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Public support for mitochondrial donation: an Australian knowledge and attitudes study
Ezra Kneebone1, Zachary Russell2, Ainsley J Newson3
1Monash Bioethics Centre, Monash University, Melbourne, VIC, Australia.
Reproductive Biomedicine Online
|April 10, 2026
Summary
Australians broadly support mitochondrial donation, a procedure to prevent inherited mitochondrial diseases, if proven safe. Public awareness of this assisted reproductive technology is low but agreement for its clinical use is high.
Area of Science:
- Reproductive Medicine
- Genetics
- Public Health
Background:
- Mitochondrial donation offers a potential solution to prevent the transmission of mitochondrial diseases.
- Understanding public perception is crucial for the ethical implementation of novel reproductive technologies.
Purpose of the Study:
- To assess Australian public knowledge and attitudes towards mitochondrial donation.
- To evaluate public support for the clinical implementation of mitochondrial donation in Australia.
Main Methods:
- An anonymous online survey was completed by 1042 Australian adults (≥18 years).
- The survey assessed knowledge and attitudes using multiple-choice and Likert-scale questions.
- Bivariate analysis explored sociodemographic variations in support for mitochondrial donation.
Main Results:
- Only 19% of participants had prior awareness of mitochondrial donation.
- The average agreement with making mitochondrial donation available in Australia post-safety trials was 3.36/4.
- Support levels were consistently high across diverse demographic groups, including those with prior assisted reproductive technology use, specific sexual orientations, and genetic or mitochondrial conditions.
Conclusions:
- Broad public support exists in Australia for the clinical implementation of mitochondrial donation, contingent on demonstrated safety.
- Findings suggest potential guidance for other jurisdictions considering similar reproductive technologies.
- Low public awareness highlights a need for public education on mitochondrial donation.
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