Danielson B L, LaPree A J, Odland M D, Steffens E K
Transplant Clinic, Hennepin County Medical Center, Minneapolis, Minn., USA.
J Transpl Coord. 1998 Sep;8(3):153-6. doi: 10.7182/prtr.1.8.3.f89854842113un43.
Because of increasing access to renal replacement therapy and the high incidence of renal disease among Native Americans largely due to type 2 diabetes mellitus, it is important to determine attitudes and beliefs in this population toward organ donation. In a study conducted on reservations in the upper Midwest during traditional powwows and health fairs, it was discovered that willingness to donate was more likely to occur if Native Americans were approached by a healthcare worker from their culture, if they had already signed a donor card, or if they knew someone with diabetes. Willingness to be a living donor (81%) was greater than willingness to donate after death (i.e., as a cadaveric donor) (54%). These findings indicate that cultural-specific information about organ failure rates and organ donation, when presented by knowledgeable individuals within the culture, could increase donation in the Native American population.
由于获得肾脏替代疗法的机会增加，以及美国原住民中肾脏疾病的高发病率（主要归因于2型糖尿病），因此确定该人群对器官捐赠的态度和信念非常重要。在中西部上游地区的保留地举行的传统powwows和健康博览会上进行的一项研究发现，如果有来自其文化背景的医护人员与美国原住民接触、他们已经签署了捐赠卡或者他们认识患有糖尿病的人，那么他们更有可能愿意捐赠。成为活体捐赠者的意愿（81%）高于死后捐赠（即作为尸体捐赠者）的意愿（54%）。这些发现表明，当由文化内部知识渊博的人提供有关器官衰竭率和器官捐赠的特定文化信息时，可以增加美国原住民人群的捐赠。
