Savitsky Bella, Eldar-Geva Talia, Shvartsur Rachel
Department of Nursing, School of Health Sciences, Ashkelon Academic College, Ashkelon, Israel.
Infertility and Reproduction Department, Israeli Ministry of Health, Jerusalem, Israel.
Andrology. 2025 May;13(4):763-772. doi: 10.1111/andr.13757. Epub 2024 Sep 17.
From October 7, 2023, until August 28, 2024, 187 posthumous sperm retrieval (PSR) procedures have been conducted on deceased men, 171 of whom are soldiers. PSR was predominantly initiated by parents to cope with their profound loss. However, the attitudes of Israeli men toward this procedure are unknown.
This study aims to investigate the attitudes of Israeli men toward prior consent to PSR and posthumous-assisted reproduction (PAR) initiated by partner or parents.
A cross-sectional study of 600 Israeli men aged 18-49 years who were questioned in February-April 2024 amid the ongoing armed conflict. The questionnaire included demographic details, role in the conflict, and attitudes toward PSR/PAR. Multivariable logistic regression analysis was used to assess agreement for PSR/PAR after adjustment for possible confounders.
The average age of participants was 32 years, with 52% married or in a committed relationship and 6.5% self-identified as having same-sex relationships. The majority were secular (63%), 21% were traditional (21%), and 16% were religious. In terms of involvement in the ongoing conflict, 35% served in combat, 21% in non-combat roles, and 44% did not participate. Most men (71%) prefer pre-documenting their PSR preferences, with 70% advocating for consent during recruitment for regular military service and 78% before reserve service. Regarding PAR, 37% opposed it at their partner's request, while 47% opposed it at their parents' request. In a multivariable model, the odds of approval of PAR following parental request were four- and three-fold higher among traditional and secular versus religious men (odds ratio, OR = 4.1, 95% CI: 2.0-8.1 and OR = 3.3, 95% CI: 1.8-6.2, respectively) and following the request of a partner, twice higher among traditional and secular versus religious (OR = 2.0, 95% CI: 1.1-4.2 and OR = 2.0, 95% CI: 1.1-3.6, respectively).
While it is understandable that grieving parents seek solace through PSR, consent should be obtained from the men themselves, as a considerable proportion do not support the process as it is currently performed.
从2023年10月7日至2024年8月28日，已对187名已故男性进行了死后精子提取（PSR）程序，其中171名是士兵。PSR主要由父母发起，以应对他们的巨大损失。然而，以色列男性对该程序的态度尚不清楚。
本研究旨在调查以色列男性对事先同意PSR以及由伴侣或父母发起的死后辅助生殖（PAR）的态度。
在2024年2月至4月持续的武装冲突期间，对600名年龄在18至49岁的以色列男性进行了横断面研究。问卷包括人口统计学细节、在冲突中的角色以及对PSR/PAR的态度。多变量逻辑回归分析用于在对可能的混杂因素进行调整后评估对PSR/PAR的同意情况。
参与者的平均年龄为32岁，52%已婚或处于稳定关系中，6.5%自我认定为有同性关系。大多数人是世俗的（63%），21%是传统的，16%是宗教的。在参与当前冲突方面，35%在战斗部队服役，21%担任非战斗角色，44%未参与。大多数男性（71%）倾向于预先记录他们对PSR的偏好，70%主张在常规兵役招募期间同意，78%主张在预备役之前同意。关于PAR，37%在伴侣要求时反对，47%在父母要求时反对。在多变量模型中，父母要求后PAR获得批准的几率在传统和世俗男性中比宗教男性高四倍和三倍（比值比，OR = 4.1，95%置信区间：2.0 - 8.1和OR = 3.3，95%置信区间：1.8 - 6.2），在伴侣要求后，传统和世俗男性中比宗教男性高两倍（OR = 2.0，95%置信区间：1.1 - 4.2和OR = 2.0，95%置信区间：1.1 - 3.6）。
虽然悲痛的父母通过PSR寻求慰藉是可以理解的，但应该从男性本人那里获得同意，因为相当一部分人不支持目前实施的这一过程。
