Individual-Level Abortion Stigma (ILAS)-Nigeria

Individual-Level Abortion Stigma (ILAS)-Nigeria is a 16-item measure of individual stigma among women who have previously had an abortion. The data is collected with an interviewer-administered questionnaire adapted from the ILAS Scale previously validated in the United States. Different aspects of stigma among women seeking elective abortion captured by the scale include judgement, shame, disappointment, support systems, and guilt.


Warning Flag

ITEMS:

1. Other people might find out about my abortion.
2. I will disappoint someone I love.
3. I will be humiliated if people know about the abortion.
4. People will gossip about me.
5. I will be rejected by someone I love.
6. People will judge me negatively for my decision

Response Options:
Not worried - 1
A little worried - 2
Quite worried - 3
Extremely worried - 4

7. I can talk to people that I am close with about my abortion.
8. I feel supported by people that I am close with about having this abortion.
9. I can trust people I am close to with information about my abortion.
10. I feel guilty about my decision.
11. I feel confident that I am making the right decision.
12. I feel like a bad person.
13. I feel ashamed about my decision.
14. I feel relieved that I am not pregnant anymore.
15. I feel selfish about it.
16. I feel positive about my decision

Response Options:
Strongly agree - 1
Agree - 2
Disagree - 3
Strongly disagree - 4

Note: Certain items are reverse scored

CATEGORIES:


GEOGRAPHIES TESTED:

Nigeria

POPULATIONS INCLUDED:
Female

AGE RANGE:
Adolescents
Adults

DOWNLOAD MEASURE

Scoring Procedures:

Each respondent had the summed response score that spanned from a minimum of 16 to a maximum of 64. A score of 40, that is, the midpoint of the possible score range, was set as the cutoff point and was thus used to categorize the respondents into having high (>40) or low (≤40) ILAS.

PRIMARY CITATION:

Oginni, A., Ahmadu, S. K., Okwesa, N., Adejo, I., & Shekerau, H. (2018). Correlates of individual-level abortion stigma among women seeking elective abortion in Nigeria. International Journal of Women's Health, 10, 361-366. https://doi.org/10.2147/IJWH.S143388

Psychometric Score:

FORMATIVE RESEARCH

 Qualitative Research

 Existing Literature/Theoretical Framework

 Field Expert Input

 Cognitive Interviews / Pilot Testing

RELIABILITY

 Internal

 Test-retest

 Interrater

VALIDITY

 Content

 Face

 Criterion (gold-standard)

 Construct

Psychometric Scoring

LOW
Total Score: 2.00/8 Points (LOW) 

Citation Frequency

LOW

KEY

 FULL POINTS
 PARTIAL POINTS
 NOT ASSESSED
 NOT APPLICABLE

For more details, see Scoring Methodology

Measure came from a peer-reviewed journal with a low impact score and/or inadequate information on psychometrics, but is an under-represented gender equality and empowerment construct

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