Tefera Wubalem Addis, Mengistu Hirut Gebremeskel, Zeleke Ejigu Gebeye, Lorato Merkineh Markos
Department of Optometry, College of Medicine and Health Sciences, Debre Berhan University, Debre Berhan, Ethiopia.
Department of Optometry, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
BMJ Open Ophthalmol. 2025 Jan 28;10(1):e002022. doi: 10.1136/bmjophth-2024-002022.
This study intended to assess willingness to donate eyes and associated factors among adults in Addis Ababa City, Ethiopia.
This study used a triangulated phenomenological mixed-methods design, involving 1293 adults and eight key informants selected through multistage and purposive sampling. Data collection involved a pretested, semistructured questionnaire for quantitative data and an open-ended guiding questionnaire for qualitative insights. Ethical approval was granted by the University of Gondar, School of Medicine ethics review committee. The data were entered into Epi Info V.7 and analysed using SPSSV.22, with bivariable and multivariable binary logistic regression employed to identify significant factors, defined as those with a p value under 0.05. Qualitative data were analysed through thematic content analysis using code software, which included transcription, translation, coding and thematisation, ultimately enriching the quantitative findings.
The study found that 47.2% (95% CI 44.7, 50.0) participants were willing to donate their eyes. Significant factors influencing willingness included being male (adjusted OdR (AOR)=1.55; 95% CI 1.18, 2.03), being a Christian (AOR=2.08; 95% CI 1.42, 3.04), having a family or friends awaiting for corneal transplantation (AOR=1.78; 95% CI: 1.18, 2.68), completing higher education (AOR=2.63; 95% CI 1.88, 3.69), completing secondary education (AOR=1.77; 95% CI 1.03, 3.04), having a favourable attitude towards eye donation (AOR=4.97; 95% CI 3.70, 6.66) and being aware of eye donation (AOR=3.12; 95% CI 2.23, 4.36). Qualitative analysis indentified barriers such as lack of information, poor attitudes and religious restrictions.Overall, willingness to donate eyes was moderate compared to previous studies. The findings emphasise the need for community education to improve public attitudes and awareness about eye donation to enhance willingness to donate eyes.
本研究旨在评估埃塞俄比亚亚的斯亚贝巴市成年人的眼捐赠意愿及相关因素。
本研究采用了三角互证现象学混合方法设计，涉及通过多阶段和目的抽样选取的1293名成年人及8名关键信息提供者。数据收集包括用于定量数据的经过预测试的半结构化问卷和用于定性洞察的开放式引导问卷。研究获得了贡德尔大学医学院伦理审查委员会的伦理批准。数据录入Epi Info V.7并使用SPSSV.22进行分析，采用双变量和多变量二元逻辑回归来确定显著因素，显著因素定义为p值小于0.05的因素。定性数据通过使用编码软件进行主题内容分析，包括转录、翻译、编码和主题化，最终丰富定量研究结果。
研究发现47.2%（95%置信区间44.7，50.0）的参与者愿意捐赠眼睛。影响意愿的显著因素包括男性（调整后的比值比（AOR）=1.55；95%置信区间1.18，2.03）、基督教徒（AOR=2.08；95%置信区间1.42，3.04）、有家人或朋友等待角膜移植（AOR=1.78；95%置信区间：1.18，2.68）、完成高等教育（AOR=2.63；95%置信区间1.88，3.6９）、完成中等教育（AOR=1.77；95%置信区间1.03，3.04）、对眼捐赠持积极态度（AOR=4.97；95%置信区间3.70，6.66）以及知晓眼捐赠（AOR=3.12；95%置信区间2.23，4.36）。定性分析确定了诸如信息缺乏、态度不佳和宗教限制等障碍。总体而言，与先前研究相比，眼捐赠意愿处于中等水平。研究结果强调需要开展社区教育，以改善公众对眼捐赠的态度和认识，提高眼捐赠意愿。
