Ríos Antonio, Carrillo Joaquín, López-Navas Ana Isabel, Ayala-García Marco Antonio, Alconchel Felipe, Iniesta-Sepúlveda Marina, Ramírez Pablo
From the Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain.
From the Department of Surgery, Paediatrics, Obstetrics, and Gynaecology, University of Murcia, Murcia, Spain.
Exp Clin Transplant. 2022 Feb;20(2):199-208. doi: 10.6002/ect.2021.0480.
The African population is an important, growing population group in Spain. Our objective was to determine attitudes toward organ donation among the African population living in Spain and to determine factors influencing attitudes.
A population sample was taken of Africans residing in Spain, stratified by age and sex (n = 4145). Attitude was assessed using a validated questionnaire, which was self-administered and completed anonymously. Descriptive statistics, the chi-squared test, ttest, and logistic regression analysis were used for data analyses.
The questionnaire completion rate was 87% (n = 3618). Attitudes toward donation of one's own organs was favorable in 31% of respondents (n = 1112). Among the remaining respondents, attitude was unfavorable in 40% (n = 1458) and undecided in 29% (n = 1037). Multivariate analysis showed the following variables as being associated with attitude: (1) age (P < .001), (2) having descendents (P < .001), (3) education level (P < .001), (4) belief of respondent that he or she may need a transplant in the future (P = .001), (5) knowledge ofthe concept of brain death (P < .001), (6) attitude toward donation of a family member's organ (P < .001), (7) having spoken with one's family about donation and transplant (P < .001), (8) opinion of one's partner toward organ donation (P < .001), (9) respondent's religion (P < .001), (10) knowledge of the view of one's religion toward organ donation and transplant (P < .001), and (10) fear of possible mutilation of the body after donation (P < .001).
Attitudes toward donation of an individual's organs after death were negative among Africans living in Spain and may be related to psychosocial factors. This group should have priority for receiving organ donation awareness campaigns in Spain.
非洲人群是西班牙一个重要且不断增长的人口群体。我们的目标是确定居住在西班牙的非洲人群对器官捐赠的态度，并确定影响态度的因素。
对居住在西班牙的非洲人进行人口抽样，按年龄和性别分层（n = 4145）。使用经过验证的问卷评估态度，问卷由被调查者自行填写并匿名完成。数据分析采用描述性统计、卡方检验、t检验和逻辑回归分析。
问卷完成率为87%（n = 3618）。31%的受访者（n = 1112）对捐赠自己的器官持赞成态度。在其余受访者中，40%（n = 1458）态度不赞成，29%（n = 1037）态度不明确。多变量分析显示以下变量与态度相关：（1）年龄（P <.001），（2）有后代（P <.001），（3）教育水平（P <.001），（4）受访者认为自己未来可能需要移植（P =.001），（5）对脑死亡概念的了解（P <.001），（6）对家庭成员器官捐赠的态度（P <.001），（7）与家人谈论过捐赠和移植（P <.001），（8）伴侣对器官捐赠的看法（P <.001），（9）受访者的宗教信仰（P <.001），（10）对自己宗教对器官捐赠和移植看法的了解（P <.001），以及（10）对捐赠后身体可能被 mutilation 的恐惧（P <.001）。
居住在西班牙的非洲人对死后个人器官捐赠的态度消极，可能与社会心理因素有关。该群体应在西班牙接受器官捐赠宣传活动方面享有优先权。
