School of Nursing and Midwifery, Flinders University, GPO Box 2100, Adelaide, SA 5001, Australia.
Reprod Biomed Online. 2012 Jun;24(7):727-44. doi: 10.1016/j.rbmo.2012.01.014. Epub 2012 Jan 28.
Increasingly, important areas of medical therapy and research rely on the donation and use of human embryos. Yet their use is commonly determined by community tolerance and ethico-legal regulation. The aim of this study was to explore the views of an Australian community about what an embryo is, how it should be used and who should make disposition decisions. The findings of a large representative population survey showed that most participants thought of an embryo as human or potentially human but that this did not affect a majority community view that embryos should be used rather than discarded. This study also found divergent views about what the community perceived to be acceptable uses of embryos. The majority perceived the couple as having the authority to make a disposition decision. Women held different views to men across all three questions. The way an embryo was perceived related significantly to how it should be used and who should decide its disposition. These differences and relationships should be considered when developing clinic practices and ethico-legal frameworks to regulate embryo use in science or treatment.
越来越多的医学治疗和研究领域依赖于人类胚胎的捐献和使用。然而,其使用通常取决于社区的容忍度和伦理法律规定。本研究旨在探讨澳大利亚社区对胚胎是什么、应该如何使用以及应由谁做出处置决定的看法。一项大型代表性人群调查的结果表明,大多数参与者认为胚胎是人类或潜在的人类,但这并没有影响大多数社区的观点,即胚胎应该被使用而不是被丢弃。本研究还发现了关于社区认为胚胎可接受用途的不同看法。大多数人认为夫妇有权做出处置决定。在所有三个问题上,女性的观点都与男性不同。人们对胚胎的看法与如何使用以及应由谁决定其处置方式密切相关。在制定规范胚胎在科学或治疗中使用的临床实践和伦理法律框架时,应该考虑到这些差异和关系。