Asad Asad L, Anteby Michel, Garip Filiz
Department of Sociology, Harvard University, 33 Kirkland Street, Cambridge, MA 02138, USA.
Organizational Behavior Area, Harvard Business School, Harvard University, Morgan Hall 321, Boston, MA 02163, USA.
Soc Sci Med. 2014 Apr;106:53-8. doi: 10.1016/j.socscimed.2014.01.041. Epub 2014 Jan 31.
The number of human cadavers available for medical research and training, as well as organ transplantation, is limited. Researchers disagree about how to increase the number of whole-body bequeathals, citing a shortage of donations from the one group perceived as most likely to donate from attitudinal survey data - educated white males over 65. This focus on survey data, however, suffers from two main limitations: First, it reveals little about individuals' actual registration or donation behavior. Second, past studies' reliance on average survey measures may have concealed variation within the donor population. To address these shortcomings, we employ cluster analysis on all whole-body donors' data from the Universities of California at Davis, Irvine, Los Angeles, and San Francisco. Two donor groups emerge from the analyses: One is made of slightly younger, educated, married individuals, an overwhelming portion of whom are U.S.-born and have U.S.-born parents, while the second includes mostly older, separated women with some college education, a relatively higher share of whom are foreign-born and have foreign-born parents. Our results demonstrate the presence of additional donor groups within and beyond the group of educated and elderly white males previously assumed to be most likely to donate. More broadly, our results suggest how the intersectional nature of donors' demographics - in particular, gender and migration status - shapes the configuration of the donor pool, signaling new ways to possibly increase donations.
可用于医学研究、培训以及器官移植的人体尸体数量有限。研究人员对于如何增加全身捐赠的数量存在分歧,他们指出,根据态度调查数据,被认为最有可能捐赠的群体——65岁以上受过教育的白人男性——的捐赠数量不足。然而,这种对调查数据的关注存在两个主要局限性:第一,它几乎没有揭示个人的实际登记或捐赠行为。第二,过去的研究对平均调查指标的依赖可能掩盖了捐赠者群体内部的差异。为了解决这些缺点,我们对来自加州大学戴维斯分校、尔湾分校、洛杉矶分校和旧金山分校的所有全身捐赠者的数据进行了聚类分析。分析结果出现了两个捐赠者群体:一个群体由年龄稍小、受过教育、已婚的个人组成,其中绝大多数是在美国出生且父母也是在美国出生的;而另一个群体主要包括年龄较大、离异、受过一些大学教育的女性,她们中外国出生且父母也是外国出生的比例相对较高。我们的研究结果表明,在先前被认为最有可能捐赠的受过教育的老年白人男性群体之外,还存在其他捐赠者群体。更广泛地说,我们的研究结果表明捐赠者人口统计学特征的交叉性——特别是性别和移民身份——如何塑造捐赠者群体的构成,为可能增加捐赠提供了新途径。