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德国对植入前基因诊断的矛盾态度。

Ambivalent attitudes towards pre-implantation genetic diagnosis in Germany.

作者信息

Finck Carolyn, Meister Ulrike, Stöbel-Richter Yve, Borkenhagen Ada, Brähler Elmar

机构信息

Department for Medical Psychology and Medical Sociology, University of Leipzig, Universitätsklinikum Leipzig AöR, Stephanstrasse 11, D-04103 Leipzig, Germany.

出版信息

Eur J Obstet Gynecol Reprod Biol. 2006 Jun 1;126(2):217-25. doi: 10.1016/j.ejogrb.2005.11.031. Epub 2006 Jan 18.

DOI:10.1016/j.ejogrb.2005.11.031
PMID:16387409
Abstract

BACKGROUND

Pre-implantation genetic diagnosis (PGD) is a modern technique in reproductive medicine which can be used to diagnose genetic disorders of an embryo. PGD is currently not legal in Germany, still there are debates being held regarding the issue of legalization. Both the internationally "accepted" indications and new or alternative approaches can lead to complex ethical dilemmas. The attitudes towards PGD have rarely been assessed in the general population.

METHODS

In our study, 2110 persons aged 18-50 years were interviewed about their attitudes towards PGD and related topics. We assumed that religion, world views and the evaluation of PGD would influence the attitude a person has towards this procedure.

RESULTS AND CONCLUSIONS

In our survey, the majority of respondents would agree to a restricted legalization of PGD in Germany. Our results also confirmed some of our assumptions but religion did not have the expected influence. The evaluation of costs and benefits of PGD and the feelings associated with this technique explained more of the final attitude whether PGD should remain prohibited in Germany or not. The agreement to a restricted legalization may be connected to an overall rejection of prohibitions made by the state concerning the individual reproductive autonomy.

摘要

背景

植入前基因诊断(PGD)是生殖医学中的一项现代技术,可用于诊断胚胎的遗传疾病。PGD目前在德国不合法,关于其合法化问题仍在进行辩论。国际上“公认”的适应症以及新的或替代方法都可能导致复杂的伦理困境。一般人群对PGD的态度很少得到评估。

方法

在我们的研究中,对2110名年龄在18至50岁之间的人进行了访谈,了解他们对PGD及相关主题的态度。我们假设宗教、世界观和对PGD的评价会影响一个人对该程序的态度。

结果与结论

在我们的调查中,大多数受访者会同意在德国对PGD进行有限度的合法化。我们的结果也证实了我们的一些假设,但宗教并没有产生预期的影响。对PGD成本效益的评估以及与该技术相关的感受,更多地解释了对于PGD在德国是否应继续被禁止的最终态度。对有限度合法化的认同可能与总体上反对国家对个人生殖自主权的禁令有关。

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