Sociocultural determinants of US women's ethical views on various fertility treatments

Collins, Stephen C.; Chan, Esther

doi:10.1016/j.rbmo.2017.08.015

Cited by 14 publications

(11 citation statements)

References 30 publications

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“…Educational level was previously reported as one of the strongest predictors of women's perceptions of the ethics of infertility treatments [12]. This finding is in line with our results, where educational level was significantly related to the participants' attitudes (OR: 2.029, 95% CI: 1.431-2.876, P <0.001).…”

Section: Discussion:-supporting

confidence: 92%

“…On the other hand, age did not appear to be a significant factor [11]. Another study conducted in the Midwest region of United States found that age and education level significantly affected the women's ethical concerns toward ART [12]. Moreover, it was reported that women with a longer length of awareness of ART were significantly more likely to have a favorable attitude toward ART [11].…”

Section: Issn: 2320-5407mentioning

confidence: 99%

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Socio-Demographic Factors Affecting Womens Attitudes Towards Assisted Reproductive Technology in Saudi Arabia

Khojah¹,

Atafi²,

Banamah³

et al. 2020

IJAR

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Background: To determine the socio-demographic factors affecting women's attitudes toward assisted reproductive technology (ART) in Saudi Arabia. Methods: This questionnaire-based study was conducted between February and May 2018 and targeted females living across all regions of Saudi Arabia. The questionnaire was designed to investigate the knowledge, attitudes, practice and quality of life of women towards ART and consisted of three parts including 35 questions. Pearson Chisquare test was used to compare qualitative differences between variables. Results: A total of 730 women accepted to participate in this survey (response rate, 94.4%). Approximately 94.5% of the respondents had heard about ART. The knowledge, altitude, practice and quality of life scores were good in 99.0%, 90.5%, 55.9% and 48.8%, respectively. Respondents with a longer marriage duration (p = 0.038) or those who felt bad about having ART (p = 0.008) were more likely to believe that ART more frequently fails than succeeds. Conversely, educated women (p = 0.001), those who believed regulations for infertility treatment were lax (p = 0.022), those working in the medical field (p = 0.003), and women who had heard about ART (p = 0.007) were more likely to believe that ART more frequently succeeds than fails. Conclusion: According to our findings, ART is largely acceptable among population included in this study. Socio-demographic factors such as marriage duration, educational level, or profession should be considered when treating couples with infertility problems.

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Section: Discussion:-supporting

confidence: 92%

Section: Issn: 2320-5407mentioning

confidence: 99%

Socio-Demographic Factors Affecting Womens Attitudes Towards Assisted Reproductive Technology in Saudi Arabia

Khojah¹,

Atafi²,

Banamah³

et al. 2020

IJAR

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“…Religion is known to be a determinant for attitudes towards the ethics of ART for both healthcare providers (Fonnest et al , 2000) and patients (Power et al , 1990; Genius, 1993; Schenker, 2005; Dutney, 2007; Shreffler et al , 2010; Collins and Chan, 2017); however, little research has explored the nature of and reasons for such views, especially in the Christian faith (Schenker, 2005). Family formation is central to the concerns of the church (Dutney, 2007); therefore, infertility has considerable impact on many Christians.…”

Section: Introductionmentioning

confidence: 99%

Protestant Christian attitudes to ART

Best

Sleasman

Hegedus

et al. 2019

Human Reproduction Open

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STUDY QUESTION How do Christian religious beliefs affect attitudes to ART? SUMMARY ANSWER Attitudes to ART depend on the religiosity of the respondent, and although the majority of those that had successfully used ART were positive or moderately positive in their views, the acceptability of procedures fell when damage to the marriage relationship or the embryo was a potential outcome. WHAT IS KNOWN ALREADY Religion can impact views on ART. Sanctity of marriage and sanctity of the embryo are major concerns for some Christians, but details are unclear. METHODS A cross-sectional online survey was used to collect data from 1587 participants over a 3-month period in 2013, of which 1334 were of the Christian faith and included in this study. Descriptive statistics were reported for individual ARTs, and a general score of all ART approval was calculated. A multivariable linear and logistic regression was conducted on general approval for ART to identify predictors of ART approval. MAIN RESULTS AND THE ROLE OF CHANCE Indicators of religiosity (religious meeting attendance and Bible reading frequency) showed that this was a highly religious sample. We found that in this cohort of English-speaking, well-educated, practising and mainly Protestant Christians 164 (12.3%) of those had personal experience of ART. Most participants that had successfully used ART were positive or moderately positive in their views. Throughout the cohort, procedures were less acceptable if there was a perception that the marriage relationship or the life of the embryo was threatened: including donated gametes (28.7–29.1% approval), surrogacy (22.7–33.1% approval), and PGD (1.0–23.8% approval). A multivariable analysis of the ART approval score found that it was higher among those with Protestant compared with Catholic/Orthodox faith (P < 0.001; mean score difference, 5.06; 95% CI 4.36–5.81) and those who believe life begins after fertilisation (P < 0.001; mean score difference, 4.86; 95% CI 4.14–5.57). Approval was also higher, but to a lesser extent, in women than men (P = 0.008; mean score difference, 0.73; 95% CI 0.18–1.28), and those with lower religiosity (P < 0.001). The area raising most indecision for this cohort was disposal of excess embryos. LIMITATIONS, REASONS FOR CAUTION This sample includes an uneven geographical spread of respondents and restriction to English-speaking participants. Different views may be expressed by a different religious cohort. Use of an online survey platform means that a bias towards those with computers (consistent with education levels of this cohort) could exist. Use of this platform also makes it impossible to know the response rate, and the veracity of responses cannot be verified. However, despite these limitations we believe this survey gives us insight into the reservations held among a certain population of Christians regarding the use of reproductive technology. WIDER IMPLICATIONS OF THE FINDINGS Our findings highlight the need for ART clinicians to consider the influence of patient spiritual beliefs on therapeutic options and provide detailed information that will allow them to be accommodated. Practices such as widening the options for collecting semen and limiting the number of embryos created through IVF so as to reduce or eliminate excess embryos may be helpful for these patients. STUDY FUNDING/COMPETING INTERESTS This study was supported by a grant from The Center for Bioethics & Human Dignity in Deerfield, Illinois, USA. The authors have no conflicts of interest to declare. TRIAL REGISTRATION NUMBER N/A

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“…A person's social milieu also dictates ethical concerns. For example, Collins and Chan (2017) reported that women in the US were concerned about treatment if it increased twinning rates (54%) and involved third-party input (48-51%), although IVF (30%) and partner insemination (14%) were also ethically problematic to some. A number of sociocultural determinants (e.g, being Black) were associated with greater treatment concerns, whereas being Hispanic was associated with concerns about donor eggs, and religiosity predicted concerns about IVF and all third-party AC.…”

Section: The Wider Sociocultural Contextmentioning

confidence: 99%