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Ríos A, López-Gómez S, Belmonte J, Balaguer A, Gutiérrez PR, Ruiz-Merino G, Ayala-García MA, Ramírez P, López-Navas AI. The Roma population's fear of donating their own organs for transplantation. Cir Esp 2023; 101:350-358. [PMID: 35777627 DOI: 10.1016/j.cireng.2022.06.043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2022] [Accepted: 05/09/2022] [Indexed: 05/16/2023]
Abstract
BACKGROUND The refusal rate for donating organs among the Roma people is much higher than that of any other social group. OBJECTIVE To analyze the attitude towards the donation of one's own organs among the Roma population living in Spain. METHOD . TYPE OF STUDY Spanish national observational sociological study stratified by gender and age. STUDY POPULATION Roma population aged ≥15 years living in Spain. SAMPLE SIZE 1,253 respondents. Assessment instrument: Validated questionnaire on attitude towards organ donation for transplantation "PCID - DTO Ríos". Field work: Random selection based on stratification. Anonymous and self-administered completion. The collaboration of people of Roma ethnicity was required. STATISTICS Student's t test, χ2, Fisher's exact test and a logistic regression analysis. RESULTS The degree of completion was 18.2% (n = 228). Of those who completed the questionnaire, 42.1% (n = 96) were in favor of donation, 30.3% (n = 69) were undecided and the remaining 27.6% (n = 63) were against it. Of the 1,025 (81.8%) who declined to complete the questionnaire, 1,004 (98%) indicated that it was for fear of speaking about and filling in a questionnaire that raises the issue of death and organ donation after death. If those who did not complete the questionnaire due to fear of death and donating organs after death are considered not in favor, the results would be as follows: 7.8% (n = 96) in favor of donating their organs compared to 92.2% (n = 1166) not in favor (against or undecided). CONCLUSIONS A majority of the Roma population prefer not speak of death nor organ donation after death. These findings show that current campaigns to promote organ donation are not effective in this population group.
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Affiliation(s)
- Antonio Ríos
- Proyecto Colaborativo Internacional Donante, Murcia, Spain.
| | | | - Javier Belmonte
- Proyecto Colaborativo Internacional Donante, Murcia, Spain; Unidad de Trasplante. Servicio de Cirugía, Instituto Murciano de Investigación Biosanitaria (IMIB), Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - Andrés Balaguer
- Unidad de Trasplante. Servicio de Cirugía, Instituto Murciano de Investigación Biosanitaria (IMIB), Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - Pedro R Gutiérrez
- Proyecto Colaborativo Internacional Donante, Murcia, Spain; Servicio de Urología, Complejo Hospitalario Universitario de Canarias (CHUC), Departamento de Cirugía, Universidad de La Laguna (ULL), San Cristóbal de La Laguna, Santa Cruz de Tenerife, Spain
| | - Guadalupe Ruiz-Merino
- Fundación para la Formación e Investigación Sanitarias de la Región de Murcia (FFIS), Murcia, Spain
| | - Marco Antonio Ayala-García
- Proyecto Colaborativo Internacional Donante, Murcia, Spain; Hospital Regional General Número 58 del Instituto Mexicano del Seguro Social (IMSS), Delegación de Guanajuato, Guanajuato. México
| | - Pablo Ramírez
- Proyecto Colaborativo Internacional Donante, Murcia, Spain; Departamento de Cirugía, Pediatría, Obstetricia y Ginecología, Universidad de Murcia, Murcia, Spain; Unidad de Trasplante. Servicio de Cirugía, Instituto Murciano de Investigación Biosanitaria (IMIB), Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - Ana Isabel López-Navas
- Proyecto Colaborativo Internacional Donante, Murcia, Spain; Departamento de Psicología, Universidad Católica San Antonio de Murcia (UCAM), Murcia, Spain
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Ríos A, López-Gómez S, Belmonte J, Balaguer A, Gutiérrez PR, Ruiz-Merino G, Ayala-García MA, Ramírez P, López-Navas AI. La población gitana tiene miedos sobre la donación de órganos propios para trasplante. Cir Esp 2022. [DOI: 10.1016/j.ciresp.2022.05.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Naghavi N, Mubarik MS, Rasiah R, Sharif Nia H. Prioritizing Factors Affecting Deceased Organ Donation in Malaysia: Is a New Organ Donation System Required? Int J Gen Med 2020; 13:641-651. [PMID: 32982381 PMCID: PMC7507418 DOI: 10.2147/ijgm.s253372] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2020] [Accepted: 08/26/2020] [Indexed: 11/23/2022] Open
Abstract
Purpose The gap between the demand and the supply of human organs for transplantation is on the rise in Malaysia, despite the efforts of governments to promote donor registration. Factors affecting willingness to donate are contextual and vary from country to country. This research mainly focuses on the selection of most suitable organ donation system through factors affecting willingness to donate in Malaysia. The objectives of this study are to prioritize those factors acting as the pillars of the organ donation system and further to select the most suitable organ donation system for Malaysia. Patients and Methods The data were collected from 35 experts by using a bipolar questionnaire. The study applied an analytical hierarchal process (AHP) for prioritization factors contributing to willingness to donate and then selection of a suitable organ donation system based on prioritized factors. Results Based on the AHP results, it is evident that donation perception (0.36) has the highest priority in influencing organ donation rates, followed by socioeconomic status (0.32), demographic factors (0.23), and financial incentives (0.09). Further, our results challenge the existing opt-in donation system in Malaysia and present a presumptive approach as a suitable system for increasing deceased donation rate in Malaysia. Presumptive approach promotes the role of health-care professionals in securing the family consent. Conclusion This approach is a person-oriented rather than process-oriented strategy and it relies on designated requesters' skills to evoke altruism among bereaved families. Based on results, the authors recommended that relevant government agencies focus on training nurses to discuss donation with bereaved families and raising public awareness.
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Affiliation(s)
- Navaz Naghavi
- Faculty of Business & Law, Taylor's Business School, Taylor's University, Lakeside Campus, Subang Jaya 47500, Selangor, Malaysia
| | - Muhammad Shujaat Mubarik
- Faculty of Business Administration & Social Sciences, Mohammad Ali Jinnah University, Karachi 7500, Pakistan
| | - Rajah Rasiah
- Asia-Europe Institute, University of Malaya, 50603 Kuala Lumpur, Malaysia
| | - Hamid Sharif Nia
- Department of Nursing, Mazandaran University of Medical Science, Sari, Iran
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Gypsy Population With University Studies Is a Key Ethnic Subgroup for the Promotion of Organ Donation Among the Gypsy Population. Transplant Proc 2019; 51:283-285. [PMID: 30879522 DOI: 10.1016/j.transproceed.2018.10.014] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2018] [Accepted: 10/23/2018] [Indexed: 11/23/2022]
Abstract
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.
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Ríos A, López-Gómez S, Belmonte J, López-Navas A, Sánchez A, Carrillo J, Ruiz-Manzanera JJ, Hernández AM, Ramírez P, Parrilla P. Gypsy Population Presents a Favorable Attitude Toward Related Living Donation. Transplant Proc 2019; 51:296-298. [PMID: 30879526 DOI: 10.1016/j.transproceed.2018.10.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2018] [Accepted: 10/23/2018] [Indexed: 10/28/2022]
Abstract
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.
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Affiliation(s)
- A Ríos
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Surgery, Pediatrics, Obstetrics y Gynecology, University of Murcia; Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain.
| | - S López-Gómez
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain
| | - J Belmonte
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Servicio de Anestesia y Reanimación, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - A López-Navas
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Psychology, UCAM, San Antonio Catholic University, Murcia, Spain
| | - A Sánchez
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain
| | - J Carrillo
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Surgery, Pediatrics, Obstetrics y Gynecology, University of Murcia; Spain
| | - J J Ruiz-Manzanera
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Surgery, Pediatrics, Obstetrics y Gynecology, University of Murcia; Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - A M Hernández
- Endocrinology and Nutrition Service, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Ramírez
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Surgery, Pediatrics, Obstetrics y Gynecology, University of Murcia; Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Parrilla
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Surgery, Pediatrics, Obstetrics y Gynecology, University of Murcia; Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
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Ríos A, López-Gómez S, Belmonte J, López-Navas A, Sánchez A, Carrillo J, Ruiz-Manzanera J, Hernández A, Ramírez P, Parrilla P. Acceptance of the Xenotransplantation of Organs Among the Population of the Spanish Gypsy Ethnic Group. Transplant Proc 2019; 51:293-295. [DOI: 10.1016/j.transproceed.2018.10.013] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2018] [Accepted: 10/23/2018] [Indexed: 01/06/2023]
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