Ríos A, Carrillo J, López-Navas A I, Ayala M A, Garrido G, Sebastián M J, Martínez-Alarcón L, Ramis G, Hernández A M, Ramírez P, Parrilla P
Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Surgery, Pediatrics, Obstetrics, and Gynecology, 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 Surgery, Pediatrics, Obstetrics, and Gynecology, University of Murcia, Murcia, Spain.
Transplant Proc. 2018 Mar;50(2):354-357. doi: 10.1016/j.transproceed.2017.11.066.
The Nigerian population is an emerging group in Spain and in Europe, but their sensitization toward living kidney donation has not been studied. The aim of this work was to analyze the attitude toward related renal donation while alive among the population born in Nigeria resident in Spain.
A population older than 15 years born in Nigeria and resident in Spain, stratified by age and sex, was studied with the use of the attitude questionnaire about living kidney donation, "PCID-DVR-Ríos." People were randomly selected based on stratification. African immigration support associations advised on the location of potential respondents. Completion of the questionnaire was anonymous and self-administered. Verbal consent was requested to assist in the study. Statistical methods included Student t test, χ, Fisher exact test, and logistic regression analysis.
A total of 179 respondents were included in the study: 70% (n = 125) were in favor of living-related kidney donation, and 30% (n = 54) remained against or undecided. This attitude was associated with different psychosocial factors: marital status (P = .001), having offspring (P = .029), risk assessment of live donation (P < .001), partner's opinion about donation (P < .001), previous relationship with donation and/or transplantation (P < .001), religion (P < .001), and fear of mutilation after donation (P < .001). In the multivariate analysis, the previous relationship with donation and/or transplantation (odds ratio, 8.064) persisted as the main related factor.
The Nigerian immigrant population in Spain has a less favorable attitude toward living kidney donation than the native western European and Spanish population.
尼日利亚人群在西班牙及欧洲是一个新兴群体，但他们对活体肾捐赠的认知情况尚未得到研究。本研究旨在分析居住在西班牙的出生于尼日利亚的人群对亲属活体肾捐赠的态度。
采用关于活体肾捐赠的态度问卷“PCID-DVR-里奥斯”，对出生于尼日利亚且居住在西班牙、年龄大于15岁的人群进行研究，按年龄和性别分层。根据分层随机选取人员。非洲移民支持协会协助确定潜在受访者的地点。问卷填写为匿名且自行完成。研究请求获得口头同意。统计方法包括学生t检验、χ检验、费舍尔精确检验和逻辑回归分析。
共有179名受访者纳入研究：70%（n = 125）支持亲属活体肾捐赠，30%（n = 54）反对或未作决定。这种态度与不同的心理社会因素相关：婚姻状况（P = .001）、育有子女（P = .029）、活体捐赠风险评估（P < .001）、伴侣对捐赠的看法（P < .001）、既往与捐赠和/或移植的关系（P < .001）、宗教信仰（P < .001）以及对捐赠后身体残缺的恐惧（P < .001）。在多变量分析中，既往与捐赠和/或移植的关系（比值比，8.064）仍是主要相关因素。
与西欧本土人群及西班牙人群相比，居住在西班牙的尼日利亚移民群体对活体肾捐赠的态度更为消极。
