Department of Nephrology and Transplantation, Renal Institute of Birmingham, Queen Elizabeth Hospital, Birmingham, UK.
Clin Transplant. 2013 Sep-Oct;27(5):757-63. doi: 10.1111/ctr.12189. Epub 2013 Aug 5.
South Asians in the United Kingdom are overrepresented on the organ transplant waiting list but underrepresented as organ donors. In this study, we surveyed South Asian opinion with regards to organ donation.
Voluntary completion of an anonymous survey was promoted amongst South Asians by both online and paper-based approaches. Logistic regression analysis was performed to assess independent predictors for organ donation approval.
Five hundred and fifty-six survey responses were analyzed in this study. 68.4% of respondents agreed with organ donation but only 13.3% were registered organ donors. Muslims were less likely than Hindus or Sikhs to agree with organ donation (59.3% vs. 92.2% vs. 88.7%, p < 0.001) or be registered donors (5.0% vs. 40.3% vs. 25.8%, p < 0.001), respectively. Religious guidance was important for Muslims, but parental approval of greater importance for Hindus. On logistic regression analysis, variables independently associated with organ donation approval were; young age, independent living from parents, non-Muslims, awareness of organ donation shortages, family member on dialysis/registered donor, and more liberal degrees of religious belief (all p < 0.05).
South Asians in the United Kingdom are a heterogeneous group of different faiths, cultures, and values. We believe targeted strategies are required to raise awareness of organ donation amongst South Asians.
在英国,南亚人在器官移植等候名单上的比例过高,但作为器官捐献者的比例却过低。在这项研究中,我们调查了南亚人对器官捐献的看法。
通过在线和纸质方式向南亚人推广自愿填写匿名调查。采用逻辑回归分析评估器官捐献批准的独立预测因素。
本研究共分析了 556 份调查回复。68.4%的受访者同意器官捐献,但只有 13.3%的人注册为器官捐献者。与印度教徒或锡克教徒相比,穆斯林更不可能同意器官捐献(59.3%比 92.2%比 88.7%,p<0.001)或注册为器官捐献者(5.0%比 40.3%比 25.8%,p<0.001)。宗教指导对穆斯林很重要,但父母的同意对印度教徒更为重要。在逻辑回归分析中,与器官捐献批准独立相关的变量包括:年龄较小、与父母分开居住、非穆斯林、对器官捐献短缺的认识、有家庭成员接受透析/已注册为捐献者,以及宗教信仰更为自由(均 p<0.05)。
英国的南亚人是一个具有不同信仰、文化和价值观的多样化群体。我们认为,需要制定有针对性的策略来提高南亚人对器官捐献的认识。