Institute for Health Research, University of Bedfordshire Faculty of Health and Social Sciences, Luton, UK.
Institute for Health Research, University of Bedfordshire Faculty of Health and Social Sciences, Luton, UK
BMJ Open. 2022 May 27;12(5):e056094. doi: 10.1136/bmjopen-2021-056094.
To understand the barriers towards deceased organ donation among Indians living globally.
Integrative systematic review using narrative synthesis.
CINAHL, Medline full-text, PsycInfo, Scopus, Global Health, Web of Science, and PubMed Central, and Google Scholar.
1 January 1994 to 31 December 2021.
Individuals of Indian origin living globally.
Eighty-nine studies were included with more than 29 000 participants and quality of the studies were assessed using Joanna Briggs Institute's critical appraisal tool. Though majority of the participants had knowledge toward organ donation with a positive influence on willingness, the gap between knowledge and willingness was huge, with minimal registration influenced by the complex sociocultural constructs. Various sociocultural constructs such as family, fear and mistrust, religion, and bodily issues play a vital role. Differences were identified in willingness to donate and register between southern and other regions of India. Indian's organ donation behaviour in other geographical locations differed based on the socioreligious background of the country they lived in such as in Malaysia, Canada and the UK. However, they were collective in decision-making and had complex sociocultural interference irrespective of the country the individual lived which differed only in their next generations.
Though this study showed the complex relationship, and its influences on organ donation behaviour, lacunae were identified to further understand how such complex interactions determine or inform the behaviour. Also, methodological issues were identified, where this particular population outside India were collectively studied with their neighbouring population which are not homogenous. Studies in India majorly addressed a similar aim using similar methods which produced repetition of studies leading to lack of diversified, wider and in-depth research. Therefore, while this systematic review addressed the barriers toward organ donation among Indians living globally, it also informs various gaps in research and also methodological issues.
CRD42019155274.
了解全球印度裔人群对器官捐献的阻碍因素。
采用叙述性综合法进行综合系统评价。
CINAHL、Medline 全文、PsycInfo、Scopus、全球健康、Web of Science、PubMed Central 和 Google Scholar。
1994 年 1 月 1 日至 2021 年 12 月 31 日。
全球印度裔个人。
共纳入 89 项研究，涉及超过 29000 名参与者，使用 Joanna Briggs Institute 批判性评价工具评估研究质量。尽管大多数参与者对器官捐献有一定的了解，并对捐赠意愿产生了积极影响，但知识与意愿之间存在巨大差距，由于复杂的社会文化结构，注册人数很少。各种社会文化结构，如家庭、恐惧和不信任、宗教以及身体问题，都起着至关重要的作用。印度南部和其他地区的人在捐赠意愿和注册方面存在差异。印度人在其他地理位置的器官捐献行为因他们所居住国家的社会宗教背景而异，如在马来西亚、加拿大和英国。然而，他们在决策方面具有集体性，并且存在复杂的社会文化干扰，无论个人居住在哪个国家，这种干扰仅在他们的后代中有所不同。
尽管这项研究表明了这种复杂关系及其对器官捐献行为的影响，但仍存在一些空白，需要进一步了解这种复杂的相互作用如何决定或影响行为。此外，还确定了方法学问题，即印度以外的特定人群与邻国人口一起进行集体研究，而这些邻国人口并非同质。印度的研究主要使用类似的方法来实现类似的目标，这导致研究重复，缺乏多样化、更广泛和深入的研究。因此，虽然本系统评价探讨了全球印度裔人群对器官捐献的阻碍因素，但也反映了研究中的各种空白和方法学问题。
PROSPERO 注册号：CRD42019155274。
