Abstract
While Japan ranks relatively high in overall health indicators with life expectancy and healthcare coverage, a plethora of problems exist when it comes to reproductive health. With the lack of comprehensive sexuality education, youth are at risk of experiencing sexual activity without essential knowledge. Furthermore, the dearth of access to reliable and affordable contraceptives, as well as the social stigma and various hurdles to obtain an abortion, impede women from exercising their sexual and reproductive autonomy. Focusing on the politics surrounding abortion, this chapter examines the structural mechanisms that obstruct people’s access to essential reproductive healthcare service. I argue that patriarchal notions in policy, conservative approach in education, and paternalism in medicine, along with the lack of respect for sexual and reproductive health and rights in all three fields, curtail people’s ability to exercise their agency in reproduction.
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References
Asai, H. (2020). Hōkatsuteki seikyōiku: jinken, sei no tayōsei, jendā byōdō o hashira ni [Comprehensive sexuality education: Human rights, sexual diversity, gender equality as the central theme]. Otsuki Shoten.
Baiju, N., Acharya, G., D’Antonio, F., & Berg, R. C. (2019). Effectiveness, safety and acceptability of self-assessment of the outcome of first-trimester medical abortion: A systematic review and meta-analysis. BJOG: An International Journal of Obstetrics & Gynaecology, 126, 1536–1544.
Bunting, L., Tsibulsky, I., & Boivin, J. (2013). Fertility knowledge and beliefs about fertility treatment: Findings from the international fertility decision-making study. Human Reproduction, 28(2), 385–397.
Castro-Vázquez, G. (2006). The politics of viagra: Gender, dysfunction and reproduction in Japan. Body & Society, 12(2), 109–129.
Fujino, Y. (2021). Sengo Minshushugi ga Unda Yūsei Shisō [Eugenics from postwar democracy]. Rokka Shuppan.
Fukuda, K. (2022). Kinkyū hininyaku eno akusesu o meguru nihon no genjō to kadai [Situations and challenges about access of emergency contraceptives in Japan]. Kokusai Jinken Hiroba, 161. Retrieved March 1, 2023, from https://www.hurights.or.jp/archives/newsletter/section4/2022/01/post-201921.html
Goto, A., Reich, R. R., & Aitken, I. (1999). Oral contraceptives and women’s health in Japan. Journal of American Medical Association, 282, 2173–2177.
Grossman, D., Grindlay, K., & Burns, B. (2016). Public funding for abortion where broadly legal. Contraception, 94(5), 453–460.
Hatcher, R. (2018). Contraceptive technology. Managing Contraception.
Hirayama, M. (2019). Nihan de wa naze kindaiteki hininhō ga fukyū shinainoka. [Why and how modern contraceptive methods have not spread in Japan]. Meiji Daigaku Shinrishakaigaku Kenkyū, 14, 43–62.
Kanazaki, M. (2005). Kenshō Nanao Yōgo Gakkō jiken: Seikyōiku kōgeki to kyōin tairyō shobun no shinjitsu [Examining the nanao special education school incident: the truth of the mass layoffs]. Gunjosha.
Kimura, N. (2021). Hinin, chūzetsu o manabu: Jendā-ron no jugyō kara [Learning contraception and abortion: From a course on gender]. Hiroshima Shūdai Ronshū, 61(2), 139–153.
Lerma, K., & Blumenthal, P. D. (2020). Current and potential methods for second trimester abortion. Clinical Obstetrics & Gynaecology, 63, 24–36.
Matsumoto, A. (2005). Piru wa naze kangei sarenainoka [Why the Pill is not Welcomed]. Keiso Shobo.
Miyasaka, Y. (2020). Hinin gensetsu to kazoku no shinmitsusei. Nihongata kindai kazoku no rekishi shakaigaku [Birth control discourses and family intimacy: Historical sociology of modern Japanese families]. Shoshi Kurarute.
Motegi, T. (2018). Nihon [Japan]. In Hashimoto, N., Ikeya, H., & Tashiro, M. (Ed.), Kyōkasho ni miru sekai no seikyōiku [Sexuality education in the world from textbooks] (pp. 151–181). Kamogawa Shuppan.
Nakajima, K. (2017). Hyōryū joshi: Ninshin SOS Tokyo no sōdan genba kara [Stray girls: From Tokyo crisis pregnancy hotline]. Asahi Shinsho.
Nakamura, E., Kobayashi, K., Sekizawa, A., Kobayashi, H., & Takai, Y. (2021). Survey on spontaneous miscarriage and induced abortion surgery safety at less than 12 weeks of gestation in Japan. The Journal of Obstetrics and Gynaecology Research, 47(12), 4158–4163.
Norgren, T. (2001). Abortion before birth control: The politics of reproduction in postwar Japan. Princeton University Press.
Ogino, M. (2008). Kazoku Keikaku eno Michi: Kindai Nihon no Seishoku o meguru Seiji [Path for family planning: Politics of reproduction in Japan]. Iwanami Shoten.
Ogino, M. (2014). Onna no Karada: Feminizumu Igo [Women’s body: After feminism] Iwanami Shoten.
Ōnishi, K. (2014). Kōteki iryō hoken niokeru shussan kyūfu: Genkin kyūfu omeguru seiji katei. Ohara Shakai Mondai Kenkyujo Zasshi, 663, 17–32.
Parsons, J. A., & Romamis, E. C. (2021). Early medical abortion, equality of access, and the telemedical imperative. Oxford University Press.
Ponzetti, J. J., Jr. (2016). Evidence-based approaches to sexuality education: A global perspective. Routledge.
Potts, M. (2003). Two pills, two paths: A tale of gender bias. Endeavour, 27(3), 127–130.
Sato, T., Kataoka, C., McKay, C., & Izumi, A. (2022). Teaching sexuality education to secondary students in Japan: Reflections from Japanese health education teachers. Sex Education, 22(6), 641–654.
Sekiguchi, A., Ikeda, T., Okamura, K., & Nakai, A. (2015). Safety of induced abortions at less than 12 weeks of pregnancy in Japan. International Journal of Gynecology & Obstetrics, 129, 54–57.
Sorano, S., Emmi, S., & Smith, C. (2021). Why is it so difficult to access emergency contraceptive pills in Japan? The Lancet Regional Health – Western Pacific, 7(1000095), 1–2.
Takeda, S. (2017). Ninsanpu no jisatsu – sono jittai [Suicide by pregnant women]. Retrieved March 1, 2023, from Japan Association of Obstetricians and Gynaecologists website: http://www.jaog.or.jp/wp/wp-content/uploads/2017/11/11643745157d48555ead55ae19d42a0a.pdf
Tama, Y. (2006). “Kindai kazoku” to bodi poritikusu [“Modern family” and body politics]. Sekai Shisosha.
Tanaka, M. (2020). Imin josei no sekushuaru ripurodakutibu herusu raitsu no jitsugen ni muketa kadai – Nihon de kurasu ryūgakusei to ginōjisshūsei no ninshin nikansuru ichikōsatsu. [Issues surrounding the realization of sexual and reproductive health and rights of immigrant women: Analysis of pregnancy among international students and technical trainees in Japan]. Kokusai Jenda Gakkaishi, 18, 64–85.
Tashiro, M. (2003). Haisengo nihon niokeru junketsu kyōiku no tenkai to hensen [Development of abstinence education in post-war period]. In Hashimoto, N. & Henmi, M. (Ed.), Jendā to Kyōiku no Rekishi [History of gender na education] (pp. 213–239). Kawashima Shoten.
Tschann, M., Ly, E. S., Hilliard, S., & Lange, H. L. H. (2021). Changes to medication abortion clinical practices in response to the COVID-19 pandemic. Contraception, 104, 77–81.
Tsukahara, K. (2014). Chūzetsu gijutsu to ripurodakutibu raitsu: Feminisuto rinri no shiten kara [Abortion technology and reproductive rights: From a feminist ethics perspective]. Keiso Shobo.
Tsukahara, K. (2022). Nihon no chūzetsu [Abortion in Japan]. Chikuma Shobo.
Tunc, T. (2008). Technologies of choice: A history of abortion techniques in the United States, 1850–1980. VDM Verlag.
Zerubavel, E. (2006). The elephant in the room: Silence and denial in everyday life. Oxford University Press.
Government and Organizational Materials
Center for Reproductive Justice. The world’s abortion laws, Retrieved March 1, 2023., from https://reproductiverights.org/maps/worlds-abortion-laws/
International Federation of Gynecology and Obstetrics (FIGO): FIGO statement for International Safe Abortion Day. Retrieved March 1, 2023., from https://www.figo.org/figo-statement-international-safe-abortion-day
Japanese Association for Sex Education (2018). Seishōnen no seikōdō: Wagakuni no chūgakusei kōkōsei daigakusei nikansuru daihakkai chōsa hōkōku [Sexual behavior of youth: The eighth report on middle-school, high-school, and college students in our country]. JASE.
Ministry of Health and Welfare. (1960), Eugenic Protection Law in Japan. Retrieved March 1, 2023, from https://www.ipss.go.jp/history/EnglishPamphletSeries/pdf/J000008736.pdf
Ministry of Health Labour and Welfare. (2022a). Kodomo gyakutai niyoru shibō jikotō no kenshō kekkatō ni tsuite. Dai 18ji hōkoku [The 18th report on incidents on children’s deaths caused by abuse]. Retrieved March 1, 2023, from https://www.mhlw.go.jp/content/11900000/02.pdf
Ministry of Health Labour and Welfare. (2022b). Reiwa 3nendo eisei gyōsei hōkokurei no gaikyō [Summary of data on public health administration for the fiscal year of 2021]. Retrieved March 1, 2023, from https://www.mhlw.go.jp/toukei/saikin/hw/eisei_houkoku/21/dl/gaikyo.pdf
Ministry of Health Labour and Welfare (2022c). Shussan hiyō no jittai haaku ni kansuru chōsa kenkyū no kekkatō ni tsuite [Result of research on the costs of childbirth]. Retrieved March 1, 2023, from https://www.mhlw.go.jp/content/12401000/000977521.pdf
Ministry of Health Labour and Welfare (2022d). Reiwa 3nen (2021) Jinkō Dōtai Tōkei (Kakuteisu) no Gaikyō. [Summary of Demographic Statistics for 2021]. Retrieved March 1, 2023, from https://www.mhlw.go.jp/toukei/saikin/hw/jinkou/kakutei21/dl/15_all.pdf
National Institute of Population and Social Security Research. (2022). Jinkō Tōkei Shiryō Shū. [Data on Population Statistics]. Retrieved March 1, 2023, from https://www.ipss.go.jp/syoushika/tohkei/Popular/P_Detail2022.asp?fname=T04-20.htm
Piccolare (2021). Ninshin kattō hakusho [Reports on struggles surrounding pregnancy]. Piccolare.
United Nations. (2019). The contraceptive use by methods. Retrieved March 1, 2023, from https://www.un.org/development/desa/pd/sites/www.un.org.development.desa.pd/files/files/documents/2020/Jan/un_2019_contraceptiveusebymethod_databooklet.pdf
United Nations Educational, Scientific, and Cultural Organization. (2018). International Technical Guidance on Sexuality Education, Retrieved March 1, 2023, from https://iite.unesco.org/publications/international-technical-guidance-on-sexuality-education/
World Health Organization. (2012). Safe abortion: Technical and policy guidance for health systems. Retrieved March 1, 2023, from https://apps.who.int/iris/bitstream/handle/10665/70914/9789241548434_eng.pdf
World Health Organization. (2022). Abortion care guideline. Retrieved March 1, 2023, from https://www.who.int/publications/i/item/9789240039483
Newspaper Articles
Japan Moves Toward Approving Abortion Pills in Major Shift. (2023, February 27). Japan Times. https://www.japantimes.co.jp/news/2023/02/27/national/japan-abortion-pill-debate/
Keikō hininyaku shōnin shinsei e. Chiken saishū dankai [To the approval of oral contraceptives: The end of trial with 93% success rate]. (2021, April 21). Mainichi Shimbun, https://mainichi.jp/articles/20210421/ddm/012/040/096000c
Muchi datta gomen. Seikyōikubon 21manbu, rejendo no nigai genten [Sorry, I was ignorant. The origin story of the legend of the sexuality education book that sold 210,000 copies]. (2022, August 27). Mainichi Shimbun, https://mainichi.jp/articles/20220826/k00/00m/040/005000c
Ninshin tsutaetara LINE wa todaeta: Kōen de shussan shita haha no namida [LINE stopped coming when told about abortion: Tear of the mother who gave birth in a park]. (2021, June 17). Asahi Shimbun, https://www.asahi.com/articles/ASP6H43T1P50OIPE01R.html
Shikyū fuereba hiyō mo … itachigokko no genjitsu: Shussan ikuji ichijikin hikiage [Subidy and costs … the realty of a cat-and-mouse game: Increase in the Childcare Lump-sum Allowance]. 2022, December 15). Mainichi Shimbun, https://mainichi.jp/articles/20221215/k00/00m/010/280000c
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Saeki, E. (2023). Patriarchy, Paternalism, and Politics of Reproductive Autonomy: Abortion Rights in Japan. In: Tanaka, K., Selin, H. (eds) Sustainability, Diversity, and Equality: Key Challenges for Japan. Science Across Cultures: The History of Non-Western Science, vol 13. Springer, Cham. https://doi.org/10.1007/978-3-031-36331-3_3
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