居住在西班牙和美国的多米尼加移民对活体肾捐赠态度的差异。
Differences in Attitudes Toward Living Kidney Donation Among Dominican Immigrants Living in Spain and the United States.
作者信息
Ríos A, López-Navas A I, Sánchez Á, Flores-Medina J, Ayala M A, Garrido G, Sebastián M J, Martínez-Alarcón L, Ramis G, Hernández A M, Ramírez P, Parrilla P
机构信息
Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain.
Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Psychology, Catholic University of Murcia, UCAM, Murcia, Spain.
出版信息
Transplant Proc. 2018 Mar;50(2):316-318. doi: 10.1016/j.transproceed.2017.11.045.
BACKGROUND
The Dominican population has a double-emigration pathway: one is to the USA, by proximity, and the other is to Spain, by sociocultural identification. Our aim was to determine attitudes toward living organ donation among Dominicans residing in Florida (USA) and Spain.
METHODS
All study participants were at least 15 years old and living in either Florida (USA) or Spain, and stratified by gender and age. A questionnaire on attitudes toward living kidney donation ("PCID-LKD Ríos") was used. The support of immigrant associations in Florida and Spain was required to advise on survey locations. Data obtained were anonymized and self-administered.
RESULTS
The study questionnaire was completed by 123 Dominicans, 68% of whom were in favor of living related kidney donation. There were differences (P = .004) according to the country of residence. Eighty-one percent of Spain's Dominican residents were in favor, compared with 56% of Florida's residents. Factors associated with attitude toward donation were level of education (P < .001), previous experience with organ donation (P = .006), attitude toward cadaveric organ donation (P < .001), belief in the possibility of needing a transplant in the future (P = .016), discussing the issue with one's family (P = .007), discussing the issue with husband/wife/partner (P = .002), carrying out pro-social activities (P = .029), religious beliefs (P = .001), and understanding the risk of living kidney donation (P = .046).
CONCLUSION
Attitudes toward living kidney donation among immigrant Dominicans varies between Spain and the USA, with the former showing a more positive view.
背景
多米尼加人群有两种移民途径：一种是因地理位置接近移民到美国，另一种是因社会文化认同移民到西班牙。我们的目的是确定居住在美国佛罗里达州和西班牙的多米尼加人对活体器官捐赠的态度。
方法
所有研究参与者年龄至少15岁，居住在美国佛罗里达州或西班牙，并按性别和年龄分层。使用了一份关于活体肾捐赠态度的问卷（“PCID-LKD Ríos”）。需要佛罗里达州和西班牙的移民协会提供支持，以就调查地点提供建议。所获得的数据进行了匿名处理，并由参与者自行填写。
结果
123名多米尼加人完成了研究问卷，其中68%的人赞成亲属活体肾捐赠。根据居住国家存在差异（P = .004）。西班牙的多米尼加居民中有81%赞成，而佛罗里达州的居民中这一比例为56%。与捐赠态度相关的因素包括教育水平（P < .001）、以前的器官捐赠经历（P = .006）、对尸体器官捐赠的态度（P < .001）、相信未来有需要移植的可能性（P = .016）、与家人讨论这个问题（P = .007）、与丈夫/妻子/伴侣讨论这个问题（P = .002）、开展亲社会活动（P = .029）、宗教信仰（P = .001）以及了解活体肾捐赠的风险（P = .046）。
结论
移民到西班牙和美国的多米尼加人对活体肾捐赠的态度有所不同，前者的态度更为积极。
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