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审视健康信念模型框架在实现英国南亚人群器官捐赠多样性和公平性中的作用。

Examining the Role of the Health Belief Model Framework in Achieving Diversity and Equity in Organ Donation Among South Asians in the United Kingdom.

机构信息

NHS Blood and Transplant, Watford, United Kingdom.

Manchester Centre for Transplantation, Manchester Royal Infirmary, Manchester University NHS Foundation Trust, Manchester, United Kingdom.

出版信息

Transpl Int. 2023 Jul 17;36:11243. doi: 10.3389/ti.2023.11243. eCollection 2023.

Abstract

Organ donation continues to be low among ethnic minorities in the United Kingdom (UK), especially within the South Asian community, with a disproportionate number of patients of South Asian ethnicity awaiting organ transplants. In 2020/21, Minority Ethnic (ME) patients comprised almost a third of the national transplant waiting list, highlighting the continued imbalance between the need for transplants in South Asian communities and the availability of suitable organs. Median waiting times for transplants show that, generally, white patients wait less time than ME patients; Only 39.5% of ME families consented to proceed with deceased organ donation when approached compared to 69% of white families. How to increase awareness among the South Asian community on the scarcity of organ donors continues to be a growing challenge facing the healthcare system in the UK and globally. This article reflects on the education strategy implemented using the Health Belief Model. It provides a detailed framework with which to consider the rationale that led to a specific behaviour, in this case organ donation among the three major ethnicities (i.e., Indian, Pakistani, Bangladeshi) within the South Asian community as part of a single study.

摘要

在英国(UK),少数民族的器官捐赠率仍然很低,特别是在南亚社区,南亚裔患者等待器官移植的比例不成比例。在 2020/21 年,少数族裔(ME)患者几乎占全国移植等候名单的三分之一,突显了南亚社区对移植的需求与合适器官供应之间持续存在的不平衡。移植等待时间中位数表明,一般来说,白人患者等待的时间比 ME 患者短;只有 39.5%的 ME 家庭在被接触时同意继续进行已故器官捐赠,而白人家庭的这一比例为 69%。如何提高南亚社区对器官捐献者稀缺的认识,这仍然是英国和全球医疗保健系统面临的一个日益严峻的挑战。本文反思了使用健康信念模型实施的教育策略。它提供了一个详细的框架,用于考虑导致特定行为的基本原理,在这种情况下,是南亚社区内的三个主要族裔(即印度人、巴基斯坦人和孟加拉人)的器官捐赠行为,这是作为一项单独研究的一部分。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/766f/10389261/1ff888664376/ti-36-11243-g001.jpg

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