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育龄夫妇和不孕夫妇对不孕治疗的态度。

Attitudes about infertility interventions among fertile and infertile couples.

作者信息

Halman L J, Abbey A, Andrews F M

机构信息

School of Public Health, Department of Population Planning, University of Michigan.

出版信息

Am J Public Health. 1992 Feb;82(2):191-4. doi: 10.2105/ajph.82.2.191.

Abstract

BACKGROUND

There has been marked progress in the development of infertility interventions. This paper reports attitudes about 11 interventions for infertility.

METHODS

Face-to-face interviews were conducted with each member of 185 infertile and 90 presumed fertile couples in southeastern Michigan.

RESULTS

Seven of these interventions were generally viewed favorably and four were generally viewed negatively, regardless of the couple's fertility status. Infertile couples viewed all interventions, except for adoption, more favorably than did fertile couples. Multidimensional scaling was used to cluster the interventions according to similarity in endorsement. These clusters form a continuum from interventions that allow only one member of the couple to be a biological parent to the most noninvasive techniques. All clusters remain roughly equidistant from adoption, in which neither member of the couple is a biological parent.

CONCLUSIONS

Interventions that produce a child who is biologically related to only one member of the couple were viewed most negatively. Members of couples who were receiving fertility treatment made finer discriminations among infertility interventions than did individuals who had not received treatment.

摘要

背景

不孕不育干预措施的发展取得了显著进展。本文报告了对11种不孕不育干预措施的看法。

方法

对密歇根州东南部185对不孕不育夫妇和90对疑似可育夫妇的每一位成员进行了面对面访谈。

结果

无论夫妇的生育状况如何,其中7种干预措施总体上受到好评,4种总体上受到负面评价。不孕不育夫妇对除收养外的所有干预措施的评价都比可育夫妇更为积极。多维尺度分析用于根据认可程度的相似性对干预措施进行聚类。这些聚类形成了一个连续体,从只允许夫妇中的一方成为生物学父母的干预措施到最无创的技术。所有聚类与收养(即夫妇双方都不是生物学父母)的距离大致相等。

结论

那些生出的孩子仅与夫妇中的一方有生物学关系的干预措施受到的负面评价最多。接受生育治疗的夫妇成员对不孕不育干预措施的区分比未接受治疗的个体更为细致。

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本文引用的文献

1
Sociologic and psychological aspects of artificial insemination with donor semen.
J Am Med Assoc. 1951 Apr 7;145(14):1062-4. doi: 10.1001/jama.1951.02920320036010.
2
The emotional needs of infertile couples.不孕夫妇的情感需求。
Fertil Steril. 1980 Oct;34(4):313-9. doi: 10.1016/s0015-0282(16)45031-4.
3
The increasing concern with infertility. Why now?
JAMA. 1983 Nov 4;250(17):2327-31.

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