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卵子捐赠、代孕和克隆:基于一项代表性调查的德国男性和女性的态度

Egg donation, surrogate mothering, and cloning: attitudes of men and women in Germany based on a representative survey.

作者信息

Stöbel-Richter Yve, Goldschmidt Susanne, Brähler Elmar, Weidner Kerstin, Beutel Manfred

机构信息

Department of Medical Psychology and Medical Sociology, Faculty of Medicine, University of Leipzig, Philipp-Rosenthal-Strasse 55, Leipzig, Germany.

出版信息

Fertil Steril. 2009 Jul;92(1):124-30. doi: 10.1016/j.fertnstert.2008.05.015. Epub 2008 Aug 5.

DOI:10.1016/j.fertnstert.2008.05.015
PMID:18684445
Abstract

OBJECTIVE

To determine opinions and attitudes of the German general population toward the treatment methods of reproductive medicine: egg donation, surrogate mothering, and reproductive cloning.

DESIGN

Representative survey.

SETTING

German general population: face-to-face interviews at home with 2,110 persons, aged 18-50 years.

PATIENT(S): Patients were not included.

INTERVENTION(S): No interventions took place.

MAIN OUTCOME MEASURE(S): Approval and disapproval of treatment methods of reproductive medicine and preimplantation genetic diagnosis were assessed by questionnaires regarding medical, age, reasons, or general.

RESULT(S): Overall, the diverse treatment methods of reproductive medicine found comparable rates of approval and disapproval. Legalization of egg donation was approved by a slight majority (50.8%), particularly for medical reasons (35.9%). Surrogate mothering found lower overall rates of approval (43.7%), 28.5% supported an admission for medical reasons. Reproductive cloning was rejected by the vast majority (82.9%). Attitudes to reproductive medicine were affected by age and the individual reproductive experiences.

CONCLUSION(S): New techniques in reproductive medicine and their development provide hope and health promises for affected couples but also entail long-term risks and ethical issues. Balancing the individual's right to a reproductive autonomy and choice and ethical standards will constitute a future challenge for society. Results demonstrate considerable uncertainty and information deficits in the community.

摘要

目的

确定德国普通民众对生殖医学治疗方法(卵子捐赠、代孕和生殖克隆)的看法和态度。

设计

代表性调查。

地点

德国普通民众:对2110名年龄在18至50岁之间的人进行上门面对面访谈。

患者

未纳入患者。

干预措施

未进行干预。

主要观察指标

通过关于医学、年龄、原因或一般情况的问卷,评估对生殖医学治疗方法和植入前基因诊断的赞成和反对情况。

结果

总体而言,生殖医学的各种治疗方法的赞成和反对率相当。卵子捐赠合法化得到微弱多数(50.8%)的赞成,特别是出于医学原因(35.9%)。代孕的总体赞成率较低(43.7%),28.5%的人支持因医学原因允许代孕。绝大多数人(82.9%)反对生殖克隆。对生殖医学的态度受年龄和个人生殖经历的影响。

结论

生殖医学的新技术及其发展为受影响的夫妇带来了希望和健康前景,但也带来了长期风险和伦理问题。平衡个人的生殖自主权和选择权以及伦理标准将是社会未来面临的挑战。结果表明社区中存在相当大的不确定性和信息不足。

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Fertil Steril. 2009 Jul;92(1):124-30. doi: 10.1016/j.fertnstert.2008.05.015. Epub 2008 Aug 5.
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