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西班牙的加纳居民对尸体器官捐赠持何种态度?

What Is the Attitude Toward Cadaveric Organ Donation of the Ghanian 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):273-276. doi: 10.1016/j.transproceed.2018.10.009. Epub 2018 Oct 28.

DOI:
10.1016/j.transproceed.2018.10.009
PMID:30879519
Abstract

INTRODUCTION

The Ghanaian population is migrating toward the European economic community, especially toward the southern countries.

OBJECTIVE

To analyze the attitude toward organ donation among the population born in Ghana but currently residing in Spain.

METHOD

The study included the population born in Ghana who are ≥ 15 years of age and residents of Spain, stratified by age and sex. The assessment instrument used is the donation and transplant attitude questionnaire of Proyecto Colaborativo Internacional Donante (PCID-DTO Ríos), which was self-administered and anonymously completed with verbal consent. The statistics used were descriptive, χ, Student t test, and a logistic regression analysis.

RESULTS

The questionnaire was completed by 237 Ghanaians. Forty-three percent (n = 102) are in favor of cadaveric organ donation, 35% (n = 83) are against donating their own organs, and 20% (n = 48) are undecided. In the multivariate analysis, the association was maintained at the level of the primary studies (P < .001, OR = 25), not being afraid of possible mutilation after donating (P < .001, OR = 76.923), religion (P < .001; OR = 27.777), performing prosocial activities (P = .016, OR = 12.048), and having previously commented on the issue of organ donation and transplantation in the family setting (P = .012, OR = 4.878).

CONCLUSIONS

The Ghanaian immigrant population in Spain has an unfavorable attitude toward the donation of their own organs at death, which is conditioned by multiple psychosocial factors.

摘要

引言

加纳人口正朝着欧洲经济共同体迁移,尤其是迁往南部国家。

目的

分析出生于加纳但目前居住在西班牙的人群对器官捐赠的态度。

方法

该研究纳入了出生于加纳、年龄≥15岁且居住在西班牙的人群,按年龄和性别分层。使用的评估工具是国际捐赠者合作项目(PCID-DTO Ríos)的捐赠和移植态度问卷,由参与者自行填写并在口头同意后匿名完成。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

237名加纳人完成了问卷。43%(n = 102)赞成尸体器官捐赠,35%(n = 83)反对捐赠自己的器官,20%(n = 48)未作决定。在多变量分析中,主要研究层面的关联得以维持(P <.001,OR = 25),不担心捐赠后可能出现的肢体残缺(P <.001,OR = 76.923)、宗教信仰(P <.001;OR = 27.777)、参与亲社会活动(P =.016,OR = 12.048)以及此前在家庭环境中讨论过器官捐赠和移植问题(P =.012,OR = 4.878)。

结论

西班牙的加纳移民群体对死后捐赠自己器官持负面态度,这受到多种社会心理因素的制约。

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