Canadian Support for IVF Access and Use

J Obstet Gynaecol Can. 2021 Feb;43(2):175-181. doi: 10.1016/j.jogc.2020.09.020. Epub 2020 Oct 21.

Abstract

Objective: Apply Weiner's attribution-affect-action (AAA) model to the context of societal support for access to assisted reproductive technology (ART).

Methods: Five hundred and fifty-four Canadians were randomly assigned to 1 of 4 vignette conditions describing reproductively challenged women differentiated by the root cause of their need for ART. Following this, participants completed an online questionnaire measuring the components of the AAA model.

Results: The overall expected relationships among the AAA framework variables were found. Participants were least willing to support access to ART for women perceived as relatively more responsible for their fertility issues and who elicited lower levels of sympathy, whereas participants were most willing to support access for women viewed as less responsible and who elicited more sympathy. Additionally, participants were most supportive of general access to ART and least supportive when asked to offer personal funds to assist the women with access.

Conclusion: These findings have potential implications for Canadian health care policy decisions on funding fertility treatments through the universal health care system. Further research on this issue, as well as the development and testing of interventions aimed at addressing beliefs around equitable and inclusive access to ART, are warranted.

Keywords: helping behavior; reproduction; reproductive techniques, assisted; social support.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Attitude to Health
  • Canada
  • Female
  • Fertility
  • Fertilization in Vitro*
  • Health Knowledge, Attitudes, Practice
  • Health Services Accessibility
  • Helping Behavior
  • Humans
  • Infertility / therapy*
  • Public Opinion*
  • Reproductive Techniques, Assisted*
  • Social Support*