Attitudes towards surrogacy in the context of socio-demographic determinants: a cross-sectional study

This study aims to explore socio-demographic factors and surrogacy attitudes. Surrogacy, an assisted reproductive technology, enables parenthood for individuals unable to conceive or carry a child. It intersects with societal norms, ethical considerations, personal beliefs, and professional contexts, shaping varied attitudes towards it.

In this cross-sectional study, data was collected using a community sampling through virtual surveys: Attitudes Towards Surrogacy Scale (ATSS) and Attitudes to Surrogate Parenthood Questionnaire (ASPQ). Participants consisted of 569 individuals, with the majority being women (n = 470, 82%). Correlations and predictors of attitudes towards surrogacy were investigated using statistical methods. Analysis of variance (ANOVA) was used to analyse place of residence, parenthood and relationship status and multiple regression models were used to explain attitudes towards surrogacy (ClinicalTrials.gov ID NCT04732559).

The Surrogacy Ethical Context strongly correlates with both Acceptance of Surrogacy and Financing and Legalizing Surrogacy. Socio-demographic factors collectively explain between 6% and 18% of the variance in attitudes towards different aspects of surrogacy. Sexual orientation and religion were the strongest predictors of the attitudes towards surrogacy. Individuals who view surrogacy more positively in terms of ethics and legal considerations reflected fewer cognitive concerns regarding both types of surrogacy.

Findings show societal trends in acceptance and apprehension towards surrogacy, offering insights relevant for policymakers, healthcare providers, and advocacy groups involved in reproductive rights and technologies. These findings highlight the importance of considering socio-demographic diversity when analysing attitudes towards surrogacy, highlighting distinct patterns of acceptance and concern across different demographic groups.