Ríos A, López-Navas A I, Sánchez A, Flores-Medina J, Ayala M A, Garrido G, Sebastián M J, Martínez-Alarcón L, Ramis G, Hernández A M, Ramírez P, Parrilla P
International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain; Department of Surgery, Pediatrics, Obstetrics and Gynecology, University of Murcia, Spain; Transplant Unit, Surgery Service, IMIB - Virgen de la Arrixaca University Hospital, Murcia, Spain.
International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain; Department of Psychology, Catholic University of Murcia, Murcia, Spain.
Transplant Proc. 2018 Oct;50(8):2253-2256. doi: 10.1016/j.transproceed.2018.04.011. Epub 2018 Apr 12.
Immigrants from Ecuador represent the largest group of Latin Americans in Spain and are, therefore, a subgroup of interest to understand their attitudes and influences in respect to organ donation and transplantation.
To analyze the attitude of nationals of Ecuador residing in Spain regarding deceased organ donation.
The study population included the Ecuadorian population residing in Spain. A sample of population older than 15 years was obtained randomly and stratified by age and sex (n=461). Attitude was assessed using a validated questionnaire on psychosocial aspects toward organ donation (PCID-DTO-Ríos). Assistance from immigration support associations in Spain was needed to advice on the location of potential respondents.
Attitude toward cadaveric donation was favorable in 59% (n=271) of respondents, 12% (n=57) were against cadaveric donation, and 29% (n=133) were undecided. Several variables were associated with having a more favorable attitude. In the multivariate analysis, the following variables were independently associated with a more positive attitude toward organ donation: 1. level of formal education (odds ratio [OR]=6.849 [25.641-1.818]; P = .004); 2. being in favor of donating a family member's organs (OR=8.849 [20.833-3.717]; P < .001); 3. having commented at a family level about transplant (OR=3.717 [6.578-2.109]; P < .001); 4. not being concerned about the possible mutilation of the body after donation (OR=4.608 [8.547-2.487]; P < .001) and 5. knowing the attitude of one's religion toward donation (OR=7.462 [34.482-1.623]; P = .010).
The attitude toward cadaveric organ donation among the Ecuadorian population residing in Spain is less favorable than that of the Spanish population and is determined by many different psychosocial variables.
来自厄瓜多尔的移民是西班牙最大的拉丁裔群体，因此，了解他们在器官捐赠和移植方面的态度及影响很有意义。
分析居住在西班牙的厄瓜多尔国民对 deceased 器官捐赠的态度。
研究人群包括居住在西班牙的厄瓜多尔人。随机抽取年龄超过 15 岁的人群样本，并按年龄和性别分层（n = 461）。使用一份经过验证的关于器官捐赠心理社会方面的问卷（PCID - DTO - Ríos）评估态度。需要西班牙移民支持协会的协助来确定潜在受访者的位置。
59%（n = 271）的受访者对尸体捐赠持积极态度，12%（n = 57）反对尸体捐赠，29%（n = 133）未作决定。几个变量与更积极的态度相关。在多变量分析中，以下变量与对器官捐赠更积极的态度独立相关：1. 正规教育水平（优势比[OR]=6.849[25.641 - 1.818]；P = 0.004）；2. 赞成捐赠家庭成员的器官（OR = 8.849[20.833 - 3.717]；P < 0.001）；3. 在家庭层面讨论过移植（OR = 3.717[6.578 - 2.109]；P < 0.001）；4. 不担心捐赠后身体可能被 mutilation（OR = 4.608[8.547 - 2.487]；P < 0.001）以及 5. 了解自己宗教对捐赠的态度（OR = 7.462[34.482 - 1.623]；P = 0.010）。
居住在西班牙的厄瓜多尔人群对尸体器官捐赠的态度不如西班牙人群积极，且由许多不同的心理社会变量决定。
