Suzuki Kohta, Sawa Rintaro, Muto Kaori, Kusuda Satoshi, Banno Kouji, Yamagata Zentaro
Department of Health Sciences, School of Medicine, University of Yamanashi, Yamanashi, Japan.
Department of Obstetrics and Gynecology, Nippon Medical School, Tokyo, Japan ; Japan Medical Association Research Institute, Tokyo, Japan.
Int J Fertil Steril. 2011 Jul;5(2):78-85. Epub 2011 Sep 23.
To clarify the relationship between the general attitude towards gestational surrogacy and risk perception about pregnancy and infertility treatment.
This study analysed the data of nationally representative cross-sectional surveys from 2007 concerning assisted reproductive technologies. The participants represented the general Japanese population. We used this data to carry out multivariate analysis. The main outcome measures were adjusted odds ratios and 95% confidence intervals from logistic regression models for factors including the effect of pregnancy risk perception on the attitude toward gestational surrogacy.
In this survey, 3412 participants responded (response rate of 68.2%). With regard to the attitude towards gestational surrogacy, 54.0% of the respondents approved of it, and 29.7% stated that they were undecided. The perception of a high level of risk concerning ectopic pregnancy, threatened miscarriage or premature birth, and pregnancy-induced hypertension influenced the participants' attitudes towards gestational surrogacy. Moreover, this perception of risk also contributed to a disapproval of the technique.
Our findings suggest that a person who understands the risks associated with pregnancy might clearly express their disapproval of gestational surrogacy.
阐明对代孕的总体态度与对怀孕及不孕治疗的风险认知之间的关系。
本研究分析了2007年全国代表性横断面调查中有关辅助生殖技术的数据。参与者代表日本普通人群。我们利用这些数据进行多变量分析。主要结局指标是来自逻辑回归模型的调整优势比和95%置信区间，用于分析包括怀孕风险认知对代孕态度的影响等因素。
在本次调查中，3412名参与者做出回应（回应率为68.2%）。关于对代孕的态度，54.0%的受访者表示赞成，29.7%的人表示不确定。对宫外孕、先兆流产或早产以及妊娠高血压的高风险认知影响了参与者对代孕的态度。此外，这种风险认知也导致对该技术的不赞成。
我们的研究结果表明，了解与怀孕相关风险的人可能会明确表示不赞成代孕。
