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国际社会对医疗性和计划性卵母细胞冷冻保存的态度。

International attitudes towards medical and planned oocyte cryopreservation.

机构信息

Department of Obstetrics and Gynecology, Tufts Medical Center, 800 Washington Street, Boston, MA, USA.

Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.

出版信息

J Assist Reprod Genet. 2024 Jul;41(7):1771-1781. doi: 10.1007/s10815-024-03116-7. Epub 2024 May 15.

Abstract

PURPOSE

This study aims to better understand the knowledge and attitudes of men and women internationally towards oocyte cryopreservation (OC).

METHODS

An online 25-question survey was distributed internationally via email and social media. Knowledge and attitudes towards OC among different regions and genders were assessed. The study population consisted of adults from North America (NA, 15.7%), Southeastern and Eastern Europe (SE, 34.7%), Central and Western Europe (CWE, 12.7%), Asia (12.7%), and Middle East (ME, 8.9%).

RESULTS

A total of 496 respondents initiated the survey and the completion rate was 80.2%. The mean (SD) age was 35.2 (12.1) years. Over 70% were aware of OC, but only 4.8% had previously undergone the procedure. Most considered ages 26-31 as optimal for OC and correctly identified conditions that could impact the chance of spontaneous conception. Significant differences were observed regarding etiologies that would render OC acceptable. Only in NA and ME did solid majorities strongly agree that it is acceptable to proceed with OC to allow more time to find the right partner or for professional opportunities. More similar opinions were observed between genders. When medical conditions existed, large majorities across all nationalities and genders strongly agreed that OC is acceptable. In NA, SE, and ME most respondents would consider or recommend OC for any reason, whereas most respondents in CWE and Asia would do that only for certain social reasons or medical necessity.

CONCLUSION

A good understanding of OC was observed. Nationality appeared to impact opinions on appropriate indications for this procedure, though overall positive attitudes were documented.

摘要

目的

本研究旨在更好地了解国际男性和女性对卵母细胞冷冻(OC)的知识和态度。

方法

通过电子邮件和社交媒体在国际上分发了一份 25 个问题的在线调查。评估了不同地区和性别的人对 OC 的知识和态度。研究人群包括来自北美(NA,15.7%)、东南欧和东欧(SE,34.7%)、中欧和西欧(CWE,12.7%)、亚洲(12.7%)和中东(ME,8.9%)的成年人。

结果

共有 496 名受访者开始了调查,完成率为 80.2%。平均(SD)年龄为 35.2(12.1)岁。超过 70%的人知道 OC,但只有 4.8%的人以前做过这个手术。大多数人认为 26-31 岁是进行 OC 的最佳年龄,并正确识别了可能影响自然受孕机会的情况。对于可以接受 OC 的原因存在显著差异。只有在北美和中东,绝大多数人强烈认为为了寻找合适的伴侣或职业机会而推迟生育是可以接受的。在性别之间也观察到了类似的观点。当存在医疗条件时,来自所有国家和性别的大多数人强烈认为 OC 是可以接受的。在北美、SE 和 ME,大多数受访者会出于任何原因考虑或推荐 OC,而在 CWE 和亚洲,大多数受访者只会出于某些社会原因或医疗必要性考虑或推荐 OC。

结论

观察到对 OC 的理解良好。国籍似乎影响了对该程序适当适应症的意见,但总体上记录了积极的态度。

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