Ríos Antonio, Carrillo Joaquín, López-Navas Ana I, Martínez-Alarcón Laura, Ayala-García Marco Antonio, Sánchez Álvaro, Ramis Guillermo, Parrilla Pascual, Ramírez Pablo
International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain; Transplant Unit, Surgery Service, IMIB - Virgen de la Arrixaca University Clinical Hospital, Murcia, Spain; Department of Surgery, University of Murcia, Murcia, Spain.
International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain.
Transplant Proc. 2020 Mar;52(2):469-472. doi: 10.1016/j.transproceed.2019.12.021. Epub 2020 Feb 8.
The population of Ghana has an emerging migratory flow to Europe and especially to Spain. Therefore, there is an increase in waiting lists in kidney transplantation.
To analyze the attitude toward related living kidney donation (LKD) among the population born in Ghana and residing in Spain.
Population under study. Population born in Ghana and resident in Spain.
Sample of population over 15 years stratified by age and sex, according to census data and immigrant assistance associations.
Validated attitude questionnaire toward LKD "PCID-DVR-Ríos." Field work. Random selection of people to be surveyed according to stratification.
A total of 237 respondents have been included in the study. 72% are in favor of LKD, not just related. The remaining 28% do not accept the related living donation or have doubts about it. Respondents in favor of the related LKD have a more positive attitude toward ODT (P < .001). The attitude toward related LKD is linked to socio-personal factors, knowledge factors about the donation and organ transplantation process, social interaction factors, attitude factors toward the body, religious factors, and the risk assessment that comes with a living donation (P < .05). In the multivariate analysis persists: the attitude toward the cadaveric OTD (odds ratio [OR] = 6.993), perform pro-social activities (OR = 14.084), fear of body mutilation (OR = 20.408) and renal risk (OR = 29.411).
The Ghanaian population immigrating to Spain has an unfavorable attitude toward related LKD compared with existing studies of Western European and Spanish populations, which is conditioned by multiple psychosocial factors.
加纳人口出现了向欧洲尤其是西班牙的新兴移民潮。因此,肾脏移植的等待名单有所增加。
分析出生于加纳并居住在西班牙的人群对亲属活体肾捐赠(LKD)的态度。
研究对象。出生于加纳并居住在西班牙的人群。
根据人口普查数据和移民援助协会,按年龄和性别分层的15岁以上人群样本。
经过验证的关于LKD的态度问卷“PCID-DVR-里奥斯”。实地调查。根据分层随机选择被调查人员。
共有237名受访者被纳入研究。72%的人赞成LKD,不仅仅是亲属间的。其余28%的人不接受亲属活体捐赠或对此表示怀疑。赞成亲属LKD的受访者对器官移植等待名单(ODT)的态度更为积极(P <.001)。对亲属LKD的态度与社会个人因素、关于捐赠和器官移植过程的知识因素、社会互动因素、对身体的态度因素、宗教因素以及活体捐赠带来的风险评估有关(P <.05)。在多变量分析中仍然存在:对尸体器官移植等待名单的态度(优势比[OR]=6.993)、参与亲社会活动(OR=14.084)、对身体残缺的恐惧(OR=20.408)和肾脏风险(OR=29.411)。
与西欧和西班牙人群的现有研究相比,移民到西班牙的加纳人群对亲属LKD持不利态度,这受到多种心理社会因素的制约。