Al-Abbasi Ghaith, Al-Jasim Ameer
College of Medicine, University of Baghdad, Iraq.
J Public Health Res. 2020 Dec 18;9(4):1857. doi: 10.4081/jphr.2020.1857. eCollection 2020 Oct 14.
Organs transplantation is the only treatment for end-stage organ failure. However, the disparity between organs availability and the number of patients in the waiting lists is widening globally, especially in Iraq for many reasons. This study aims to assess the level of attitudes and perceptions among Iraqi young adults towards organs donation and transplantation as the first study to be conducted in Iraq for such purpose. This observational study was conducted among 912 Iraqi young adults through a structured questionnaire which was disseminated among social media platforms. Participants consented before filling the questionnaire and their responses were analyzed to test the hypothesis of the study. Most of the participants were females, Muslims and in their undergraduate level. Overall, 84.2% of the participants were willing to donate their organs after death and (97.9%) of them actually agreed to sign for organs donation. Most of those who were not willing to donate have no idea whether their religion approves it or not. There was no statistically significant difference in willingness to donate between different socioeconomic classes or residency areas. Most of the participants are convinced with donating their organs after death and are willing to sign for organ donation programs, advocating for initiating an official governmental transplant agency with multiple local committees distributed among health directorates all over the country managing it. The hesitancy to donate organs was attributed mostly to religious and associated with lack of knowledge issues, thus education might be the key to positive attitudes.
器官移植是终末期器官衰竭的唯一治疗方法。然而,全球范围内器官供应与等待名单上患者数量之间的差距正在扩大,尤其是在伊拉克,原因众多。本研究旨在评估伊拉克年轻人对器官捐赠和移植的态度和认知水平,这是在伊拉克为此目的进行的第一项研究。这项观察性研究通过在社交媒体平台上分发的结构化问卷,对912名伊拉克年轻人进行了调查。参与者在填写问卷前表示同意,对他们的回答进行分析以检验研究假设。大多数参与者为女性、穆斯林且处于本科阶段。总体而言,84.2%的参与者愿意在死后捐赠器官,其中97.9%的人实际同意签署器官捐赠协议。大多数不愿意捐赠的人不知道他们的宗教是否允许。不同社会经济阶层或居住地区在捐赠意愿上没有统计学显著差异。大多数参与者相信死后捐赠器官,并愿意签署器官捐赠计划,主张设立一个官方政府移植机构,下设多个地方委员会,分布在全国各地的卫生局进行管理。捐赠器官的犹豫主要归因于宗教因素以及相关的知识缺乏问题,因此教育可能是形成积极态度的关键。