Daniels Ken, Gillett Wayne, Grace Victoria
University of Canterbury, Private Bag 4800, Christchurch, New Zealand.
Hum Reprod. 2009 May;24(5):1099-105. doi: 10.1093/humrep/den495. Epub 2009 Jan 21.
Studies of parental decision making regarding information sharing with offspring conceived as a result of donor insemination are almost all based on a 'one point in time' design. This study reports on parental decision making at two points in time, Time 1 and Time 2, 14 years apart.
Forty-four of 57 families (77%) who had agreed to take part in a follow-up study were interviewed. An in-depth semi-structured interview format was used. In addition, two questionnaires seeking mainly quantitative data were administered.
Fifteen families (35%) had told their offspring of the donor insemination conception at Time 2 (2004). An additional seven families said they had always wanted or intended to tell the children and asked for assistance on how to do this. Where partners were in agreement on information sharing at Time 1 (1990)-either to tell or not to tell-this position was maintained. Where there was disagreement, or uncertainty, two-thirds had not told and one-third had.
Despite the professional and socio-political culture at the time of treatment, almost half of the families in this study ended up sharing the donor insemination conception with their offspring. The results support the need for appropriate preparation for donor insemination family building.
关于父母就捐赠人工授精所育子女信息共享而做出决策的研究几乎都基于“某一个时间点”的设计。本研究报告了相隔14年的两个时间点(时间1和时间2)上父母的决策情况。
对同意参与一项随访研究的57个家庭中的44个家庭(77%)进行了访谈。采用了深入的半结构化访谈形式。此外,还发放了两份主要收集定量数据的问卷。
在时间2(2004年),15个家庭(35%)已将捐赠人工授精受孕的情况告知了他们的子女。另有7个家庭表示他们一直想或打算告诉孩子,并寻求关于如何告知的帮助。在时间1(1990年)时,如果伴侣双方就信息共享达成一致——要么告知要么不告知——那么这一立场会得以维持。如果存在分歧或不确定性,三分之二的家庭没有告知,三分之一的家庭告知了。
尽管在治疗时存在专业及社会政治文化因素,但本研究中几乎一半的家庭最终还是向其子女透露了捐赠人工授精受孕的情况。研究结果支持了对捐赠人工授精组建家庭进行适当准备的必要性。