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对西班牙马里居民群体中影响器官捐赠态度的因素进行多变量分析。

Multivariate Analysis of Factors That Condition the Attitude Toward Organ Donation Among the Population of Mali Residents in Spain.

作者信息

Ríos A, Carrillo J, López-Navas A I, Ayala-García M A, Sánchez Á, Hernández A M, Ramírez P, Parrilla P

机构信息

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.

出版信息

Transplant Proc. 2019 Mar;51(2):269-272. doi: 10.1016/j.transproceed.2018.10.008. Epub 2018 Oct 28.

DOI:
10.1016/j.transproceed.2018.10.008
PMID:30879518
Abstract

INTRODUCTION

The population from Mali is migrating toward Europe in a significant way.

OBJECTIVE

To analyze the attitude toward organ donation (ODT) among the population born in Mali who are currently residents in Spain.

METHOD

Study population: people born in Mali who are ≥15 years of age and residents of Spain, stratified by age and sex. The assessment instrument is the validated attitude questionnaire toward organ donation (PCID-DTO-Ríos). Fulfillment was anonymous and self-administred. The statistics used were descriptive, χ test, Student t test, and a logistic regression analysis.

RESULTS

This study surveyed 402 Malians. Thirty-four percent (n = 136) are in favor of donating their own organs after dying, 39% (n = 156) are against organ donation, and 27% (n = 110) are undecided. Multiple factors are associated with this attitude, such as level of studies (P = .042, OR = 6.535), having a positive attitude toward ODT (P = .001, OR = 47.619), performing prosocial activities (P = .001, OR = 141.679), being familiar with the scope of the transplant (P < .001, OR = 16.949), the attitude toward the incineration of the body (P = .002, OR = 8.928) and toward autopsy (P = .003, OR = 8.620), having had a prior donation or transplantation relationship (P = .001, OR = 17.910) and not having concerns about the possible mutilation of the body after donating (P < .001; OR = 90.909).

CONCLUSIONS

The Malians have an unfavorable attitude toward the donation of their own organs, which is conditioned by multiple psychosocial factors.

摘要

引言

大量马里人口正迁移至欧洲。

目的

分析目前居住在西班牙的出生于马里的人群对器官捐赠的态度。

方法

研究对象:年龄≥15岁且居住在西班牙的出生于马里的人群,按年龄和性别分层。评估工具为经过验证的器官捐赠态度问卷(PCID-DTO-里奥斯)。问卷填写为匿名且自行完成。所使用的统计方法包括描述性统计、χ检验、学生t检验和逻辑回归分析。

结果

本研究共调查了402名马里人。34%(n = 136)的人赞成死后捐赠自己的器官,39%(n = 156)的人反对器官捐赠,27%(n = 110)的人未作决定。多种因素与这种态度相关,如受教育程度(P = .042,OR = 6.535)、对器官捐赠持积极态度(P = .001,OR = 47.619)、参与亲社会活动(P = .001,OR = 141.679)、熟悉移植范围(P < .001,OR = 16.949)、对尸体焚烧的态度(P = .002,OR = 8.928)和对尸检的态度(P = .003,OR = 8.620)、有过捐赠或移植相关经历(P = .001,OR = 17.910)以及不担心捐赠后身体可能被 mutilation(P < .001;OR = 90.909)。

结论

马里人对捐赠自己的器官持负面态度,这受到多种社会心理因素的影响。

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