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Factors That Affect the Attitudes of the Bolivian Population in Spain With Regard to Organ Donation for Transplant
Authors:A. Ríos  A.I. López-Navas  Á. Sánchez  M.A. Ayala  G. Garrido  M.J. Sebastián  L. Martínez-Alarcó  G. Ramis  A.M. Hernández  P. Ramírez  P. Parrilla
Affiliation:1. Proyecto Colaborativo Internacional Donante (“International Collaborative Donor Project”), Murcia, Spain;2. Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain;3. Transplant Unit, Surgery Service, IMIB–Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain;4. Department of Psychology, Catholic University of Murcia, UCAM, Murcia, Spain;5. Hospital Regional de Alta Especialidad del Bajío, León, Guanajuato, Mexico;6. Organización Nacional de Trasplantes, Madrid, Spain;7. Coordinación de Trasplantes, UMAE Hospital de Especialidades No. 25 IMSS, Monterrey, Mexico;8. Endocrinology and Nutrition Service, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
Abstract:

Background

The Bolivian population is an emerging Latin American immigrant group in Spain, several of whom have been transplanted or are awaiting transplant. We aimed to assess attitudes toward organ donation among Bolivians currently residing in Spain.

Method

The population screened was born in Bolivia but living in Spain, stratified by gender and age. The appraisal tool used was a questionnaire that assesses attitudes toward organ donation for transplant (“PCID-DTO Ríos”). Support from immigration associations in Spain was needed for advice on locations of potential respondents. Survey participation was anonymized and the questionnaire was self-administered. Verbal consent was obtained before participation.

Results

There were 206 respondents: 49% (n = 101) in favor of donating their organs after death; 21% (n = 44) against donation; and 30% (n = 61) undecided. Their attitudes were found to be associated with level of education (P = .008), previous experience with donation and transplant (P = .011), concern regarding mutilation after donation (P = .002), knowing the attitude of their religion toward transplant (P = .001), the opinion of their partner (P < .001), and the possibility of needing a future transplant (P = .050). In the multivariate study, the main factor was having a partner in favor of organ donation (odds ratio = 16.129; P = .003).

Conclusion

Attitudes toward organ donation among Bolivians residing in Spain are far more negative compared with rest of the Spanish population, due to various factors.
Keywords:Address correspondence to Antonio Ríos-Zambudio   Avenida de la Libertad No. 208   Casillas   30007 Murcia   Spain.
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