scholarly journals Is the public supportive and willing to pay for a national assistive reproductive therapies programme? Results from a multicountry survey

BMJ Open ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. e044986
Author(s):  
Chris Skedgel ◽  
Eleanor Ralphs ◽  
Elaine Finn ◽  
Jennifer A Whitty ◽  
Marie Markert ◽  
...  

ObjectivesTo understand attitudes towards infertility and willingness to pay (WTP) towards a publicly funded national assistive reproductive therapies (ART) programme.DesignAttitudes survey with dichotomous and open-ended WTP questions.SettingOnline survey administered in the USA, UK, Spain, Norway, Sweden, Finland, Denmark and China.Participants7945 respondents, analysed by country. Nordic respondents were pooled into a regionally representative sample.Primary and secondary outcome measuresPrimary outcome measures were proportion of sample agreeing with different infertility-related and ART-related value statements and supporting a monthly contribution to fund a national ART programme, expressed in local currency. Secondary outcome measure was maximum WTP.ResultsAcross the nationally representative samples, 75.5% of all respondents agreed with infertility as a medical condition and 82.3% and 83.7% with ART eligibility for anyone who has difficulty having a baby or a medical problem preventing them from having a baby, respectively. 56.4% of respondents supported a defined monthly contribution and 73.9% supported at least some additional contribution to fund a national ART programme. Overall, converting to euros, median maximum WTP was €3.00 and mean was €15.47 (95% CI 14.23 to 16.72) per month. Maximum WTP was highest in China and the USA and lowest in the European samples.ConclusionsThis large, multicountry survey extends our understanding of public attitudes towards infertility and fertility treatment beyond Europe. It finds evidence that a majority of the public in all sampled countries/regions views infertility as a treatable medical condition and supports the idea that all infertile individuals should have access to treatments that improve the chance of conception. There was also strong agreement with the idea that the desire for children is a basic human need. WTP questions showed that a majority of respondents supported a monthly contribution to fund a national ART programme, although there is some evidence of an acquiescence bias that may overstate support among specific samples.

2021 ◽  
Vol 165 (1-2) ◽  
Author(s):  
Elspeth Spence ◽  
Emily Cox ◽  
Nick Pidgeon

AbstractThis study explores how public attitudes across three countries influence support towards terrestrial enhanced weathering, whereby silicate minerals are applied to agricultural land to remove carbon dioxide from the atmosphere. An online survey was administered in Australia (N = 1000), the UK (N = 1000), and the USA (N = 1026) where there are ongoing field trials of this technique. Findings are similar across all three countries with many participants unfamiliar with enhanced weathering and unsure about supporting the use of enhanced weathering. Results show that positive affect is the main predictor for support of this technique, along with perceived benefits and level of concern about climate change. Open-ended questions asking why respondents would or would not support the use of enhanced weathering elicit mainly affective concepts, with enhanced weathering seen by individual respondents as either something mainly positive or mainly negative, with others saying it sounds risky and/or would have impacts on the environment. The way in which enhanced weathering is communicated is likely to influence support of the use of this strategy so must be undertaken carefully. Overall, our findings show that it is imperative to continue to engage the public, thereby allowing their views to be incorporated as enhanced weathering technology develops over time.


2021 ◽  
Vol 8 (3) ◽  
pp. 205316802110328
Author(s):  
Naomi Egel ◽  
R. Lincoln Hines

What are Chinese public attitudes regarding nuclear weapons? Although scholars have studied Chinese elites’ views on nuclear weapons, surprisingly little is known about the views of China’s public. To understand Chinese public views on nuclear weapons, we conduct an online survey ( N = 1066) of Chinese respondents. This is, to our knowledge, the first survey of Chinese public attitudes towards nuclear weapons. We find that although Chinese citizens view the possession of nuclear weapons as important for their country’s security, they strongly oppose the use of nuclear weapons under any circumstances. We also provide respondents an opportunity to describe their views on nuclear weapons in their own words. Using computer-assisted text analysis, we assess patterns in these open-ended responses and compare across age groups. We find that younger respondents emphasize non-material factors such as having a greater voice internationally, whereas older respondents emphasize self-defense. Overall, this analysis sheds light on the public attitudes that may shape China’s evolving approach to nuclear weapons.


2021 ◽  
pp. 1-12
Author(s):  
Holly Etchegary ◽  
Daryl Pullman ◽  
Charlene Simmonds ◽  
Zoha Rabie ◽  
Proton Rahman

<b><i>Introduction:</i></b> The growth of global sequencing initiatives and commercial genomic test offerings suggests the public will increasingly be confronted with decisions about sequencing. Understanding public attitudes can assist efforts to integrate sequencing into care and inform the development of public education and outreach strategies. <b><i>Methods:</i></b> A 48-item online survey was advertised on Facebook in Eastern Canada and hosted on SurveyMonkey in late 2018. The survey measured public interest in whole genome sequencing and attitudes toward various aspects of sequencing using vignettes, scaled, and open-ended items. <b><i>Results:</i></b> While interest in sequencing was high, critical attitudes were observed. In particular, items measuring features of patient control and choice regarding genomic data were strongly endorsed by respondents. Majority wanted to specify upfront how their data could be used, retain the ability to withdraw their sample at a later date, sign a written consent form, and speak to a genetic counselor prior to sequencing. Concerns about privacy and unauthorized access to data were frequently observed. Education level was the sociodemographic variable most often related to attitude statements such that those with higher levels of education generally displayed more critical attitudes. <b><i>Conclusions:</i></b> Attitudes identified here could be used to inform the development of implementation strategies for genomic medicine. Findings suggest health systems must address patient concerns about privacy, consent practices, and the strong desire to control what happens to their genomic data through public outreach and education. Specific oversight procedures and policies that are clearly communicated to the public will be required.


Author(s):  
Nehad J. Ahmed ◽  
Abdulrahman S. Alrawili ◽  
Faisal Z. Alkhawaja

Aim: The aim of this study was to identify the public concerns, attitudes and behavior towards vaccination. Methodology: This was a cross-sectional study that included an online survey about the public concerns, attitudes and behavior towards vaccination in Saudi Arabia. The survey was translated to Arabic language and converted to an online form using google forms and after that it was sent to be filled by the parents. Results: About 92% of the respondents said that children should be vaccinated in order to protect them and about 86% of them believed that vaccinations are safe for children in general. Regarding the concerns about vaccination, about 69% of the respondents were concerned about the distress to children of the injection itself and 59% of them were concerned about the increasing number of vaccines recommended for children. Furthermore, about 62% of the respondents were concerned that vaccines are not tested enough for safety. Conclusion: The majority of respondents in this study reported positive attitude but more than half of them expressed some degree of concern regarding children vaccination. Healthcare professionals should play an active role in clarifying these concerns about vaccination with the public. Moreover, they should communicate with parents regarding the vaccinations and provide them with a trusted information about the vaccine.


Author(s):  
Jasmine R. Silver

PurposeThis study extends legitimacy theory by examining individualizing and binding moral motives and perceptions of police.Design/methodology/approachData are drawn from an online survey of the public (N = 961). OLS regression is used to predict global perceptions of legitimacy, as well as department legitimacy and acceptance of force in an experimental vignette that manipulates procedural justice.FindingsThe binding moral motive is associated with greater global and department legitimacy and acceptance of force. The individualizing moral motive is associated with reduced global legitimacy and acceptance of force, and with department legitimacy when procedural justice is low. Perceptions of legitimacy mediate the effects of the binding moral motive on acceptance of force and of the individualizing moral motive when procedural justice is low.Research limitations/implicationsThis study identifies novel antecedents of police legitimacy and acceptance of force (i.e. binding and individualizing moral motives).Social implicationsThis study provides insight into public attitudes regarding use of force.Originality/valueThis study is the first to propose and test a link between binding and individualizing moral motives and perceptions of police.


2019 ◽  
Vol 138 (11-12) ◽  
pp. 1237-1246 ◽  
Author(s):  
Richard Milne ◽  
◽  
Katherine I. Morley ◽  
Heidi Howard ◽  
Emilia Niemiec ◽  
...  

Abstract Trust may be important in shaping public attitudes to genetics and intentions to participate in genomics research and big data initiatives. As such, we examined trust in data sharing among the general public. A cross-sectional online survey collected responses from representative publics in the USA, Canada, UK and Australia (n = 8967). Participants were most likely to trust their medical doctor and less likely to trust other entities named. Company researchers were least likely to be trusted. Low, Variable and High Trust classes were defined using latent class analysis. Members of the High Trust class were more likely to be under 50 years, male, with children, hold religious beliefs, have personal experience of genetics and be from the USA. They were most likely to be willing to donate their genomic and health data for clinical and research uses. The Low Trust class were less reassured than other respondents by laws preventing exploitation of donated information. Variation in trust, its relation to areas of concern about the use of genomic data and potential of legislation are considered. These findings have relevance for efforts to expand genomic medicine and data sharing beyond those with personal experience of genetics or research participants.


2010 ◽  
Vol 125 (1) ◽  
pp. 22-26 ◽  
Author(s):  
D Thornton ◽  
T P C Martin ◽  
P Amin ◽  
S Haque ◽  
S Wilson ◽  
...  

AbstractObjectives:To determine the frequency of cholesteatoma in a population of patients with chronic suppurative otitis media, and to determine whether this frequency is affected by ethnicity.Patients:The study included 6005 patients with chronic suppurative otitis media seen during the course of 30 charitable surgical ‘ear camps’ in Nepal.Main outcome measures:Proportion of patients with each subtype of disease, and their ethnicity. A secondary outcome measure was concordance of surname with Nepalese ethnic affiliation.Results:A total of 762 patients were grouped as being of Tibeto-Mongolian origin, and 4875 as Indo-Caucasian. The rate of chronic suppurative otitis media with cholesteatoma, expressed as a proportion of the rate of all chronic suppurative otitis media subtypes, was 17.8 per cent in Tibeto-Mongolian patients and 18.6 per cent in Indo-Caucasian patients (p > 0.05). The effect of other risk factors (i.e. age, gender and geographical district) on disease distribution was also non-significant. Analysis of secondary outcome measures indicated that patients' surnames were a reliable predictor of ethnicity in this Nepalese population.Conclusion:There is almost complete concordance in proportions of patients with significant genetic, cultural, and even geographical heterogeneity, suggesting that, in Nepal, the aetiology of cholesteatoma owes little to these factors.


2019 ◽  
pp. 216847901987214
Author(s):  
Haruka Nakada ◽  
Yusuke Inoue ◽  
Keiichiro Yamamoto ◽  
Kenji Matsui ◽  
Tsunakuni Ikka ◽  
...  

Objective: The objective of this study is to assess public attitudes toward pharmaceutical companies’ secondary uses of patient records and public preferences regarding consent approaches. Method: 3000 responses to an online survey were collected from adults in Japan. The questionnaire included 32 items related to (1) awareness of “clinical trials”; (2) awareness of the processes of drug development, such as cost, time, and the number of candidate substances in a new drug; (3) knowledge of the laws and regulations for use of patient records in Japan; (4) assessment of the public benefit of the secondary use of patient records; (5) preferences for consent for the secondary use of patient records; and (6) basic characteristics of the respondents. Results: The public benefit from secondary use of records by academic institutions for scientific research was rated highest. All of the activities by pharmaceutical companies were rated higher than those by governmental institutions and other for-profit companies. Regarding consent approaches, 37.9% preferred an “opt-in” approach for new drug development by pharmaceutical companies, 79.7% of whom would change their preference to an “opt-out” approach under specific conditions, such as ensuring intended uses only. Conclusion: Our respondents consider the “public benefit” as dependent on the relative distance from “promoting public health” when assessing the secondary purpose of patient record use. Pharmaceutical companies should include the beneficial purposes when using patient records with “opt-out” approach. Policy makers should pay more attention to the purposes of use when developing personal information protection policies.


Author(s):  
Maxwell Boykoff

Against a contrasting backdrop of consensus on key issues on climate science, a heterogeneous group dubbed climate «skeptics», «contrarians», «deniers» have significantly shaped contemporary discussions of climate science, politics and policy in the public sphere. This essay focuses on the USA context, and explores some of the intertwined social, political and economic factors, as well as cultural and psychological characteristics that have together influenced public attitudes, intentions, beliefs, perspective and behaviors in regards to climate change science and governance over time. This article makes the case that the USA example can inform developments elsewhere; as such it is important to consider these contextual elements to more capably appraise «contrarian», «skeptic», «denier» reverberations through the current public discussions on climate change. 


2021 ◽  
Vol 18 (2) ◽  
pp. 43-62
Author(s):  
Anđelija Đukić

In recent decades, there has been notably increased engagement of the international community in combating human trafficking, which has also been contributed by the media. The role of the media is reflected in building certain public attitudes and influencing political decision-making. Based on the selected literature, the paper considers the media framing of human trafficking from the 1990s to the present. The media decides on how to approach trafficking, content and causes, information sources, generating and presenting alternative solutions process, as well as motivational procedures for initiating actions of the public and politicians, thus creating diagnostic, prognostic and motivational frames. Based on the research, it is concluded that media frames of human trafficking are not holistic but segmental, and instead of a comprehensive approach, stereotypes are presented in which trafficking is identified with sexual exploitation or considered as the consequence of migration or organized crime actions. This harms the victims, makes the identification of all perpetrators difficult, and narrows the focus of the suppression efforts. It is noted that in the relations between the media, the public and the authorities, in the process of creating a policy and implementing solutions for combating, there are significant influences of policy-makers on media framing, and thus on public attitudes, which provides support and legitimacy of current or future political decisions. In order to illustrate the diversity of media representation of human trafficking, as a COM-plex phenomenon and the possibility of different analyses of media framing, the main findings of several studies in the USA, EU, and Serbia are presented.


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