大學生對人工生殖科技的接受度與觀點

A Study on Undergraduates' Acceptance and Perspectives of in Vitro Fertilization

10.6173/CJSE.2017.25S.03

林秀玉(Show-Yu Lin)；辛旻靜(Ming-Chin Hsin)

人工生殖科技 ； 大學生 ； 社會性科學議題 ； 接受度 ； 觀點 ； In Vitro Fertilization ； Undergraduate ； Socio-Scientific Issues ； Acceptance ； Perspective

科學教育學刊

25卷S期（2017 / 12 / 01）

463 - 484

繁體中文

人工生殖科技是一項全球性的社會性科學議題，可能因不同地區的文化傳統、社會氛圍等因素，發展不同的在地性公民意見。由於醫療使用人工生殖科技日漸成熟與普及，現代人可以在更多樣化的生殖條件下決定如何使用人工生殖科技，是故本研究探討大學生對不同精卵來源授精所組成之四種人工生殖科技脈絡的接受度與觀點。本研究以自行發展「人工生殖科技脈絡接受度與觀點」問卷為研究工具，採便利取樣對非主修科學大學生進行調查，透過紮根理論建立分析架構，再以描述性統計、ANOVA等方法分析資料，瞭解研究對象對不同人工生殖科技脈絡的接受度、背後的觀點和差異。研究主要發現包括：一、參與者對四種不同精卵來源之人工生殖科技脈絡的接受度有顯著差異，但沒有性別差異；二、參與者的觀點有生物性的考量也有非生物性的考量，且呈現不同的立場。本文從「父權文化轉為兩性平權、想法中缺乏表達倫理、宗教和風險等觀點、對人工生殖科技的立場」等三方面進行討論，最後對未來科學教育研究和實務推動等方面提出建議。

In vitro fertilization (IVFs) is a global socio-scientific issue and may lead to different public forum and policy-making due to various cultures and traditions locally. Nowadays, people are given more opportunities and options regarding assisted reproductive issues as IVFs technologies have been advanced. Thus, this study aims to investigate undergraduates' acceptance and perspectives of IVFs as socio-scientific issues in the four contexts with spouse's or donor's gametes. Self-developed questionnaire survey was conducted with undergraduate students for their acceptance and perspectives regarding IVFs contexts followed by a statements survey. Grounded theory, descriptive, rubric, and content analysis were used for data analysis. The main findings included: first, the degree of acceptance located differently in the four contexts without gender differences. Second, both biological and non-biological concerns were considered. Content analysis suggested that participants revealed various perspectives on concerns and positions. Discussions addressed patriarchal culture to gender equity, a deficiency on ethic, religion and risk concerns, and a contrary presentation of their positions. This study suggests that IVFs contexts should be addressed for related issues and education.

1. 林宗進、林樹聲、陳映均(2010)。大學生對基因改造作物議題的認知與論證能力之研究。科學教育學刊，18(3)，229-252。
   連結：
2. 林樹聲(2007)。國小資深科學教師的專業改變：以基因改造食品議題之教學為例。科學教育學刊，15(3)，241-264。
   連結：
3. 林靜雯、林錦鴻、陳美蓉(2014)。科學新聞觀點對不同年齡階段女性健康決策之影響─以荷爾蒙療法為例。科學教育學刊，22(3)，281-306。
   連結：
4. 張玨、張菊惠(1998)。婦女健康與「醫療化」：以停經期、更年期為例。婦女與兩性學刊，9，145-185。
   連結：
5. 劉湘瑤、李麗菁、蔡今中(2007)。科學認識觀與社會性科學議題抉擇判斷之相關性探討。科學教育學刊，15(3)，335-356。
   連結：
6. Gallagher, J. (2012, July 2). Five millionth “test tube baby”. BBC NEWS. Retrieved August 23, 2017, from http://www.bbc.com/news/health-18649582
7. Loyola University Chicago. (2017). Science education for new civic engagements and responsibilities (SENCER). Retrived October 25, 2017, from https://www.luc.edu/academicaffairs/ sencer.shtml
8. Millar, K. (2015, April 13). German mother of 13 is pregnant with quadruplets—At the age of 65. The Sydney Morning Herald. Retrieved August 23, 2017, from http://www.smh.com.au/ world/german-mother-of-13-is-pregnant-with-quadruplets--at-the-age-of-65-20150412-1mjl5z. html
9. 國家教育研究院(2017年)。十二年國教各領域／科目課程綱要課程手冊初稿。查詢日期：2017年12月20日，檢自http://12cur.naer.edu.tw/category/post/365
10. 衛生福利部國民健康署(2008)。人工生殖法相關法規。查詢日期：2017年8月23日，檢自https://www.hpa.gov.tw/Pages/Detail.aspx?nodeid=832&pid=4646
11. 衛生福利部國民健康署(2016)。人工生殖施行結果報告。查詢日期：2017年8月23日，檢自http://www.hpa.gov.tw/Pages/List.aspx?nodeid=60
12. 黃安琪(2016年9月20日)。捐精卵賺錢？這些人是主力族群。聯合報，檢自https://health.udn.com/health/story/6046/1971262
13. 龔福財(2008)。臺灣不孕夫妻借助「人工協助生殖科技─試管嬰兒」比率偏低。查詢日期：2017年8月23日，檢自http://blog.roodo.com/icsiivf/archives/5541081.html
14. Christensen, J. (2014, Febuary 18). Record number of women using IVF to get pregnant. CNN NEWS. Retrieved August 23, 2017, from http://edition.cnn.com/2014/02/17/health/record-ivfuse/
15. Campbell, P.(2011).Boundaries and risk: Media framing of assisted reproductive technologies and older mothers.Social Science & Medicine,72(2),265-272.
16. Cobern, W. W.(Ed.)(1998).Socio-cultural perspectives on science education: An international dialogue.New York:Springer.
17. Cook, R.,Parsons, J.,Mason, B.,Golombok, S.(1989).Emotional, marital and sexual functioning in patients embarking upon IVF and AID treatment for infertility.Journal of Reproductive and Infant Psychology,7(2),87-93.
18. Daar, A. S.,Merali, Z.(2002).Infertility and social suffering: The case of ART in developing countries.Current practices and controversies in assisted reproduction: Report of a meeting on medical, ethical and social aspects of assisted reproduction,Geneva, Switzerland:
19. Dawson, V. M.,Venville, G.(2010).Teaching strategies for developing students' argumentation skills about socioscientific issues in high school genetics.Research in Science Education,40(2),133-148.
20. Dawson, V.,Venville, G.(2013).Introducing high school biology students to argumentation about socioscientific issues.Canadian Journal of Science, Mathematics and Technology Education,13(4),356-372.
21. Dyer, S. J.,Abrahams, N.,Mokoena, N.,Lombard, C. J.,van der Spuy, Z. M.(2005).Psychological distress among women suffering from couple infertility in South Africa: A quantitative assessment.Human Reproduction,20(7),1938-1943.
22. Eastwood, J. L.,Sadler, T. D.,Zeidler, D. L.,Lewis, A.,Amiri, L.,Applebaum, S.(2012).Contextualizing nature of science instruction in socioscientific issues.International Journal of Science Education,34(15),2289-2315.
23. Fasouliotis, S. J.,Schenker, J. G.(1999).Social aspects in assisted reproduction.Human Reproduction Update,5(1),26-39.
24. Glaser, B, G.,Strauss, A. L.(2017).Discovery of grounded theory: Strategies for qualitative research.New York:Routledge.
25. Golombok, S.,Brewaeys, A.,Cook, R.,Giavazzi, M. T.,Guerra, D.,Mantovani, A.(1996).The European study of assisted reproduction families: Family functioning and child development.Human Reproduction,11(10),2324-2331.
26. Hallberg, L. R.-M.(2006).The "core category" of grounded theory: Making constant comparisons.International Journal of Qualitative Studies on Health and Well-Being,1(3),141-148.
27. Hsu, Y.-S.,Lin, S.-S(2017).Prompting students to make socioscientific decisions: Embedding metacognitive guidance in an e-learning environment.International Journal of Science Education,39(7),964-979.
28. Hudson, N.,Culley, L.,Rapport, F.,Johnson, M.,Bharadwaj, A.(2009)."Public" perceptions of gamete donation: A research review.Public Understanding of Science,18(1),61-77.
29. Inhorn, M. C.(2003).Global infertility and the globalization of new reproductive technologies: Illustrations from Egypt.Social Science & Medicine,56(9),1837-1851.
30. Inhorn, M. C.,Birenbaum-Carmeli, D.(2008).Assisted reproductive technologies and culture change.Annual Review of Anthropology,37(1),177-196.
31. Jones, M.,Salter, B.(2010).Proceeding carefully: Assisted human reproduction policy in Canada.Public Understanding of Science,19(4),420-434.
32. National Research Council(2012).A framework for K-12 science education: Practices, crosscutting concepts, and core ideas.Washington, DC:National Academies Press.
33. Oulton, C.,Dillon, J.,Grace, M. M.(2004).Reconceptualizing the teaching of controversial issues.International Journal of Science Education,26(4),411-423.
34. Pope, T.,Dawson, V.,Koul, R.(2017).Effect of religious belief on informal reasoning about biotechnology issues.Teaching Science,63(2),27-34.
35. Sadler, T. D.(2004).Moral and ethical dimensions of socioscientific decision-making as integral components of scientific literacy.Science Educator,13(1),39-48.
36. Sadler, T. D.(Ed.)(2011).Socio-scientific issues in the classroom.New York:Springer.
37. Sadler, T. D.,Zeidler, D. L.(2004).Negotiating gene therapy controversies.The American Biology Teacher,66(6),428-433.
38. Sadler, T. D.,Zeidler, D. L.(2005).The significance of content knowledge for informal reasoning regarding socioscientific issues: Applying genetics knowledge to genetic engineering issues.Science Education,89(1),71-93.
39. Sadler, T. D.,Zeidler, D. L.(2005).Patterns of informal reasoning in the context of socioscientific decision making.Journal of Research in Science Teaching,42(1),112-138.
40. Sadler, T. D.,Zeidler, D. L.(2004).The morality of socioscientific issues: Construal and resolution of genetic engineering dilemmas.Science Education,88(1),4-27.
41. Schenker, J. G.(1997).Assisted reproduction practice in Europe: Legal and ethical aspects.Human Reproduction Update,3(2),173-184.
42. Simonneaux, L.(2001).Role-play or debate to promote students' argumentation and justification on an issue in animal transgenesis.International Journal of Science Education,23(9),903-927.
43. Singer, P.,Wells, D.(1983).In vitro fertilisation: The major issues.Journal of Medical Ethics,9(4),192-199.
44. Strickler, J.(1992).The new reproductive technology: Problem or solution?.Sociology of Health & Illness,14(1),111-132.
45. Topcu, M. S.,Sadler, T. D.,Yilmaz-Tuzun, O.(2010).Preservice science teachers' informal reasoning about socioscientific issues: The influence of issue context.International Journal of Science Education,32(18),2475-2495.
46. Vayena, E.(Ed.),Rowe, P. J.(Ed.),Griffin, P. D.(Ed.)(2002).Current practices and controversies in assisted reproduction: Report of a meeting on medical, ethical and social aspects of assisted reproduction.Geneva, Switzerland:World Health Organization.
47. Wu, C.-L.(2012).IVF policy and global/local politics: The making of multiple-embryo transfer regulation in Taiwan.Social Science & Medicine,75(4),725-732.
48. Wu, C.-L.(2011).Managing multiple masculinities in donor insemination: Doctors configuring infertile men and sperm donors in Taiwan.Sociology of Health & Illness,33(1),96-113.
49. Yang, F.-Y.,Anderson, O. R.(2003).Senior high school students' preference and reasoning modes about nuclear energy use.International Journal of Science Education,25(2),221-244.
50. Zohar, A.,Nemet, F.(2002).Fostering students' knowledge and argumentation skills through dilemmas in human genetics.Journal of Research in Science Teaching,39(1),35-62.
51. 林承賦、陳明哲、劉夷生(2015)。女性不孕症。家庭醫學與基層醫療，30(12)，356-362。
52. 林樹聲(2008)。科學教室中的社會性科學議題之教學。教師之友，49(4)，2-6。
53. 教育部(2003)。國民中小學九年一貫課程綱要。臺北市:作者。
54. 陳美華編、吳嘉苓編、胡淑雯編、彭渰雯編(2000)。一九九九台灣女權報告。臺北市:財團法人婦女新知基金會。
55. 楊國樞、文崇一、吳聰賢、李亦園(2001)。社會及行爲科學研究法。臺北市:東華書局。
56. 鄭榮輝、林陳涌(2001)。問卷調查臺北地區職前教師對生殖科技倫理議題的看法。師大學報：科學教育類，46(1-2)，89-106。

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