Savitsky Bella
Department of Nursing, School of Health Sciences, Ashkelon Academic College, Yitshak Ben Zvi 12, Ashkelon, Israel.
Isr J Health Policy Res. 2025 Jul 21;14(1):45. doi: 10.1186/s13584-025-00703-6.
Following the outbreak of armed conflict in Israel on October 7, 2023, a new directive permits both the spouse and parents of a deceased individual to initiate sperm extraction without the need for a court order or prior consent. A previous study revealed that nearly 37% of men in relationships opposed PSR at their partner’s request, and half of the men whose parents are alive opposed PSR at their parents’ request. The current study aims to explore the reasons behind this opposition and to understand the underlying attitudes of those who object to PSR. The study population consists of 600 Jewish men aged 18–49, with data collected between February and March 2024 through a questionnaire. Main objections for PSR following parental or partner`s request centered on the perceived “unethical nature of planned orphanhood”. The level of religiosity was significantly associated with this theme: the proportion of men who cited this reason for opposing PSR following a partner’s request was 33.3% among secular men, 42.9% among traditional men, and 70.4% among religious men ( =.007). The most common reason for opposing the collection of prior consent before army enlistment was the belief that “Eighteen-year-old conscripts are just children who don’t understand anything”; “The moment of enlistment is not the right time to ask such a complex question” and “It is unethical to invest in any process that would create planned orphanhood”. The study emphasizes the need for prior consent and highlights the need for culturally sensitive and ethically informed PSR policies.
2023年10月7日以色列武装冲突爆发后，一项新指令允许已故人员的配偶和父母在无需法院命令或事先同意的情况下提取精子。此前一项研究表明，近37%处于恋爱关系中的男性应伴侣要求反对死后精子提取（PSR），而父母健在的男性中有一半应父母要求反对PSR。本研究旨在探究这种反对背后的原因，并了解那些反对PSR者的潜在态度。研究对象为600名年龄在18至49岁之间的犹太男性，于2024年2月至3月通过问卷调查收集数据。应父母或伴侣要求而反对PSR的主要理由集中在感知到的“计划性孤儿身份的不道德本质”。宗教虔诚程度与这一主题显著相关：在世俗男性中，因这一原因反对伴侣要求的PSR的男性比例为33.3%，传统男性中为42.9%，宗教男性中为70.4%（P = 0.007）。反对在入伍前征求事先同意的最常见理由是认为“18岁的应征者只是什么都不懂的孩子”；“入伍时不是问如此复杂问题的合适时机”以及“在任何会造成计划性孤儿身份的过程上投入都是不道德的”。该研究强调事先同意的必要性，并突出了制定具有文化敏感性和符合伦理道德的PSR政策的必要性。
