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加纳的肾脏移植:公众做好准备了吗?

Kidney transplantation in Ghana: Is the public ready?

作者信息

Boima Vincent, Ganu Vincent, Dey Dzifa, Yorke Ernest, Yawson Alfred, Otchere Yvonne, Nartey Stella, Gyaban-Mensah Anna, Lartey Margaret, Mate-Kole Charles C

机构信息

Departments of Medicine & Psychiatry, School of Medicine and Dentistry, College of Health Sciences, University of Ghana, Accra, Ghana.

Department of Medicine, Korle-Bu Teaching hospital, Accra, Ghana.

出版信息

Clin Transplant. 2017 Oct;31(10). doi: 10.1111/ctr.13061. Epub 2017 Aug 23.

Abstract

BACKGROUND

The burden of end stage renal disease (ESRD) is reported to be higher among people of African ancestry. The majority do not have access to kidney transplantation. Africans, in general, are less likely to donate a kidney or receive a transplant.

AIMS

This study surveyed public perceptions of kidney transplantation in an inner city and suburban communities in Ghana. It examined people's willingness to either accept or donate a kidney to save a life. In addition, it evaluated factors that influenced their opinion on the issue.

METHODS

A cross-sectional survey was conducted in five purposively selected communities in the Greater Accra region in Ghana. Structured questionnaires and standardized instruments were administered to assess participants' socio-demographic characteristics, religiosity and spirituality, and perception of kidney transplantation.

RESULTS

Of the 480 participants, 233 (48.5%) were willing to donate a kidney; 71.6% would only do so after death. Religion, loss of body part, and cultural values influenced participants' willingness to donate a kidney. Uncertainty of health status post-transplantation and uneasiness with the concept of transplantation influenced the participants' willingness to accept a kidney transplant.

CONCLUSION

The study revealed that almost half of the participants hold positive views toward kidney transplantation.

摘要

背景

据报道,终末期肾病(ESRD)在非洲裔人群中的负担更高。大多数人无法获得肾脏移植。总体而言,非洲人捐献肾脏或接受移植的可能性较小。

目的

本研究调查了加纳一个内城区和郊区社区公众对肾脏移植的看法。研究了人们为挽救生命而接受或捐献肾脏的意愿。此外,还评估了影响他们对该问题看法的因素。

方法

在加纳大阿克拉地区五个经过有目的选择的社区进行了横断面调查。使用结构化问卷和标准化工具来评估参与者的社会人口特征、宗教信仰和精神信仰以及对肾脏移植的看法。

结果

在480名参与者中,233人(48.5%)愿意捐献肾脏;71.6%的人仅在死后才愿意捐献。宗教、身体部位缺失和文化价值观影响了参与者捐献肾脏的意愿。移植后健康状况的不确定性以及对移植概念的不安影响了参与者接受肾脏移植的意愿。

结论

研究表明,几乎一半的参与者对肾脏移植持积极态度。

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