Armuand Gabriela, Skoog Svanberg Agneta, Lampic Claudia, Elenis Evangelia, Sydsjö Gunilla
1Department of Clinical and Experimental Medicine, Faculty of Health Sciences, Linköping University, SE-581 83 Linköping, Sweden.
2Department of Women's and Children's Health, Uppsala University, 751 85 Uppsala, Sweden.
Fertil Res Pract. 2020 May 7;6:9. doi: 10.1186/s40738-020-00078-z. eCollection 2020.
The number of families conceived through sperm donation to single women is increasing. However, there is limited knowledge about health care professionals' attitudes towards solo-mothers by choice, and there is some indication that professionals' personal opinions influence their care of individuals who use alternate ways to build a family. The primary aim of the study was to investigate attitudes towards, and experiences of, families following sperm donation to single women among healthcare professionals working in primary child healthcare.
Between April and November 2016 a total of 712 physicians, registered nurses and psychologists working within primary healthcare in Sweden were invited to participate in a cross-sectional online survey study. The study-specific questionnaire contained the following four domains: Attitudes towards legalization and financing, Attitudes towards the family and the child's health, Clinical experience and Knowledge about sperm donation to single women.
The majority of the participants were positive or neutral towards sperm donation being allowed to single women in Sweden. However, one third believed that children risk worse mental health and social stigma. Half of healthcare professionals had own clinical experience of caring for solo-mothers by choice and their children, and of these one third perceived that these families had more need of support than other parents. One out of four indicated that they did not have sufficient knowledge to be able to provide adequate care to these families.
The present results indicate that while there was a relatively large support for sperm donation being allowed to single women in Sweden among health care professionals, many expressed concerns about the child's health, as well as low confidence in their knowledge about the specific needs in this patient group. There is a need for educational interventions targeted to healthcare professionals in primary child healthcare in order to provide adequate care to solo-mothers by choice and their children.
通过向单身女性捐赠精子受孕的家庭数量正在增加。然而，对于医疗保健专业人员对选择成为单亲母亲的态度了解有限，并且有迹象表明专业人员的个人观点会影响他们对通过其他方式组建家庭的个人的护理。本研究的主要目的是调查在初级儿童保健领域工作的医疗保健专业人员对向单身女性捐赠精子后家庭的态度和经历。
2016年4月至11月期间，共邀请了瑞典初级医疗保健领域的712名医生、注册护士和心理学家参与一项横断面在线调查研究。该研究特定问卷包含以下四个领域：对合法化和资金的态度、对家庭和儿童健康的态度、临床经验以及对向单身女性捐赠精子的了解。
大多数参与者对瑞典允许向单身女性捐赠精子持积极或中立态度。然而，三分之一的人认为孩子有心理健康状况较差和社会污名化的风险。一半的医疗保健专业人员有照顾选择成为单亲母亲及其子女的临床经验，其中三分之一认为这些家庭比其他父母更需要支持。四分之一的人表示他们没有足够的知识为这些家庭提供充分的护理。
目前的结果表明，虽然瑞典的医疗保健专业人员对允许向单身女性捐赠精子有相对较大的支持，但许多人对孩子的健康表示担忧，并且对他们关于该患者群体特定需求的知识缺乏信心。有必要针对初级儿童保健领域的医疗保健专业人员开展教育干预，以便为选择成为单亲母亲及其子女提供充分的护理。
