Shared risk and shared responsibility: the ethics of male contraceptives.
Shared risk and shared responsibility: the ethics of male contraceptives.
复制标题
共同风险和共同责任：男性避孕药具的伦理。
DOI：
10.1111/andr.13649
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发表时间：
2024
期刊：
影响因子：
4.5
通讯作者：
Amory,JohnK
中科院分区：
文献类型：
--
作者：
Campelia,GeorginaD;Adashi,EliY;Amory,JohnK
简介 目前正在努力开发类似于女性口服避孕药的可逆男性避孕药，并可能在未来十年内推出。考虑到性关系和计划生育的关系性而非个体性，新型男性避孕药的出现为避孕范式的伦理重新制定提供了机会。对于任何可能导致怀孕的性关系中的个人来说，生殖自主权、自由、生殖决策平等以及副作用和意外怀孕风险等问题都非常重要。然而，从历史上看，女性被赋予了最大的责任，同时她们的选择自由和获得生殖保健的机会也受到了最多的限制。 目标在本文中，我们将之前的男性避孕“风险共担”模型扩展到“风险和责任共担”之一，以道德地告知这一论述。结论这个更新的框架更全面地捕捉了这项新技术的复杂性，可能对监管和法律机构努力解决这一问题有所帮助。 对不面临怀孕风险的关系成员造成医疗风险的干预措施。
IntroductionEfforts to develop reversible male contraceptives analogous to female oral contraceptives are underway and may be introduced in the next decade. The advent of novel male contraceptives provides an opportunity for an ethical reformulation of the contraceptive paradigm given the relational, rather than individual, nature of sexual relationships, and family planning. For individuals in any sexual relationship that could result in pregnancy, issues of reproductive autonomy, freedom, equality in reproductive decision‐making and risks—both of side effects and of unintended pregnancies—are significant. Historically, however, women have been attributed the greatest responsibilities simultaneously with the most restrictions on their freedom of choice and access to reproductive care.ObjectivesIn this paper, we extend our prior “shared risk” model of male contraception to one of “shared risk and responsibility” to ethically inform this discourse.ConclusionsThis updated framework more fully captures the complexity of this novel technology and may be of use to regulatory and legal agencies grappling with an intervention that poses medical risks to the member of the relationship who does not face risks of becoming pregnant.