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供精辅助生殖技术实践中伦理准则制定的必要反馈:美国成年捐精者后代的观点。

The views of adult offspring of sperm donation: essential feedback for the development of ethical guidelines within the practice of assisted reproductive technology in the United States.

出版信息

Fertil Steril. 2010 May 1;93(7):2236-46. doi: 10.1016/j.fertnstert.2008.12.119. Epub 2009 Mar 14.

DOI:10.1016/j.fertnstert.2008.12.119
PMID:19285663
Abstract

OBJECTIVE

To provide an in-depth analysis of offspring attitudes toward their means of conception and the practice of sperm donation in the United States.

DESIGN

Survey-based study using a 46-item questionnaire.

PATIENT(S): Eighty-five adult offspring of sperm donation.

INTERVENTION(S): Participants were recruited through an Internet-based support group for adults conceived through sperm donation. Eighty-five of them completed the questionnaire provided through a link to another Internet site.

MAIN OUTCOME MEASURE(S): Responses to a 46-item questionnaire.

RESULT(S): A majority of offspring learned of their conception at age >18 years during a planned conversation; had no information about their donor; viewed their donor as their "biological father"; had searched for and wanted identifying information on their donor and half-siblings; and supported the provision of extensive nonidentifying information or identity release in the practice of sperm donation. Participant attitudes toward their means of conception were evenly distributed from "very good" to "very bad." Other descriptive information on participants contributed to an understanding of their attitudes.

CONCLUSION(S): Participant ratings of their conception were evenly distributed from "very good" to "very bad." Most believed that identifying information should be provided to recipients and that they themselves would not participate in the practice of gamete donation.

摘要

目的

深入分析美国后代对其受孕方式和精子捐赠实践的态度。

设计

基于调查的研究,使用 46 项问卷。

患者

85 名精子捐赠的成年后代。

干预措施

通过互联网上的一个支持小组招募参与者,该小组为通过精子捐赠受孕的成年人提供服务。其中 85 人通过链接到另一个互联网网站完成了提供的问卷。

主要观察指标

对 46 项问卷的回答。

结果

大多数后代在 18 岁以上的一次计划对话中了解到自己的受孕情况;没有关于供体的信息;将供体视为他们的“生父”;曾寻找并希望获得供体和半同胞的身份信息,并支持在精子捐赠实践中提供广泛的非身份信息或身份释放。参与者对其受孕方式的态度从“非常好”到“非常差”均匀分布。参与者的其他描述性信息有助于了解他们的态度。

结论

参与者对其受孕的评价从“非常好”到“非常差”均匀分布。大多数人认为应该向接受者提供身份信息,而且他们自己不会参与配子捐赠实践。

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