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西班牙兽医学生对器官捐献与移植的态度:一项多中心分层研究

Attitude Toward Organ Donation and Transplantation in Veterinary Students: A Multicenter and Stratified Study in Spain.

作者信息

Martínez-Alarcón L, Ríos A, Ramis G, Gómez-Laguna J, Moll X, Falceto V, San Román-Acaso F, San Román-Llorens F, Quereda J J, Herrero-Medrano J M, Mendonça L, Martin-Barrasa J L, Fernández O M, López-Navas A I, Hernández A M, Muñoz A, Ramírez P, Parrilla P

机构信息

Servicio de Cirugía, Unidad de Trasplantes, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain; Instituto Murciano de Investigación Biosanitaria (IMIB), Murcia, Spain; International Collaborative Donor Project, Murcia, Spain.

Servicio de Cirugía, Unidad de Trasplantes, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain; Instituto Murciano de Investigación Biosanitaria (IMIB), Murcia, Spain; International Collaborative Donor Project, Murcia, Spain.

出版信息

Transplant Proc. 2018 Mar;50(2):362-365. doi: 10.1016/j.transproceed.2017.11.068.

Abstract

BACKGROUND

Veterinarians often hold decision-making positions in the public health care system and can therefore influence public opinion about organ donation and transplantation (ODT). The aim of this work was to analyze the attitude of Spanish veterinary students toward ODT, because they may influence public opinion in the future, and to determine the factors that condition it.

METHODS

This was a sociologic, interdisciplinary, multicenter, observational study in Spain. The study population was students studying for a veterinary degree in Spain (n = 9000), and a sample of 2815 students (confidence of 99% and precision of ±1%) was stratified by geographic area and academic year. A validated questionnaire of attitude toward ODT (PCID-DTO-Ríos) was self-administered and anonymous.

RESULTS

Of the 2815 selected students (2790 plus the 0.9% per type of sample), 2650 completed the questionnaire (response rate, 94.14%): 83% (n = 2207) of the respondents were in favor of donation and 17% against. The following main variables were related to a favorable attitude: being female (odds ratio [OR], 0.752; P = .034); knowing a donor (OR, 1.834; P = .003); having discussed the matter with one's family (OR, 1.587; P = .002); having spoken about the subject in social circles with friends (OR, 1.633; P < .001), and being in favor of donating a deceased family member's organs (OR, 2.403; P < .001).

CONCLUSIONS

Seventeen percent of Spanish veterinary students were not in favor of ODT. It is important to know the factors that determine their attitude, because this will make it possible to optimize the resources invested in campaigns to promote ODT and to take more specific action.

摘要

背景

兽医在公共卫生保健系统中常担任决策职位,因此可能影响公众对器官捐赠与移植(ODT)的看法。这项研究的目的是分析西班牙兽医专业学生对ODT的态度,因为他们未来可能会影响公众舆论,并确定影响这种态度的因素。

方法

这是一项在西班牙开展的社会学、跨学科、多中心观察性研究。研究对象是西班牙攻读兽医学位的学生(n = 9000),按地理区域和学年对2815名学生(置信度99%,精度±1%)进行分层抽样。采用一份经过验证的关于ODT态度的问卷(PCID-DTO-里奥斯问卷)进行自填式匿名调查。

结果

在2815名选定的学生中(2790名加上每种样本类型的0.9%),2650名完成了问卷(回复率为94.14%):83%(n = 2207)的受访者赞成捐赠,17%反对。以下主要变量与赞成态度相关:女性(优势比[OR],0.752;P = 0.034);认识捐赠者(OR,1.834;P = 0.003);与家人讨论过此事(OR,1.587;P = 0.002);在社交圈子里与朋友谈论过这个话题(OR,1.633;P < 0.001),以及赞成捐赠已故家庭成员的器官(OR,2.403;P < 0.001)。

结论

17%的西班牙兽医专业学生不赞成ODT。了解决定他们态度的因素很重要,因为这将有助于优化在促进ODT活动中投入的资源,并采取更具体的行动。

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