Neuroscience and Ageing Research Unit, Institute for Advanced Medical Research and Training, College of Medicine, University of Ibadan, Ibadan, Nigeria.
Department of Medicine, College of Medicine, University of Ibadan, Ibadan, Nigeria.
Pan Afr Med J. 2020 Aug 17;36:288. doi: 10.11604/pamj.2020.36.288.21125. eCollection 2020.
disparity between the demand for and the supply of organs for transplantation remains a major public health issue of global concern. This study evaluated the knowledge and determinants of willingness to donate organs among outpatient clinic attendees in a Nigerian teaching hospital.
a 43-item semi-structured interviewer-administered questionnaire was designed to assess awareness and willingness of individuals attending Neurology, Psychiatry and Geriatrics Outpatient clinics to donate bodily organs for transplantation. Association between participants' characteristics and willingness towards organ donation was investigated using logistic regression models.
a total of 412 participants were interviewed and mean age was 46.3 (16.1) years. There were 229 (55.6%) females and 92.5% had at least 6 years of formal education. Overall, 330 (80.1%) were aware of donation of at least one organ for transplantation purposes but only 139 (33.7%) were willing to donate organ. In analyses, adjusting for sex, marital status, family setting and educational status, male gender AOR [2.066(1.331-3.2016)] secondary education [AOR 5.57 (1.205-25.729) p= 0.028] and post-secondary education [AOR-6.98 (1.537-31.702) p= 0.012 were independently associated with willingness towards organ donation.
the survey revealed high level of awareness but poor willingness towards organ donation among older Nigerians attending outpatient clinics of a premier tertiary hospital. Male gender and educational attainment were significantly associated with willingness to donate. Educational programs that particularly target women and less educated older Nigerians are needed to promote organ donation in Nigeria.
器官移植的供需差距仍然是一个全球性的主要公共卫生问题。本研究评估了尼日利亚一所教学医院门诊患者对器官捐献的知识和意愿及其决定因素。
设计了一个包含 43 个项目的半结构式访谈式问卷，以评估参加神经科、精神科和老年科门诊的个体对捐献身体器官进行移植的意识和意愿。使用逻辑回归模型研究参与者特征与器官捐献意愿之间的关联。
共对 412 名参与者进行了访谈，平均年龄为 46.3（16.1）岁。其中 229 名（55.6%）为女性，92.5%接受过至少 6 年的正规教育。总体而言，330 名（80.1%）人了解至少有一种器官可用于移植目的，但只有 139 名（33.7%）人愿意捐献器官。在分析中，调整性别、婚姻状况、家庭环境和教育状况后，男性性别优势比[2.066（1.331-3.2016）]中等教育[优势比 5.57（1.205-25.729）p=0.028]和高等教育[优势比-6.98（1.537-31.702）p=0.012]与对器官捐献的意愿独立相关。
调查显示，在一家顶级教学医院门诊就诊的较年长的尼日利亚人中，对器官捐献的认识水平较高，但意愿较差。男性性别和教育程度与捐献意愿显著相关。需要针对女性和受教育程度较低的较年长的尼日利亚人开展教育计划，以促进尼日利亚的器官捐献。
