Li Miah T, Hillyer Grace C, Kim Daniel W, King Kristen L, Husain S Ali, Mohan Sumit
Division of Nephrology, Department of Medicine, Columbia University Irving Medical Center, New York, NY, USA.
The Columbia University Renal Epidemiology (CURE) Group, New York, NY, USA.
J Immigr Minor Health. 2022 Apr;24(2):394-402. doi: 10.1007/s10903-021-01182-y. Epub 2021 Mar 22.
Organ donation rates in the United States are lowest among Asians. Physicians are highly respected in Asian communities and may be influential in promoting donor registration, but little is known about their organ donor registration attitudes. We assessed associations between knowledge, attitudes, personal/professional experience, cultural/religious beliefs surrounding organ donation and donor registration status using multivariable logistic regression. We surveyed 121 Asian physicians in Queens, New York; 22% were registered donors. Registered donors were more likely to discuss donation wishes with their family (OR 9.47, 95% CI 2.60-34.51), know that donor human leukocyte antigen does not need to match organ recipients (OR 6.47, 95% CI 1.66-25.28), and have experience advising patients about organ donation (OR 5.35, 95% CI 1.50-19.02). Culturally tailored educational materials providing updated information to promote family discussion about organ donation could potentially increase Asian physicians' level of comfort and expertise in discussing organ donor registration with patients.
在美国，亚洲人的器官捐赠率是最低的。医生在亚洲社区备受尊敬，在促进捐赠登记方面可能具有影响力，但人们对他们对器官捐赠登记的态度却知之甚少。我们使用多变量逻辑回归评估了围绕器官捐赠的知识、态度、个人/专业经验、文化/宗教信仰与捐赠登记状态之间的关联。我们对纽约皇后区的121名亚洲医生进行了调查；22%的人是登记捐赠者。登记捐赠者更有可能与家人讨论捐赠意愿（比值比9.47，95%置信区间2.60 - 34.51），知道捐赠者人类白细胞抗原无需与器官接受者匹配（比值比6.47，95%置信区间1.66 - 25.28），并且有向患者提供器官捐赠建议的经验（比值比5.35，95%置信区间1.50 - 19.02）。提供最新信息以促进家庭关于器官捐赠讨论的文化定制教育材料，可能会提高亚洲医生在与患者讨论器官捐赠登记时的舒适度和专业水平。
