Attitudes towards sex selection for non-medical reasons: a review

Early non-invasive fetal sexing is widely available over the Internet, leading to concerns about its possible use for sex selection. The aim of this review is to summarise the results of surveys describing lay attitudes towards sex selection for non-medical reasons to help address or inform such concerns. A search of electronic databases and key journals was supplemented by an Internet search and citation-tracking. Twenty-one quantitative studies were identified. Most were conducted in the US, with five recent studies in the UK and Germany. Most studies found that, overall, people were not in favour of sex selection. However, this varied from 94 to 18%. People may hold more negative attitudes when the method of sex selection is specified, particularly if this involves termination of pregnancy (TOP). Attitudes towards the general availability of sex selection are less negative than those towards personal use. Attitudes were consistently negative in German surveys. Little is known of such attitudes outside the US, the UK and Germany, and how such attitudes may change as new sex selection technologies become available. Studies of use of early non-invasive fetal sexing for sex selection for non-medical reasons are needed to assess the extent to which concerns about usage are justified and to assist in debates on how these might be most appropriately addressed. Copyright © 2006 John Wiley & Sons, Ltd.     

Patients' attitudes following chorionic villus sampling

The attitudes of 190 patients who had undergone chorionic villus sampling (CVS) were assessed by means of a questionnaire. One hundred and fifty-two patients replied of whom 68 (45 per cent) were referred because of increased maternal age and in the other 84 cases the indications included previous chromosomal abnormalities, fetal sexing, DNA analysis, and biochemical analysis. One hundred and twenty-two patients had a transcervical procedure, 24 had a transabdominal, and six patients required both procedures. One hundred and forty-one patients (93 per cent) reported CVS to be a satisfactory procedure, and the same percentage thought earlier diagnosis was beneficial. Thirty-nine patients (81 per cent) reported a better experience with CVS than with a previous amniocentesis. A majority of patients (93 per cent) wished a CVS in a future pregnancy and 137 patients (97 per cent) would accept a risk of miscarriage from the procedure of twice that quoted for amniocentesis (1 per cent).     

Preimplantation diagnosis: A patient perspective

A new dimension in the prevention of birth defects will be achieved when genetic diseases can be routinely diagnosed in embryos prior to implantation. The impressions and attitudes towards preimplantation diagnosis were studied in prospective patients, women at high reproductive risk for a genetic disease. Their perspective highlighted not only the advantages and disadvantages of this new approach, but also those changes necessary in order for preimplantation diagnosis to become a useful and practical technique. The data presented are based on information obtained by a mailed questionnaire answered by 58 women. The main benefit of preimplantation diagnosis for these high-risk women would be the ability to undertake a pregnancy without having to be subjected to the physical and/or emotional trauma of elective termination. Their major concerns related to possible damage to the embryo following biopsy, the cost of the procedure, and the low success rate of completed pregnancies. Other issues to be addressed before preimplantation diagnosis could begin to compare favourably with existing forms of prenatal testing were that the methods of obtaining oocytes or embryos should be simple, well tolerated, highly efficient, and low in maternal risk, and that the genetic analysis of embryonic or extraembryonic cells should be unequivocally accurate.     

Prenatal diagnosis for the detection of down syndrome: Why are so few eligible women tested?

Postpartum women ≧ 33 years were interviewed about their attitudes to and knowledge and use of prenatal diagnosis. Overall, 68 per cent had heard of prenatal diagnosis; nevertheless, only 30 per cent of those ≧ 35 had actually been tested. The only significant difference between eligible women who were tested and those who were not was maternal age. Of those tested, half requested it for themselves; conversely, only two-thirds of women requesting the procedure actually received it. Among women not tested, 82 per cent were never offered the procedure by the physician. Expressed attitudes to prenatal diagnosis were strongly positive among all women, with 75 per cent continuing to want testing after learning both their age-specific risk of having an affected child and the possible risks of amniocentesis. The data document a potential demand for amniocentesis far in excess of current use and present service facilities. They suggest, moreover, that underuse may reflect professional hesitation and underreferral more than consumer lack of demand or reluctance to be tested.     

Environmental Ethics Beyond Principle? The Case for a Pragmatic Contextualism

Many nonanthropocentric environmental ethicists subscribe to a ``principle-ist' approach to moral argument, whereby specific natural resource and environmental policy judgments are deduced from the prior articulation of a general moral principle. More often than not, this principle is one requiring the promotion of the intrinsic value of nonhuman nature. Yet there are several problems with this method of moral reasoning, including the short-circuiting of reflective inquiry and the disregard of the complex nature of specific environmental problems and policy arguments. In the present paper, we advance an alternative, pragmatic contextualist approach to environmental ethics, one grounded in the moral theory of John Dewey. We present the results of an empirical study of public environmental ethics and natural resource management attitudes to support our position, and we conclude with a few recommendations for future inquiry in the field of environmental ethics.     

Normative Framing and Public Attitudes toward Biofuels Policies

Although the power of elite issue frames to shape public attitudes toward different policies is well established, the relative influence of different types of frames in competitive framing environments remains uncertain. For example, we do not fully understand the relative influence of economic versus normative frames on the public's policy attitudes, despite the common use of both types of frames to promote the same policy in many settings. Using data from a 2010 national Internet survey, this paper investigates the relative influence of economic versus normative frames on public attitudes toward the contentious policy issue of biofuels. The results indicate the importance of normative frames in shaping public attitudes on this issue, suggesting the relevance of normative frames more generally in shaping public opinion beyond the narrow confines of typical “morality” policies such as abortion or gambling.     

Implications of human value shift and persistence for biodiversity conservation

Large‐scale change in human values and associated behavior change is believed by some to be the ultimate solution to achieve global biodiversity conservation. Yet little is known about the dynamics of values. We contribute to this area of inquiry by examining the trajectory of values affecting views of wildlife in North America. Using data from a 19‐state study in the United States and global data from the Schwartz Value Survey, we explored questions of value persistence and change and the nature of attitudinal responses regarding wildlife conservation issues. We found support, based on subjects’ ancestry, for the supposition that domination is a prevalent American value orientation toward wildlife that has origins in European Judeo‐Christian traditions. Independent of that effect, we also found indications of change. Modernization is contributing to a shift from domination to mutualism value orientations, which is fostering attitudes less centered on human interests and seemingly more consistent with a biocentric philosophy. Our findings suggest that if value shift could be achieved in a purposeful way, then significant and widespread behavior change believed necessary for long‐term conservation success may indeed be possible. In particular, greater emphasis on mutualism values may help provide the context for more collaborative approaches to support future conservation efforts. However, given the societal forces at play, it is not at all clear that human‐engineered value shift is tenable. Instead of developing strategies aimed at altering values, it may be more productive to create strategies that recognize and work within the boundaries of existing values. Whereas values appear to be in a period of flux, it will be difficult to predict future trends without a better understanding of value formation and shift, particularly under conditions of rapid social‐ecological change.     

Opponents,waverers or supporters: the influence of place-attachment dimensions on local residents' acceptance of a planned biosphere reserve in Austria

A supportive attitude of residents towards protected areas is crucial for successful implementation and management, particularly in densely populated regions such as Central Europe. While previous studies have revealed that emotional and cultural drivers, as well as information level and group membership, can influence attitudes towards protected areas, the effect of place-attachment dimensions remains unclear. A postal survey among local residents (N = 460) explored factors influencing attitudes towards the Lungau (-Nockberge) Biosphere Reserve in Austria before its official recognition. Results indicated societal support throughout all socio-demographic strata. A logistic regression showed that, besides socio-demographics and information level, place attachment had a significant influence on the acceptance of the biosphere reserve. Supporters and opponents showed both high place identity and dependence, while waverers scored low on these dimensions. Results indicate that place attachment is relevant for the design of participatory processes as well as for developing management policies for biosphere reserves.