Department of Medicine, Division of Nephrology, Columbia University Vagelos College of Physicians & Surgeons, New York, NY, USA.
The Columbia University Renal Epidemiology (CURE) Group, New York, NY, USA.
Transpl Int. 2019 Oct;32(10):1001-1018. doi: 10.1111/tri.13439. Epub 2019 May 22.
Asian Americans have the lowest organ donation registration rates in the United States, and the reason for this is incompletely understood. Aiming to understand the reasons for low organ donation registration rate among Asian Americans, more specifically Chinese and Korean Americans, we conducted a systematic search of databases, websites, and gray literature. Altogether, 34 papers were retained after the assessment of relevance and quality. Commonly reported barriers to organ donation registration among Chinese and Koreans in the literature included lack of knowledge about organ donation, distrust of health-care and allocation system, cultural avoidance of discussion of death-related topics, and desire for intact body mainly stemming from the Confucian concept of filial piety. Strong family values coupled with a cultural reluctance to discuss death-related topics among family members appear to underscore the reluctance to organ donation among Chinese and Koreans. Notably, improved knowledge negatively impacted organ donation intent and religion seemed to play a more important role when making decision about organ donation among Koreans, and the distrust of the allocation system is more prominent among Chinese. This information should be used to inform the development of culturally competent organ donation educational materials.
亚裔美国人在美国的器官捐赠登记率最低，其原因尚不完全清楚。为了了解亚裔美国人（尤其是华裔和韩裔）器官捐赠登记率低的原因，我们系统地搜索了数据库、网站和灰色文献。经过相关性和质量评估，共有 34 篇论文被保留。文献中普遍报道的华裔和韩裔器官捐赠登记障碍包括缺乏器官捐赠知识、对医疗保健和分配系统的不信任、对与死亡相关话题的文化回避，以及主要源于儒家孝道观念的对完整身体的渴望。强烈的家庭价值观，加上家庭成员之间不愿讨论与死亡相关的话题，这似乎突出了华裔和韩裔对器官捐赠的抵触情绪。值得注意的是，知识的提高对器官捐赠意愿有负面影响，而宗教在韩裔做出器官捐赠决定时似乎扮演着更重要的角色，对分配系统的不信任在华裔中更为突出。这些信息应被用于为制定有文化适应能力的器官捐赠教育材料提供依据。
