首页 | 本学科首页   官方微博 | 高级检索  
相似文献
 共查询到20条相似文献,搜索用时 15 毫秒
1.
2.

Background

One of the main reasons against organ donation is the fear of apparent death due to ignorance of the brain death concept. Our aim was to assess knowledge about and acceptance of the brain death concept among the population of Havana, Cuba.

Methods

The population screened, stratified by gender and age, included those >15 years old and living in Havana, Cuba. The appraisal tool utilized was a questionnaire on attitude toward organ donation (“PCID-DTO Ríos”). A random selection of individuals were surveyed according to the stratification. Cuba's census data were used. The participation was anonymized and self-administered. The verbal consent of participants was provided.

Results

There were 920 respondents: 31% (n = 282) knew the concept of brain death and accepted it; 57% (n = 529) did not; and 12% (n = 109) had a misperception, or did not accept brain death as a person's death. Those who knew and accepted the concept had a more favorable attitude toward their own organ donation after death (85% vs 61%; P < .001). The psychosocial factors related to the knowledge of brain death concept were: the gender (P = .002), to make up for speaking at a family level about the organ transplant (P < .001), the couple's opinion about the organ donation (P < .001) and the religion (P < .001).

Conclusion

The brain death concept is not well understood in the population of Havana, Cuba.  相似文献   

3.

Introduction

Awareness about organ donation among the general population is fundamental to organ donation programs. It is important to determine the factors that influence attitudes toward organ donation within the general population in order to carry out cost-effective campaigns.

Objective

To analyze the attitude toward organ donation among Santiago, Cuba, citizens.

Methods

The study population encompassed residents in Santiago, Cuba. A sample population of residents older than 15 years was obtained randomly and stratified by age and sex. Attitude was assessed using a validated questionnaire on psychosocial aspects toward organ donation and transplant (PCID-DTO Ríos). Available census data were used. The survey was self-administered and completed anonymously.

Results

Of the 455 respondents, 70% of respondents are in favour of cadaveric donation, 16% are against, and 14% were undecided. Several variables were associated with having a more favorable attitude. And in the multivariate analysis, the following variables continue to feature as independent variables: 1. knowledge of the concept of brain death [OR = 2.386 (4.761–1.194); P = .014]; 2. being in favor of donating a family member's organs [OR = 3.067 (5.952–1.584); P = .001]; 3. a partner's favorable attitude [OR = 5.795 (1.477–22.731); P = .012]; 4. being an atheist/agnostic as the religious beliefs [OR = 1.845 (3.289–1.038); P = .037]; 5. not being concerned about the possible mutilation of the body after donation [OR = 7.437 (2.918–18.955); P < .001]; 6. not accepting other treatment options after death, such as inhumation [OR = 3.048 (5.714–1.626); P = .001].

Conclusions

The attitude toward cadaveric organ donation among the Santiago, Cuba population is favorable and it is associated with several psychosocial factors.  相似文献   

4.
The Latin American population has a double way of immigration, one toward the United States by proximity and another toward Spain by sociocultural affinity. This population increase is affecting organ donation and transplantation in receiving countries.

Objective

To analyze the brain death (BD) concept knowledge in the Dominican Republic immigrant population in Florida (United States) and Spain.

Method

Population under study: Population born in the Dominican Republic, resident in Florida (United States) and in Spain. Inclusion criteria: Population older than 15 years stratified by age and sex. Assessment instrument: Donation attitude questionnaire PCID-DTO-Ríos. Fieldwork: Random selection based on stratification. Immigration support association collaboration in Florida and Spain was needed to locate potential respondents. Completion was anonymous and self-administered, with verbal consent.

Results

A total of 123 respondents, 57 residents in Spain and 66 in Florida, have been included in the study. The 27% (n = 33) of the respondents knowledgeable of the BD concept consider it the death of an individual. Of the remainder, 52% (n = 64) do not know about it, and the remaining 21% (n = 26) believe it does not mean the death of a patient. No differences were observed regarding migration countries (P > .05). There was no association of the BD concept with other psychosocial factors analyzed or with the attitude toward organ donation.

Conclusions

Knowledge of the BD concept among the Dominican immigrant population is similar in Spain and Florida, and, unlike most studies, there is no objective association with the attitude toward organ donation.  相似文献   

5.

Introduction

The refusal to consider death and the donation and transplantation of organs make Gypsies one of the subpopulation groups with the lowest donation rates in Europe. The approach of this social group implies the support of the most favorable social groups within their own ethnic group. In this sense, the young population with a high level of education is usually the most favorable toward organ donation.

Objective

To analyze the attitude toward the donation of one's own organs for transplantation among the Gypsy population under 45 years and with secondary or university studies.

Method

Population under study: The Gypsy population under 45 years old with secondary or university studies who currently reside in Spain. Assessment instrument: The attitude questionnaire for organ donation for transplantation PCID–DTO Ríos. Fieldwork: A random selection based on stratification. Anonymity and self-administered fulfillment. Statistics: Student t test and χ2.

Results

A total of 44 Gypsy people under 45 years of age were surveyed (mean age 31 ± 8.9 years); 66% were women, and the rest were men. Of these, 20 had university studies, and 24 had secondary or vocational studies. The attitude is favorable toward organ donation in 64% of the respondents, with 80% among university students and 50% among those with secondary or vocational education (P < .005).

Conclusions

The young Gypsy population with university studies has a very favorable attitude toward organ donation. This population subgroup must be key in the promotion of organ donation in the Gypsy population, so the transplant coordinators must request their collaboration in the promotion campaigns of organ donation and transplantation.  相似文献   

6.

Introduction

The sensitization of the population toward organ donation is fundamental; for that reason, it is important to determine the factors that condition the opinion toward donation on the population scope in order to carry out cost-effective campaigns.

Objective

To analyze the attitude toward the donation of the proper organs for transplantation among the population residing in Cienfuegos, Cuba.

Method

Population under study: Population who reside in Cienfuegos, Cuba. Inclusion criteria: Population over 15 years old as stratified by age and sex. Assessment instrument: The attitude questionnaire for organ donation for transplant—PCID–DTO Ríos. Fieldwork: A random selection based on stratification. The available data from the census were used. The completion was anonymous and self-administered. Verbal consent was requested to collaborate in the study. Statistics: Student t test, χ2, Fisher, and a logistic regression analysis.

Results

A sample of 636 respondents was included in the study, of which 71% (n = 453) are in favor of donating their organs after death, 16% (n = 103) are against, and 13% (n = 80) are undecided. This attitude is associated with different psychosocial variables (P < .001): age, marital status, having offspring, level of studies, carrying out prosocial activities, discussing with the family the subject of donation and transplantation, knowledge of the concept of brain death, the attitude toward the manipulation of the corpse, the religion of the respondent, and the attitude of the couple toward organ transplantation. The main independent factors obtained in the multivariate analysis (odds ratio >2.5): knowledge of the brain death concept, attitude toward the manipulation of the corpse, religion, and attitude of the couple toward transplantation.

Conclusions

The attitude toward organ donation among the population of Cienfuegos, Cuba, is favorable and is conditioned by several psychosocial factors.  相似文献   

7.
8.

Introduction

Organ refusal rates among Gypsies is much higher than that of any other social group in Spain. However, their attitude toward new therapies related to transplantation, such as the xenotransplantation, is not known. This is especially important in countries such as Spain, where there are research and development units for xenotransplantation.

Objective

To analyze the attitude toward xenotransplantation among the Gypsy population living in Spain.

Method

Type of study: Observational sociological study. Population under study: Adult Gypsy population currently residing in Spain. Sample: A random sampling of 230 adult Gypsies. Assessment instrument: A validated attitude questionnaire for xenotransplantation—PCID–XenoTx Ríos. Fieldwork: Random selection based on stratification. Anonymity and self-administered fulfillment. Statistics: Student t test, χ2, Fisher, and a logistic regression analysis.

Results

A sample of 206 Gypsies was obtained. Forty-five percent (n = 93) would accept a solid organ xenotransplantation if they needed it, and the results were similar to those currently obtained with human organs; 24% (n = 49) have doubts, and 31% (n = 64) would not accept the xenotransplantation. If the results were worse than with human organs, only 9% would accept the xenotransplantation (n = 19). Respondents with a favorable attitude toward xenotransplantation presented a more favorable attitude toward cadaveric organ donation (55% vs 34%, P = .01).

Conclusions

Gypsies do not present a very favorable attitude toward xenotransplantation, especially compared with other Spanish population groups. A favorable sensitivity is presented by the population group in favor of it to cadaveric organ donation, which could be used to sensitize this social group and promote donation campaigns with the aim of increasing donation rates.  相似文献   

9.

Introduction

Immigrants from Ecuador represent the largest group of Latin Americans in Spain and are, therefore, a subgroup of interest to understand their attitudes and influences in respect to organ donation and transplantation.

Objective

To analyze the attitude of nationals of Ecuador residing in Spain regarding deceased organ donation.

Methods

The study population included the Ecuadorian population residing in Spain. A sample of population older than 15 years was obtained randomly and stratified by age and sex (n=461). Attitude was assessed using a validated questionnaire on psychosocial aspects toward organ donation (PCID-DTO-Ríos). Assistance from immigration support associations in Spain was needed to advice on the location of potential respondents.

Results

Attitude toward cadaveric donation was favorable in 59% (n=271) of respondents, 12% (n=57) were against cadaveric donation, and 29% (n=133) were undecided. Several variables were associated with having a more favorable attitude. In the multivariate analysis, the following variables were independently associated with a more positive attitude toward organ donation: 1. level of formal education (odds ratio [OR]=6.849 [25.641–1.818]; P = .004); 2. being in favor of donating a family member's organs (OR=8.849 [20.833–3.717]; P < .001); 3. having commented at a family level about transplant (OR=3.717 [6.578–2.109]; P < .001); 4. not being concerned about the possible mutilation of the body after donation (OR=4.608 [8.547–2.487]; P < .001) and 5. knowing the attitude of one's religion toward donation (OR=7.462 [34.482–1.623]; P = .010).

Conclusions

The attitude toward cadaveric organ donation among the Ecuadorian population residing in Spain is less favorable than that of the Spanish population and is determined by many different psychosocial variables.  相似文献   

10.
The Bolivian population is growing in Spain. Xenotransplantation of organs and/or tissues carries many social and cultural implications. It is important to find out the level of acceptance of xenotransplantation in immigrant populations, especially in populations where there are preclinical trials.The objective of the study is to analyze the attitude toward xenotransplantation of organs and tissues in the Bolivian population residing in Spain and the variables that influence their attitude.

Methods

We selected a sample of the Bolivian population living in Spain. A sample of the population older than 15 years was obtained randomly and stratified by age and sex. Attitude was assessed using a validated questionnaire on psychosocial aspects toward xenotransplantation (PCID-XENOTX-Ríos).

Results

Of the 206 respondents, 26% of respondents are in favor of xenotransplantation of organs if it was assumed that xenotransplanted organs functioned as well as human ones. If the results were worse, only 6% would be in favor. The following factors were associated with this attitude: (1) level of education (P?=?.008), (2) a favorable attitude toward human donation (P?=?.004), (3) a partner's favorable attitude toward transplantation (P < .001), and (4) a belief that one might need a transplant in the future (P?=?.01). The following were associated with attitude in the multivariate analysis: (1) having secondary education (odds ratio,?3.690; P?=?.004) and (2) a partner's favorable attitude toward transplantation (odds ratio,?6.024; P?=?.003).

Conclusions

The attitude of Bolivian residents in Spain toward xenotransplantation is negative and is determined by educational and family factors.  相似文献   

11.

Introduction

Living kidney donation is currently the most important kidney donor source in Latin America, and it is necessary to further increase its rates.

Objective

To analyze the attitude toward living kidney donation among the Santiago de Cuba's population and to determine the sociopersonal factors with which it is associated.

Method

The population over 15 years old residing in Santiago de Cuba, stratified by sex and age, was screened. The “PCID—LKD Ríos” attitude questionnaire toward living kidney donation was administered to a random selection of the people surveyed according to the stratification and the census data. The completion was anonymized and self-administered. Verbal consent was obtained.

Results

The study was completed by 445 people, of whom the 86% (n = 389) were in favor of living related kidney donation. This attitude is associated with the level of education (P < .001); previous experience with organ donation (P = .006); attitude toward cadaveric organ donation (P < .001); carrying out of prosocial activities (P = .010); discussion of the issue with the family (P < .001) and the significant other (P < .001); concern about mutilation after donation (P = .001); religious beliefs (P = .001); and assessment of the risk of living kidney donation (P < .001). In the multivariate study, the following variables persisted: (1) level of education; (2) attitude of cadaveric donation; (3) carrying out of prosocial activities; and (4) risk assessment of living donation.

Conclusions

Living related donation is very well accepted among the Santiago de Cuba's population.  相似文献   

12.
The number of foreign residents in Spain increased significantly with Moroccans and Algerians as the 2 largest nationalities. However, there are no studies that analyze their awareness of living kidney donation although an increasing number of patients of these nationalities are included on the waiting list.The aim of this study is to analyze the attitude toward living kidney donation among the population of Spain residents born in Algeria.

Methods

The study population was Spain residents born in Algeria. A sample of the population older than 15 years was obtained randomly and stratified by age and sex. Attitude was assessed using a validated questionnaire on psychosocial aspects toward living kidney donation (PCID-DVR Rios). A random selection of people to be surveyed was carried out.

Results

Of the 420 respondents, 64% of respondents are in favor of related living kidney donation (family or friends). The remaining 36% were against or undecided. The factors associated with this attitude are personal reasons and family (P < .001). Psychosocial factors are not related to this attitude (P < .001). The following factors were associated with this attitude: (1) not being concerned about the possible mutilation of the body after donation (P < .001) and (2) evaluation of the risk from living kidney donation (P < .001).

Conclusions

The attitude toward related living kidney donation among the population of Spain residents born in Algeria is unfavorable. Only 64% would do it, and it is associated with affective factors and the evaluation of the risk from living kidney donation.  相似文献   

13.

Introduction

Because personal decisions affect the availability of organs for transplants, awareness about organ donations among the general population is fundamental.

Objective

To analyze attitudes toward organ donation among the citizens of Havana, Cuba.

Methods

The sample population was the residents of the city of Havana, Cuba. The inclusion criterion was being older than 15 years; the sample was obtained randomly and stratified by age and sex. Attitude was assessed using a validated questionnaire on psychosocial aspects of organ donation and transplant (PCID-DTO-Ríos). A random selection of people to be surveyed was carried out.

Results

A sample of 920 respondents was included in the study. Attitude toward cadaveric donation was favorable in 68% of respondents, while 14% were against and 18% were undecided. Several variables were associated with having a more favorable attitude. In the multivariate analysis, the following variables continue to feature as independent variables (P <? .05): 1. level of studies; 2. knowledge of the concept of brain death; 3. attitude toward organ donation of a relative; 4. having discussed the issue of organ donation and transplantation with one's family; 5. the attitude of the couple toward organ donation and transplantation; 6. the religion of the respondent; 7. knowing the opinion of one's religion toward organ transplantation; 8. fear of manipulation of the body after death; and 9. acceptance of burial as a treatment of the body after the death.

Conclusions

The attitude toward cadaveric organ donation among the residents of Havana is favorable and similar to that of the citizens of Spain. Improving the organ procurement system will increase donation rates given the population's awareness of the issue.  相似文献   

14.

Introduction

Religious factors have conditioned the attitude toward organ donation and transplantation (ODT) since the beginning of transplantation, despite the fact that most religions are in favor of transplantation.

Objective

To assess the impact of religious beliefs of medical students on their attitude toward ODT.

Method

Population under study: Medical students in Spanish universities. Study sample: Stratified by geographical area and academic course. Assessment instrument: Attitude ODT questionnaire PCID-DTO-Ríos, anonymous and self-administered.

Results

Of all students, 42% (n = 3907) declare themselves atheists or agnostics. The remaining 58% (n = 5368) declare themselves to be religious, the majority being Catholic (55%, n = 5102). Of the rest, 0.2% are Muslims (n = 8), 0.1% Protestants (n = 1), and the remaining 2.7% (n = 257) indicate other religious doctrines but do not want to specify it. Regarding their attitude toward ODT, those who consider themselves atheists or agnostics have a more favorable attitude than those who consider themselves religious (84% versus 76%; P < .001). Among those who follow some kind of religion, Catholics are more in favor of ODT than non-Catholics (77% vs 64%, P < .001). Note that among the religious, only 57% (n = 3050) know which religion is in favor of transplantation, while 22% (n = 1,152) consider that it has not been pronounced on the matter, 13% (n = 723) think the religion is against donation, and the remaining 8% (n = 443) do not know.

Conclusion

The religion professed by medical students conditions their attitude toward donation, with the atheists and agnostics being more in favor of donation.  相似文献   

15.
The involvement of health professionals from their training period is important for the promotion of living liver donation. There are data that indicate that the awareness of living donation is lower in areas with high rates of deceased donation.

Objective

To analyze the attitude toward living liver donation among Spanish medical students, according to donation rates of their regions.

Method

Population under study: Medical students in Spanish universities. Database of the Collaborative International Donor Project, stratified by geographic area and academic course. The completion was anonymous and self-administered. Groups under study: group 1 (n = 1136): students in universities of regions with >50 donors per million population (pmp); group 2 (n = 2018): students in region universities with <40 donors pmp. Assessment instrument: the attitude questionnaire for living liver donation Proyecto Colaborativo Internacional Donante sobre Donación de Vivo Hepático-Ríos (PCID-DVH Ríos).

Results

The attitude toward related liver donation is more favorable among the students of regions with <40 donors pmp than among those of >50 donors pmp. Thus, in group 1, a total of 88% (n = 1002) of students are in favor compared with 91% (n = 1831) of group 2 (P=.02). The psychosocial profile of each study group about their attitude toward living related liver donation is analyzed. There is a similar profile between the 2 groups, although there are differences in some variables such as age, a belief that one might need a transplant, family discussion about donation and transplantation, discussion with friends about donation and transplantation, and knowing about a donor.

Conclusions

The awareness of living related donation among Spanish medical students is greater among the regions with lower organ donation rates.  相似文献   

16.
Puerto Rican and Cuban populations are 2 of the most important migration groups in Florida. Awareness about organ donation among them is fundamental. It is important to determine the factors that influence attitudes toward organ donation.

Objective

To analyze the attitude toward living kidney donation (LKD) among Florida's Puerto Rican residents.

Methods

Study population: Population born in Puerto Rico resident in Florida (United States). Inclusion criteria: A sample of population older than 15 years was obtained randomly and stratified by age and sex. Instrument valuation: LKD attitude questionnaire Proyecto Colaborativo Internacional Donantesobre Donación de Vivo Renal, Rios.

Setting

for the study: Random selection based on stratification. Immigration support associations in Florida were needed to locate potential respondents. Anonymized and self-administered with verbal consent completion.

Results

Of the 259 respondents, 55% (n = 143) are in favor of related LKD (family or friends). The following factors were associated with this attitude: marital status (P = .008); educational level (P < .001); personal experience with organ donation and transplantation (P < .001); attitude toward deceased organ donation (P < .001); realization of prosocial activities (P = .02); family comments about organ donation (P < .001) and comments within couples (P < .001); not being concerned about possible mutilation of the body after donation (P < .001); believing that one's own religion was in favor of donation and transplantation (P < .001); economic incentives of donation (P < .001), and evaluation of the risk from living kidney donation (P < .001). In the multivariate analysis, only marital status is featured as an independent variable (odds ratio, 32.258; P < .001).

Conclusions

The attitude toward related LKD among the Puerto Rican population who resides in Florida is not very favorable; only 55% would do it.  相似文献   

17.

Background

The Nigerian population is an emerging group in Spain and in Europe, but their sensitization toward living kidney donation has not been studied. The aim of this work was to analyze the attitude toward related renal donation while alive among the population born in Nigeria resident in Spain.

Methods

A population older than 15 years born in Nigeria and resident in Spain, stratified by age and sex, was studied with the use of the attitude questionnaire about living kidney donation, “PCID-DVR-Ríos.” People were randomly selected based on stratification. African immigration support associations advised on the location of potential respondents. Completion of the questionnaire was anonymous and self-administered. Verbal consent was requested to assist in the study. Statistical methods included Student t test, χ2, Fisher exact test, and logistic regression analysis.

Results

A total of 179 respondents were included in the study: 70% (n = 125) were in favor of living-related kidney donation, and 30% (n = 54) remained against or undecided. This attitude was associated with different psychosocial factors: marital status (P = .001), having offspring (P = .029), risk assessment of live donation (P < .001), partner's opinion about donation (P < .001), previous relationship with donation and/or transplantation (P < .001), religion (P < .001), and fear of mutilation after donation (P < .001). In the multivariate analysis, the previous relationship with donation and/or transplantation (odds ratio, 8.064) persisted as the main related factor.

Conclusions

The Nigerian immigrant population in Spain has a less favorable attitude toward living kidney donation than the native western European and Spanish population.  相似文献   

18.

Introduction

Negative organ donation rates among the Gypsies is much higher than that of any other social group in Spain. However, living donation rates have not been raised much in this social group, despite the existence of several Gypsy patients on the waiting list for transplantation.

Objective

To analyze the attitude toward related living donation among the Gypsy population who reside in Spain.

Methods

This type of study is an observational sociological study. The study consisted of the adult Gypsy population residing in Spain, and a random sampling of 230 adult gypsies was conducted. Attitude questionnaires for live donation, both hepatic PCID-DVH-Ríos and renal PCID-DVR-Ríos, were used, and random selection was based on stratification. Questionnaires were self-administered and completed anonymously. Student t test, χ2, Fisher, and a logistic regression analysis were used.

Results

A sample of 206 Gypsies (52% women) with a mean age of 34 years is obtained. Seventy-two percent (n = 150) would donate an organ to a relative in life, 8% (n = 16) would not donate it, and 20% (n = 41) have doubts. Respondents with a favorable attitude toward living donation presented a more favorable attitude toward cadaveric organ donation (55% vs 0%, P < .001). The attitude toward living kidney donation was more favorable (81% in favor) than toward living liver donation (P < .001).

Conclusions

The Gypsy ethnic group is sensitized to live donor transplantation. The family and cultural roots of Gypsy people could condition this favorable attitude, a fact to be taken into account to sensitize this social group and promote donation campaigns with the aim of increasing donation rates.  相似文献   

19.

Introduction

The number of people of Nigerian origin in Europe is growing. However, there are no studies that have analyzed their awareness of organ donation and transplantation.

Objective

To analyze the attitude toward organ donation among Nigerian-born population living in Spain.

Methods

The sample population was a selection of people born in Nigeria who are now living in Spain. A sample of this cohort older than 15 years was obtained randomly and stratified by age and sex. Attitude was assessed using a validated questionnaire on the psychosocial attitudes toward organ donation (PCID-DTO-Ríos). A random selection of people from this cohort was surveyed.

Results

A sample of 183 respondents was included in the study. Of their attitudes toward cadaveric donation, 33% were in favor of it, 34% were against it, and 33% were undecided.The variables associated with having a more favorable attitude (P < .001) were: 1. Knowledge related to donation and transplantation; 2. attitude toward the body; 3. religion; and 4. social interaction. In the multivariate analysis, the main independent factor associated with the attitude toward organ donation was the knowledge of the concept of encephalic death. Respondents who are familiar with the concept of brain death are 10 times more likely to be in favor of donation than those who are not.

Conclusions

The attitude toward organ donation among the Nigerian-born population living in Spain is not very favorable and is associated with psychosocial factors. A campaign to raise awareness among Nigerian residents in Spain has become a priority.  相似文献   

20.

Introduction

The number of Population of Guinea residents in Spain has increased significantly; however, there are no studies that analyze their awareness of transplantation and especially living kidney donation.

Objective

To analyze the attitude toward living kidney donation among the Spanish resident population born in Guinea.

Methods

People born in Guinea and residents in Spain were included in this study. A sample of population older than 15 years was obtained randomly and stratified by age and sex. Attitude was assessed using a validated questionnaire on psychosocial aspects with respect to living kidney donation (PCID-DVR-Rios).

Results

Of the 170 respondents, 68% of respondents are in favor of related living kidney donation. The remaining 32% were against it or undecided. The results of the multivariable analysis indicated that respondents who were in favor of cadaveric organ donation and transplantation had a probability of being in favor of living kidney donation 10 times greater than those who were not in favor, and that respondents who had collaborated in prosocial activities had a probability of being in favor of living kidney donation that was 10,638 times greater than those who have not collaborated and will not collaborate in the future.

Conclusions

The attitude toward related living kidney donation among the population born in Guinea and residing in Spain is not very favorable compared with studies of attitude in the European and Spanish population, and it is associated with psychosocial factors.  相似文献   

设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号