Febrero B, Almela J, Ríos A, Ros I, Pérez-Sánchez B, Martínez-Alarcón L, Ruiz-Carreño P, Ferreras D, Ramírez P, Parrilla P
Department of Surgery, University of Murcia, Murcia, Spain; Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Instituto Murciano de Investigaciones Biomédicas (IMIB), Murcia, Spain.
Department of Surgery, University of Murcia, Murcia, Spain.
Transplant Proc. 2018 Mar;50(2):520-522. doi: 10.1016/j.transproceed.2017.09.054.
In rural areas it is common to find unfavorable attitudes toward organ donation, and therefore it is important to find out the attitude and profile of new generations for improving predisposition to organ donation in these areas. Our objective was to analyze the attitude toward organ donation and the related variables of teenagers in a rural area.
Students in the final year of compulsory education (mostly 15-16 years of age) were selected from secondary schools in a rural area in southeastern Spain (n = 319; population density <300 inhabitants/km). The instrument of measurement used was a validated psychosocial questionnaire. Completion was anonymous and self-administered. Descriptive statistical analysis, Student t test, χ test, and multivariate analysis were employed.
There was a completion rate of 96% (n = 306). Overall, 65% (n = 200) were in favor of donating their organs, 30% (n = 90) were undecided, and 5% (n = 16) were against. Attitude toward the donation of one's own organs was related with sex (P = .015), previous experience of organ donation or transplantation (P = .046), comment on the topic of organ donation within the family (P = .003; odds ratio 2.155), knowing one's mother's opinion about the matter (P = .021), knowing the correct concept of brain death (P = .012; odds ratio 2.076), and religion (P = .014).
A favorable attitude of teenagers in rural areas toward organ donation is slightly higher than in the adult population and is determined by many psychosocial variables, above all family discussion about organ donation and transplantation and correct knowledge of the brain death concept.
在农村地区，对器官捐赠存在负面态度的情况很常见，因此，了解新一代的态度和特征对于提高这些地区对器官捐赠的接受度非常重要。我们的目标是分析农村地区青少年对器官捐赠的态度及相关变量。
从西班牙东南部一个农村地区的中学选取义务教育最后一年的学生（大多为15 - 16岁）（n = 319；人口密度<300人/平方公里）。使用的测量工具是一份经过验证的社会心理问卷。问卷填写是匿名且自行完成的。采用描述性统计分析、学生t检验、χ检验和多变量分析。
完成率为96%（n = 306）。总体而言，65%（n = 200）的人赞成捐赠自己的器官，30%（n = 90）的人不确定，5%（n = 16）的人反对。对自身器官捐赠的态度与性别（P = 0.015）、器官捐赠或移植的既往经历（P = 0.046）、家庭内部关于器官捐赠话题的讨论（P = 0.003；优势比2.155）、了解母亲对此事的看法（P = 0.021）、了解脑死亡的正确概念（P = 0.012；优势比2.076）以及宗教信仰（P = 0.014）有关。
农村地区青少年对器官捐赠的积极态度略高于成年人群，且由许多社会心理变量决定，最重要的是家庭关于器官捐赠和移植的讨论以及对脑死亡概念的正确认识。
