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埃塞俄比亚西北部成年人对眼捐赠的认知与态度:一项基于社区的横断面研究

Knowledge and Attitude toward Eye Donation among Adults, Northwest Ethiopia: A Community-based, Cross-sectional Study.

作者信息

Hussen Mohammed Seid, Belete Gizachew Tilahun

机构信息

Department of Optometry, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

出版信息

Middle East Afr J Ophthalmol. 2018 Jul-Dec;25(3-4):126-130. doi: 10.4103/meajo.MEAJO_267_16.

Abstract

BACKGROUND

In developing countries, the leading cause of childhood blindness is corneal scarring. Although the service of corneal transplantation depends on several factors, availability of potential donors is of paramount importance. Attitude of eligible donors is the main factor that affects corneal supply. However, limited data exist on eye donation. Hence, this study intended to assess the knowledge and attitude toward eye donation and its associated factors.

SUBJECTS AND METHODS

A community-based, cross-sectional study was conducted on 760 adults aged ≥18 years selected using multistage systematic random sampling in Gondar town, Northwest Ethiopia. A face-to-face structured questionnaire interview in home-to-home visit was applied to collect the data. Descriptive and analytical tests were performed. A binary logistic regression was fitted. Those variables with < 0.05 were considered statistically significant.

RESULTS

This study comprised 760 adults with a median age of 30 years. The proportion of overall level of good knowledge and favorable attitude toward eye donation was 8.4% and 59.9%, respectively. It has been also recognized that attitude was positively associated with educational level of high school (adjusted odds ratio [AOR] = 2.41, 95% confidence interval [CI]: 1.41-4.14) and college/university (AOR = 2.73, 95% CI: 1.53-4.89) and awareness (AOR = 1.50, 95% CI: 1.05-2.03).

CONCLUSIONS

Although the overall level of knowledge about eye donation was poor, the proportion of favorable attitude toward eye donation was fair. Since it was associated with educational level and awareness, it is strategic to follow multidisciplinary approaches to facilitate multi-stakeholder partnerships and to motivate the people to donate their eyes.

摘要

背景

在发展中国家,儿童失明的主要原因是角膜瘢痕。尽管角膜移植服务取决于多个因素,但潜在供体的可获得性至关重要。符合条件的供体的态度是影响角膜供应的主要因素。然而,关于眼捐赠的数据有限。因此,本研究旨在评估对眼捐赠的知识和态度及其相关因素。

对象与方法

在埃塞俄比亚西北部贡德尔镇,采用多阶段系统随机抽样法,对760名年龄≥18岁的成年人进行了一项基于社区的横断面研究。通过挨家挨户上门访问进行面对面的结构化问卷调查以收集数据。进行了描述性和分析性测试。拟合了二元逻辑回归模型。P<0.05的变量被认为具有统计学意义。

结果

本研究包括760名成年人,中位年龄为30岁。对眼捐赠的良好知识和积极态度的总体水平分别为8.4%和59.9%。还发现态度与高中教育水平(调整优势比[AOR]=2.41,95%置信区间[CI]:1.41-4.14)、大专/大学教育水平(AOR=2.73,95%CI:1.53-4.89)和知晓情况(AOR=1.50,95%CI:1.05-2.03)呈正相关。

结论

尽管对眼捐赠的总体知识水平较差,但对眼捐赠持积极态度的比例尚可。由于它与教育水平和知晓情况相关,因此采取多学科方法促进多利益相关方伙伴关系并激励人们捐赠眼睛具有战略意义。

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