Building on existing scholarship examining how audiences interpret reproductive experiences on film and television, we investigate how viewers make meaning of representations of motherhood, abortion, adoption, and surrogacy on the Hulu television miniseries Little Fires Everywhere. We recruited twenty-one participants to watch the series and conducted three virtual focus groups of seven women each. Based on the racial identities of the main characters in the series, we segmented these groups by race: one group each of white women, Black women, and Chinese American women. Focus groups were facilitated by moderators who matched the racial and ethnic backgrounds of each group. We asked participants about their overall reactions to the series, their impressions of various characters, and each reproductive health plotline. Participants expressed both tender and critical reactions to characters who endured motherhood, surrogacy and adoption, yet most participants were overtly critical of Lexie, the character who obtained an abortion. We argue that this is likely because the character of Lexie is written as largely unsympathetic, leaving audiences with little opportunity to form a parasocial relationship with her. We discuss the implications of this for cultural conversations and understandings of abortion more broadly.

Abstract Scholars and advocates often cite media as a mechanism to change culture, especially related to contested issues in American politics such as abortion. While there is mixed evidence in support of this claim, it is not clear how media content creators conceptualize their abortion plotlines. We identified television shows available to U.S. audiences that included abortion plotlines and purposively recruited the creators who worked on them. Forty-six American creators completed in-depth interviews. Respondents’ primary reasons for including abortion plotlines were: (1) to normalize abortion; (2) to deploy abortion as source of character development; and (3) to respond to politics. Some respondents reported barriers to getting abortion content from page to screen, including stigmatizing attitudes towards abortion from colleagues and network executives. Respondents did not necessarily aspire to reflect the reality of abortion access in the US, instead seeking to destigmatize abortion by portraying televisual representations of compassionate, shame-free abortions.

Evidence suggests that entertainment media may influence knowledge, attitudes, and behaviors related to health topics. After the overturning of Roe v. Wade, it is critical to examine how these media may be associated with people’s knowledge, attitudes, and behavioral intentions related to abortion. Using a non-experimental ex post facto design, we examined whether exposure to any of three abortion plotlines was correlated with (a) greater knowledge about abortion, (b) lower stigmatizing attitudes about abortion, and (c) higher likelihood of supporting someone seeking an abortion among a sample of television audience members (N = 1,016), administered via a survey on Qualtrics. We selected three scripted, fictional abortion plotlines on the U.S. television shows Station 19, Better Things, and A Million Little Things, based on medical accuracy and airdates near each other in March 2022. Exposure to a plotline was defined as accurately answering at least two recall questions about a given plotline. We found that compared to those who were not exposed to any of the plotlines, exposure to any of the three plot lines was associated with greater knowledge about abortion and higher willingness to support a friend seeking an abortion, but not with lower stigmatizing attitudes. Exposure to medically accurate depictions of abortion on television may be one way to improve knowledge about abortion and community support for people seeking abortion.

Objectives

Entertainment television is an influential source of health information, including about reproductive health. We investigated the association between exposure to television plotlines about medication abortion on audience awareness and beliefs about medication abortion.

Study design

We administered a national cross-sectional online survey from December 2021 to January 2022 with a probability-based sample of people assigned female at birth. We asked respondents to select plotlines they had seen from a list of seven that portrayed medication abortion. Among the 3425 people who responded to plotline items, 3340 responded to our outcome measures. Using weighed multivariable analyses, we examined adjusted relationships between exposure to specific types of abortion plotlines and awareness of and beliefs about medication abortion medical safety.

Results

We found that audience exposure to medication abortion plotlines in which the medication abortion was obtained from a clinic and portrayed as safe was associated with greater awareness of medication abortion compared to nonexposure (RR: 1.68; 95% CI: 1.17, 2.40). Exposure to plotlines that portrayed MA or self-managed MA as safe was associated with audience beliefs that medication abortion is safe.

Conclusions

This study demonstrates that the content of abortion plotlines and exposure to accurate information may be connected to audience awareness of and beliefs about abortion.

Implications

In a climate of misinformation about abortion, audience exposure to medically accurate television plotlines about medication abortion may be an effective way to increase awareness of medication abortion and influence beliefs about medication abortion safety.