在德国,谁可以利用医学辅助生殖?

Q1 Social Sciences
Katja Köppen , Heike Trappe , Christian Schmitt
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引用次数: 6

摘要

与其他欧洲社会相比,德国获得医疗辅助生殖的机会相当有限。令人惊讶的是,由于缺乏适当的数据,人们对德国MAR的实际使用情况及其社会选择性知之甚少。本文通过德国家庭调查小组(pairfam)的11次调查来研究MAR的使用,这是一项收集德国伙伴关系和家庭动态数据的年度调查。在估计是否使用MAR的合并逻辑回归模型时,包括以下处理:(i)体外受精或微受精;(ii)宫内人工授精;(iii)为治疗不孕症而进行的任何类型的手术。在没有孩子的已婚夫妇中,因不孕症寻求医疗帮助的几率最高,这些夫妇收入较高,有强烈的生孩子的愿望,自我评估的健康状况不佳,并且在采访前报告有怀孕问题。在这些已婚夫妇中,收入高于平均水平的夫妇特别有可能使用MAR。这些发现表明,社会对MAR的选择是基于经济资源和婚姻作为“正常家庭”文化理想的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Who can take advantage of medically assisted reproduction in Germany?

Who can take advantage of medically assisted reproduction in Germany?

Who can take advantage of medically assisted reproduction in Germany?

Who can take advantage of medically assisted reproduction in Germany?

Compared with other European societies, access to medically assisted reproduction (MAR) in Germany is rather restrictive. Surprisingly little is known about the actual utilization of MAR in Germany and its social selectivity, primarily due to a lack of appropriate data. This article studies the use of MAR by drawing on 11 waves of the German Family Panel (pairfam), an annual survey that collects data on partnership and family dynamics in Germany. In estimating pooled logistic regression models that take into account whether or not MAR has been used, the following treatments were included: (i) in-vitro fertilization or micro-fertilization; (ii) intrauterine insemination; and (iii) any type of surgery performed to treat infertility. The highest odds of seeking medical help for infertility were found among married, childless couples who had a higher income, a strong desire to have children, a poor self-assessed health status, and who reported having problems conceiving a child prior to the year of the interview. Among these married couples, those with an above-average income were particularly likely to use MAR. These findings indicate that social selectivity in the uptake of MAR is based on economic resources and on the importance of marriage as the cultural ideal for a ‘normal family’.

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来源期刊
Reproductive Biomedicine and Society Online
Reproductive Biomedicine and Society Online Social Sciences-Cultural Studies
CiteScore
5.40
自引率
0.00%
发文量
23
审稿时长
7 weeks
期刊介绍: RBMS is a new journal dedicated to interdisciplinary discussion and debate of the rapidly expanding field of reproductive biomedicine, particularly all of its many societal and cultural implications. It is intended to bring to attention new research in the social sciences, arts and humanities on human reproduction, new reproductive technologies, and related areas such as human embryonic stem cell derivation. Its audience comprises researchers, clinicians, practitioners, policy makers, academics and patients.
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