The measurement of childbearing motivation in couples considering the use of assisted reproductive technology.
The measurement of childbearing motivation in couples considering the use of assisted reproductive technology.
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DOI：
10.1080/19485565.2008.9989129
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发表时间：
2008-01-01
影响因子：
1.3
通讯作者：
Pasta, David J
中科院分区：
文献类型：
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作者：
Miller, Warren B;Millstein, Susan G;Pasta, David J
人们对使用辅助生殖技术（ART）的动机前因知之甚少。在本文中，我们测量的生育动机的不孕夫妇正在考虑使用ART，使用一个既定的工具，生育问卷（CBQ）。我们的样本包括214名男性和216名女性，他们在接受ART初步筛查后，但在做出最终决定之前，在家中接受了采访。我们对获得的数据进行了两组分析。在一组中，我们比较了我们样本中男性和女性CBQ量表和子量表的得分与可比规范样本中男性和女性的得分。对于这些分析，我们首先通过四组方差分析检查样本和性别差异。然后，我们进行了一系列的线性模型，包括背景特征作为协变量和样本之间的相互作用，性别，年龄和这三个变量和背景特征之间。结果表明，ART样本中预期的积极动机较高，消极动机较低，样本和年龄之间的交互作用对积极动机有显着影响。在第二组分析中，我们开发了几个新的分量表，这些分量表与对孩子的渴望的各个方面相关，这些方面在ART决策中似乎很重要。这些方面包括希望与孩子有遗传关系以及希望体验怀孕和分娩。第三个方面，即为人父母的愿望，已经在现有的分量表中得到很好的涵盖。结果表明，新量表具有较好的信度和效度。结果还表明，原来的和新的分量表预测的三个方面的愿望，一个多变量的背景下，一个孩子。最后，我们的研究结果与ART决策和进一步研究的动机，推动它的方式进行了一般性的讨论。
Relatively little is known about the motivational antecedents to the use of assisted reproductive technology (ART). In this paper we measure the fertility motivations of infertile couples who are considering the use of ART, using an established instrument, the Childbearing Questionnaire (CBQ). Our sample consists of 214 men and 216 women who were interviewed at home after an initial screening for ART but before making a final decision. We conducted two sets of analyses with the obtained data. In one set, we compared the scores on scales and subscales of the CBQ for the males and females in our sample with the scores for males and females from a comparable normative sample. For these analyses we first examined sample and gender differences with a four-group analysis of variance. We then conducted a series of linear models that included background characteristics as covariates and interactions between sample, gender, and age and between those three variables and the background characteristics. The results showed the expected higher positive and lower negative motivations in the ART sample and a significant effect on positive motivations of the interaction between sample and age. In the second set of analyses, we developed several new subscales relevant to facets of the desire for a child that appear to be important in ART decision-making. These facets include the desire to be genetically related to the child and the desire to experience pregnancy and childbirth. A third facet, the desire for parenthood, is already well covered by the existing subscales. The results showed the new subscales to have satisfactory reliability and validity. The results also showed that the original and new subscales predicted the three facets of the desire for a child in a multivariate context. We conclude with a general discussion of the way our findings relate both to ART decision-making and to further research on the motivations that drive it.