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公众对器官捐赠与移植的认知及态度:一项跨文化研究。

Public knowledge and attitudes toward organ donation and transplantation: a cross-cultural study.

作者信息

El-Shoubaki H, Bener A

机构信息

Department of Organ Transplant, Hamad General Hospital, Hamad Medical Corporation, Doha, State of Qatar.

出版信息

Transplant Proc. 2005 Jun;37(5):1993-7. doi: 10.1016/j.transproceed.2005.03.014.

DOI:10.1016/j.transproceed.2005.03.014
PMID:15964321
Abstract

OBJECTIVE

The aim of this study was to determine the knowledge, attitudes, awareness, and determinants of organ donation and transplantation in a Qatari population.

DESIGN

This is a cross-sectional study to determine the knowledge and attitude toward organ donation in a Peninsula Arabian Gulf country.

SETTING

The setting was Primary Health Care (PHC) Centers and community-based study in Qatar.

SUBJECTS

A multistage sampling design was used in a representative sample of 1600 Qataris and non-Qataris, including males and females of at least 17 years of age, from October 2003 to May 2004. In this study a 1305 (81.5%) subjects participated, each giving consent for the study.

MEASUREMENTS

Participants completed a questionnaire assessing their knowledge, attitudes, and awareness for organ donation.

RESULTS

Of 1305 samples, 637 (48.8%) males and 668 females (51.2%) living in urban and semiurban areas agreed to participate and complete the questionnaire. Of these, 762 (58.4%) were Qataris. There was a significant difference between Qataris and non-Qataris with respect to their age, educational level, monthly income, and occupation. In this study, 31.6% of Qataris and 29.8% of non-Qataris had no idea about the organ donation; 37.8% of Qataris and 32.8% of non-Qataris were willing to donate their organs. The majority of subjects preferred donating organs to their close relatives and friends. However, 83.8% of the studied subjects did not agree with an incentive-based approach for donating organs.

CONCLUSION

This study showed that people should not be blamed for not being willing to participate in organ donation, but the health system and health education providers are responsible. A more effective approach should be tried regarding health education.

摘要

目的

本研究旨在确定卡塔尔人群中器官捐赠与移植的知识、态度、意识及相关决定因素。

设计

这是一项横断面研究,旨在确定一个阿拉伯海湾半岛国家对器官捐赠的知识和态度。

背景

研究背景为卡塔尔的初级卫生保健(PHC)中心及基于社区的研究。

对象

2003年10月至2004年5月,采用多阶段抽样设计,选取了1600名卡塔尔人和非卡塔尔人作为代表性样本,包括至少17岁的男性和女性。本研究中有1305名(81.5%)受试者参与,每人都同意参与研究。

测量

参与者完成了一份问卷,评估他们对器官捐赠的知识、态度和意识。

结果

在1305个样本中,居住在城市和半城市地区的637名(48.8%)男性和668名女性(51.2%)同意参与并完成问卷。其中,762名(58.4%)是卡塔尔人。卡塔尔人和非卡塔尔人在年龄、教育水平、月收入和职业方面存在显著差异。在本研究中,31.6%的卡塔尔人和29.8%的非卡塔尔人对器官捐赠一无所知;37.8%的卡塔尔人和32.8%的非卡塔尔人愿意捐赠器官。大多数受试者更愿意将器官捐赠给近亲及朋友。然而,83.8%的研究对象不同意基于激励的器官捐赠方式。

结论

本研究表明,不应指责人们不愿意参与器官捐赠,而卫生系统和健康教育提供者应承担责任。应尝试采用更有效的健康教育方法。

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