The relationship of sociocultural beliefs and infertile couples’ attitude toward reproductive donation: A descriptive-correlational study

Abstract

Background: There are controversial views on accepting a reproductive donation in the world. Objective: This study aimed to determine the relationship between the sociocultural beliefs and infertile couples’ attitude toward reproductive donation in Mashhad, Iran. Materials and Methods: This descriptive correlational study was conducted out on 115 infertile couples visiting Milad Infertility Center in Mashhad, Iran with using convenience sampling. The research instruments were valid and reliable sociocultural beliefs and attitude questionnaires, which were completed by the respondents on a self-report basis. Results: The mean score of attitude toward reproductive donation in infertile women and men was 58.3 ± 12.6 and 57.8 ± 12.0, and the mean score of sociocultural beliefs in infertile women and men was 67.7 ± 11.5 and 67.6 ± 12.4, respectively. There was a direct correlation between sociocultural beliefs and attitude toward reproductive donation in infertile women (p < 0.001) and men (p < 0.001), that is, women and men with a higher score of sociocultural beliefs had a higher score of attitude as well. A direct correlation was also seen between sociocultural beliefs and infertile women and men’s public attitude, their attitude towards genetic bound between parents and children, their attitude regarding the issue of confidentiality of the donation process, as well as attitude in relation to oocyte donation, embryo donation, and surrogacy (p < 0.001). Conclusion: The findings suggest that sociocultural beliefs that surround reproductive donation could influence infertile couple’s attitude toward accepting these therapeutic alternatives in infertile couples. It is therefore recommended to take steps to incorporate sociocultural beliefs into the routine care of infertile couples with the help of social media to give them ability for making more pragmatic decision in relation to their chosen options.

References
[1] Speroff L, Fritz MA. Clinical gynecologic endocrinology and infertility. Philadelphia: Lippincott Williams & Wilkins;2005.

[2] Ryan kJ, Berkowitz RS, Barbieri RL, Dunaif AE. kistner’s Gynecology and womans Heaith. 6th Ed. New York: Mosby;1999.

[3] Berek JS. Berek & Novak’s gynecology. 15th Ed. Philadelphia: Lippincott Williams & Wilkins; 2012.

[4] Bracewell-Milnes T, Saso S, Bora S, Ismail AM, Al-Memar M, Hamed AH, et al. Investigating psychosocial attitudes, motivations and experiences of oocyte donors, recipients and egg sharers: a systematic review. Hum Reprod Update 2016; 22: 450–465.

[5] Buster JE. The first live birth donation. Sex Reprod Menopause 2008; 6: 22–28.

[6] Behjati Ardakani Z, Akhondi MM, Yaghmaie F, Milanifar AR.[Consultations and Health Assessments in Surrogacy.] JReprod Infertil 2008; 9: 107–114. (in Persian)

[7] Baykal B, Korkmaz C, Ceyhan ST, Goktolga U, Baser I. Opinions of infertile Turkish women on gamete donation and gestational surrogacy. Fertil Steril 2008; 89: 817–822.

[8] Mohler-Kuo M, Zellweger U, Duran A, Hohl MK. Gutzwiller F, Mutsch M. Attitudes of couples towards the destination of surplus embryos: results among couples with cryopreserved embryos in Switzerland. Hum Reprod 2009; 24:1930–1938.

[9] Stöbel-Richter Y, Goldschmidt S, Brähler E, Weidner K, Beutel M. Egg donation, surrogate mothering, and cloning: attitudes of men and women in Germany based on a representative survey. Fertil Steril 2009; 92: 124–130.

[10] Purewal S, van den Akker OB. British women’s attitudes towards oocyte donation: ethnic differences and altruism. Patient Educ Couns 2006; 64: 43–49.

[11] Greil AL, Slauson-Blevins K, McQuillan J. The experience of infertility: a review of recent literature. Sociol Health Illn 2010; 32: 140–162.

[12] Latifnejad Roudsari R, Allan H, Smith P. Discovering a stronger sense of sele: the influence of relogion and
spirituality on emotional well-being of infertile women. In: Religion and Psychology. Guildford, UK: Nova Science
Publishers, Inc 2009: 171–205.

[13] Gerrits T. Social and cultural aspects of infertility in Mozambique. Patient Educ Couns 1997; 31: 39–48.

[14] Sundby J. Infertility in the gambia: traditional and modern health care. Patient Educ Couns 1997; 31: 29–37.

[15] Manoochehr M. Medical Sociology. 7th Ed. Tehran, Tahouri;2004.

[16] Latifnejad Roudsari R, Jafari, H, Taghipour A, Khadem Ghaebei N, Ebrahimzdeh S. The association of religious
beliefs in infertile couples’ attitude towards donation procedures and its selection as a therapeutic approach to
infertility. Iran J Obstet Gynecol Infertil 2013; 16: 1–10.

[17] Lampic C, Skoog Svanberg A, Sydsjo G. Attitudes towards gamete donation among IVF doctors in the nordic
countries-are they in line with national legislation? J Assist Reprod Genet 2009; 26: 231–238.

[18] Mahram B, Ahanchian M. The association of infertile woman ‘attitude toward the receive donated embryos and gametes in the End Stage: gamete and embryo donation in infertility treatment from the viewpoint of medical,religious, legal, ethical, psychological and sociological. 1stEd. Tehran: Samt; 2006.

[19] Khalili MA. Minority Armenians’ attitude towards oocyte donation program to treat infertility: Gamete and embryo donation in infertility treatment from the viewpoint of medical, religious, legal, ethical, psychological and sociological.1st Ed. Tehran: Samt; 2006.

[20] Ola TM. The Socio-cultural perception and implications of childlessness among men and women in an urban area, outhwest Nigeria. J Soc Sci 2009; 21: 205–209.

[21] Araoye MO. Epidemiology of infertility: social problems of the infertile couples. West Afr J Med 2003; 22: 190–196.

[22] Yebei VN. Unmet needs beliefs and treatment-seeking for infertility among migrant Ghanaian women in the
Netherland. Reprod Health Matters 2000; 8: 134–141.

[23] Seybold D. Choosing therapies: a Senegalese woman’s experience with infertility. Health Care Women Int 2002;23: 540–549.

[24] Latifnejad Roudsari R, Allan HT, Smith PA. Looking at infertility through the lens of religion and spiritualiyu: a
review of the literature. Hum Fertil 2007; 10: 141–149.

[25] Chliaoutakis JE, Koukouli S, Papadakaki M. Using attitudinal indicators to explain the public’s intention to have recourse to gamete donation and surrogacy. Hum Reprod2002; 17: 2995–3002.

[26] Van den Akker OB. The complete guide to infertility: diagnosis, treatment, options. UK: Free association books;2002: 92–101.

[27] Hadizadeh-Talasaz F, Latifnejad RoudsariR, Simbar M. Decision for disclosure: The experiences of Iranian infertile couples undergoing assisted reproductive donation procedures. Hum Fertil 2015; 18: 265-275.

[28] Latifnejad Roudsari R, Allan HT, Smith PA. Iranian and English women’s use of religion and spirituality as
resources for coping with infertility. Hum Fertil 2014; 17: 114-123.

[29] Latifnejad Roudsari R, Rasoulzadeh Bidgoly M, Mousavifar N, Modarres Gharavi M. [The effect of collaborative counseling on perceived infertility-related stress in infertile women undergoing IVF.] Iran J Obstet Gynecol Infertil 2011; 14: 22-31. (in Persian)

[30] Rasoulzadeh Bidgoli M., Latifnejad Roudsari R. The Effect of the Collaborative Infertility Counseling Model on Coping Strategies in Infertile Women Undergoing In Vitro Fertilization: a Randomized Controlled Trial. Int J Women’s Health Reprod Sci 2018; 6: 47-54.