Pham Hien, Spigner Clarence
School of Medicine, University of Washington, Seattle, WA 98195, USA.
Clin Transplant. 2004 Dec;18(6):707-15. doi: 10.1111/j.1399-0012.2004.00284.x.
Racial/ethnic minorities comprise almost 50% of registrants on national waiting lists for organ transplantation in the USA. As the list continues to expand, organ shortage becomes a bigger problem. Increasing donation rates especially among racial minority groups would lower the waiting times for these groups.
Asian Americans are among the fastest growing and most diverse ethnic group in the USA, but research on their knowledge or opinions about organ donation is rare.
A non-random sample of 350 Vietnamese American church attendees and students attending a major university in Seattle (Washington), was drawn.
A self-administered 39-item knowledge/opinion-based survey was conducted during June to August 2003.
Of 278 respondents (a 79.7% response rate), 69.1% knew blood-type made a difference in donation (p = 0.000), 61.6% knew transplant survival rates were high (p = 0.000), and 75.9% knew transplants could come from living donors (p = 0.000). But 53.4% also thought organs could be sold for money in the USA (p = 0.000), and 49.8% thought more people died of auto accidents and gunshot wounds than from heart disease (p = 0.000). Those who answered correctly to more than 50% of the knowledge questions were also more likely to favor donation (p = 0.007).
We found among this study population that having correct knowledge about organ donation related to a willingness to donate.
在美国,种族/族裔少数群体占全国器官移植等候名单登记者的近50%。随着等候名单持续扩大,器官短缺问题愈发严重。提高捐赠率,尤其是在少数种族群体中的捐赠率,将缩短这些群体的等待时间。
亚裔美国人是美国增长最快且最为多样化的族裔群体之一,但关于他们对器官捐赠的了解或看法的研究却很少见。
抽取了350名参加越南裔美国人教会的成员以及就读于西雅图(华盛顿州)一所主要大学的学生作为非随机样本。
在2003年6月至8月期间进行了一项基于知识/观点的39项自填式调查。
在278名受访者中(回复率为79.7%),69.1%的人知道血型在捐赠中起作用(p = 0.000),61.6%的人知道移植存活率很高(p = 0.000),75.9%的人知道移植器官可以来自活体捐赠者(p = 0.000)。但53.4%的人还认为在美国器官可以买卖(p = 0.000),49.8%的人认为死于车祸和枪伤的人比死于心脏病的人更多(p = 0.000)。那些在超过50%的知识问题上回答正确的人也更倾向于支持捐赠(p = 0.007)。
我们在该研究人群中发现,对器官捐赠有正确的了解与捐赠意愿相关。