Li Alvin Ho-Ting, Lam Ngan N, Dhanani Sonny, Weir Matthew, Prakash Versha, Kim Joseph, Knoll Greg, Garg Amit X
Department of Epidemiology and Biostatistics (Li, Weir, Garg), Western University, London, Ont.; Division of Nephrology (Lam), University of Alberta, Edmonton, Alta.; Trillium Gift of Life Network (Dhanani, Prakash), Toronto, Ont.; Division of Critical Care (Dhanani), Children's Hospital of Eastern Ontario, University of Ottawa, Ottawa, Ont.; Division of Nephrology (Weir, Garg), Western University, London, Ont.; Division of Nephrology (Kim), Department of Medicine, University of Toronto, Toronto, Ont.; Division of Nephrology and Ottawa Hospital Research Institute (Knoll), The Ottawa Hospital and University of Ottawa, Ottawa, Ont.; Institute for Clinical Evaluative Sciences (Garg), London, Ont.
CMAJ Open. 2016 Oct 11;4(4):E551-E561. doi: 10.9778/cmajo.20160024. eCollection 2016 Oct-Dec.
Canada has low rates of deceased organ and tissue donation. Immigrants to Canada may differ in their registered support for deceased organ donation based on their country of origin.
We used linked administrative databases in Ontario (about 11 million residents aged ≥ 16 yr) to study the proportion of immigrants and long-term residents registered for deceased organ and tissue donation as of October 2013. We used modified Poisson regression to identify and quantify predictors of donor registration.
Compared with long-term residents ( = 9 244 570), immigrants ( = 1 947 646) were much less likely to register for deceased organ and tissue donation (11.9% v. 26.5%). Immigrants from the United States, Australia and New Zealand had the highest registration rate (40.0%), whereas immigrants with the lowest registration rates were from Eastern Europe and Central Asia (9.4%), East Asia and Pacific (8.4%) and sub-Saharan Africa (7.9%). The largest numbers of unregistered immigrants were from India ( = 202 548), China ( = 186 678) and the Philippines ( = 125 686). Characteristics among the immigrant population associated with a higher likelihood of registration included economic immigrant status, living in a rural area (population < 10 000), living in an area with a lower ethnic concentration, less material deprivation, a higher education, ability to speak English and French, and more years residing in Canada.
Immigrants in Ontario were less likely to register for deceased organ and tissue donation than long-term residents. There is a need to better understand reasons for lower registration rates among Canadian immigrants and to create culture-sensitive materials to build support for deceased organ and tissue donation.
加拿大已故者器官和组织捐赠率较低。加拿大的移民基于其原籍国，在对已故者器官捐赠的登记支持方面可能存在差异。
我们利用安大略省的关联行政数据库（约1100万年龄≥16岁的居民）来研究截至2013年10月登记已故者器官和组织捐赠的移民及长期居民的比例。我们使用修正泊松回归来识别和量化捐赠者登记的预测因素。
与长期居民（n = 9244570）相比，移民（n = 1947646）登记已故者器官和组织捐赠的可能性要低得多（11.9%对26.5%）。来自美国、澳大利亚和新西兰的移民登记率最高（40.0%），而登记率最低的移民来自东欧和中亚（9.4%）、东亚和太平洋地区（8.4%）以及撒哈拉以南非洲（7.9%）。未登记移民数量最多的来自印度（n = 202548）、中国（n = 186678）和菲律宾（n = 125686）。移民群体中与较高登记可能性相关的特征包括经济移民身份、居住在农村地区（人口<10000）、居住在种族集中度较低的地区、较少的物质匮乏、较高的教育程度、会说英语和法语以及在加拿大居住的年限更长。
安大略省的移民登记已故者器官和组织捐赠的可能性低于长期居民。有必要更好地理解加拿大移民登记率较低的原因，并制作对文化敏感的材料，以增强对已故者器官和组织捐赠的支持。
