Li Yike, Liu Lin, Yan Chengying, Ding Rui, Du Ziyu, Lei Xunwen, Jiu Xudong, Li Wenjie, Liu Yang
Wenzhou Medical University, Wenzhou, China.
Department of Ophthalmology, The First Hospital of Lanzhou University, Lanzhou, China.
Transplant Proc. 2025 Mar;57(2):168-179. doi: 10.1016/j.transproceed.2024.11.001. Epub 2024 Nov 21.
As the will-be medical staff, medical students take the future responsibilities to propaganda knowledge of cornea donation and exert positive influence on the public. We aimed to investigate the knowledge, attitudes, and willingness concerning cornea donation among the medical students in Lanzhou, Northwest of China.
This study was an observational cross-sectional survey in which a detailed questionnaire was used. Medical students from either Lanzhou University (LZU) or Northwest University for Nationalities (NUN) were approached, and the questionnaire was filled out and submitted online. The sociodemographic profile, the correctness of the knowledge, attitudes toward cornea donation, and suggestions on promotion were categorized and compared. Additionally, determinants influencing knowledge and willingness were revealed by using Logistic Regression.
A total of 1129 students who completed the questionnaire were enrolled in this study. Most of the respondents were aware of the cornea donation (n = 895, 79.3%), but the knowledge was scarce, pertaining to the process to donate (n = 20, 1.8%), the time limit of recovery (n = 152, 13.5%), the preserved period (n = 97, 8.6%), and legislations on the issues (n = 7, 0.6%). Almost all the students expressed positive attitudes toward cornea donation (n = 1106, 98.0%) and supported their relatives or friends to donate (n = 1049, 92.9%); whereas more than half of them showed unwillingness to donate (n = 520, 46.1%). Age (P = .013), race (P < .001), parents' educational background (tertiary: P = .004); and primary: P = .001), siblings (P = .001), family annual income (high: P < .001; and low: P = .001), years of medical education (P < .001), attitude toward cornea donation (P = .019), attitude toward hypothetical relative donation (P < .001), and willingness to donate (P < .001) distinctly influenced the respondents' knowledge in the logistic regression. Likewise, several factors significantly determined the respondents' willingness to donate, including birth place (P = .028), race (P = .041), siblings (P = .023), family annual income (high: P = .008]; low: P = .002; and middle: P = .004), years of medical education (P = .007), attitude toward cornea donation (P = .005), willingness to persuade donation (P < .001), attitude toward hypothetical relative donation (P < .001), and score (P < .001).
The knowledge on cornea donation of the medical students is not satisfied, and their willingness to pledge corneas is relatively low. Several sociodemographic factors could predict the knowledge level and willingness which may be improved by particular curriculums in the future.
作为未来的医务人员，医学生肩负着宣传角膜捐献知识并对公众施加积极影响的责任。我们旨在调查中国西北兰州医学生关于角膜捐献的知识、态度及意愿。
本研究为观察性横断面调查，采用详细问卷。对兰州大学（LZU）和西北民族大学（NUN）的医学生进行调查，问卷通过在线方式填写并提交。对社会人口学特征、知识的正确性、对角膜捐献的态度以及促进宣传的建议进行分类和比较。此外，通过逻辑回归揭示影响知识和意愿的决定因素。
本研究共纳入1129名完成问卷的学生。大多数受访者知晓角膜捐献（n = 895，79.3%），但知识匮乏，涉及捐献流程（n = 20，1.8%）、恢复期限（n = 152，13.5%）、保存期限（n = 97，8.6%）以及相关问题的立法（n = 7，0.6%）。几乎所有学生对角膜捐献表达了积极态度（n = 1106，98.0%）并支持亲属或朋友捐献（n = 1049，92.9%）；然而超过半数学生表示自己不愿意捐献（n = 520，46.1%）。年龄（P = .013）、种族（P < .001）、父母教育背景（大专：P = .004；小学：P = .001）、兄弟姐妹（P = .001）、家庭年收入（高：P < .001；低：P = .001）、医学教育年限（P < .001）、对角膜捐献的态度（P = .019）、对假设亲属捐献的态度（P < .001）以及捐献意愿（P < .001）在逻辑回归中对受访者的知识有显著影响。同样，几个因素显著决定了受访者的捐献意愿，包括出生地（P = .028）、种族（P = .041）、兄弟姐妹（P = .023）、家庭年收入（高：P = .008；低：P = .002；中：P = .004）、医学教育年限（P = .007）、对角膜捐献的态度（P = .005）、劝说捐献的意愿（P < .001）、对假设亲属捐献的态度（P < .001）以及得分（P < .001）。
医学生对角膜捐献的知识并不理想，他们捐献角膜的意愿相对较低。几个社会人口学因素可以预测知识水平和意愿，未来可能通过特定课程加以改善。
