Israeli men's attitudes toward posthumous reproduction and prior consent amid ongoing armed conflict

IF 3.2 2区 医学 Q1 ANDROLOGY
Andrology Pub Date : 2024-09-17 DOI:10.1111/andr.13757
Bella Savitsky, Talia Eldar‐Geva, Rachel Shvartsur
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引用次数: 0

Abstract

BackgroundFrom October 7, 2023, until August 28, 2024, 187 posthumous sperm retrieval (PSR) procedures have been conducted on deceased men, 171 of whom are soldiers. PSR was predominantly initiated by parents to cope with their profound loss. However, the attitudes of Israeli men toward this procedure are unknown.ObjectiveThis study aims to investigate the attitudes of Israeli men toward prior consent to PSR and posthumous‐assisted reproduction (PAR) initiated by partner or parents.MethodsA cross‐sectional study of 600 Israeli men aged 18–49 years who were questioned in February–April 2024 amid the ongoing armed conflict. The questionnaire included demographic details, role in the conflict, and attitudes toward PSR/PAR. Multivariable logistic regression analysis was used to assess agreement for PSR/PAR after adjustment for possible confounders.ResultsThe average age of participants was 32 years, with 52% married or in a committed relationship and 6.5% self‐identified as having same‐sex relationships. The majority were secular (63%), 21% were traditional (21%), and 16% were religious. In terms of involvement in the ongoing conflict, 35% served in combat, 21% in non‐combat roles, and 44% did not participate. Most men (71%) prefer pre‐documenting their PSR preferences, with 70% advocating for consent during recruitment for regular military service and 78% before reserve service. Regarding PAR, 37% opposed it at their partner's request, while 47% opposed it at their parents’ request. In a multivariable model, the odds of approval of PAR following parental request were four‐ and three‐fold higher among traditional and secular versus religious men (odds ratio, OR = 4.1, 95% CI: 2.0–8.1 and OR = 3.3, 95% CI: 1.8–6.2, respectively) and following the request of a partner, twice higher among traditional and secular versus religious (OR = 2.0, 95% CI: 1.1–4.2 and OR = 2.0, 95% CI: 1.1–3.6, respectively).ConclusionWhile it is understandable that grieving parents seek solace through PSR, consent should be obtained from the men themselves, as a considerable proportion do not support the process as it is currently performed.
以色列男性在武装冲突中对死后生育和事先同意的态度
背景从2023年10月7日到2024年8月28日,已经对187名男性死者进行了遗体取精(PSR)手术,其中171人是军人。PSR主要是由父母发起的,以应对他们的巨大损失。本研究旨在调查以色列男性对事先同意由伴侣或父母发起的 PSR 和死后辅助生殖(PAR)的态度。方法对 600 名年龄在 18-49 岁之间的以色列男性进行了横断面研究,这些男性于 2024 年 2-4 月在持续的武装冲突中接受了问卷调查。问卷内容包括人口统计学细节、在冲突中的角色以及对 PSR/PAR 的态度。结果参与者的平均年龄为 32 岁,52% 已婚或有固定关系,6.5% 自认有同性关系。大多数人是世俗的(63%),21%是传统的(21%),16%是宗教的。在参与当前冲突方面,35% 的人参加过战斗,21% 的人担任过非战斗性角色,44% 的人没有参与。大多数男性(71%)倾向于事先记录他们的 PSR 偏好,70% 的人主张在正规军招募时征得同意,78% 的人主张在预备役服役前征得同意。关于 PAR,37% 的人应伴侣的要求反对,47% 的人应父母的要求反对。在多变量模型中,应父母要求同意 PAR 的几率在传统男性和世俗男性中分别是宗教男性的四倍和三倍(几率比,OR = 4.1,95% CI:2.0-8.1 和 OR = 3.3,95% CI:1.8-6.2),应伴侣要求同意 PAR 的几率在传统男性和世俗男性中是宗教男性的两倍(OR = 2.结论虽然悲伤的父母通过 PSR 寻求慰藉是可以理解的,但应征得男性本人的同意,因为相当一部分人并不支持目前的做法。
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来源期刊
Andrology
Andrology ANDROLOGY-
CiteScore
9.10
自引率
6.70%
发文量
200
期刊介绍: Andrology is the study of the male reproductive system and other male gender related health issues. Andrology deals with basic and clinical aspects of the male reproductive system (gonads, endocrine and accessory organs) in all species, including the diagnosis and treatment of medical problems associated with sexual development, infertility, sexual dysfunction, sex hormone action and other urological problems. In medicine, Andrology as a specialty is a recent development, as it had previously been considered a subspecialty of urology or endocrinology
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