Secrets and lies and donor conceptions: what donor-conceived individuals feel about their disclosure/discovery experience.
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| Titel: | Secrets and lies and donor conceptions: what donor-conceived individuals feel about their disclosure/discovery experience. |
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| Autoren: | Applegarth LD; The Ronald O. Perelman and Claudia Cohen Center for Reproductive Medicine, Weill Cornell Medicine, Weill Cornell Medical College, New York, NY, USA., Kaufman NL; Private Practice, New York, NY, USA., Thomas C; The Ronald O. Perelman and Claudia Cohen Center for Reproductive Medicine, Weill Cornell Medicine, Weill Cornell Medical College, New York, NY, USA.; Division of Biostatistics, Weill Medical College of Cornell University, New York, NY, USA., Beroukhim G; The Ronald O. Perelman and Claudia Cohen Center for Reproductive Medicine, Weill Cornell Medicine, Weill Cornell Medical College, New York, NY, USA., Tsai S; Pacific Northwest Fertility and In Vitro Fertility Specialists, Bellevue, WA, USA., Joseph-Sohan M; Division of Biostatistics, Weill Medical College of Cornell University, New York, NY, USA. |
| Quelle: | Human reproduction (Oxford, England) [Hum Reprod] 2025 Dec 01; Vol. 40 (12), pp. 2351-2359. |
| Publikationsart: | Journal Article |
| Sprache: | English |
| Info zur Zeitschrift: | Publisher: Oxford University Press Country of Publication: England NLM ID: 8701199 Publication Model: Print Cited Medium: Internet ISSN: 1460-2350 (Electronic) Linking ISSN: 02681161 NLM ISO Abbreviation: Hum Reprod Subsets: MEDLINE |
| Imprint Name(s): | Publication: Oxford, UK : Oxford University Press Original Publication: Oxford ; Washington, DC : Published for the European Society of Human Reproduction and Embryology by IRL Press, [c1986- |
| MeSH-Schlagworte: | Donor Conception*/psychology , Disclosure* , Insemination, Artificial, Heterologous*/psychology , Tissue Donors*/psychology, Humans ; Adult ; Female ; Male ; Cross-Sectional Studies ; Surveys and Questionnaires ; Middle Aged ; Young Adult ; Adolescent |
| Abstract: | Study Question: What are the satisfaction levels, as defined by emotional comfort or contentment, of adult individuals conceived via donor-assisted reproduction concerning the method, timing, and circumstances surrounding the disclosure/discovery of their conception? Summary Answer: Inadvertent discovery and older age at the time of disclosure of donor-conceived status are associated with lower rates of satisfaction among donor-conceived individuals. What Is Known Already: The proliferation of commercial DNA testing has resulted in many donor-conceived people learning inadvertently of their donor origins. As a result, donor-conceived people, healthcare professionals, and parents seek information and research about best disclosure practices and outcomes. Study Design, Size, Duration: A survey-based cross-sectional cohort study from 2022 to 2023 was conducted involving 530 participants, of whom 422 completed the survey. Participants/materials, Setting, Methods: A total of 546 people ages 18 years and over opened the survey, with 530 people qualifying to complete the survey as donor-conceived persons (DCPs). Four hundred and twenty-two DCPs (79.6%) completed the survey. Descriptive statistics were applied, and data distributions were analyzed for a selection of appropriate statistical tests; parametric tests such as Student's t-test or ANOVA, and non-parametric tests such as Mann U Whitney or Kruskal-Wallis Rank Sum test were utilized as applicable, for comparing continuous data between groups. Multivariable logistic regression analyses were used to examine satisfaction levels, adjusting for potential confounders. Main Results and the Role of Chance: After accounting for age at discovery, sex, the origin of disclosure, and education, individuals with early intentional disclosure were more than three times as likely to experience disclosure satisfaction as those with late unintentional disclosure/inadvertent discovery (P-value = 0.005). Limitations, Reasons for Caution: Lack of ethnic diversity among survey respondents, and limited control over reposting of the survey to other sites, potentially contributing to sampling bias. Wider Implications of the Findings: Preliminary but substantial evidence that early, intentional disclosure to DCPs results in greater satisfaction and acceptance. This data will ultimately assist all stakeholders, including reproductive health professionals and parents in family-building counseling and decision-making. Study Funding/competing Interest(s): None. Trial Registration Number: N/A. (© The Author(s) 2025. Published by Oxford University Press on behalf of European Society of Human Reproduction and Embryology. All rights reserved. For commercial re-use, please contact reprints@oup.com for reprints and translation rights for reprints. All other permissions can be obtained through our RightsLink service via the Permissions link on the article page on our site—for further information please contact journals.permissions@oup.com.) |
| Contributed Indexing: | Keywords: commercial DNA testing; disclosure; discovery; donor-assisted reproduction; donor-conceived persons |
| Entry Date(s): | Date Created: 20251109 Date Completed: 20251204 Latest Revision: 20251204 |
| Update Code: | 20251204 |
| DOI: | 10.1093/humrep/deaf215 |
| PMID: | 41206682 |
| Datenbank: | MEDLINE |
Nájsť tento článok vo Web of Science | Abstract: | Study Question: What are the satisfaction levels, as defined by emotional comfort or contentment, of adult individuals conceived via donor-assisted reproduction concerning the method, timing, and circumstances surrounding the disclosure/discovery of their conception?<br />Summary Answer: Inadvertent discovery and older age at the time of disclosure of donor-conceived status are associated with lower rates of satisfaction among donor-conceived individuals.<br />What Is Known Already: The proliferation of commercial DNA testing has resulted in many donor-conceived people learning inadvertently of their donor origins. As a result, donor-conceived people, healthcare professionals, and parents seek information and research about best disclosure practices and outcomes.<br />Study Design, Size, Duration: A survey-based cross-sectional cohort study from 2022 to 2023 was conducted involving 530 participants, of whom 422 completed the survey.<br />Participants/materials, Setting, Methods: A total of 546 people ages 18 years and over opened the survey, with 530 people qualifying to complete the survey as donor-conceived persons (DCPs). Four hundred and twenty-two DCPs (79.6%) completed the survey. Descriptive statistics were applied, and data distributions were analyzed for a selection of appropriate statistical tests; parametric tests such as Student's t-test or ANOVA, and non-parametric tests such as Mann U Whitney or Kruskal-Wallis Rank Sum test were utilized as applicable, for comparing continuous data between groups. Multivariable logistic regression analyses were used to examine satisfaction levels, adjusting for potential confounders.<br />Main Results and the Role of Chance: After accounting for age at discovery, sex, the origin of disclosure, and education, individuals with early intentional disclosure were more than three times as likely to experience disclosure satisfaction as those with late unintentional disclosure/inadvertent discovery (P-value = 0.005).<br />Limitations, Reasons for Caution: Lack of ethnic diversity among survey respondents, and limited control over reposting of the survey to other sites, potentially contributing to sampling bias.<br />Wider Implications of the Findings: Preliminary but substantial evidence that early, intentional disclosure to DCPs results in greater satisfaction and acceptance. This data will ultimately assist all stakeholders, including reproductive health professionals and parents in family-building counseling and decision-making.<br />Study Funding/competing Interest(s): None.<br />Trial Registration Number: N/A.<br /> (© The Author(s) 2025. Published by Oxford University Press on behalf of European Society of Human Reproduction and Embryology. All rights reserved. For commercial re-use, please contact reprints@oup.com for reprints and translation rights for reprints. All other permissions can be obtained through our RightsLink service via the Permissions link on the article page on our site—for further information please contact journals.permissions@oup.com.) |
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| ISSN: | 1460-2350 |
| DOI: | 10.1093/humrep/deaf215 |