CAJ | 학술논문

目的：了解在校本科医学生对捐精的认知及态度，为供精自愿者的招募、人工辅助生殖技术的更好开展提供参考依据。方法在河南省本科医学高等院校，按专业类型（临床、非临床等）、年级等特征进行分层整群抽样，自行设计编制问卷并以班级为单位进行现场匿名问卷调查，回收有效问卷1302份，采用SPSS18.0统计软件对资料进行典型相关分析。结果临床医学专业学生、非临床专业学生对捐精的知晓率分别为80.62%、78.49%，两者差异有统计学意义（P ＜0.05）；男、女生对捐精者是否应该获得补偿、是否应该在大学生之间宣传、和人工辅助生育的小孩是否有权利知道自己的出生方式的认知差异均有统计学意义（P ＜0.01）；是否是独生子女对捐精是否可以采用商业广告形式招募供精者、对捐精的看法、精子库开展方式认知均有统计学意义（P ＜0.01）；不同年级对捐精者是否和后代保持互盲、同意捐精者精液可以使几名妇女受孕的态度差异有统计学意义（P ＜0.01）；多因素Logistic回归分析结果表明，非临床专业（OR=2.357）、捐精和献血一样光荣，值得鼓励（OR=6.758）、了解捐精流程（OR=4.307）、捐精可以获得补偿（OR=2.585）是大学生捐精的主要原因。结论本科医学生对捐精认知且态度较好，专业、性别、是否是独生子女、年级以及对捐精理解是影响大学生捐精的影响因素，精子库可以放宽捐精者条件，针对性完善精子库建设。
목적：료해재교본과의학생대연정적인지급태도，위공정자원자적초모、인공보조생식기술적경호개전제공삼고의거。방법재하남성본과의학고등원교，안전업류형（림상、비림상등）、년급등특정진행분층정군추양，자행설계편제문권병이반급위단위진행현장닉명문권조사，회수유효문권1302빈，채용SPSS18.0통계연건대자료진행전형상관분석。결과림상의학전업학생、비림상전업학생대연정적지효솔분별위80.62%、78.49%，량자차이유통계학의의（P ＜0.05）；남、녀생대연정자시부응해획득보상、시부응해재대학생지간선전、화인공보조생육적소해시부유권리지도자기적출생방식적인지차이균유통계학의의（P ＜0.01）；시부시독생자녀대연정시부가이채용상업엄고형식초모공정자、대연정적간법、정자고개전방식인지균유통계학의의（P ＜0.01）；불동년급대연정자시부화후대보지호맹、동의연정자정액가이사궤명부녀수잉적태도차이유통계학의의（P ＜0.01）；다인소Logistic회귀분석결과표명，비림상전업（OR=2.357）、연정화헌혈일양광영，치득고려（OR=6.758）、료해연정류정（OR=4.307）、연정가이획득보상（OR=2.585）시대학생연정적주요원인。결론본과의학생대연정인지차태도교호，전업、성별、시부시독생자녀、년급이급대연정리해시영향대학생연정적영향인소，정자고가이방관연정자조건，침대성완선정자고건설。
Objective To understand the knowledge and attitude of undergraduate medico to sperm donation, and provide reference for recruiting volunteers for sperm, implementation of artificial assisted reproductive technology. Methods Undergraduate medico in Henan province, according to specialty type (clinical, nonclinical etc.),grade and other characteristics were sampled by the stratified cluster sampling. Self-designed anonymous questionnaire survey was carried out in each class unit. Total of 1302 valid questionnaires were received. SPSS18.0 statistical software was used for date analysis. Results Awareness of sperm donation in clinical medical students and non-clinical professional student accounted for 80.62% and 78.49%, with a significant difference (P<0.05); Attitudes of male and female were significant differences on sperm donors subsidy, the minimum education background of sperm donor, the right of artificial assisted reproduction children about their birth(P <0.01); as well as singleton sperm donation, commercial advertising for sperm donors recriutment, sperm banks (P<0.01); the attitudes on whether sperm donors maintain mutual blind to offspring, several women received sperm from a donor were statistically significant (P<0.01); Multivariate logistic regression showed that non-clinical professional (OR=2.357) , sperm donation as glorious as blood donation should be encouraged, (OR=6.758)understanding sperm process (OR=4.307) and sperm donation subsidy (OR=2.585) were the main reasons why male students would like to donate their sperm. Conclusion Undergraduate medical students have a good cognitive and attitude on sperm donation. Professional, gender, singleton, grade, understanding of sperm donation are effect factors for college students sperm donation. Sperm donor limitation should be relaxed and sperm bank construction should be improved.