The increased politicization of sexual and reproductive health has created barriers to medically necessary care. In absence of formal health care, social ties become critical sources of information and resources, yet the disclosure of stigmatized health needs carries significant risk. How do people navigate the risks and benefits of disclosure when seeking care for stigmatized needs? Drawing on original survey data (N = 153) and in-depth interviews (N = 55) with women who attempted a self-managed abortion, I first describe the distinct roles of weak and strong ties in women’s health-seeking experiences. I then demonstrate how both partial disclosure and nondisclosure are critical tools for obtaining information, resources, and emotional support during periods of health-seeking. Findings advance understanding of disclosure as a continuum that can be strategically wielded by people with stigmatized needs to confront and evade stigma and surveillance from their networks, the state, and the formal health care system.

中文翻译：

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战略性（非）披露：寻求堕胎的妇女中社会关系的激活和避免


性健康和生殖健康日益政治化给必要的医疗护理造成了障碍。在缺乏正规医疗保健的情况下，社会关系成为信息和资源的重要来源，但披露被污名化的健康需求会带来重大风险。人们在寻求针对污名化需求的护理时如何应对披露的风险和好处？根据原始调查数据（N = 153）和对尝试自行堕胎的女性的深入访谈（N = 55），我首先描述了弱关系和强关系在女性寻求健康经历中的不同作用。然后，我将展示部分披露和不披露如何成为在寻求健康期间获取信息、资源和情感支持的关键工具。研究结果加深了人们对信息披露作为一个连续体的理解，有污名化需求的人们可以战略性地运用信息披露来面对和逃避来自其网络、国家和正规医疗保健系统的污名化和监视。