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西班牙裔美国人器官捐赠行为的预测因素。

Predictors of organ donation behavior among Hispanic Americans.

作者信息

Alvaro Eusebio M, Jones Sara Pace, Robles Antonio Santa Maria, Siegel Jason T

机构信息

Institute of Organizational and Program Evaluation Research, Claremont Graduate University, Tucson, AZ, USA.

出版信息

Prog Transplant. 2005 Jun;15(2):149-56. doi: 10.1177/152692480501500207.

Abstract

CONTEXT

Hispanic Americans have a substantial need for organ transplants and are underrepresented among organ donors, yet little is known about predictors of organ donation outcomes in this population.

OBJECTIVE

To assess factors that may function as significant predictors of organ donation behavior among Hispanic Americans.

DESIGN

A random-digit-dial computer-assisted telephone-interview survey. Setting-Pima and Maricopa counties in Arizona.

PARTICIPANTS

1200 Hispanic Americans.

MAIN OUTCOME MEASURES

Family discussion of organ donation and willingness to be an organ donor.

RESULTS

Significant predictors of family discussion of organ donation include knowing someone willing to be an organ donor and disagreeing that carrying a donor card results in inadequate medical care. Willingness to be a donor is also predictive of family discussion. Significant predictors of willingness to be an organ donor are knowing someone willing to be an organ donor, being female, and disagreeing that thoughts about donation leads to thoughts about one's own mortality. Having a family discussion about organ donation is also predictive of willingness to be an organ donor.

CONCLUSION

The data provide a springboard for larger studies encompassing the diversity and geographical dispersion of Hispanic Americans. The data also highlight the importance of educational efforts to make Hispanic Americans aware of people in their community who have donated in the past or who are now potential donors.

摘要

背景

西班牙裔美国人对器官移植有大量需求,但在器官捐献者中所占比例较低,然而对于该人群器官捐献结果的预测因素知之甚少。

目的

评估可能成为西班牙裔美国人器官捐献行为重要预测因素的因素。

设计

随机数字拨号计算机辅助电话访谈调查。地点——亚利桑那州的皮马县和马里科帕县。

参与者

1200名西班牙裔美国人。

主要观察指标

关于器官捐献的家庭讨论以及成为器官捐献者的意愿。

结果

关于器官捐献的家庭讨论的重要预测因素包括认识愿意成为器官捐献者的人以及不同意携带捐献卡会导致医疗护理不足。成为捐献者的意愿也是家庭讨论的预测因素。愿意成为器官捐献者的重要预测因素是认识愿意成为器官捐献者的人、女性身份以及不同意关于捐献的想法会引发对自身死亡的思考。进行关于器官捐献的家庭讨论也是愿意成为器官捐献者的预测因素。

结论

这些数据为涵盖西班牙裔美国人的多样性和地域分布的更大规模研究提供了一个跳板。这些数据还凸显了开展教育工作的重要性,以使西班牙裔美国人了解其社区中过去已捐献或现在可能成为捐献者的人。

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