Evidence map›Paper›PMID 41474153›Full record

ArticleDeveloping world bioethics2026

Between Exclusion and Legitimacy: Identity Negotiation and Ethical Dilemmas of Chinese Lesbians in the Assisted Reproduction System.

Yuan Liu

Abstract read
In one paragraph

Article in Developing world bioethics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

1 author.

Yuan LiuAutonomous University of Barcelona, Plaça Cívica, Bellaterra, Barcelona, Spain.ORCID 0009-0009-0027-7767

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In China's current assisted reproduction system, marriage and sexual orientation serve as key entry barriers, leaving lesbians facing institutional exclusion under the dual identities of "unmarried" and "non-heterosexual." The marriage system, heterosexual norms, and technical regulations jointly construct the institutional structure that excludes them from the legal reproductive system. Drawing on the theoretical frameworks of reproductive justice and biopolitics, this article analyzes how Chinese lesbians navigate state institutional restrictions on their reproductive rights, drawing on literature research and five in-depth interviews. Despite current closed policies, some interviewees, in response to hypothetical questions, expressed openness to the strategic identity path of "single motherhood." This article proposes that, in the context of future policy relaxation, this path may become an important tool for negotiating entry into the legal reproductive system. The study finds that this strategy not only demonstrates individuals' negotiation of legitimacy within institutional interstices, but also reveals the complex tensions between moral norms, legal gaps, and kinship structures. This article argues that the ethical governance of reproductive technology should not screen reproductive eligibility based on the criteria of "qualified citizenship," but should instead be based on the principles of human rights and equality, responding to the legitimate needs of marginalized groups.

Indexed as

Homosexuality, FemaleHuman RightsMarriageReproductive RightsReproductive Techniques, AssistedSexual and Gender MinoritiesChinaEast Asian PeopleEthical DilemmasFemaleHumansNegotiatingAssisted Reproductive Technology (ART)biopoliticsidentity negotiationinstitutional exclusionlesbian womenreproductive autonomyreproductive justice

Identifiers

PMID41474153
PMCPMC12980563

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.