Acceptance and Access: Exploring Public Attitudes Towards Assisted Reproductive Technologies in a Changing Swiss Context

Abstract Introduction An increasing amount of demographic research is focusing on the social implications of medically assisted reproduction (MAR). Studies on the acceptance of such technologies have often been based on non-representative samples, survey only women or focus on just one technology. Methods This paper uses data from the 2022 “Measurement and Observations of Social Aspects in Switzerland” survey, a nationwide cross-sectional survey that captures attitudes of the Swiss population on social issues. The sample was randomly drawn from a population register, with 2,518 individuals participating. Central variables include gender ideologies, MAR acceptance and knowledge, and sociodemographics. Dimensions of gender ideologies were used as predictors in multiple regression models, alongside demographics, to assess their influence on MAR acceptance. Results Acceptance of MAR in general is rather high in Switzerland but shaped by perceptions of gender norms, gender, religious affiliation, and age. Traditional gender ideologies correlate negatively with the acceptance of MAR, particularly for non-heteronormative family structures. Access to MAR is most accepted for heterosexual couples and least for women over 50. Conclusions Using the first nationally representative Swiss dataset to cover multiple MAR techniques and family constellations, the study shows that gender ideologies are a strong, distinct predictor of approval. The analytic approach offers a portable template for cross-national comparisons. Policy Implications To ensure equitable access to MAR, legal frameworks should be aligned with empirical evidence. Increasing public knowledge, addressing implicit bias in healthcare, and promoting inclusive, culturally sensitive reproductive services are essential for supporting diverse family constellations.