Nephrology Section, Internal Medicine Department, College of Medicine, King Khalid University, Abha, 61421, Saudi Arabia.
Medical Intern at College of Medicine, King Khalid University, Abha, 61421, Saudi Arabia.
BMC Public Health. 2024 Aug 22;24(1):2277. doi: 10.1186/s12889-024-19766-2.
Kidney transplantation is the preferred treatment for end-stage renal disease (ESRD), offering a superior quality of life and extended survival compared to other renal replacement therapies. As the number of ESRD patients grows, so does the demand for organ transplants. The prevalence of ESRD is anticipated to escalate further due to the rising rates of diabetes mellitus (DM), hypertension (HTN), and obesity. Organ donation, particularly from living donors, remains the main source of transplants in the region, despite the notable underutilization of potential deceased donors' organs. The objective of this research is to assess the level of knowledge, attitudes, and willingness to donate kidneys among the general population, a pivotal step in addressing the organ shortage crisis.
This cross-sectional study was conducted in the Aseer region of Saudi Arabia using a previously validated questionnaire. The questionnaire collected demographic data and insights into general attitudes, knowledge, and beliefs about organ donation. Logistic regression was used to identify predictors of knowledge and willingness to donate.
The study involved 705 participants, predominantly young adults with a high level of education. Awareness of kidney donation was high, and knowledge about donation was broad, especially regarding religious permissibility and awareness of the donor registry. However, only 25% expressed willingness to donate their kidneys, and a 4% were already registered as donors. Furthermore, higher educational level was not associated with higher odds of knowledge or willingness to donate.
Despite the considerable awareness, actual donor registration rates were low, highlighting the necessity for targeted educational interventions and a deeper understanding of the cultural and socioeconomic barriers that exist.
肾移植是治疗终末期肾病(ESRD)的首选方法,与其他肾脏替代疗法相比,它能提供更高的生活质量和更长的生存时间。随着 ESRD 患者数量的增加,对器官移植的需求也在增加。由于糖尿病(DM)、高血压(HTN)和肥胖症的发病率不断上升,预计 ESRD 的患病率将进一步上升。器官捐赠,特别是来自活体捐赠者的器官,仍然是该地区移植的主要来源,尽管潜在的已故捐赠者器官的利用率显著不足。本研究旨在评估普通人群对肾脏捐赠的知识、态度和意愿水平,这是解决器官短缺危机的关键步骤。
本横断面研究在沙特阿拉伯的阿西尔地区进行,使用了先前经过验证的问卷。该问卷收集了人口统计学数据以及对器官捐赠的一般态度、知识和信念的见解。使用逻辑回归来确定知识和捐赠意愿的预测因素。
该研究涉及 705 名参与者,主要是受过高等教育的年轻人。对肾脏捐赠的认识度较高,对捐赠的了解广泛,特别是关于宗教许可和捐赠者登记处的了解。然而,只有 25%的人表示愿意捐赠自己的肾脏,只有 4%的人已经注册为捐赠者。此外,较高的教育水平与知识或捐赠意愿的可能性增加无关。
尽管认识度相当高,但实际的捐赠者登记率很低,这突出表明需要有针对性的教育干预措施,以及更深入地了解存在的文化和社会经济障碍。