Department of Basic Sciences, School of Medicine, Universidad de Monterrey, Av. Ignacio Morones Prieto 4500 Pte., Col. Jesús M. Garza, C.P, 66238, San Pedro Garza García, Nuevo León, Mexico.
Instituto de Investigaciones en Bioética, Calzada del Valle 702, C.P, San Pedro Garza García, 66224, Mexico.
BMC Med Ethics. 2023 Nov 25;24(1):101. doi: 10.1186/s12910-023-00982-1.
Voluntary post-mortem donation to science (PDS) is the most appropriate source for body dissection in medical education and training, and highly useful for biomedical research. In Mexico, unclaimed bodies are no longer a legal source, but PDS is legally possible, although scarcely facilitated, and mostly ignored by the general population. Therefore, we aimed to evaluate the attitude and willingness for PDS and to identify a sociodemographic profile of people with willingness toward PDS.
A validated on-line survey was distributed by the convenience method via the social networks of a Catholicism-inspired, private university in northern Mexico. Frequency analyses of all variables and coded free comments were complemented with association studies.
Although the responder cohort (n = 143) was too small and biased to be representative of the university community (n = 13,500), willingness to post-mortem organ donation was 90.7% and to PDS 70.7%. In this cohort, PDS willingness had the strongest association with mature age (> 40 years old; P, 0.0008). Among young adults, willingness to PDS was the lowest among volunteers from technical and business schools and the highest among those from the social sciences (P, 0.009). Respondents from the social sciences were also the most consistent between attitude and behavior with respect to organ donation. A free comment option revealed respondents were interested in the unusual taboo topic.
A small, but sufficiently large proportion expressed willingness toward PDS. In our university cohort, which was biased in higher education and altruism, mature age and social interest were associated with PDS willingness.
自愿尸检捐赠用于科学研究(PDS)是医学教育和培训中解剖尸体的最合适来源,对于生物医学研究也非常有用。在墨西哥,无人认领的尸体不再是合法的来源,但 PDS 是合法的,尽管几乎没有得到促进,而且大多数人对此漠不关心。因此,我们旨在评估对 PDS 的态度和意愿,并确定愿意进行 PDS 的人群的社会人口统计学特征。
通过方便的方法,通过墨西哥北部一所天主教私立大学的社交网络,分发了一份经过验证的在线调查。对所有变量的频率分析和编码的自由评论进行了补充,以进行关联研究。
尽管应答者队列(n=143)太小且存在偏差,无法代表大学社区(n=13500),但死后器官捐赠的意愿为 90.7%,PDS 的意愿为 70.7%。在这个队列中,PDS 意愿与成熟年龄(>40 岁;P,0.0008)的关联最强。在年轻成年人中,来自技术和商学院的志愿者对 PDS 的意愿最低,而来自社会科学的志愿者的意愿最高(P,0.009)。来自社会科学的受访者在器官捐赠方面的态度和行为也最一致。自由评论选项显示,受访者对不寻常的禁忌话题感兴趣。
一小部分人,但比例足够大,表达了对 PDS 的意愿。在我们的大学队列中,高等教育和利他主义存在偏见,成熟年龄和社会兴趣与 PDS 意愿相关。