Ahmad Al-Akour Nemeh, Khassawneh Mohammad, Khader Yousef, Dahl Edgar
School of Nursing, Jordan University of Science and Technology, PO Box 3030, Irbid, Jordan.
Hum Reprod. 2009 Jul;24(7):1665-9. doi: 10.1093/humrep/dep080. Epub 2009 Apr 9.
Preconception sex selection for non-medical reasons is a controversial issue in bioethics. Little research has described preferences for preconception sex selection among Arab populations. This study describes the sex preference and interest in employing sex selection techniques among pregnant women in northern Jordan.
A self-reported questionnaire was administered to 600 pregnant women in Irbid, Jordan. chi(2) test and binary logistic regression were used to examine the factors associated with interest in preconception sex selection.
In general, the interest in using sex selection was low. Women who preferred boys were more likely to be interested in sex selection, if paid for by the couple [odds ratio (OR) = 4.40, 95% confidence interval (CI): 1.75-11.11] or by health insurance (OR = 3.42, 95% CI: 1.94-6.06), or, if feasible, administered through oral medication (OR = 8.84, 95% CI: 5.05-15.63). Women with lower education were more likely to be interested in sex selection, if paid by health insurance (OR = 1.96, 95% CI: 1.10-3.45) and were more likely to believe that sex selection is legal (OR = 1.79, 95% CI: 1.06-2.86). Women who had no boys were more likely to be interested in sex selection, if paid by health insurance (OR = 1.94, 95% CI: 1.10-3.42) or, if feasible, through medication (OR = 3.03, 95% CI: 1.82-5.00).
The majority of participants were not in favor of using preconception sex selection. Those with a preference to have boys, with lower education, and those with an imbalanced family were more likely to be interested in using sex selection technology.
出于非医学原因的孕前性别选择是生物伦理学中一个有争议的问题。很少有研究描述阿拉伯人群对孕前性别选择的偏好。本研究描述了约旦北部孕妇对性别选择的偏好以及采用性别选择技术的意愿。
对约旦伊尔比德的600名孕妇进行了一份自填式问卷。采用卡方检验和二元逻辑回归分析与孕前性别选择意愿相关的因素。
总体而言，使用性别选择的意愿较低。如果由夫妻支付费用（比值比[OR]=4.40，95%置信区间[CI]：1.75-11.11）或由医疗保险支付（OR=3.42，95%CI：1.94-6.06），或者如果可行，通过口服药物进行性别选择（OR=8.84，95%CI：5.05-15.63），那么偏好男孩的女性更有可能对性别选择感兴趣。受教育程度较低的女性，如果由医疗保险支付费用（OR=1.96，95%CI：1.10-3.45），则更有可能对性别选择感兴趣，并且更有可能认为性别选择是合法的（OR=1.79，95%CI：1.06-2.86）。没有男孩的女性，如果由医疗保险支付费用（OR=1.94，95%CI：1.10-3.42），或者如果可行，通过药物进行性别选择（OR=3.03，95%CI：1.82-5.00），则更有可能对性别选择感兴趣。
大多数参与者不赞成使用孕前性别选择。偏好男孩、受教育程度较低以及家庭性别失衡的人更有可能对使用性别选择技术感兴趣。
