Nachtigall R D, Tschann J M, Quiroga S S, Pitcher L, Becker G
University of California, San Francisco, USA.
Fertil Steril. 1997 Jul;68(1):83-9. doi: 10.1016/s0015-0282(97)81480-x.
To examine the influence of gender, male infertility factor, and other demographic variables on stigma and whether parents tell their children that they were conceived by donor insemination (DI) and to ascertain if stigma and the disclosure decision affect parental bonding with the child or the quality of the interparental relationship.
One hundred eighty-four San Francisco Bay Area couples who had become parents by DI were asked to complete a self-administered questionnaire.
A private infertility practice.
PATIENT(S): Eighty-two men and 94 women who completed the questionnaire.
A questionnaire assessing disclosure, stigma, parental bonding, and the quality of the interparental relationship.
RESULT(S): Factors that increased the couple's likelihood of disclosure included younger age, azoospermia, lower stigma scores, and having more than one DI child. Fathers who scored higher on stigma reported less parental warmth and parental fostering of independence.
CONCLUSION(S): Because the decision regarding disclosure of DI treatment was not linked to parental bonding with the child or to the quality of the interparental relationship, we cannot conclude that nondisclosure is harmful to family relationships or is a symptom of family problems. The husband's perceptions of stigma however, may affect the father--child relationship adversely.
探讨性别、男性不育因素及其他人口统计学变量对污名化的影响，以及父母是否会告知孩子他们是通过供精人工授精（DI）受孕的，并确定污名化和告知决定是否会影响亲子关系或父母间关系的质量。
对184对通过DI成为父母的旧金山湾区夫妇进行问卷调查，问卷由他们自行填写。
一家私立不孕不育诊所。
82名男性和94名女性完成了问卷调查。
一份评估告知情况、污名化、亲子关系及父母间关系质量的问卷。
增加夫妇告知可能性的因素包括年龄较小、无精子症、污名化得分较低以及有不止一个通过DI出生的孩子。污名化得分较高的父亲表现出较少的亲子温情和对孩子独立性培养的关注。
由于关于DI治疗告知的决定与亲子关系或父母间关系的质量无关，因此我们不能得出不告知对家庭关系有害或表明存在家庭问题的结论。然而，丈夫对污名化的认知可能会对父子关系产生不利影响。
