Community attitudes to assisted reproductive technology: a 20‐year trend

Kovàcs, Gabór; Morgan, Gary J.; Wood, E. C.; Forbes, Catherine; Howlett, Donna

doi:10.5694/j.1326-5377.2003.tb05680.x

Cited by 40 publications

(23 citation statements)

References 7 publications

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“…In the current climate, where utilisation and acceptance of ART use amongst single women and lesbian couples are both on the increase it is important to identify trends within these groups placing a growing demand on ART resources. 9 ART treatment cycles from the general populations of Australia and New Zealand clinics reported an increase in treatment cycles of 7.4% from 2010 to 2011. 10 The increase in utilisation of ART amongst the single women population during this time period surpassed that of the general population; a 14.84% increase was observed amongst the single women group.…”

Section: Discussionmentioning

confidence: 99%

Utilisation of ART in single women and lesbian couples since the 2010 change in Victorian legislation

Fiske

Weston

2014

Aust N Z J Obstet Gynaecol

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Enactment of the Assisted Reproductive Treatment Act (Vic) 2008 in January 2010 allowed single persons and same sex couples in Victoria to access reproductive treatments. A retrospective cohort analysis of Monash IVF patients was conducted to identify trends in Assisted Reproductive Technology (ART) use amongst single women and lesbian couples after January 2010. A 102.8% increase in the utilisation of ART was observed amongst the single women group and a 248.8% increase in the lesbian couple population.

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Section: Discussionmentioning

confidence: 99%

Utilisation of ART in single women and lesbian couples since the 2010 change in Victorian legislation

Fiske

Weston

2014

Aust N Z J Obstet Gynaecol

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“…There is increasing and broad public acceptance in Australia of the use of ART procedures for conception, including with donor gametes (Kovacs et al , 2003, 2012), and ART procedures are subsidized by a publically funded universal health insurance scheme. In 1988 the Victorian Government was one of the first jurisdictions in the world to enact a law ( Infertility (Medical Procedures) Act 1984 (Vic) ) mandating that identifying information about donors, recipients and children born as a result of the donation be recorded in a Central Register managed by a state authority to allow donor-conceived people to apply for access to information about their donors when they reached adulthood.…”

Section: Introductionmentioning

confidence: 99%

Proposed legislative change mandating retrospective release of identifying information: consultation with donors and Government response

Hammarberg

Johnson²,

Bourne³

et al. 2013

Human Reproduction

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STUDY QUESTIONHow do gamete donors who presumed they could remain anonymous respond to proposed legislation to retrospectively remove anonymity?SUMMARY ANSWERA little more than half of the donors opposed the recommendation to introduce legislation to remove donor anonymity with retrospective effect.WHAT IS KNOWN ALREADYAn increasing proportion of parents disclose their origins to their donor-conceived children and growing numbers of donor-conceived adults are aware of how they were conceived. Research indicates that access to information about the donor is important to donor-conceived people. However, worldwide most donor-conceived people are unable to find any identifying information about the donor because of the practice of anonymous gamete donation.STUDY DESIGN, SIZE, DURATIONThis study adopted a qualitative research model using semi-structured interviews with gamete donors that included open questions. Interviews with 42 volunteers were conducted between December 2012 and February 2013.PARTICIPANTS/MATERIALS, SETTING, METHODSBefore 1998 gamete donors in Victoria, Australia, were able to remain anonymous. Pre-1998 donors were invited through an advertising campaign to be interviewed about their views on a recommendation that legislation mandating retrospective release of identifying information be introduced.MAIN RESULTS AND THE ROLE OF CHANCEDonors were almost evenly split between those who supported and those who rejected the recommendation to introduce legislation to remove donor anonymity with retrospective effect. About half of the donors who rejected the recommendation suggested the compromise of persuading donors voluntarily to release information (whether identifying or non-identifying) to donor-conceived people. These donors were themselves willing to supply information to their donor offspring. The findings of this study informed the Victorian Government's response to the proposed legislative change. While acknowledging donor-conceived people's right of access to information about their donors, the Government decided that identifying information should be released only with the consent of donors and that donors should be encouraged to allow themselves to be identifiable to their donor offspring.LIMITATIONS, REASONS FOR CAUTIONThere is no way of knowing whether participants were representative of all pre-1998 donors.WIDER IMPLICATIONS OF THE FINDINGSThe balancing of donors' and donor-conceived people's rights requires utmost sensitivity. All over the world, increasing numbers of donor-conceived people are reaching adulthood; of those who are aware of their mode of conception, some are likely to have a strong wish to know the identity of their donors. Legislators and policy-makers in jurisdictions permitting anonymous gamete donations will need to respond when these desires are expressed, and may choose to be guided by the model of consultation described in this paper.STUDY FUNDING/COMPETING INTERESTSThe study was funded by the Victorian Department of Health. The authors have no conflicts of interest ...

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“…The combination of data on date of birth of the women and year of birth of each child enabled the calculation of age of first and last birth that could be further categorised in relation to the successful development of IVF in 1980. In 1981, three‐quarters (77%) of the Australian population supported the use of IVF by infertile married couples 25 . This finding suggests the general population were aware of IVF as a potential treatment for infertility.…”

Section: Discussionmentioning

confidence: 99%

“…In 1981, three-quarters (77%) of the Australian population supported the use of IVF by infertile married couples. 25 This finding suggests the general population were aware of IVF as a potential treatment for infertility.…”

Section: Herbert Lucke and Dobson Articlementioning

confidence: 96%

Infertility in Australia circa 1980: an historical population perspective on the uptake of fertility treatment by Australian women born in 1946‐51

Herbert

Lucke

Dobson

2009

Australian and New Zealand Journal of Public Health

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Objective: To estimate the prevalence of lifetime infertility in Australian women born in 1946‐51 and examine their uptake of treatment. Methods: Participants in the Australian Longitudinal Study on Women's Health born in 1946‐51 (n=13,715) completed up to four mailed surveys from 1996 to 2004. The odds of infertility were estimated using logistic regression with adjustment for socio‐demographic and reproductive factors. Results: Among participants, 92.1% had been pregnant. For women who had been pregnant (n=12738): 56.5% had at least one birth but no pregnancy loss (miscarriage and/or termination); 39.9% experienced both birth and loss; and 3.6% had a loss only. The lifetime prevalence of infertility was 11.0%. Among women who reported infertility (n=1511), 41.7% used treatment. Women had higher odds of infertility when they had reproductive histories of losses only (OR range 9.0‐43.5) or had never been pregnant (OR=15.7, 95%CI 11.8‐20.8); and higher odds for treatment: losses only (OR range 2.5‐9.8); or never pregnant (1.96, 1.28‐3.00). Women who delayed their first birth until aged 30+ years had higher odds of treatment (OR range 3.2‐4.3). Conclusions: About one in ten women experienced infertility and almost half used some form of treatment, especially those attempting pregnancy after 1980. Older first time mothers had an increased uptake of treatment as assisted reproductive technologies (ART) developed. Implications: This study provided evidence of the early uptake of treatment prior to 1979 when the national register of invasive ART was developed and later uptake prior to 1998 when data on non‐invasive ART were first collected.

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Community attitudes to assisted reproductive technology: a 20‐year trend

Cited by 40 publications

References 7 publications

Utilisation of ART in single women and lesbian couples since the 2010 change in Victorian legislation

Utilisation of ART in single women and lesbian couples since the 2010 change in Victorian legislation

Proposed legislative change mandating retrospective release of identifying information: consultation with donors and Government response

Infertility in Australia circa 1980: an historical population perspective on the uptake of fertility treatment by Australian women born in 1946‐51

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