Clinical and Experimental Reproductive Medicine

The Korean Society for Reproductive Medicine (대한생식의학회)
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Irish public opinion on assisted human reproduction services: Contemporary assessments from a national sample

  • Walsh, David J. (Division of Reproductive Endocrinology, The Sims Institute/Sims IVF) ;
  • Sills, E. Scott (Division of Applied Biotechnology, School of Life Sciences, University of Westminster) ;
  • Collins, Gary S. (Centre for Statistics in Medicine, Wolfson College Annexe, University of Oxford) ;
  • Hawrylyshyn, Christine A. (Division of Reproductive Endocrinology, The Sims Institute/Sims IVF) ;
  • Sokol, Piotr (Division of Reproductive Endocrinology, The Sims Institute/Sims IVF) ;
  • Walsh, Anthony P.H. (Division of Reproductive Endocrinology, The Sims Institute/Sims IVF)
  • Received : 2013.08.30
  • Accepted : 2013.11.26
  • Published : 2013.12.31
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Abstract

Objective: To measure Irish opinion on a range of assisted human reproduction (AHR) treatments. Methods: A nationally representative sample of Irish adults (n=1,003) were anonymously sampled by telephone survey. Results: Most participants (77%) agreed that any fertility services offered internationally should also be available in Ireland, although only a small minority of the general Irish population had personal familiarity with AHR or infertility. This sample finds substantial agreement (63%) that the Government of Ireland should introduce legislation covering AHR. The range of support for gamete donation in Ireland ranged from 53% to 83%, depending on how donor privacy and disclosure policies are presented. For example, donation where the donor agrees to be contacted by the child born following donation, and anonymous donation where donor privacy is completely protected by law were supported by 68% and 66%, respectively. The least popular (53%) donor gamete treatment type appeared to be donation where the donor consents to be involved in the future life of any child born as a result of donor fertility treatment. Respondents in social class ABC1 (58%), age 18 to 24 (62%), age 25 to 34 (60%), or without children (61%) were more likely to favour this donor treatment policy in our sample. Conclusion: This is the first nationwide assessment of Irish public opinion on the advanced reproductive technologies since 2005. Access to a wide range of AHR treatment was supported by all subgroups studied. Public opinion concerning specific types of AHR treatment varied, yet general support for the need for national AHR legislation was reported by 63% of this national sample. Contemporary views on AHR remain largely consistent with the Commission for Assisted Human Reproduction recommendations from 2005, although further research is needed to clarify exactly how popular opinion on these issues has changed. It appears that legislation allowing for the full range of donation options (and not mandating disclosure of donor identity at a stipulated age) would better align with current Irish public opinion.

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References

  1. ESHRE Pressroom. The world's number of IVF and ICSI babies has now reached a calculated total of 5 million [Internet]. Istanbul: European Society of Human Reproduction and Embyology; 2012 [cited 2013 Nov 26]. Available from: http://www.eshre.eu/sitecore/ content/Home/Press%20Room/Press%20releases/Press%20releases% 20ESHRE%202012/5%20million%20babies.
  2. Sills ES, Walsh DJ, Omar AB, Salma U, Walsh AP. National birth rate, IVF utilisation and multiple gestation trends: findings from a 6-year analysis in the Republic of Ireland. Arch Gynecol Obstet 2010;282:221-4. https://doi.org/10.1007/s00404-010-1503-4
  3. The commission for Assisted Human Reproduction. Report of the commission on Assisted Reproduction, 2005. Dublin; Government of Ireland Printing Office: 2005.
  4. Harris DS. Written answers-Assisted Human Reproduction [Internet]. Dublin: Office of the Houses of the Oireachtas; 2012 [cited 2013 Nov 26]. Available from: http://debates.oireachtas.ie/dail/ 2012/01/24/00437.asp.
  5. Walsh J. Legislation urged after surrogacy ruling [Internet]. The Irish Times; c2013 [cited 2013 Nov 26]. Available from: http:// irishtimes.newspaperdirect.com/staging/irishtimes/viewer.aspx.
  6. TheJournal.ie. One third think Ireland should leave the EU if the UK does [Internet]. Dublin: Journal Media Ltd.; 2013 [cited 2013 Nov 26]. Available from: http://www.thejournal.ie/ireland-attitudes- eu-759820-Jan2013/.
  7. Walsh DJ, Ma ML, Sills ES. The evolution of health policy guidelines for assisted reproduction in the Republic of Ireland, 2004- 2009. Health Res Policy Syst 2011;9:28. https://doi.org/10.1186/1478-4505-9-28
  8. RED C. Red express [Internet]. Dublin: RED C Research & Marketing Ltd.; 2013 [cited 2013 Nov 26]. Available from: http://www. redcresearch.ie/wp-content/uploads/2013/08/RED-Express-Brochure2.pdf.
  9. Market Research Society (MRS) evidence matters. Social grade [Internet]. London; MRS: 2013 [cited 2013 Nov 26]. Available from: https://www.mrs.org.uk/cgg/social_grade.
  10. O'Connor R. First Irish pregnancies after IVF with gestational carrier. Ir Med J 2009;102:126.
  11. Binchy W. Courts, legislators and human embryo research: lessons from Ireland. Hum Reprod Genet Ethics 2011;17:7-27. https://doi.org/10.1558/hrge.v17i1.7
  12. McGuinness S, Ui Chonnachtaigh S. Implications of recent developments in Ireland for the status of the embryo. Camb Q Healthc Ethics 2011;20:396-408. https://doi.org/10.1017/S0963180111000089
  13. Sills ES, Collins GS, Walsh DJ, Omar AB, Salma U, Walsh AP. A descriptive study of selected oocyte, blood and organ/tissue donation features among fertility patients in Ireland. Hum Fertil (Camb) 2010;13:98-104. https://doi.org/10.3109/14647273.2010.491573
  14. Sills ES, Murphy SE. Determining the status of non-transferred embryos in Ireland: a conspectus of case law and implications for clinical IVF practice. Philos Ethics Humanit Med 2009;4:8. https://doi.org/10.1186/1747-5341-4-8
  15. Walsh AP, Tsar OM, Walsh DJ, Baldwin PM, Shkrobot LV, Sills ES. Who abandons embryos after IVF? Ir Med J 2010;103:107-10.
  16. Burr JA. To name or not to name? An overview of the social and ethical issues raised by removing anonymity from sperm donors. Asian J Androl 2010;12:801-6. https://doi.org/10.1038/aja.2010.60
  17. Dyer C. Payment to egg donors is to be tripled to remedy shortage. BMJ 2011;343:d6865. https://doi.org/10.1136/bmj.d6865
  18. Walsh AP, Omar AB, Collins GS, Murray GU, Walsh DJ, Salma U, et al. Application of EU tissue and cell directive screening protocols to anonymous oocyte donors in western Ukraine: data from an Irish IVF programme. J Obstet Gynaecol 2010;30:613-6. https://doi.org/10.3109/01443615.2010.497875
  19. Walsh AP, Collins GS, Le Du M, Walsh DJ, Sills ES. Pre-treatment preferences and characteristics among patients seeking in vitro fertilisation. Reprod Health 2009;6:21. https://doi.org/10.1186/1742-4755-6-21
  20. Bathurst L, Huang QR. A qualitative study of GPs' views on modern genetics. Aust Fam Physician 2006;35:462-4.

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