifically to abortion, but to pregnancy in general. Incomplete abortion met criteria for “consensus in,” however the group concluded that this diagnosis is too vague and not always clinically meaningful. Incomplete abortion was retained as an outcome “for consideration” rather than a requirement. Figure 2 shows the final core outcome set, with 15 required outcomes and 2 outcomes for consideration. Some outcomes apply to all abortions, while others apply only to only medical, surgical, or abortion under anesthesia.

Final core outcome set for abortion trials based on the Delphi process and consensus meetings.

4. Discussion

In our project, we used the modified Delphi process and consensus meetings to finalize a core outcome set that future abortion trials, systematic reviews, and clinical guidelines should include. These 15 core outcomes span the domains of abortion success, adverse events, side effects, and personal experience of the abortion. Most of the outcomes are the same for medical and surgical abortion, with the exception of uterine rupture (medical abortion), and uterine perforation and cervical injury (surgical abortion, including for an unsuccessful medical abortion). Two outcomes (over-sedation and toxicity from local anesthesia) only apply to abortions with anesthesia.

To improve consistency and comparability of research studies, researchers should report on relevant core outcomes in future clinical trials on abortion. If core outcomes are not relevant, authors should clarify the reason for not reporting them in the publication. Of course, this minimum list does not constrain researchers from reporting other relevant and interesting outcomes. The expert group included 2 outcomes for consideration, “incomplete abortion/retained pregnancy tissue” and “unanticipated participant contact with a healthcare provider.” The group thought that “incomplete abortion/retained pregnancy tissue” was not always clinically meaningful because this diagnosis is often vague and difficult to distinguish from retained blood clots or the normal spectrum of postabortion recovery. The group felt that “unanticipated participant contact with a healthcare provider” (such as phone calls or outpatient visits) was an important marker of resource utilization for both the healthcare system and the participant but also felt that it might not be feasible for all trials to collect these data. Accordingly, researchers are not instructed to report either of these outcomes or justify their omission.

The systematic review identified significant variations in the outcomes and outcome measures reported by previous abortion trials, a variation that spans across reproductive health [ 23 , 24 ]. When synthesizing the final list of outcomes, we aligned our terminology where possible with other relevant terminologies including the PAIRS framework [14] in the adverse events domain and the MARE guidelines for medical abortion outcomes [13] . We also referred to the Food and Drug Administration, European Medicines Agency, National Health Service, and other international governing bodies’ definitions of serious adverse events when structuring this domain [25] , [26] , [27] .

This study has several strengths. First, we followed the guidelines for developing a core outcome set as dictated by the COMET initiative, including the involvement of patients/representatives [3] . We engaged an international group of participants in the Delphi process and in the study advisory group. The modified Delphi process offers a robust method for reaching consensus without allowing individuals to exert influence on others or dominate a discussion [10] . Conversely, the Delphi process does not allow participants to interact nor present opportunities to clarify misconceptions. In our project, participants included stakeholders across the realm of abortion care from clinicians and researchers to relevant NGO representatives and those with lived experience of abortion. Another strength of our study is that we did not limit the identification of core outcomes to published clinical trials. We also identified outcomes based on a review of qualitative studies focused on participants’ experiences of abortion and drew from patient-centered frameworks in our consensus discussions [28] , [29] , [30] , [31] .

One limitation of our study is the high attrition rate (42%) between rounds of the Delphi surveys, possibly due to the slightly more than one-year period between rounds one and two, which may have led to disinterest in participating. This rate, however, fell within the reported range of attrition rates (21%–48%) for other core outcome set development studies in reproductive health [11] . We struggled to reach our goal to recruit equal proportions from each stakeholder group. In particular, we had less representation than desired from abortion patients/representatives (<10% of our population). However because we only allowed survey participants to self-select one stakeholder group, we did not capture those who may have identified with more than 1 group. Reports from other researchers corroborate that it can be challenging to recruit lay people to participate in abortion-related research [32] . We tried to compensate for this underrepresentation by placing a high importance on including a patient-centered outcome in the final outcome set. In addition, we performed a qualitative review on abortion outcomes, which contributed greatly to the entire process and will be reported separately. Despite our efforts to invite participants through a broad network of international societies and organizations, we had low representation by people of color (36%). Per our protocol, we invited all corresponding authors of the abortion trials included in our systematic reviews. Most of these authors lived in Europe or North America, which may have skewed our population. Our consultation group was more racially and ethnically diverse, with 63% identifying as people of color. In the final stage of this project, we will further explore the role of technology, such as mobile applications or social media, and try to forge partnerships with relevant organizations to ensure diversity amongst stakeholders.

While our list advises on the outcomes that researchers should include in future abortion trials, it does not define how to measure them. The Consensus-based Standards for the selection of health Measurement Instruments (COSMIN) initiative has published guidelines on how to select outcome measurement instruments for core outcome set developers [33] . COSMIN describes 4 steps to determining outcome measurement instruments, which include conceptual considerations, review of existing instruments, evaluation of instrument quality, and selection of 1 instrument for each outcome [33] . In the next stage of the STAR project, we will define the measurements for our core outcome set. We intend to build on efforts that are already underway to define the measurement of outcomes in medical abortion [34] .

We plan to implement our core outcome set by working with important partners in the field, such as the COMET and CROWN initiatives. We also aim to collaborate with editors of relevant journals to further promote the use of our outcome set. We hope that in time, inclusion, or justification for exclusion, of core outcomes will be required when submitting an abortion clinical trial to a peer-reviewed journal. Researchers should also consider selecting their primary outcome from the core outcome set [35] . We plan to create useful tools, such as generic reporting tables and CONSORT and PRISMA extensions to make it easier for researchers to standardize outcome reporting [20] . These efforts aim to improve the quality of data from abortion trials, systematic reviews and guidelines that use the data from these studies.

Declaration of Competing Interest

Dr. Creinin is a consultant for Danco Laboratories. Dr. Gemzell-Danielsson has received honorariums for giving lectures, participating on international medical advisory boards, or for participation in clinical trials supported by the following organizations: Concept foundation/SunPharma, Exelgyn, HRA Pharma, Mithra, Exeltis, Actavis, Bayer, MSD, Gideon Richter, Natural Cycles, MedinCell, and Cirqle.

This work was supported by the WHO's UNDP-UNFPA-UNICEF-WHO-World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), Department of Sexual and Reproductive Health and Research.

Acknowledgments

The author would like to acknowledge all the participants of the Delphi surveys for the time and input they contributed to this project.

Appendix A. Preliminary list of STAR project outcomes as they appeared to participants of the modified Delphi process

Domain 1: Effectiveness of surgical abortion

Outcome 1 : All of the pregnancy was passed or removed

Outcome 2: Only a portion of the pregnancy was passed or removed

Outcome 3: Ongoing viable pregnancy

Outcome 4 : Pregnancy is passed before a scheduled abortion

Outcome 5 : Time needed to complete abortion (often measured in minutes)

Domain 2: Side effects related to abortion surgery

Outcome 6: Treatment side effects (for example, nausea and vomiting)

Outcome 7: Life threatening treatment side effects (for example, heavy bleeding, allergic reaction, blood infection)

Outcome 8: Blood clots (for example, in the legs and/or lungs)

Outcome 9: Damage to internal organs (for example, poking a hole in the womb)

Domain 3: Treatments for side effects related to abortion surgery

Outcome 10: Treatments for life threatening side effects related to the abortion surgery (for example, blood transfusion or surgery)

Domain 4: Death from abortion surgery

Outcome 11: Death

Domain 5: Experience of abortion surgery

Outcome 12: Pain

Outcome 13: Anxiety

Outcome 14: Sadness

Outcome 15: Satisfaction with surgical abortion experience reported by woman

Outcome 16: Acceptability of surgical abortion experience reported by woman

Outcome 17: Acceptability of surgical abortion procedure reported by healthcare provider

Domain 6: Care after surgical abortion

Outcome 18: Resumption of daily activities (for example, doing daily activities)

Outcome 19: Return of menstrual cycle

Domain 7: Outcomes related to preparing cervix (opening of womb) for surgical abortion

Outcome 20: Cervical dilation ( The softening and/or opening of the cervix (entrance to the womb)

Domain 8: Utilization of resources associated with surgical abortion

Outcome 21: Cost to woman

Outcome 22: Cost to healthcare system

Domain 9: Effectiveness of medical abortion (taking medication to cause abortion)

Outcome 23 : All of the pregnancy was passed or removed

Outcome 24: Only a portion of the pregnancy was passed or removed

Outcome 25: Ongoing viable pregnancy

Outcome 26 : Time needed to complete abortion (often measured in hours)

Domain 10: Side effects related to medical abortion

Outcome 27: Treatment side effects (for example, nausea and vomiting)

Outcome 28: Life threatening treatment side effects (for example, heavy bleeding, allergic reaction, blood infection)

Outcome 29: Blood clots (for example, in the legs and/or lungs)

Outcome 30: Damage internal organs (for example, rupture of womb)

Domain 11: Treatments for side effects related to medical abortion

Outcome 31: Treatments for life threatening side effects related to medical abortion (for example, blood transfusion or surgery)

Domain 12: Death from medical abortion

Outcome 32: Death

Domain 13: Experience of medical abortion

Outcome 33: Pain

Outcome 34: Anxiety

Outcome 35: Sadness

Outcome 36: Satisfaction with medical abortion experience reported by woman

Outcome 37: Acceptability of medical abortion experience reported by woman

Outcome 38: Acceptability of medical abortion procedure reported by healthcare provider

Domain 14: Care after medical abortion

Outcome 39: Resumption of daily activities (for example, doing daily activities)

Outcome 40: Return of menstrual cycle

Domain 15: Utilization of resources associated with medical abortion

Outcome 41: Cost to woman

Outcome 42: Cost to healthcare system

Appendix B. Outcomes that were “no consensus” after the second round of a Delphi survey conducted to identify core outcomes for abortion trials

• 1. Duffy JMN, Bhattacharya S, Herman M, Mol B, Vail A, Wilkinson J, et al. Reducing research waste in benign gynaecology and fertility research. BJOG An Int J Obstet Gynaecol. 2017;124:366–369. doi: 10.1111/1471-0528.14438. [ DOI ] [ PubMed ] [ Google Scholar ]
• 2. Duffy JMN, Ziebland S, von Dadelszen P, McManus RJ. Tackling poorly selected, collected, and reported outcomes in obstetrics and gynecology research. Am J Obstet Gynecol. 2019;220(1) doi: 10.1016/j.ajog.2018.09.023. 71.e1-71.e4. [ DOI ] [ PubMed ] [ Google Scholar ]
• 3. Williamson PR, Altman DG, Blazeby JM, Clarke M, Gargon E. The COMET (Core Outcome Measures in Effectiveness Trials) Initiative. Trials. 2011;12:A70. [ Google Scholar ]
• 4. Williamson P, Clarke M. The COMET (Core Outcome Measures in Effectiveness Trials) initiative: Its role in improving cochrane reviews. Cochrane Database Syst Rev. 2012;13(5) doi: 10.1002/14651858.ED000041. [ DOI ] [ PMC free article ] [ PubMed ] [ Google Scholar ]
• 5. Keeley T, Williamson P, Callery P, Jones LL, Mathers J, Jones J, et al. The use of qualitative methods to inform Delphi surveys in core outcome set development. Trials. 2016;7(1):230. doi: 10.1186/s13063-016-1356-7. [ DOI ] [ PMC free article ] [ PubMed ] [ Google Scholar ]
• 6. Duffy JMN, Thompson T, Hinton L, Salinas M, McManus RJ, Ziebland S, et al. What outcomes should researchers select, collect and report in pre-eclampsia research? A qualitative study exploring the views of women with lived experience of pre-eclampsia. BJOG An Int J Obstet Gynaecol. 2019;126(5):637–646. doi: 10.1111/1471-0528.15616. [ DOI ] [ PubMed ] [ Google Scholar ]
• 7. CROWN Initiative. Core outcomes in women's and newborn health, http://www.crown-initiative.org/ [accessed April 8, 2021].
• 8. van ’t Hooft J, Duffy JMN, Daly M, Williamson PR, Meher S, Thom E, et al. A core outcome set for evaluation of interventions to prevent preterm birth. Obstet Gynecol. 2016;127(1):49–58. doi: 10.1097/AOG.0000000000001195. [ DOI ] [ PMC free article ] [ PubMed ] [ Google Scholar ]
• 9. Duffy J, Cairns AE, Richards-Doran D, van ’t Hooft J, Gale C, Brown M, et al. A core outcome set for pre-eclampsia research: An international consensus development study. BJOG. 2020;127(12):1516–1526. doi: 10.1111/1471-0528.16319. [ DOI ] [ PubMed ] [ Google Scholar ]
• 10. Duffy JMN, Hirsch M, Vercoe M, Abbott J, Barker C, Collura B, et al. A core outcome set for future endometriosis research: An international consensus development study. BJOG. 2020;127(8):967–974. doi: 10.1111/1471-0528.16157. [ DOI ] [ PubMed ] [ Google Scholar ]
• 11. Duffy JMN, Rolph R, Gale C, Hirsch M, Khan KS, Ziebland S, et al. Core outcome sets in women's and newborn health: A systematic review. BJOG. 2017;124(10):1481–1489. doi: 10.1111/1471-0528.14694. [ DOI ] [ PubMed ] [ Google Scholar ]
• 12. Bearak J, Popinchalk A, Ganatra B, Moller A-B, Tunçalp Ö, Beavin C, et al. Unintended pregnancy and abortion by income, region, and the legal status of abortion: estimates from a comprehensive model for 1990-2019. Lancet Glob Health. 2020;8(9):e1152–e1161. doi: 10.1016/S2214-109X(20)30315-6. [ DOI ] [ PubMed ] [ Google Scholar ]
• 13. Creinin MD, Chen MJ. Medical abortion reporting of efficacy: The MARE guidelines. Contraception. 2016;94:97–103. doi: 10.1016/j.contraception.2016.04.013. [ DOI ] [ PubMed ] [ Google Scholar ]
• 14. Taylor D, Upadhyay UD, Fjerstad M, Battistelli MF, Weitz TA, Paul ME. Standardizing the classification of abortion incidents: The Procedural Abortion Incident Reporting and Surveillance (PAIRS) Framework. Contraception. 2017;96(1):1–13. doi: 10.1016/j.contraception.2017.05.004. [ DOI ] [ PubMed ] [ Google Scholar ]
• 15. Whitehouse KC, Kim CR, Ganatra B, Duffy JMN, Blum J, Brahmi D, et al. Standardizing abortion research outcomes (STAR): A protocol for developing, disseminating and implementing a core outcome set for medical and surgical abortion. Contraception. 2017;95:437–441. doi: 10.1016/j.contraception.2016.12.009. [ DOI ] [ PMC free article ] [ PubMed ] [ Google Scholar ]
• 16. Duffy JMN, van ’t Hooft J, Gale C, Brown M, Grobman W, Fitzpatrick R, et al. A protocol for developing, disseminating, and implementing a core outcome set for pre-eclampsia. Pregnancy Hypertens. 2016;6:274–278. doi: 10.1016/j.preghy.2016.04.008. [ DOI ] [ PubMed ] [ Google Scholar ]
• 17. Williamson PR, Altman DG, Bagley H, Barnes KL, Blazeby JM, Brookes ST, et al. The COMET Handbook: Version 1.0. Trials. 2017;18(Suppl 3):280. doi: 10.1186/s13063-017-1978-4. [ DOI ] [ PMC free article ] [ PubMed ] [ Google Scholar ]
• 18. World Bank. World Bank List of Economies 2019. https://datahelpdesk.worldbank.org/knowledgebase/articles/906519-world-bank-country-and-lending-groups . [accessed April 8, 2021].
• 19. Duffy JMN, AlAhwany H, Bhattacharya S, Collura B, Curtis C, Evers JLH, et al. Developing a core outcome set for future infertility research: an international consensus development study. Hum Reprod. 2020;35(12):2725–2734. doi: 10.1093/humrep/deaa241. [ DOI ] [ PMC free article ] [ PubMed ] [ Google Scholar ]
• 20. Duffy JMN, Bhattacharya S, Bhattacharya S, Bofill M, Collura B, Curtis C, et al. Standardizing definitions and reporting guidelines for the infertility core outcome set: an international consensus development study. Hum Reprod. 2020;115(1):201–212. doi: 10.1016/j.fertnstert.2020.11.013. [ DOI ] [ PubMed ] [ Google Scholar ]
• 21. Duffy JMN, Cairns AE, Magee LA, von Dadelszen P, van ’t Hooft J, Gale C, et al. Standardising definitions for the pre-eclampsia core outcome set: A consensus development study. Pregnancy Hypertens. 2020;21:208–217. doi: 10.1016/j.preghy.2020.06.005. [ DOI ] [ PubMed ] [ Google Scholar ]
• 22. Guyatt GH, Oxman AD, Kunz R, Atkins D, Brozek J, Vist G, et al. GRADE guidelines: 2. Framing the question and deciding on important outcomes. J Clin Epidemiol. 2011;64(4):395–400. doi: 10.1016/j.jclinepi.2010.09.012. [ DOI ] [ PubMed ] [ Google Scholar ]
• 23. Hirsch M, Duffy JMN, Kusznir JO, Davis CJ, Plana MN, Khan KS. Variation in outcome reporting in endometriosis trials: A systematic review. Am J Obstet Gynecol. 2016;214:452–464. doi: 10.1016/j.ajog.2015.12.039. [ DOI ] [ PubMed ] [ Google Scholar ]
• 24. Duffy JMN, Hirsch M, Kawsar A, Gale C, Pealing L, Plana MN, et al. Outcome reporting across randomized controlled trials evaluating therapeutic interventions for pre-eclampsia. BJOG An Int J Obstet Gynaecol. 2017;124:1829–1839. doi: 10.1111/1471-0528.14702. [ DOI ] [ PubMed ] [ Google Scholar ]
• 25. US Food & Drug Administration. What is a serious adverse event?. https://www.fda.gov/safety/reporting-serious-problems-fda/what-serious-adverse-event [accessed April 8, 2021].
• 26. European Medicines Agency. Serious adverse reaction. https://www.ema.europa.eu/en/glossary/serious-adverse-reaction#:~:text=An adverse reaction that results, or is a birthdefect. [accessed April 8, 2021].
• 27. National Health Service. Classification of adverse events. https://www.nbt.nhs.uk/research-innovation/running-your-study/safety-reporting/classification-adverse-events [accessed April 8, 2021].
• 28. Kingsley C, Patel S. Patient-reported outcome measures and patient-reported experience measures. BJA Educ. 2017;17:137–144. [ Google Scholar ]
• 29. Mercieca-Bebber R, King MT, Calvert MJ, Stockler MR, Friedlander M. The importance of patient-reported outcomes in clinical trials and strategies for future optimization. Patient Relat Outcome Meas. 2018;9:353–367. doi: 10.2147/PROM.S156279. [ DOI ] [ PMC free article ] [ PubMed ] [ Google Scholar ]
• 30. Darney BG, Powell B, Andersen K, Baum SE, Blanchard K, Gerdts C, et al. Quality of care and abortion: Beyond safety. BMJ Sex Reprod Heal. 2018;44:159–160. doi: 10.1136/bmjsrh-2018-200060. [ DOI ] [ PMC free article ] [ PubMed ] [ Google Scholar ]
• 31. World Health Organization. What is Quality of Care and why is it important?. https://www.who.int/teams/maternal-newborn-child-adolescent-health-and-ageing/quality-of-care [accessed April 8, 2021].
• 32. Dobkin LM, Gould H, Barar RE, Ferrari M, Weiss EI, Foster DG. Implementing a prospective study of women seeking abortion in the United States: Understanding and overcoming barriers to recruitment. Women's. Heal Issues. 2014;24(1):e115–e123. doi: 10.1016/j.whi.2013.10.004. [ DOI ] [ PubMed ] [ Google Scholar ]
• 33. Mokkink LB, Prinsen CAC, Bouter LM, de Vet HCW, Terwee CB. The COnsensus-based standards for the selection of health measurement INstruments (COSMIN) and how to select an outcome measurement instrument. Braz J Phys Ther. 2016;20(2):105–113. doi: 10.1590/bjpt-rbf.2014.0143. [ DOI ] [ PMC free article ] [ PubMed ] [ Google Scholar ]
• 34. Fiala C, Cameron S, Bombas T, Parachini M, Agostini A, Lertxundi R, et al. Outcome of first trimester medical termination of pregnancy: Definitions and management. Eur J Contracept Reprod Heal Care. 2018;23(6):451–457. doi: 10.1080/13625187.2018.1535058. [ DOI ] [ PubMed ] [ Google Scholar ]
• 35. Duffy JMN, Hirsch M, Gale C, Pealing L, Kawsar A, Showell M, et al. A systematic review of primary outcomes and outcome measure reporting in randomized trials evaluating treatments for pre-eclampsia. Int J Gynaecol Obstet Off Organ Int Fed Gynaecol Obstet. 2017;139:262–267. doi: 10.1002/ijgo.12298. [ DOI ] [ PubMed ] [ Google Scholar ]
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• Published: 02 January 2024

Psychological traits and public attitudes towards abortion: the role of empathy, locus of control, and need for cognition

• Jiuqing Cheng 1 ,
• Ping Xu 2 &
• Chloe Thostenson 1  

Humanities and Social Sciences Communications volume  11 , Article number:  23 ( 2024 ) Cite this article

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In the summer of 2022, the U.S. Supreme Court overturned the historic Roe v. Wade ruling, prompting various states to put forth ballot measures regarding state-level abortion rights. While earlier studies have established associations between demographics, such as religious beliefs and political ideologies, and attitudes toward abortion, the current research delves into the role of psychological traits such as empathy, locus of control, and need for cognition. A sample of 294 U.S. adults was obtained via Amazon Mechanical Turk, and participants were asked to provide their attitudes on seven abortion scenarios. They also responded to scales measuring empathy toward the pregnant woman and the unborn, locus of control, and need for cognition. Principal Component Analysis divided abortion attitudes into two categories: traumatic abortions (e.g., pregnancies due to rape) and elective abortions (e.g., the woman does not want the child anymore). After controlling for religious belief and political ideology, the study found psychological factors accounted for substantial variation in abortion attitudes. Notably, empathy toward the pregnant woman correlated positively with abortion support across both categories, while empathy toward the unborn revealed an inverse relationship. An internal locus of control was positively linked to support for both types of abortions. Conversely, external locus of control and need for cognition only positively correlated with attitudes toward elective abortion, showing no association with traumatic abortion attitudes. Collectively, these findings underscore the significant and unique role psychological factors play in shaping public attitudes toward abortion. Implications for research and practice were discussed.

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The U.S. Supreme Court overturned the long-time landmark ruling of Roe v. Wade in 2022 summer. Debates and legal challenges regarding legal abortion in the U.S. have been heated (Felix et al., 2023 ). Furthermore, residents in several states have or will cast their vote on a ballot measure to determine abortion rights at the state level. A Gallup poll released in 2023 summer found that about one third of voters indicated that they would only vote for a candidate who shared their views on abortion (Saad, 2023 ). Therefore, it is imperative to understand people’s attitudes toward abortion. Past research on such attitudes have mainly focused on the role of political ideology and religious belief (e.g., Hess and Rueb, 2005 ); however, to our knowledge, relatively few studies have been done to examine the psychological underpinnings. Here we propose that examining the correlations between psychological factors and attitudes toward abortion has the potential to make contributions from the perspectives of both research and practice.

First, compared to attitudes in everyday life such as attitudes toward a product or brand, attitudes toward abortion are unique because it often elicits strong emotional response and conflict experience (Foster et al., 2012 ; Scott, 1989 ). Moreover, such an attitude goes beyond individual preference as it is deeply intertwined with one’s moral and religious beliefs, cultural background, and societal norms. Debate on abortion is not merely about a personal choice; it is about the definitions of life, rights, and autonomy (Osborne et al., 2022 ; Scott, 1989 ). For abortion, the contrasting views may lead to polarized opinions. In contrast, disagreements about a product or brand preference are typically less emotionally charged and do not carry the same societal weight. Therefore, given the unique nature of attitudes toward abortion as described above, it remains unclear whether psychological factors that correlate with attitudes in other areas still apply and, if so, in what capacity they do so. Additionally, as introduced below, several studies in this area employed a qualitative approach (interview). While the qualitative approach offered valuable insights into individuals’ perspectives on abortion, we aim to expand upon these findings by employing a quantitative approach. Especially, the quantitative approach allows us to explore the unique relationship between psychology and abortion attitudes after statistically controlling for other powerful factors like religious belief and political ideology. Together, a major goal of the present study is to provide initial empirical evidence for the correlations between attitudes toward abortion and certain psychological factors. We will further detail how our study might fill research gaps when introducing specific psychological factors as described below.

Second, examining the correlations between psychological factors and attitudes toward abortion may also offer practical insights. Consider the role of thinking style, for instance. The decision to pursue an abortion is imperative and often a prominently salient one, impacting not just the pregnant woman but also her family and extensive social network. Such a decision is complex and challenging due to intense feelings (e.g., conflict) and the balance between a woman’s bodily autonomy and fetal rights. From this viewpoint, there might be a correlation between attitudes toward abortion and one’s thinking style, especially their willingness to address complex and difficult issues. Past research has highlighted the connection between rational decision-making and the availability of relevant information (Shafir and LeBoeuf, 2002 ). Hence, to facilitate informed decisions, comprehensive knowledge about abortion is both essential and beneficial. The present study will examine the relationship between thinking style and abortion attitudes. Should a correlation be identified, our study would suggest individuals engage more deeply in critical thinking about the issues of abortion to enhance abortion-related education and informed decision-making.

Together, the present study aims to shed more light on the unique role of psychology in abortion attitudes, particularly in the presence of political ideology and religious belief. Specifically, we choose to examine the factors of empathy, locus of control, and thinking style (need for cognition) based on three considerations. Firstly, from a face validity perspective, the psychological constructs are predicted to exhibit a relationship with abortion attitudes. For example, the internal locus of control aligns well with the pro-choice mantra, ‘my body, my choice. Secondly, as detailed below, although these constructs have been explored in previous studies, they have only received limited attention and their relations with abortion attitudes remain inconclusive. Hence, our study aims to fill the gaps from past research by further clarifying their roles in attitudes toward abortion. Thirdly, research has indicated significant intersections between elements like cognitive style, empathy, and locus of control with various decisions, especially in health contexts (Marton et al., 2021 ; Pfattheicher et al., 2020 ; Xu and Cheng, 2021 ). These elements are tied to motivation, information analysis, and make trade-offs (Fischhoff and Broomell, 2020 ). Building on this, our study seeks to explore the applicability of these factors to the deeply sensitive and polarizing decision of abortion. On the other hand, it is worth noting that the psychological factors examined in our study are not exhaustive or driven by theoretical considerations. However, as mentioned in recent publications (Osborne et al., 2022 ; Valdez et al., 2022 ), past research on abortion attitudes with a psychological perspective is still limited. Therefore, our hope is that the present study could provide initial yet meaningful empirical evidence to exhibit the sophisticated role of psychology in attitudes toward abortion. We detail our rationales for each factor below.

Empathy refers to a variety of cognitive and affective responses, including sharing and understanding, toward others’ experiences (Pfattheicher et al., 2020 ). Previous studies have demonstrated a positive association between empathy and prosocial behaviors, such as caring for others (Moudatsou et al., 2020 ; Klimecki et al., 2016 ), as well as a reduction in conflict and stigma (Batson et al., 1997 ; Klimecki, 2019 ). Recently, Pfattheicher et al. ( 2020 ) also demonstrated that inducing empathy for the vulnerable people could promote taking preventative measures during the Covid-19 pandemic. While researchers advocated for incorporating empathy into abortion-related mental health intervention (Brown et al., 2022 ), the role of empathy in attitudes toward abortion remains understudied. Hunt ( 2019 ) investigated the impact of empathy toward pregnant women by presenting testimonial videos in which a pregnant woman described the challenges she faced due to legal abortion restrictions in Arkansas. However, this manipulation did not significantly reduce participants’ support for the abortion restrictions. Research has found that people’s views on abortion tends to be stable over time (Jelen and Wilcox, 2003 ; Pew Research Center, 2022 ). Hence, a short video used in Hunt ( 2019 ) might not be able to change people’s long-held views on abortion. Instead, we here hypothesize that the pre-existing but not temporality induced empathy play a role in abortion attitudes.

Furthermore, in addition to the empathy toward pregnant woman, it is also reasonable to assume that (some) people may feel empathy toward the unborn. For instance, interviews with Protestant religious leaders exhibited empathy toward both pregnant women and unborn (Dozier et al., 2020 ). Embree ( 1998 ) asked participants to indicate their opinions when responding to different scenarios of abortion. As a result, the study found that 64% and 17% of participants showed a moderate and strong level of empathy for the unborn, respectively. Despite the informative findings, the relationship between attitudes toward abortion and empathy toward the unborn remains unclear, particularly when taking empathy toward pregnant woman and other factors (e.g., political ideology) into account.

Together, we raise three hypotheses regarding the role of empathy as shown below.

H1a: Empathy toward pregnant woman and unborn can coexist.

H1b: People’s empathy toward pregnant woman are positively related to the support toward abortion.

H1c: People’s empathy toward unborn are negatively related to the support toward abortion.

As empathy has been highlighted in the intervention process when dealing with abortion-related mental health issues (Brown et al., 2022 ; Whitaker et al., 2015 ), we hope our findings could generate implications for future research and practice.

Locus of control

Locus of control (LOC) refers to people’s beliefs regarding whether their life outcomes are controlled and determined by their own (internal LOC) or external resources (fate, chance and/or powerful people, external LOC) (Levenson, 1981 ). Before delving into details, it is important to note that the internal and external LOC refer to different dimensions and are not mutually exclusive (Levenson, 1981 ; Reknes et al., 2019 ). For example, a person’s success may be determined by both hardworking and support from others. Regarding abortion attitudes, Sundstrom et al. ( 2018 ) analyzed interview contents and found that some women’s thoughts on pregnancy and abortion aligned with an internal locus of control (e.g., “As women, we need to take control as much as possible of our reproductive health”), while others aligned with an external locus of control (e.g., “leave it in God’s hands…we’ll just play it by ear and if I get pregnant, I get pregnant”).

The findings from Sundstrom et al. ( 2018 ) were informative and consistent with common sense. For example, at face value level, the slogan of “my body my choice” well aligns with the concept of internal LOC. However, the role of internal LOC in abortion attitudes may be more complicated. That is, religious belief may complicate the association between internal LOC and abortion attitudes. Past studies, including a meta-analysis and a study with over 20,000 participants, found a positive relationship between internal LOC and religious belief (Coursey et al., 2013 ; Falkowski, 2000 ; Iles-Caven et al., 2020 ). As noted in these articles, there are similarities between internal LOC and religious belief. For instance, religious beliefs often provide individuals with a sense of meaning, purpose, and guidance in life. Meanwhile, people higher in internal LOC are more likely to report higher levels of existential well-being and purpose in life, which can be associated with religious belief and engagement (Kim-Prieto et al., 2005 ; Krause and Hayward, 2013 ). Thus, the relationship between internal LOC and religious belief may complicate how internal LOC is involved in the abortion attitudes. Sundstrom et al. ( 2018 ) used interviews to explore the role of LOC in thoughts about abortion. However, this method might not sufficiently differentiate the influence of religious beliefs. In this study, we adopt a quantitative approach, using a classical scale to measure LOC. We aim to empirically assess the relationship between internal LOC and attitudes toward abortion, especially when accounting for religious belief. Furthermore, considering that the relationship between internal LOC and abortion attitudes might be intertwined with religious beliefs, we refrain from positing a specific hypothesis at this point.

External LOC, on the other hand, does not appear to have a significant relationship with religious belief. Additionally, a few studies found that people higher in external LOC tended to attribute outcomes to external reasons (Falkowski, 2000 ; Reknes et al., 2019 ). Building on this concept, individuals with a higher external locus of control (LOC) may be more inclined to attribute pregnancy to external factors and place less emphasis on personal responsibility. Accordingly, we predict the hypothesis below.

H2: External LOC will be positively related to the support toward abortion.

Need for cognition

Based on face validity, thinking style might pertain to one’s perception of abortion. For instance, individuals who prioritize comprehensive and empirical data might arrive at a different conclusion than those who lean on personal stories and emotional narratives. A few studies have tapped into the relationship between thinking style and attitudes toward abortion. Valdez et al. ( 2022 ) conducted qualitative interviews on abortion and employed natural language processing techniques to analyze the interviews. The study identified analytical thinking, which involved considering abortion from multiple perspectives, had a negative relationship with the number of cognitive distortions (such as polarized and rigid thinking about abortion). However, such a finding conflicted with another study by Hill ( 2004 ) where the concept of cognitive complexity (thinking beyond surface-level observations) did not correlate with attitudes toward abortion. The inconsistency might be due to methodological issues. For example, the correlations described above in Valdez et al. ( 2022 ) were derived from a small sample consisting of 16 participants. A low reliability of the cognitive complexity scale used in Hill ( 2004 ) might (partly) address the non-significant relationship. Thus, the present study will utilize the Need for Cognition scale, a widely recognized and validated instrument that measures thinking style, to examine its correlation with attitudes toward abortion in a larger sample.

Need for cognition (NFC) pertains to the inclination to derive satisfaction from and actively participate in effortful thinking (Cacioppo et al., 1984 ). Consistent with its concept, past research demonstrated that NFC was positively correlated with information seeking (Verplanken et al., 1992 ), academic achievement (Richardson et al., 2012 ), and logical reasoning performance (Ding et al., 2020 ). As for attitudes toward abortion, we hypothesize the following.

H3: There will be a positive correlation between NFC and attitudes toward abortion.

Our prediction is based on two reasons. First, NFC drives individuals to actively seek and update information and knowledge. It was discovered that acquiring a deeper understanding of abortion correlated with increased support for it (Hunt, 2019 ; Mollen et al., 2018 ). Second and relatedly, NFC was found to be negatively associated with various stereotype memories and positively related to non-prejudicial social judgments (Crawford and Skowronski, 1998 ; Curşeu and de Jong, 2017 ).

In sum, the present study aims to provide empirical evidence for the association between attitudes toward abortion and psychology by examining and clarifying the role of empathy, locus of control, and need for cognition. Past research has repeatedly found the involvement of political ideology and religious belief in abortion attitudes (e.g., Hess and Rueb, 2005 ; Holman et al., 2020 ; Jelen, 2017 ; Osborne et al., 2022 ; Prusaczyk and Hodson, 2018 ). Given their powerful and robust effect, it is crucial to gather additional empirical evidence to elucidate the distinct contribution of psychology to attitudes toward abortion, while considering the influence of political ideology and religious beliefs. Additionally, when describing attitudes toward abortion, the dichotomization of “pro-choice” and “pro-life” have been widely used for decades. However, some studies have criticized that the dichotomization oversimplified attitudes toward abortion (Hunt, 2019 ; Osborne et al., 2022 ; Rye and Underhill, 2020 ). That is, people’s views on abortion vary across different scenarios and reasons. For instance, people showed less support toward abortion with elective reasons than with traumatic reasons (Hoffmann and Johnson, 2005 ). With confirmatory analysis, Osborne et al. ( 2022 ) derived two types of abortion: traumatic (e.g., pregnancy due to rape) vs. elective (e.g., the woman does not want the child anymore). Building on prior research, the current study aims exploring potential variations in attitudes across different abortion reasons. Furthermore, we also intend to examine whether the psychological factors described above have varying associations with different types of abortion.

Participants

The study was approved by IRB before data collection. Participants were recruited from Amazon Mechanical Turk (mTurk) on October 20th, 2022. To be eligible for the study, participants must be an adult, a U.S. citizen, and have an approval rating greater than 98% in mTurk. A total of 300 participants were enrolled into the study. Each participant received $3 for compensation. Six participants did not complete at least 80% of the items and were removed from the study. Thus, the effective sample size was 294. Demographics are presented in the Results section.

Materials and procedures

Participants took an online survey developed by Qualtrics. Our study did not set a specific time restriction. Across 294 participants, the average survey completion time was 682.8 s (SD = 286.6 s). The median completion time was 595.0 s (IQR = 344.8 s). The following questionnaires were completed.

Attitudes toward abortion

Hoffmann and Johnson ( 2005 ) and Osborne et al. ( 2022 ) analyzed attitudes toward abortion with six different scenarios (scenarios a-f below) that were measured by the U.S. General Social Survey. We further added an additional item regarding underage pregnancy for two reasons. First, compared to other Western industrialized nations, the U.S. has historically had a higher rate of underage pregnancies. Additionally, underage pregnant individuals tended to have a higher likelihood of seeking abortions compared to their older counterparts (Lantos et al., 2022 ; Kearney and Levine, 2012 ; Sedgh et al., 2015 ). Second, underage pregnancy is linked to various adverse outcomes, such as increased risk during childbirth, heightened stress and depression, disruptions in education, and financial challenges (Eliner et al., 2022 ; Hodgkinson et al., 2014 ; Kearney and Levine, 2012 ). Given the significance and prevalence of underage pregnancy, we chose to include it as a scenario to understand the public’s perception. Additionally, we understood that people might feel conflict or uncertain toward one or more scenarios. Hence, instead of using binary response (yes/no format) adopted in the U.S. General Social Survey, we employed a 1 to 7 Likert scale for each scenario, with a higher score indicating stronger support for a pregnant woman to obtain legal abortion.

The seven scenarios in the present study included: (a) there is a strong chance of serious defect in the baby; (b) the woman’s own health is seriously endangered by the pregnancy; (c) the woman became pregnant as a result of rape; (d) the woman is married and does not want any more children; (e) the family has a very low income and cannot afford any more children; (f) the woman is not married and does not want to marry the man; and (g) the woman is underage.

Following the wording used to measure empathy in Pfattheicher et al. ( 2020 ), we developed six items to measure the empathy toward the pregnant woman and unborn or fetus, respectively. The scale of empathy toward pregnant woman included: (a) I am very concerned about the pregnant woman who may lose access to legal abortion; (b) I feel compassion for the pregnant women who may lose access to legal abortion; and (c) I am quite moved by the pregnant women who may lose access to legal abortion. The scale of empathy toward unborn included: (a) I am very concerned about the fetus or unborn child; (b) I feel compassion for the fetus or unborn child; and (c) I am quite moved by the fetus or unborn child. Participants rated each item on a five-point Likert scale, with 1 being strongly disagree and 5 being strongly agree. Thus, a higher score demonstrated stronger empathy toward the target. The Cronbach’s α for the scale of toward pregnant woman was 0.90 in the present study. The Cronbach’s α for the scale of toward unborn was 0.92.

The need for cognition scale (NFC, Cacioppo et al., 1984 ) intends to measure the tendency to engage into deep thinking. It has 18 items, such as “I only think as hard as I have to” and “I find satisfaction in deliberating hard and for long hours”. Participants rated each item on a five-point Likert scale, with a higher score indicating a greater tendency to enjoy deep thinking. In the present study, the reliability of this scale was 0.93.

The present study adopted Levenson multidimensional locus of control scale (Levenson, 1981 ). Across 24 items, this scale measures three dimensions of locus of control: internality (sample item: Whether or not I get to be a leader depends mostly on my ability); powerful others (sample item: I feel like what happens in my life is mostly determined by powerful people); and chance (sample item: To a great extent my life is controlled by accidental happenings). In the present study, participants rated each item on a 1 to 6 Likert scale, with a higher score indicating a stronger belief that fate was controlled by self, powerful others, or chance. The Cronbach’s α for the subscales of internality, powerful others, and chance was 0.84, 0.91, and 0.93, respectively. As shown below, there was a high agreement between powerful others and chance subscales ( r  = 0.87, p  < 0.001). Hence, we combined these two subscales to form an external locus of control composite.

Demographics

After completing the scales described above, participants were asked to report their demographic information including race, age, gender, education, annual household income, current relationship status, abortion experience, religious belief, and political ideology. Gender was coded with 1 = male, 2 = female, and 3 = other. Race was coded with 1 = White or Caucasian, 2 = Hispanic or Latinx, 3 = Black or African American, 4 = Asian or Asian American, and 5 = Other. Education was coded with six levels: 1 = Less than high school graduate, 2 = High school graduate or equivalent, 3 = Some college or associate degree, 4 = Bachelor’s degree, 5 = Master’s degree, 6 = Doctoral degree. Annual household income was categorized into 13 levels and ranged between under $9,999 and above $120,000 with increments of $9,999. Current relationship status was coded into six levels: 1 = single and not dating, 2 = single but in a relationship, 3 = married, 4 = divorced, 5 = widowed, 6 = other. For abortion experience participants were asked “For any reason, have you had an abortion?”. For this question, the answer was coded with 1 = yes and 2 = no.

Religious belief was measured with three items. The first item asked “How often do you attend religious services?” Participants selected one option out of the following: 1 = never, 2 = a few times per year, 3 = once a month, 4 = 2–3 times a month, 5 = once a week or more. The second item asked “How important is religion to you personally?” Participants rated this question on a five-point Likert point, with 5 being most important. The third question asked “How would you describe your religious denomination”. The options included 1 = Christian, 2 = Islam, 3 = Judaism, 4 = Buddhism, 5 = Hinduism, 6 = other or atheism. In the present study, the first two items were highly correlated ( r  = 0.77, p  < 0.001). Following Hunt ( 2019 ), we combined the two items to form a general religiosity composite, with a higher score indicating a stronger religious belief.

Political ideology was measured with two items: (a) Generally, how would you describe your views on most social political issues (e.g., education, religious freedom, death penalty, gender issues, etc.)? and (b) Generally, how would you describe your views on most economic political issues (e.g., minimum wage, taxes, welfare programs, etc.)? Participants rated each item with a five-point Likert scale, with 1 = strongly conservative 2 = conservative 3 = moderate 4 = liberal 5 = strongly liberal. We found a strong correlation between the two political ideology items, r  = 0.76, p  < 0.001. Hence, we combined the two items to form a general political ideology composite.

SPSS 24.0 was employed to perform all the analyses. Across 294 participants, age ranged from 21 to 79, with a mean of 40.4 and a standard deviation of 12.4. Table 1 displays the descriptive statistics for the variables of gender, race, education, annual household income, current relationship status, religious denomination, and abortion experience.

Table 2 presents the descriptive statistics of attitudes toward abortion in different scenarios, religious belief, political ideology, and the scores of the psychological scales. Similar to the results obtained from the large-scale surveys in the U.S. and New Zealand (Osborne et al., 2022 ), the support toward abortion was strong (neutral = 4) across all scenarios.

To examine the structure of attitudes toward abortion in different scenarios, a Principal Component Analysis (PCA) with a Varimax orthogonal rotation was performed on all seven scenarios. With eigenvalue ≥ 1 as the threshold, two components were generated, accounting for 81.34% of the variability. Table 3 presents the PCA results. As shown, we obtained two distinct components. The first one included the scenarios of baby defection, pregnant woman’s health being endangered, pregnancy caused by rape, and underage pregnancy. The second component included the scenarios of not wanting the child, low income, and not wanting to marry. Such a differentiation between the two components was consistent with the notion in Osborne et al. ( 2022 ). Following this paper and the face validity of the scenarios, we labeled the two components traumatic abortion and elective abortion, respectively. Accordingly, we also computed a composite score for each component by averaging the corresponding items. In line with previous research (Hoffmann and Johnson, 2005 ), the support was significantly stronger toward the traumatic abortion (mean = 5.84, SD = 1.24) than the elective abortion (mean = 4.94, SD = 1.74), t (293) = 11.51, p  < 0.001, Cohen’s d  = 0.67.

Table 4 presents the zero-order correlations between attitudes toward traumatic and elective abortions, demographics, and scores of the psychological factors. Consistent with the findings from past research (e.g., Hess and Rueb, 2005 ; Holman et al., 2020 ), a stronger religious belief was negatively related to the support toward both types of abortions. A stronger liberal ideology was positively related to the support toward both types of abortions. Additionally, empathy toward the pregnant woman was positively associated with the support toward both types of abortions whereas empathy toward unborn or fetus had an opposite effect. Based on the zero-order correlation, we did not find a significant relationship between internal locus of control and attitudes toward either type of abortion. The external locus of control (either powerful others or chance), on the other hand, was positively related to the support toward elective but not traumatic abortion. As there was a high agreement between the two external locus of control subscales ( r  = 0.87, p  < 0.001), we formed a general external locus of control composite by averaging the two items in the following regressions. Finally, need for cognition was positively related to attitudes toward elective abortion but not traumatic abortion.

While the zero-order correlations were informative, we were mindful that the Type I error might be greatly inflated due to a vast amount of repeated testing. Moreover, one goal of the study was to examine the role of psychological factors in the presence of religious belief and political ideology. Thus, we performed a hierarchical linear regression on each type of abortion, with age, gender, income, and education in the first block, religious belief and political ideology in the second block, and psychological factors in the third block. We separated the regression between the two types of abortion because the role of predictors might vary. This approach was also employed in Osborne et al. ( 2022 ). Table 5 exhibits the regression results.

As shown in Table 5 , the demographic variables of age, gender, education, and income did not account for a significant portion of the variability in attitudes toward either type of abortion. The present study added to the literature that there might not necessarily be a difference in attitudes toward abortion between males and females (Bilewicz et al., 2017 ; Jelen and Wilcox, 1997 ). By contrast, in the second block, religious belief and political ideology collectively explained a sizable portion of the variability in attitudes toward both types of abortion. In block 3, in the presence of demographic variables including religious belief and political ideology, psychological factors could still account for a significant portion of the variability.

Looking at the individual psychological predictors (for more detailed interpretations please refer to the discussion part), consistent with our hypothesis, empathy toward the pregnant woman was positively associated with the support toward both types of abortion. By contrast, empathy toward the unborn or fetus was negatively associated the support toward abortion. For the factor of locus of control, the internal locus of control was not related to any type of abortion attitudes when zero-order correlation was used (Table 4 ); yet it was positively related to abortion attitudes after all other predictors were taken into account, indicating a suppressing effect. Upon further examination, we identified two suppressors: religious belief and empathy toward the unborn. After removing these two variables, internal locus of control was no longer significant. The observed pattern reflected our previous prediction, indicating that the role of internal locus of control could be complicated by religious beliefs. External locus of control, on the other hand, was positively correlated with the support toward elective abortion. Similarly, need for cognition (NFC) also had a positive relationship with the support toward elective abortion. Neither external locus of control nor NFC had a significant correlation with attituded toward traumatic abortion. Hence, our hypotheses regarding external locus of control and NFC were partially supported. We detailed out interpretation and discussion of the results below.

The present study aimed to provide empirical evidence for the correlations between psychological factors and attitudes toward abortion. As introduced earlier, while it is common to find the involvement of psychology in everyday life attitudes and preferences, attitudes toward abortion are unique and drastically different. Given its unique nature, it lacks empirical evidence regarding whether psychological factors that interplay with attitudes in other areas still apply and, if so, in what capacity they do so. Past research has primarily focused on the role of religious belief and political ideology. Our study demonstrated a substantial involvement ( R 2 change = 0.27 and 0.24 for traumatic and elective abortion, respectively) of the psychological factors, after controlling for religious belief and political ideology. More importantly, these effects were comparable to the variability accounted for by religious belief and political ideology combined, particularly in the elective abortion category. The results highlighted the influential role of psychological factors in shaping attitudes toward abortion.

Additionally, past research has shown the interconnection between psychology and the public’s attitudes toward major societal events. For example, during the Covid-19 pandemic, while the perception of mask-wearing and/or social distancing was highly politicized, studies found that attitudes toward these preventative measures to be related to thinking style, self-control, numeracy, and working memory capacity (Steffen and Cheng, 2023 ; Xie et al., 2020 ; Xu and Cheng, 2021 ). In line with this, our study further underscored the significant influence of psychology on another pressing societal topic: abortion. In the sections below, we detail our findings and relevant implications. We are fully aware that our study was preliminary and hope it could serve as a starting point for future research and practice. We also acknowledge the limitations of our study and address them at the end.

Some past studies on empathy and abortion only considered the empathy toward the pregnant woman (e.g., Brown et al., 2022 ; Homaifar et al., 2017 ; Hunt, 2019 ; Whitaker et al., 2015 ). The present study identified two types of empathy when dealing abortion: empathy toward the pregnant woman and empathy toward the unborn. In the presence of each other, we found that greater empathy toward the pregnant woman was associated with more support toward abortion, whereas greater empathy toward the unborn or fetus was associated with less support toward abortion. Such a pattern suggested that empathy might be a source of conflict feeling. That is, when considering abortion, concerns and care toward pregnant woman and unborn could coexist, potentially leading to conflict and dilemma when people thought about abortion. While the present study examined the public’s attitudes toward abortion with a diverse sample, pregnant women might have a similar pattern of empathy and hence feel conflict and dilemma when thinking about abortion. To cope with such a conflict, it might be beneficial for a counselor to acknowledge conflicting emotions that arise from empathizing with both the unborn and the pregnant individual. Moreover, the counselor could guide the client through the process of reconciling these emotions to alleviate feelings of isolation or confusion the client may experience. Future research in the realms of mental health and counseling should consider integrating these dual empathy perspectives and empirically assess the efficacy of such therapeutic interventions.

Additionally, Hunt ( 2019 ) did not find a significant influence of empathy on abortion attitudes change when participants were exposed to testimonial videos featuring pregnant women discussing the legal obstacles they faced. The disparity between Hunt’s ( 2019 ) findings and our own could potentially be attributed to the inherent stability and longstanding nature of abortion attitudes. Research has found that people’s views on abortion tends to be stable over time (Jelen and Wilcox, 2003 ; Pew Research Center, 2022 ). As a result, it is possible that pre-existing empathy, rather than empathy induced temporarily, was the factor correlated with individuals’ perception and consideration of abortion. Our findings were consistent with this possibility. Together, our findings supported H1a to H1c. Moreover, our study shed more light on empathy by showing its association with distinct views on abortion. The results suggest that future research could investigate how different types of empathy are formed and how they influence the shaping and persuasion of abortion attitudes.

Through qualitative interviews, Sundstrom et al. ( 2018 ) unveiled individual differences in the locus of control when discussing opinions on abortion. However, these interviews might not have fully captured the interplay between internal and external locus of control and other factors involved attitudes toward abortion. To fill the gap, our study employed a quantitative approach to delve deeper into how locus of control correlated with abortion attitudes. Consistent with Levenson ( 1981 ) and Reknes et al. ( 2019 ), we found that the constructs internal locus of control and external locus of control were differentiated but not unidimensional. For internal locus of control, interestingly, we found a suppressing effect. As discussed earlier, the role of internal locus of control in abortion attitudes might be complicated. That is, on the one hand, by face validity, the internal locus of control well aligned with the concept of “my body, my choice” (Sundstrom et al., 2018 ). On the other hand, in line with past research (Coursey et al., 2013 ; Falkowski, 2000 ; Iles-Caven et al., 2020 ), our study found that internal locus of control was positively related to religious belief. Furthermore, as shown in Table 4 , internal locus of control was also positively related to the empathy toward the unborn, and such a relationship was significantly mediated by religious belief (mediation effect = 0.21, SE = 0.5, 95% CI = [0.13, 0.31]). Therefore, when using zero-order correlation, the effect of internal locus of control might be neutralized by the two opposite parts (“my body, my choice” vs. religious belief) discussed above. By contrast, in regression, the “my body, my choice” part stood out because the religiosity part was partialled out by the variables of religious belief and empathy toward the unborn.

In addition to internal locus of control, we also discovered that external locus of control was involved in abortion attitudes. Specifically, we found a positive relationship between external locus of control and support toward elective abortion (H2 was partially supported). Past research has found that locus of control is related to attribution (Falkowski, 2000 ; Reknes et al., 2019 ). Thus, our finding was in line with the notion that those with a greater level of external locus of control might be more likely to attribute unwanted pregnancy to external reasons (not personal responsibility), and hence showed more support toward abortion.

Our findings regarding locus of control suggest that individuals might simultaneously believe in personal autonomy (“my body, my choice”) while also feeling that certain life events, like unwanted pregnancies, are influenced by external factors beyond their control. This is particularly true when thinking about elective abortion. Education and counseling practices might be designed to reflect this duality. For example, materials and discussions could simultaneously emphasize the importance of personal choices and responsibilities, while also exploring societal, cultural, or circumstantial factors that might influence abortion decision. Incorporating both perspectives would allow to create a supportive environment where individuals feel seen and acknowledged in their complexities.

As introduced earlier, past research on the relationship between thinking style and abortion attitudes was inconclusive. To clarify the relationship, the present study adopted the validated need for cognition scale. Need for cognition has demonstrated its involvement in consequential events, such as political elections and the adoption of preventive measures during the Covid-19 pandemic (Sohlberg, 2019 ; Xu and Cheng, 2021 ). In the present study, we discovered that need for cognition was positively related to the support toward elective abortion. Such a finding was consistent with the notion that need for cognition was negatively related to stereotypes (Crawford and Skowronski, 1998 ; Curşeu and de Jong, 2017 ). Additionally, as need for cognition drives individuals to seek and update knowledge, our result was also in line with the finding that gaining knowledge about abortion led to more positive view on abortion (Hunt, 2019 ; Mollen et al., 2018 ). Our study implied that future research could empirically evaluate if indeed abortion knowledge mediates the relationship between need for cognition and abortion attitudes.

It is worth noting that the present study also clarified the role of need for cognition in attitudes toward abortion by examining a potential artifact. Specifically, the observed positive relationship between need for cognition and support for abortion might be an artifact, given that liberal ideology is positively correlated with both abortion attitudes and need for cognition (Young et al., 2019 ). However, as shown in our regression, the relationship between need for cognition and elective abortion remained significant in the presence of other variables, including political ideology. Thus, the finding suggested that at least part of the relationship between need for cognition and attitude toward abortion was unique and not driven by political ideology.

Our findings related to need for cognition had an implication on abortion-related education. As discussed earlier, having adequate knowledge about abortion could facilitate the support for making informed decisions. As need for cognition was found to be related to openness and motivation to seek and update information (Russo et al., 2022 ), our finding suggested that cultivating willingness to engage into critical thinking might be beneficial for education on abortion and reproductive rights. While we are fully aware that correlation does not equate to causation, our study still offers a starting point for future research and practice on abortion-related education.

Traumatic abortion vs. elective abortion

While some researchers argued that the dichotomization of “pro-choice” and “pro-life” was oversimplified, to date, only two studies have empirically examined attitude variation between different abortion scenarios (Hoffmann and Johnson, 2005 ; Osborne et al., 2022 ). Both studies demonstrated that public views on abortion can be grouped into two categories: traumatic and elective. Our research not only replicated these findings but also introduced two significant advancements. First, we incorporated a scenario addressing underage pregnancy, given its high prevalence and significance. Secondly, instead of a binary response, we employed a 7-point Likert scale, allowing us to more accurately capture potential conflicting attitudes among participants.

Furthermore, our findings revealed that the roles of external locus of control and need for cognition varied in relation to attitudes toward the two types of abortion. Interestingly, we observed that neither of these variables significantly related to attitudes toward traumatic abortion, as indicated by both zero-order correlation and regression analyses. Conceptually, the scenarios of traumatic abortion (e.g., pregnancy caused by rape; mother life endangered) tend to be more extreme and emergent than the scenarios of elective abortion. Hence, there might be less room for psychological factors, such as thinking or attribution, to function in traumatic abortion than in elective abortion. Our interpretation was also consistent with the statistical pattern between the two abortions. That is, compared to elective abortion, the standard deviation of traumatic abortion was smaller. Additionally, there were more participants rated seven on the Likert scale in the scenarios of traumatic abortion (29.6%) than in the scenarios of elective abortion (18%). Despite the difference between the two types of abortion, it is essential to acknowledge that elective abortion does not imply a stress-free experience. Both traumatic and elective abortions involve significant levels of stress and emotional challenges. While traumatic abortion scenarios can be considered more extreme, it is crucial to recognize that individuals undergoing elective abortion may also experience considerable emotional distress.

Taken together, with concrete evidence, our study demonstrated that the public’s attitude toward abortion depended on abortion reasons. Our study also implied that future research should focus on attitudes toward specific abortion scenarios rather than a holistic concept of abortion. Furthermore, the differentiation between the traumatic and elective abortions suggested the limitation and potential ineffectiveness of one-size-fits-all legislative solutions. Given the varying and often conflicting attitudes that people harbor, it would be reasonable for legislative frameworks to be flexible, adaptive, and cognizant of the different circumstances surrounding abortion. This will not only be more reflective of public opinions but also more supportive of individuals who undergo different types of abortion experiences, each of which carries its own set of emotional and psychological challenges.

Expanding findings with a quantitative approach

Some past studies employed a qualitive approach when dealing with attitudes toward abortion (e.g., Dozier et al., 2020 ; Sundstrom et al., 2018 ; Valdez et al., 2022 ; Woodruff et al., 2018 ). These investigations have provided insights and served as inspirations for our own research. However, the relationship between abortion attitudes and pertinent factors may remain somewhat opaque. This is particularly true when considering the intricate interconnectedness among these factors. The present study demonstrated that findings from qualitative studies could be extended and enriched with a quantitative approach. For instance, we utilized quantitative scales to measure empathy toward the unborn —a variable that was previously identified through interviews in the study by Dozier et al. ( 2020 ). Moreover, we further exhibited the role of empathy toward the unborn when statistically controlled other variables, including empathy toward the pregnant. Similarly, the role of internal locus of control was revealed in interviews in Sundstrom et al. ( 2018 ). With validated scales, we exhibited the correlation with internal locus of control in both types of abortion. Furthermore, by detecting and interpreting a suppressing effect, we showed the interplay between internal locus of control, religious belief, and attitude toward abortion. Thus, our study implied that using quantitative scales and analyses was a viable approach to examine attitude toward abortion and could deepen the understanding of relevant factors.

Limitations and future directions

Despite the contributions, limitations should be acknowledged as well. First and foremost, we believe our study was still in the explorative stage. The specific psychological factors tested in the present study were not exhaustive and not theoretically driven. We hope the present study could provide initial empirical evidence to show the sophisticated role of psychology in attitudes toward abortion. Future studies could use a more theoretical driven approach to examine the specific psychological involvement in abortion attitudes. For example, given the correlation between need for cognition and attitudes toward abortion, future research could further elucidate the role of thinking style in attitudes toward abortion by incorporating the Dual-Process Theory (Evans, 2008 ). The Dual-Process Theory posits that humans have two distinct systems of information processing: System 1, which is intuitive, automatic, and fast; and System 2, which is deliberate, analytical, and slower. By examining the interplay between these two systems, researchers might gain insights into how intuitive emotional responses versus more deliberate cognitive analyses influence individuals’ attitudes toward abortion. For instance, are individuals who predominantly rely on System 1 more swayed by emotive narratives or imagery related to abortion?

Second, when analyzing and discussing the results, we proposed several possible underlying mechanisms that might elucidate the relationships observed. To illustrate, we employed the concept of attribution to shed light on the role of an external locus of control, positing that individuals with a strong external locus might attribute abortion decisions to external factors or circumstances rather than personal choices. Furthermore, we suggested that the observed positive relationship between the need for cognition and abortion attitudes might be mediated through abortion knowledge. This implies that individuals with a higher need for cognition could potentially seek out more information on abortion, leading to more informed attitudes. However, while these interpretations offer potential insights, we recognize their speculative nature. It’s crucial to emphasize that our proposed mechanisms require rigorous empirical testing for validation. For example, it would be of interest to test whether indeed, gaining various types of abortion knowledge improves views of abortion.

Third, as described above, we strived to show how our findings could be potentially used in abortion-related counseling. However, we acknowledge that our study is explorative but not counseling focused. Therefore, while we believe our findings offer meaningful implications, we caution against over-extrapolating their direct applicability to counseling contexts. Future research could delve into empirically investigating how psychological factors, such as varying empathy types and loci of control, could be utilized to alleviate negative feelings associated with abortion decisions. Additionally, understanding how various psychological factors interact with cultural and social norms could further help tailor counseling approaches.

Fourth, the present study did not include an attention check item. We believe the quality of our survey could have been improved had we included one or more attention check items. However, the reliabilities of our scales were relatively high (ranged from 0.84 to 0.93). Additionally, we also replicated some major findings from previous research (e.g., the associations between attitudes toward abortion and religious belief and political ideology). Thus, we believe that overall, inattention did not affect the quality of our data. Future online surveys could consider using attention check items for quality control.

In conclusion, the present study demonstrates the unique contribution of empathy, locus of control, and need for cognition to how people perceived abortion in different scenarios. The findings suggests that attitudes toward complex moral issues like abortion are shaped by individual psychological traits and cognitive needs, in addition to societal, religious, and cultural norms. Future research could use our study as a starting point to expand on these findings, exploring other psychological traits and cognitive processes that may similarly affect perceptions of abortion and other controversial subjects.

Data availability

Data included in this project may be found in the online repository, https://doi.org/10.7910/DVN/E5AB5R .

Batson CD, Polycarpou MP, Harmon-Jones E, Imhoff HI, Mitchener EC, Highberger L et al. (1997) Empathy and attitudes: can feeling for a member of a stigmatized group improve feelings toward the group? J Person Soc Psychol 72(1):105–118

Article   CAS   Google Scholar  

Bilewicz M, Mikołajczak G, Babińska M (2017) Speaking about the preborn. How specific terms used in the abortion debate reflect attitudes and (de)mentalization. Person Individ Differ 111:256–262

Article   Google Scholar  

Brown L, Swiezy S, McKinzie A, Komanapalli S, Bernard C (2022) Evaluation of family planning and abortion education in preclinical curriculum at a large midwestern medical school. Heliyon 8(7):e09894. https://doi.org/10.1016/j.heliyon.2022.e09894

Article   PubMed   PubMed Central   Google Scholar  

Cacioppo JT, Petty RE, Kao CF (1984) The efficient assessment of need for cognition. J Person Assess 48(3):306–307. https://doi.org/10.1207/s15327752jpa4803_13

Comrey AL, Lee HB (1992) A first course in factor analysis (2nd ed.). Lawrence Erlbaum Associates, Inc

Coursey LE, Kenworthy JB, Jones JR (2013) A meta-analysis of the relationship between intrinsic religiosity and locus of control. Arch Psychol Relig 35:347–368. https://doi.org/10.1163/15736121-12341268

Crawford MT, Skowronski JJ (1998) When motivated thought leads to heightened bias: high need for cognition can enhance the impact of stereotypes on memory. Person Soc Psycholo Bull 24(10):1075–1088. https://doi.org/10.1177/01461672982410005

Curşeu PL, de Jong JP (2017) Bridging social circles: need for cognition, prejudicial judgments, and personal social network characteristics. Front Psychol 8:1251. https://doi.org/10.3389/fpsyg.2017.01251

Ding D, Chen Y, Lai J, Chen X, Han M, Zhang X (2020) Belief bias effect in older adults: roles of working memory and need for cognition. Front Psychol 10:2940. https://doi.org/10.3389/fpsyg.2019.02940

Dozier JL, Hennink M, Mosley E, Narasimhan S, Pringle J, Clarke L, Blevins J, James-Portis L, Keithan R, Hall KS, Rice WS (2020) Abortion attitudes, religious and moral beliefs, and pastoral care among Protestant religious leaders in Georgia. PloS one 15(7):e0235971. https://doi.org/10.1371/journal.pone.0235971

Article   CAS   PubMed   PubMed Central   Google Scholar  

Eliner Y, Gulersen M, Kasar A, Lenchner E, Grünebaum A, Chervenak FA, Bornstein E (2022) Maternal and neonatal complications in teen pregnancies: a comprehensive study of 661,062 patients. J Adolesc Health 70(6):922–927. https://doi.org/10.1016/j.jadohealth.2021.12.014

Article   PubMed   Google Scholar  

Embree RA (1998) Attitudes toward elective abortion: preliminary evidence of validity for the personal beliefs scale. Psychol Rep 82(3 Pt 2):1267–1281. https://doi.org/10.2466/pr0.1998.82.3c.1267

Article   CAS   PubMed   Google Scholar  

Evans JSTBT (2008) Dual-processing accounts of reasoning, judgment and social cognition. Ann Rev Psychol 59:255–278. https://doi.org/10.1146/annurev.psych.59.103006.093629

Falkowski CK (2000) Locus of control, religious values, work values and social policy choices. Diss Abstracts Int. Sec B: Sci Eng 61:1694

Google Scholar  

Felix., M., Sobel, L., & Salganicoff, A. (2023). Legal challenges to state abortion bans since the dobbs decision. Kaiser Family Foundation . Retrieved from https://www.kff.org/womens-health-policy/issue-brief/legal-challenges-to-state-abortion-bans-since-the-dobbs-decision/

Fischhoff B, Broomell SB (2020) Judgment and decision making. Ann Rev Psychol 71:331–355

Foster DG, Gould H, Taylor J, Weitz TA (2012) Attitudes and decision making among women seeking abortions at one U.S. clinic. Perspect Sexual Reprod Health 44(2):117–124. https://doi.org/10.1363/4411712

Hess JA, Rueb JD (2005) Attitudes toward abortion, religion, and party affiliation among college students. Curr Psychol 24(1):24–42. https://doi.org/10.1007/s12144-005-1002-0

Hill A (2004) The relationship between attitudes about abortion and cognitive complexity. UW-J Undergrad Res VII:1–6

ADS   Google Scholar  

Hodgkinson S, Beers L, Southammakosane C, Lewin A (2014) Addressing the mental health needs of pregnant and parenting adolescents. Pediatrics 133(1):114–122. https://doi.org/10.1542/peds.2013-0927

Hoffmann JP, Johnson SM (2005) Attitudes toward abortion among religious traditions in the United States: change or continuity. Soc Relig 66(2):161–182. https://doi.org/10.2307/4153084

Holman M, Podrazik E, Silber Mohamed H (2020) Choosing choice: how gender and religiosity shape abortion attitudes among Latinos. J Race Ethnicity Politics 5(2):384–411. https://doi.org/10.1017/%20rep.2019.51

Homaifar N, Freedman L, French V (2017) “She’s on her own”: a thematic analysis of clinicians’ comments on abortion referral. Contraception 95(5):470–476. https://doi.org/10.1016/j.contraception.2017.01.007

Hunt ME (2019) Shifting Abortion Attitudes using an Empathy-based Media Intervention: a randomized controlled study. graduate theses and dissertations Retrieved from https://scholarworks.uark.edu/etd/3256

Jelen TG (2017) Public attitudes toward abortion and LGBTQ issues: a dynamic analysis of region and partisanship. SAGE Open 7(1):1–6. https://doi.org/10.1177/2158244017697362

Jelen TG, Wilcox C (1997) Attitudes toward abortion in Poland and the United States. Soc Sci Q 78(4):907–921

Jelen TG, Wilcox C (2003) Causes and consequences of public attitudes toward abortion: a review and research agenda. Political Res Q 56(4):489–500. https://doi.org/10.2307/3219809

Kearney MS, Levine PB (2012) Why is the teen birth rate in the United States so high and why does it matter. J Econ Perspect 26(2):141–166. https://doi.org/10.1257/jep.26.2.141

Kim-Prieto C, Diener E, Tamir M, Scollon C, Diener M (2005) Integrating the diverse definitions of happiness: a time-sequential framework of subjective well-being. J Happiness Studies 6(3):261–300. https://doi.org/10.1007/s10902-005-7226-8

Klimecki O, Mayer S, Jusyte A et al. (2016) Empathy promotes altruistic behavior in economic interactions. Sci Rep 6:31961. https://doi.org/10.1038/srep31961

Article   ADS   CAS   PubMed   PubMed Central   Google Scholar  

Klimecki OM (2019) The role of empathy and compassion in conflict resolution. Emotion Rev 11(4):310–325

Krause N, Hayward RD (2013) Prayer beliefs and change in life satisfaction over time. J Relig Health 52:674–694

Lantos, H., Pliskin, E., Wildsmith, E., & Manlove, J. (2022). State-level abortion restrictions will negatively impact teens and children. Child Trend s. Retrieved from https://www.childtrends.org/blog/state-level-abortion-restrictions-will-negatively-impact-teens-and-children

Levenson H (1981) Differentiating among internality, powerful others, and chance. In: Lefcourt HM (Ed.) Research with the Locus of Control Construct. Academic Press, New York, NY, p 15–63. 10.1016/b978-0-12-443201-7.50006-3

Iles-Caven Y, Gregory S, Ellis G, Golding J, Nowicki S (2020) The relationship between locus of control and religious behavior and beliefs in a large population of parents: an observational study. Front Psychol 11:1462. https://doi.org/10.3389/fpsyg.2020.01462

Marton G, Pizzoli SFM, Vergani L, Mazzocco K, Monzani D, Bailo L, Pancani L, Pravettoni G (2021) Patients’ health locus of control and preferences about the role that they want to play in the medical decision-making process. Psychol Health Med 26(2):260–266. https://doi.org/10.1080/13548506.2020.1748211

Mollen D, Hargons C, Klann EM, Mosley DV (2018) Abortion knowledge and attitudes among psychologists and graduate students. Counseling Psychol 46(6):738–760. https://doi.org/10.1177/0011000018795296

Moudatsou M, Stavropoulou A, Philalithis A, Koukouli S (2020) The role of empathy in health and social care professionals. Healthcare 8(1):26. https://doi.org/10.3390/healthcare8010026

Osborne D, Huang Y, Overall NC, Sutton RM, Petterson A, Douglas KM, Davies PG, Sibley CG (2022) Abortion attitudes: an overview of demographic and ideological differences. Political Psychol 43:29–76. https://doi.org/10.1111/pops.12803

Pew Research Center. (2022, May 17). Public Opinion on Abortion. Retrieved from https://www.pewresearch.org/religion/fact-sheet/public-opinion-on-abortion/

Pfattheicher S, Nockur L, Böhm R, Sassenrath C, Petersen MB (2020) The emotional path to action: empathy promotes physical distancing and wearing of face masks during the COVID-19 pandemic. Psychol Sci 31(11):1363–1373. https://doi.org/10.1177/0956797620964422

Prusaczyk E, Hodson G (2018) Left-right differences in abortion policy support in America: clarifying the role of sex and sexism in a nationally representative 2016 sample. Person Individual Differ 127:22–25. https://doi.org/10.1016/j.paid.2018.01.030

Reknes I, Visockaite G, Liefooghe A, Lovakov A, Einarsen SV (2019) Locus of control moderates the relationship between exposure to bullying behaviors and psychological strain. Front Psychol 10:446169. https://doi.org/10.3389/fpsyg.2019.01323

Richardson M, Abraham C, Bond R (2012) Psychological correlates of university students’ academic performance: a systematic review and meta-analysis. Psychol Bull 138(2):353–387. https://doi.org/10.1037/a0026838

Russo D, Masegosa AR, Stol KJ (2022) From anecdote to evidence: the relationship between personality and need for cognition of developers. Empir Software Eng 27:71. https://doi.org/10.1007/s10664-021-10106-1

Rye BJ, Underhill A (2020) Pro-choice and pro-life are not enough: an investigation of abortion attitudes as a function of abortion prototypes. Sexuality Culture 24:1829–1851. https://doi.org/10.1007/s12119-020-09723-7

Saad, L. (2023, June 21). Abortion remains a potent issue for pro-choice voters. Gallup . Retrieved from https://news.gallup.com/poll/507527/abortion-remains-potent-issue-pro-choice-voters.aspx

Sedgh G, Finer LB, Bankole A, Eilers MA, Singh S (2015) Adolescent pregnancy, birth, and abortion rates across countries: levels and recent trends. J Adolesc Health 56(2):223–30

Scott J (1989) Conflicting beliefs about abortion: legal approval and moral doubts. Soc Psychol Q 52(4):319–326. https://doi.org/10.2307/2786995

Shafir E, LeBoeuf RA (2002) Rationality. Ann Rev Psychol 53(1):491–517. https://doi.org/10.1146/annurev.psych.53.100901.135213

Sohlberg J (2019) Elections are (not) exciting: need for cognition and electoral behaviour. Scand Political Stud 42(2):138–150. https://doi.org/10.1111/1467-9477.12138

Steffen J, Cheng J (2023) The influence of gain-loss framing and its interaction with political ideology on social distancing and mask wearing compliance during the COVID-19 pandemic. Curr Psychol 42(10):8028–8038. https://doi.org/10.1007/s12144-021-02148-x

Sundstrom B, Szabo C, Dempsey A (2018) “My Body. My Choice”: a qualitative study of the influence of trust and locus of control on postpartum contraceptive choice. J Health Commun 23(2):162–169. https://doi.org/10.1080/10810730.2017.1421728

Valdez D, Jozkowski KN, Haus K et al. (2022) Assessing rigid modes of thinking in self-declared abortion ideology: natural language processing insights from an online pilot qualitative study on abortion attitudes. Pilot Feasib Stud 8:127. https://doi.org/10.1186/s40814-022-01078-0

Verplanken B, Hazenberg PT, Palenéwen GR (1992) Need for cognition and external information search effort. J Res Person 26(2):128–136. https://doi.org/10.1016/0092-6566(92)90049-A

Whitaker AK, Quinn MT, Martins SL, Tomlinson AN, Woodhams EJ, Gilliam M (2015) Motivational interviewing to improve postabortion contraceptive uptake by young women: development and feasibility of a counseling intervention. Contraception 92(4):323–329. https://doi.org/10.1016/j.contraception.2015.06.015

Woodruff K, Biggs MA, Gould H, Foster DG (2018) Attitudes toward abortion after receiving vs. being denied an abortion in the USA. Sexuality Res Soc Policy 15(4):452–463. https://doi.org/10.1007/s13178-018-0325-1

Xie W, Campbell S, Zhang W (2020) Working memory capacity predicts individual differences in social distancing compliance during the COVID-19 pandemic in the U.S. PNAS 117(30):17667–17674

Article   ADS   PubMed   PubMed Central   Google Scholar  

Xu P, Cheng J (2021) Individual differences in social distancing and mask-wearing in the pandemic of COVID-19: the role of need for cognition, self-control and risk attitude. Person Individual Differ 175:110706. https://doi.org/10.1016/j.paid.2021.110706

Young DG, Bagozzi BE, Goldring A, Poulsen S, Drouin E (2019) Psychology, political ideology, and humor appreciation: why is satire so liberal. Psychol Popular Media Culture 8(2):134–147. https://doi.org/10.1037/ppm0000157

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Cheng, J., Xu, P. & Thostenson, C. Psychological traits and public attitudes towards abortion: the role of empathy, locus of control, and need for cognition. Humanit Soc Sci Commun 11 , 23 (2024). https://doi.org/10.1057/s41599-023-02487-z

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