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取消卵子捐赠者匿名制能否增加卵子捐赠者招募?一项基于医院的调查。

Can we improve recruitment of oocyte donors with loss of donor anonymity? A hospital-based survey.

作者信息

Brett Sanora, Sacranie Rosada R, Thomas Giles E, Rajkhowa Rima

机构信息

Assisted Conception Unit, Ninewells Hospital and Medical School, Dundee, UK.

出版信息

Hum Fertil (Camb). 2008 Jun;11(2):101-7. doi: 10.1080/14647270801953109.

Abstract

BACKGROUND

Loss of donor anonymity, as a result of an amendment to the Human Fertilisation and Embryology Act 1990, has led to concerns regarding continued recruitment of gamete and embryo donors. This survey aims to examine the impact of loss of anonymity on willingness to donate oocytes and strategies to improve recruitment.

METHODS

Five hundred anonymous self-report questionnaires were randomly allocated to hospital staff between September and December 2004.

MAIN OUTCOME MEASURES

To determine public awareness of gamete donation, preferred information sources for potential donors, and affect of loss of anonymity on willingness to consider gamete donation.

RESULTS

One hundred and sixty-six responses (33%) were received. Only female respondents (n=143) were analysed. Awareness of gamete donation was high (90%), with 34% willing to consider donation. Removal of donor anonymity reduced this figure to 17%. For women under 35 years of age, the corresponding figures are 43% and 19%, respectively. Potential donors may utilize multiple sources of information prior to reaching a decision about donation.

CONCLUSIONS

Loss of donor anonymity reduced by half those willing to consider donation in all age groups. The future of this service depends on recruitment of donors willing to be identified. Consideration of older donors may be an option if adequate counselling occurs.

摘要

背景

由于1990年《人类受精与胚胎学法》的一项修正案导致捐赠者匿名性丧失,这引发了对配子和胚胎捐赠者持续招募的担忧。本调查旨在研究匿名性丧失对卵母细胞捐赠意愿的影响以及改善招募的策略。

方法

2004年9月至12月期间,向医院工作人员随机发放了500份匿名自填式问卷。

主要观察指标

确定公众对配子捐赠的知晓情况、潜在捐赠者偏好的信息来源以及匿名性丧失对考虑进行配子捐赠意愿的影响。

结果

共收到166份回复(33%)。仅对女性受访者(n = 143)进行了分析。对配子捐赠的知晓率很高(90%),其中34%愿意考虑捐赠。捐赠者匿名性的取消使这一比例降至17%。对于35岁以下的女性,相应比例分别为43%和19%。潜在捐赠者在做出捐赠决定之前可能会利用多种信息来源。

结论

捐赠者匿名性的丧失使所有年龄组中愿意考虑捐赠的人数减少了一半。这项服务的未来取决于招募愿意被识别的捐赠者。如果进行充分的咨询,考虑老年捐赠者可能是一个选择。

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