Morgan Susan E
Department of Communication, Purdue University, Beering Hall, 100 N. University St., West Lafayette, IN 47907, USA.
J Natl Med Assoc. 2006 May;98(5):695-703.
Although the body of research on African Americans and organ donation continues to grow, the literature still suffers from a lack of reliance on theory to guide research as well as a surfeit of advanced statistical analytical strategies. A more sophisticated approach to understanding the barriers and facilitating factors that African Americans experience in the process of making the decision to become potential organ donors would yield more sound campaign strategies to increase donation. In this study, a sample of 310 African-American adult members of the NAACP was surveyed about their attitudes, knowledge and beliefs about organ donation. Logistic regression demonstrated that the level of knowledge, attitudes, social norms and altruism resulted in correct classification of organ donor card status in 69.3% of cases. When variables such as medical mistrust, bodily integrity and religiosity were added, an even more powerful model resulted, with 73.2% of the cases correctly classified according to organ donor card status. Recommendations for campaigns targeting African Americans' willingness to donate organs are offered.
尽管关于非裔美国人和器官捐赠的研究数量持续增长，但该文献仍存在缺乏理论指导研究以及先进统计分析策略过剩的问题。采用更复杂的方法来理解非裔美国人在决定成为潜在器官捐赠者过程中所面临的障碍和促进因素，将产生更合理的宣传策略以增加捐赠。在本研究中，对全国有色人种协进会（NAACP）的310名成年非裔美国成员样本进行了关于他们对器官捐赠的态度、知识和信念的调查。逻辑回归表明，知识水平、态度、社会规范和利他主义在69.3%的案例中导致了对器官捐赠卡状态的正确分类。当加入医疗不信任、身体完整性和宗教信仰等变量时，得到了一个更强大的模型，73.2%的案例根据器官捐赠卡状态被正确分类。本文还针对以非裔美国人捐赠器官意愿为目标的宣传活动提出了建议。
