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佛罗里达州(美国)拉丁裔移民对已故器官捐赠的态度——一项横断面队列研究。

The attitude of Latin American immigrants in Florida (USA) towards deceased organ donation - a cross section cohort study.

机构信息

International Collaborative Donor Project ('Proyecto Colaborativo Internacional Donante'), Murcia, Spain.

Department of Surgery, Pediatrics, Obstetrics and Gynecology, University of Murcia, Murcia, Spain.

出版信息

Transpl Int. 2017 Oct;30(10):1020-1031. doi: 10.1111/tri.12997. Epub 2017 Jul 17.

DOI:10.1111/tri.12997
PMID:28608574
Abstract

The Latin American (LA) population resident in the USA is a growing subgroup of the population. To find out the structure of attitude towards organ donation in the LA population resident in Florida (USA). A sample was taken of LA residents in Florida, randomized and stratified by nationality, age and sex (n = 1524). Attitude was assessed using a validated questionnaire (PCID-DTO Rios) that was self-completed anonymously. The survey completion rate was 95% (n = 1450). Attitude was favourable in 33% of respondents (n = 485), against in 40% (n = 575) and undecided in 27% (n = 390). The following variables were associated with a favourable attitude: country of origin (Dominican Republic; P = 0.038); sex (female; P < 0.001); marital status (married; P < 0.001); level of education (university; P < 0.001); previous experience of the subject (P < 0.001); considering the need for a transplant in the future (P < 0.001); understanding the concept of brain death (P = 0.003); attitude towards donating a family member's organs (P < 0.001); having discussed organ donation and transplantation with one's family (P < 0.001) or with one's partner (P < 0.001); participation in pro-social type activities (P < 0.001); the respondent's religion (atheist-agnostic; P < 0.001); a respondent's knowledge of the attitude of his or her religion towards organ donation (P < 0.001); no concern about mutilation after donation (P < 0.001); acceptance of cremation (P < 0.001); burial (P < 0.001); and an autopsy if one were needed (P < 0.001). The attitude towards donation of LA in Florida is worse than that reported in the native population and is associated with certain psychosocial factors.

摘要

居住在美国的拉丁美洲(LA)人群是人口增长的一个亚组。为了了解居住在美国佛罗里达州的拉丁裔人群对器官捐赠的态度结构。对佛罗里达州的 LA 居民进行了抽样调查,按国籍、年龄和性别进行随机分层(n=1524)。使用经过验证的问卷(PCID-DTO Rios)评估态度,该问卷由受访者匿名自行完成。调查完成率为 95%(n=1450)。33%的受访者(n=485)持赞成态度,40%(n=575)持反对态度,27%(n=390)持未决定态度。以下变量与赞成态度相关:原籍国(多米尼加共和国;P=0.038);性别(女性;P<0.001);婚姻状况(已婚;P<0.001);教育程度(大学;P<0.001);对主题的先前经验(P<0.001);考虑到未来需要进行移植(P<0.001);理解脑死亡概念(P=0.003);对捐赠家庭成员器官的态度(P<0.001);与家人(P<0.001)或伴侣(P<0.001)讨论过器官捐赠和移植;参与亲社会类型的活动(P<0.001);受访者的宗教信仰(无神论者-不可知论者;P<0.001);受访者对其宗教对器官捐赠的态度的了解(P<0.001);对捐赠后肢体残缺的担忧(P<0.001);接受火化(P<0.001);土葬(P<0.001);以及需要进行尸检(P<0.001)。佛罗里达州拉丁裔的捐赠态度比当地人口报告的更差,与某些社会心理因素有关。

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