Analytical Study of the Development of Information Literacy of Cyberspace Users Regarding Egg Donation Based on Forum Comments

Volume 13, 1-2
April 2024
Pages 107-116

Document Type : Review Article

Authors

1 M.Sc. of Midwifery, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.

2 Medical Ethic Research Center, Shiraz University of medical sciences, Shiraz, , Iran

3 Assistant Professor, Medical Ethics Research Center, Jahrom University of Medical Sciences, Jahrom, Iran

Abstract
Introduction:
Online health forums play a significant role in expressing the opinions, experiences, and perspectives of stakeholders. Infertility treatment methods, despite being over three decades old, are still associated with ambiguities, making it difficult to obtain accurate scientific information openly in this field. This study aims to clarify the opinions of users of the discussion forum on assisted reproductive treatments in the area of egg donation.
Methods & Materials:
The research utilized contractual content analysis. The study included all users of the fertility treatment discussion forum on the website "Ni Ni Site" who shared their opinions from May 2018 to May 2014. No specific entry criteria were set, but topics such as advertisements or appointment tools were excluded. Data saturation was reached when no new codes were found. Two main questions guided the extraction of semantic units: 1- What is the purpose of conversations and what drives the discussion? 2- What approach do participants take in the discussion? Data analysis was conducted using Granheim and Lundman's five-step method and MAXQDA-10 software, with validation using Lincoln and Goba criteria.
Results:
160 forum topics were categorized into 9 categories, resulting in 1354 primary codes, 23 subcategories, 9 subthemes, and 4 main categories. The main themes included expression of feelings and emotions, attraction of donors and applicants, expression of experiences, and presentation of knowledge in response to questions.
Conclusion:
The study findings suggest that while discussion forums provide a platform for users to exchange opinions, most users focus on finding donors or applicants and alleviating concerns. Users' approach in commenting and answering questions may not be reliable, even when sharing personal experiences. Health system authorities should take steps to ensure the provision of accurate scientific information in this field.

Keywords

  1. Zegers-Hochschild F., Adamson G.D., Dyer S., Racowsky C., de Mouzon J., Sokol R., Rienzi L., Sunde A., Schmidt L., Cooke I.D., et al. The International Glossary on Infertility and Fertility Care. Hum. Reprod. 2017;32:1786–1801. doi: 10.1093/humrep/dex234.
  2. Thoma M., Fledderjohann J., Cox C., Adageba R.K. Biological and Social Aspects of Human Infertility: A Global Perspective. Oxford Research Encyclopedia of Global Public Health. Oxford University Press; Oxford, UK: 2021.
  3. Butt F, Akram N. Semen analysis parameters: Experiences and insight into male infertility at a tertiary care hospital in Punjab. J Pak Med Assoc 2013;63(5):558–562. 
  4. Sharique AA, Sharique M, Shah SW. Insight into female endocrine infertility and its relationship to body mass index. Ann Abbasi Shaheed H 2016;1(21):214–220.
  5. World Health Organization World Health Organizaion Health Topics: Infertility. [(accessed on 6 September 2022)]. Available online: https://www.who.int/health-topics/infertility#tab=tab_1
  6. Mascarenhas M.N., Flaxman S.R., Boerma T., Vanderpoel S., Stevens G.A. National, regional, and global trends in infertility prevalence since 1990: A systematic analysis of 277 health surveys. PLoS Med. 2012;9:e1001356. doi: 10.1371/journal.pmed.1001356. 
  7. World Health Organization Infertility Definitions and Terminology. [(accessed on 20 September 2020)]. Available online: https://www.who.int/news/item/04-02-2020-multiple-definitions-of-infertility
  8. Hashim SA, Soliman SM, Mansour SE. Couples adjustment to failed assisted reproductive technology after counseling. Nat Sci. 2012;10(6):61–74
  9. Wischmann T, Schilling K, Toth B, Rosner S, Strowitzki T, Wohlfarth K, et al. Sexuality, self-esteem and partnership quality in infertile women and men. GebFra. 2014;74(8):759–763. 
    1. Frederiksen Y, Farver-Vestergaard I, Skovgård NG, Ingerslev HJ, Zachariae R. Efficacy of psychosocial interventions for psychological and pregnancy outcomes in infertile women and men: a systematic review and meta-analysis. BMJ Open. 2015;5(1):1–18. doi: 10.1136/bmjopen-2014-006592. 
    2. Inhorn MC, Patrizio P.. Infertility around the globe: new thinking on gender, reproductive technologies and global movements in the 21st century. Hum Reprod Update. 2015;21(4):411–426.
    3. Altmann J, Kummer J, Herse F, Hellmeyer L, Schlembach D, Henrich W, Weichert A. Lifting the veil of secrecy: maternal and neonatal outcome of oocyte donation pregnancies in Germany. Arch Gynecol Obstet. 2022 Jul;306(1):59-69. doi: 10.1007/s00404-021-06264-8. Epub 2021 Oct 4. PMID: 34605992; PMCID: PMC9300520.
    4. Shenfield F, de Mouzon J, Pennings AP, et al. Cross border reproductive care in six European countries. Hum Reprod. 2010;25:1361–1368. doi: 10.1093/humrep/deq057. 
    5. Tulay P, Atılan O. Oocyte donors’ awareness on donation procedure and risks: A call for developing guidelines for health tourism in oocyte donation programmes. J Turk Ger Gynecol Assoc. 2019;20(4):236–242. doi: 10.4274/jtgga.galenos.2018.2018.0110.
    6. Gonzalo J, Perul M, Corral M, Caballero M, Conti C, García D, Vassena R, Rodríguez A. A follow-up study of the long-term satisfaction, reproductive experiences, and self-reported health status of oocyte donors in Spain. Eur J Contracept Reprod Health Care. 2019;24(3):227–232. doi: 10.1080/13625187.2019.1588960.
    7. Oudi M, Omani Samani R, Alizadeh L. Medical and ethical issues regarding egg sharing and egg donation. Ijme. 2012;5(3):23–32.
    8. Abbasi-Shavazi MJ, Razeghi Nasrabad HB, Behjati Ardakani Z, Akhondi MM. [Attitudes of infertile women towards gamete donation: a case study in Tehran] [Article in Persian]. J Reprod Infertil 2006 JulSep;7(2(27)):139-48 .
    9. Lee J, Lee EH, Chae D. eHealth literacy instruments: Systematic review of measurement properties. J Med Internet Res. 2021;23:e30644.
    10. Santana S, Lausen B, Bujnowska-Fedak M, Chronaki CE, Prokosch HU, Wynn R. Informed citizen and empowered citizen in health: results from an European survey. BMC Fam Pract. 2011;12(1):20.
    11. Farajallah M, Le Goff-Pronost M, Pénard T, Suire R. Quoi de neuf docteur ? Une étude économétrique sur la recherche en ligne d’informations médicales par les patients. J Gest Déconomie Médicales. 2016;33(4):231–51.
    12. Blanc-Bisson, C., Benazeth, AL., Montané, V. et al.Motivations of the participants who post a message in an online health forum: a qualitative and quantitative descriptive study in French health forum Doctissimo. BMC Prim. Care 23, 304 (2022). https://doi.org/10.1186/s12875-022-01906-5
    13. Akrich M, Cochoy F. A Masked Truth? Public Discussions about Face Masks on a French Health Forum. Minerva. 2023 Apr 17:1-20. doi: 10.1007/s11024-023-09493-0. Epub ahead of print. PMID: 37359301; PMCID: PMC10106318.
    14. Im EO, Chee W. An Online Forum As a Qualitative Research Method: Practical Issues. Nurs Res. 2006;55(4):267–73. https://doi.org/10.1097/00006199-200607000-00007.
    15. Seale C, Charteris-Black J, MacFarlane A, McPherson A. Interviews and Internet Forums: A Comparison of Two Sources of Qualitative Data. Qual Health Res. 2010;20(5):595–606. https://doi.org/10.1177/1049732309354094.
    16. Battaïa C. Information médicale et émotion dans les forums de santé. Cah Numer. 2016;12(1):51–72.
    17. Wu B, Jiang S, Chen H. Effects of Individuals’ Motivations on Communications in Online Health Forums. Soc Behav Personal Int J. 2016;44(2):299–312. https://doi.org/10.2224/sbp.2016.44.2.299.
    18. Bell RA, Hu X, Orrange SE, Kravitz RL. Lingering questions and doubts: Online information-seeking of support forum members following their medical visits. Patient Educ Couns. 2011;85(3):525–8. https://doi.org/10.1016/j.pec.2011.01.015.
    19. Im EO, Chee W. Practical guidelines for qualitative research using online forums. Comput Inform Nurs. 2012 Nov;30(11):604-11. doi: 10.1097/NXN.0b013e318266cade. PMID: 22918135; PMCID: PMC3727223.
    20. Gholami K, Mohammadi S. Information Interaction of Pregnant Women in Ninisite. Human Information Interaction 2015; 1 (4) URL: http://hii.khu.ac.ir/article-1-2414-fa.html
    21. Tizchang, M., Ghazinejad, M. Women and constructing marital relationships in cyberspace (Case Study of Ni Ni Site Website Forum). Quarterly of Social Studies and Research in Iran, 2022; 11(2): 347-371. doi: 10.22059/jisr.2022.321592.1199
    22. Talarczyk, J., Hauke, J., Poniewaz, M., Serdynska, M., Pawelczyk, L., Jedrzejczk, P. (2012). Internet as a source of information about infertility among infertile   Ginekologia  Polska.  83  (4):250-254.
    23. Salakos N, Roupa Z, Sotiropoulou P, Grigoriou O. Family planning and psychosocial support for infertile couples. Eur J Contracept Reprod Health Care. 2004 Mar;9(1):47-51. doi: 10.1080/13625180410001698735. PMID: 15352695.

    33.  Vetriselvi V. Infertility & Counselling. Int J Nurs Educ 2013;5(2): 229.

    34.  Katebi, S., Deilami, M., Mosalanezhad, Z., Zarei, T., Malekshoar, M., Mehrpour, S., Taghizadeh, H., Farzaneh, R., Adibi, P., vatankhah, M., mogharab, F. Complementary consultations in Iranian infertility treatment centers: a web-based qualitative study. The Iranian Journal of Obstetrics, Gynecology and Infertility, 2023; 26(10): 58-70. doi: 10.22038/ijogi.2024.75640.5892

    35.  hoseyni, M., Khazaei, A. R., Yaghouti, E. Jurisprudential Investigation of Commercialization of Egg Donation. Strategic Studies of Jurisprudence and Law, 2023; 4(4): 131-144. doi: 10.22034/ejs.2023.355696.1273

    36.  Dezhkam, L., Darvishi Tafvizi, M., Kalani, N. Different dimensions of infertility phenomenon in the life of Iranian women: a systematic review study. The Iranian Journal of Obstetrics, Gynecology and Infertility, 2023; 26(3): 90-108. doi: 10.22038/ijogi.2023.22603