Abstract
The World Health Organization (WHO) estimates that approximately 8%–10% of couples experience infertility problems, globally accounting to approximately 5–8 million individuals. In Taiwan, one in seven couples experience infertility problems, indicating that 5,000–10,000 women could require a pregnancy surrogate. Values of descendant family and heritage are deeply rooted in the minds of Taiwanese. We sought to use family values to explore the opinions of women with infertility, when faced with the option of using a pregnancy surrogate, and how their decisions are affected by family values. In total, 572 participants, comprising males (42%) and females (58%), were included. The majority of the participants were under the age of 20 years (28%), followed by 20–30 years (23%), and 41–50 years (20%). The data were analyzed by descriptive statistics, Student’s t-test, one-way ANOVA, and hierarchical stepwise regression. Subjects disclosed positive opinions toward family values (3.24 ± 0.51), having children (3.66 ± 0.76), cost of having children (2.76 ± 0.51), fertility (2.54 ± 0.77), and intimacy (3.79 ± 0.78). In terms of gender, male participants showed more positive opinion regarding family values than female participants (p = 0.000).All participants exhibited positive opinion regarding surrogacy (3.03 ± 0.59), included positive attitudes (3.15 ± 0.68), both cognition (2.96 ± 0.58) and behavior (2.92 ± 0.85) toward neutrality. Male participants (t = 4.068, p < 0.01), participants younger than 20 years (F = 5.25, p < 0.01), unmarried participants (F = 4.49, p < 0.01) showed more positive opinion regarding surrogacy compared to their respective counterparts. Senior high school graduates (F = 2.50, p < 0.05), students (F = 3.79, p < 0.01) and childless participants (F = 3.23, p < 0.05) showed more positive opinion regarding surrogacy. Christians showed more negative opinion regarding surrogacy than non-Christians (F = 3.17, p < 0.01). Finally, hierarchical stepwise regression revealed that family values were the major factor predicting attitude regarding surrogacy, accounting for 3.6%. The costs of having children and adherence to family values each accounted for 1.8% of the total variance.
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