Ríos A, Martínez-Alarcón L, López-Navas A, Sánchez J, Guzmán D, Febrero B, Ramis G, Ramírez P, Parrilla P
International Collaborative Donor Project, Consejería de Sanidad y Consumo de la Región de Murcia, Murcia, Spain.
Transplant Proc. 2011 Apr;43(3):692-4. doi: 10.1016/j.transproceed.2011.02.037.
The concept of brain death (BD) is not well understood among the general public, rendering it one of the main psychosocial barriers to favorable attitudes toward donation. Individuals from the British Isles are among the most important migratory groups in southeastern Spain. We sought to analyze the level of understanding of the concept of brain death among the British and Irish populations living in southeastern Spain, and to determine factors affecting their attitudes.
A random sample of the British and Irish population resident in Murcia was stratified according to nationality as part of the "International Collaborative Donor Program" (n = 1611). The self-administered survey in English was completed anonymously. For the statistical analysis, we used the χ(2) test and a logistical regression analysis.
Approximately half of the respondents (45%; n = 692) understood the concept of BD; they considered it to mean the death of an individual. Among of the other respondents, 39% (n = 605) did not understand this concept, and the remaining 16% (n = 240) erroneously believed that it did not imply a person's death. Respondents coming from Great Britain showed a greater knowledge of the BD concept than did the Irish (46% vs 34%; P < .001). Those who understood the concept of BD were more in favor of deceased donation than those who had an erroneous understanding (49% vs 36%; P < .001). Significant associations were also noted among variables directly or indirectly related to donation and transplantation (P < .05).
The level of understanding of the concept of BD among the population from the British Isles resident in southeastern Spain was limited. Taking into account that the BD concept is a psychosocial factor that affects attitudes toward organ donation, information campaigns should be applied to this emerging population group in southeastern Spain.
脑死亡（BD）的概念在普通公众中并未得到很好的理解，这使其成为对捐赠持积极态度的主要社会心理障碍之一。来自不列颠群岛的人是西班牙东南部最重要的移民群体之一。我们试图分析居住在西班牙东南部的英国和爱尔兰人群对脑死亡概念的理解程度，并确定影响他们态度的因素。
作为“国际合作捐赠项目”的一部分，对居住在穆尔西亚的英国和爱尔兰人群进行随机抽样，并根据国籍进行分层（n = 1611）。采用英文自行填写的调查问卷进行匿名调查。在统计分析中，我们使用了χ²检验和逻辑回归分析。
约一半的受访者（45%；n = 692）理解脑死亡的概念；他们认为这意味着一个人的死亡。在其他受访者中，39%（n = 605）不理解这个概念，其余16%（n = 240）错误地认为这并不意味着一个人的死亡。来自英国的受访者对脑死亡概念的了解比爱尔兰受访者更多（46%对34%；P <.001）。理解脑死亡概念的人比理解错误的人更支持死后捐赠（49%对36%；P <.001）。在与捐赠和移植直接或间接相关的变量之间也发现了显著关联（P <.05）。
居住在西班牙东南部的不列颠群岛人群对脑死亡概念的理解程度有限。鉴于脑死亡概念是影响器官捐赠态度的一个社会心理因素，应该针对西班牙东南部这个新兴人群开展宣传活动。
