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居住在西班牙的厄瓜多尔人群对实体器官异种移植的接受度。

Acceptance of Solid Organ Xenotransplantation by the Ecuadorian Population Residing in Spain.

作者信息

Ríos Antonio, López-Navas Ana I, Flores-Medina Juan, Martínez-Alarcón Laura, Ayala-García Marco Antonio, Carrillo Joaquín, Sánchez Álvaro, Ramis Guillermo, Parrilla Pascual, Ramírez Pablo

机构信息

International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain; Department of Surgery, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB - Virgen de la Arrixaca University Clinical Hospital, Murcia, Spain.

International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain; Department of Psychology, Catholic University of Murcia (UCAM), Murcia, Spain.

出版信息

Transplant Proc. 2020 Mar;52(2):459-461. doi: 10.1016/j.transproceed.2019.11.044. Epub 2020 Feb 5.

Abstract

INTRODUCTION

Ecuadorians are the largest immigrant group in Spain. In countries with preclinical programs of xenotransplantation (XenoTx), it is important to know the population attitude toward them; however, in the Ecuadorian population it is not known.

OBJECTIVE

To analyze the attitude toward XenoTx of organs among the Ecuadorian population residing in Spain.

METHODS

Population under study. Ecuadorians residing in Spain.

INCLUSION CRITERIA

Sample of population over 15 years stratified by age and sex. Instrument valuation. Validated questionnaire of attitude towards xenotransplantation PCID-XenoTx-Ríos. Setting for the study. Random selection of people to survey based on stratification.

RESULTS

Of the 461 respondents, 36% are in favor of XenoTx if the results were similar to those obtained with humans, 15% against, and 49% undecided. If the results were worse than with human organs, 11% would be in favor, 26% against, and 63% undecided. The variables associated with this attitude are age (P = .018), marital status (P = .026), studies (P < .001), comment with family (P = .001), couple attitude (P = .039), attitude toward cadaveric donation (P < .001), previous experience with donation (P = .001), consider the possibility of needing a transplant in the future (P < .001), and attitude toward related living donation (P < .001). In the multivariate analysis, these data persist: university studies (odds ratio [OR] = 3.875; P = .007); in favor of cadaveric organ donation (OR = 2.840; P < .001); previous relationship with donation and organ transplantation (OR = 1.901; P = .026); and consider the possibility of needing a transplant in the future (OR = 4.329; P = .002).

CONCLUSIONS

The attitude toward XenoTx among Ecuadorian residents in Spain is unfavorable and is conditioned by different psychosocial variables.

摘要

引言

厄瓜多尔人是西班牙最大的移民群体。在开展异种移植临床前项目的国家,了解民众对该项目的态度很重要;然而,厄瓜多尔民众的态度尚不清楚。

目的

分析居住在西班牙的厄瓜多尔人群对器官异种移植的态度。

方法

研究对象。居住在西班牙的厄瓜多尔人。

纳入标准

按年龄和性别分层的15岁以上人群样本。工具评估。经过验证的关于异种移植态度的问卷PCID-XenoTx-Ríos。研究背景。根据分层随机选择人员进行调查。

结果

在461名受访者中,如果结果与人类器官移植相似,36%的人赞成异种移植,15%的人反对,49%的人不确定。如果结果比人类器官移植差,11%的人会赞成,26%的人反对,63%的人不确定。与这种态度相关的变量包括年龄(P = 0.018)、婚姻状况(P = 0.026)、学历(P < 0.001)、与家人的交流(P = 0.001)、伴侣态度(P = 0.039)、对尸体捐赠的态度(P < 0.001)、以往的捐赠经历(P = 0.001)、认为未来可能需要移植的可能性(P < 0.001)以及对亲属活体捐赠的态度(P < 0.001)。在多变量分析中,这些数据依然存在:大学学历(优势比[OR]=3.875;P = 0.007);赞成尸体器官捐赠(OR = 2.840;P < 0.001);以往与捐赠和器官移植的关系(OR = 1.901;P = 0.026);以及认为未来可能需要移植的可能性(OR = 4.329;P = 0.002)。

结论

居住在西班牙的厄瓜多尔人对异种移植的态度不乐观,且受不同社会心理变量的影响。

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