Korean J Health Promot KJHP Korean Journal of Health Promotion 2234-2141 2093-5676 Korean Society for Health Promotion and Disease Prevention 10.15384/kjhp.2017.17.4.242 Original Article Inquiry Survey of Infertile Couples for Sperm Donation and Artificial Insemination by Donor Kim In Hwa 1 Kim Ji-Hyun 1 Park Min Jung 2 Kang Sung Min 3 Cho Young Seuk 4 Kim Tae Yeon 4 Park Nam Cheol 2 3 Department of Family Medicine, BHS Hanseo Hospital, Busan, Korea. The Korea Institution for Public Sperm Bank, Busan, Korea. Department of Urology, Pusan National University School of Medicine, Busan, Korea. Department of Statistics, Pusan National University, Busan, Korea. Corresponding author: Nam Cheol Park, MD, PhD. Department of Urology, Pusan National University School of Medicine, 179 Gudeok-ro, Seo-gu, Busan 49241, Korea. Tel: +82-51-240-7349, Fax: +82-51-247-5443, pnc@pusan.ac.kr 12 2017 28 12 2017 17 4 242 251 10 08 2017 12 10 2017 Copyright © 2017 Korean Society for Health Promotion and Disease Prevention 2017 Korean Society for Health Promotion and Disease Prevention This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Background

Artificial insemination by donor (AID) is important to chance the pregnancy in male infertile couples by requiring appropriate medical, legal and ethical reviews. The purpose of this study was to investigate the perception changes of AID to collect the basic information for establishing the sperm donation, cryopreservation and artificial insemination management system.

 Methods

We evaluated the people's thought of sperm donation, cryopreservation, and artificial insemination by donor by means of national inquiry survey from 247 infertile couples for 4 weeks from October 2016. The questionnaires were composed of 4 areas, and each questionnaire consisted of 15 items. Changes in the perception of AID by year were investigated after review of domestic journals.

 Results

67.6% of respondents knew the growth of couples with difficulty getting pregnant due to male infertility. 82.2% of respondents replied the necessary of sperm bank as a treatment option for infertility and 40.5% knew the donation and receipt system of sperm. In the survey of change perception of AID according to year, 37.5% and 39.5% of respondents were got information about AID from doctor in 2003 and 2004, but 49.6% from broadcasting in 2016. As a child grows up, 4.0% (2003), 9.0% (2014), and 42.8% (2016) of respondents answered to tell the child about AID.

 Conclusions

Infertile couple's thought of AID about the extension of opportunities for male infertility treatment is changed. In conclusion, it is necessary to establish institutional system of sperm donation, cryopreservation and artificial insemination prior to public sperm bank operation.

 Artificial insemination donor Male infertility Sperm bank Pusan National University http://dx.doi.org/10.13039/501100002543 Ministry of Health and Welfare http://dx.doi.org/10.13039/501100003625 20160903789-00

This work was supported by a 2-Year Research Grant from Pusan National University and a research grant from Ministry of Health, and Welfare (No. 20160903789-00).

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Abbreviations: AID, artificial insemination by donor; NA, not available.

 Attitude change regarding whether to notify children about artificial insemination by donor. 2003 and 2014 were double-barreled a question, and 2016 was a single survey question. To compare each subject, we calculated the average percentage by the total percentage in 2003 and 2014. The question of not thinking was not asked in 2016.

Abbreviation: NA, not available.

 General characteristics of the participants in this study

Values are presented as numbers (%).

aSingle includes widowed, divorced, and separated status.

 Population characteristics of the participants in 2003, 2014, and 2016

Abbreviation: NA, not applicable.

Values are presented as means±standard deviation (range) or number (%).

aThe question was not asked in 2016.