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胎儿组织移植与堕胎决策:对城市女性的一项调查

Fetal tissue transplantation and abortion decisions: a survey of urban women.

作者信息

Martin D K, Maclean H, Lowy F H, Williams J I, Dunn E V

机构信息

Centre for Bioethics, University of Toronto, Ont.

出版信息

CMAJ. 1995 Sep 1;153(5):545-52.

PMID:7641152
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1487409/
Abstract

OBJECTIVE

To describe women's attitudes and predicted behaviour regarding the potential for fetal tissue transplantation (FTT) to influence abortion decisions.

DESIGNS

Self-administered questionnaire survey by mail.

SETTING

Academic family practice in Toronto.

PARTICIPANTS

Random sample of 475 women 18 to 40 years of age selected from the family practice registry of an urban teaching hospital. Family physicians were blind to their patients' participation, and investigators were blind to the subjects' identity. Forty questionnaires were undeliverable. Of the remaining 435, 272 (62.5%) were completed. Six of the women were over 40 years of age or did not indicate their age and were excluded, which left 266 (61.1%) questionnaires for analysis.

OUTCOME MEASURES

Number of women who would (a) be more likely to have an abortion if they could donate tissue for FTT and (b) feel better or worse about choosing abortion if FTT were an option, and open-ended comments about the potential for FTT to influence abortion decisions.

RESULTS

Of the 266 respondents 32 (12.0%) reported that they would be more likely to have an abortion if they could donate tissue for FTT, 178 (66.9%) stated that they would not be more likely to do so, and 56 (21.1%) were uncertain. Of the 122 who indicated that they would consider an abortion if they were pregnant, 21 (17.2%) stated that they would be more likely to have an abortion if they could donate tissue for FTT, 77 (63.1%) replied that they would not be more likely to do so, and 24 (19.7%) were uncertain. The women 25 to 33 years of age were more likely to be influenced by FTT than the younger or older women, and the women 18 to 24 years were more uncertain about the influence of FTT on abortion decisions than the older women. In written responses some of the women felt that FTT might make abortion decisions easier; many were troubled that FTT might be used to justify a morally problematic abortion decision and felt that FTT should not be used to justify abortion.

CONCLUSION

The data, the first of their kind gathered from from women, suggest that some women's abortion decisions may be influenced by the option to donate tissue for FTT. Further research is necessary to explore the mechanism of influence.

摘要

目的

描述女性对于胎儿组织移植(FTT)影响堕胎决定可能性的态度及预测行为。

设计

通过邮件进行的自填式问卷调查。

地点

多伦多的学术性家庭医疗诊所。

参与者

从一家城市教学医院的家庭医疗登记册中随机抽取475名18至40岁的女性。家庭医生对其患者的参与情况不知情,调查人员对受试者的身份不知情。40份问卷无法送达。在其余435份问卷中,272份(62.5%)被完成。其中6名女性年龄超过40岁或未表明年龄,被排除在外,剩余266份(61.1%)问卷用于分析。

观察指标

(a)如果可以为FTT捐赠组织就更有可能堕胎的女性数量,以及(b)如果FTT是一种选择,对选择堕胎感觉更好或更差的女性数量,以及关于FTT影响堕胎决定可能性的开放式评论。

结果

在266名受访者中,32名(12.0%)表示如果可以为FTT捐赠组织,她们更有可能堕胎,178名(66.9%)表示不会更有可能这样做,56名(21.1%)不确定。在122名表示如果怀孕会考虑堕胎的女性中,21名(17.2%)表示如果可以为FTT捐赠组织,她们更有可能堕胎,77名(63.1%)回答不会更有可能这样做,24名(19.7%)不确定。25至33岁的女性比年轻或年长女性更容易受到FTT的影响,18至24岁的女性比年长女性对FTT对堕胎决定的影响更不确定。在书面回复中,一些女性认为FTT可能会使堕胎决定更容易;许多人担心FTT可能被用来为有道德问题的堕胎决定辩护,并认为FTT不应用来为堕胎辩护。

结论

这些首次从女性中收集的数据表明,一些女性的堕胎决定可能会受到为FTT捐赠组织这一选择的影响。有必要进行进一步研究以探索影响机制。

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本文引用的文献

1
Pharaoh's magicians: the ethics and efficacy of human fetal tissue transplants.法老的魔法师:人类胎儿组织移植的伦理与功效
Thomist. 1990 Oct;54(4):575-607. doi: 10.1353/tho.1990.0000.
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Foetal tissue transplantation research: a Canadian policy analysis.胎儿组织移植研究:一项加拿大政策分析。
Health Law Can. 1992;13(1):132-41.
3
Transplantation of electively aborted human fetal tissue: physicians' attitudes.选择性流产的人类胎儿组织移植:医生的态度
CMAJ. 1994 Aug 1;151(3):325-30.
4
Attitudes of women to fetal tissue research.女性对胎儿组织研究的态度。
J Med Ethics. 1994 Mar;20(1):36-40. doi: 10.1136/jme.20.1.36.
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Transplantation of fetal cells and tissue: an overview.胎儿细胞与组织移植:概述
CMAJ. 1994 Nov 1;151(9):1261-8.
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Obstet Gynecol. 1972 Dec;40(6):816-25.
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Why do women have abortions?
Fam Plann Perspect. 1988 Jul-Aug;20(4):169-76.
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The characteristics and prior contraceptive use of U.S. abortion patients.美国堕胎患者的特征及之前的避孕措施使用情况。
Fam Plann Perspect. 1988 Jul-Aug;20(4):158-68.
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The politics of transplantation of human fetal tissue.人类胎儿组织移植的政治问题。
N Engl J Med. 1989 Apr 20;320(16):1079-82. doi: 10.1056/NEJM198904203201610.
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Regulating the clinical uses of fetal tissue. A proposal for legislation.规范胎儿组织的临床应用。一项立法提案。
J Leg Med. 1989 Jun;10(2):269-322. doi: 10.1080/01947648909513574.