1
|
Zeng M, Li H, Song X, Jiang J, Chen Y. Factors Associated with Willingness toward Organ Donation in China: A Nationwide Cross-Sectional Analysis Using a Social–Ecological Framework. Healthcare (Basel) 2023; 11:healthcare11060824. [PMID: 36981481 PMCID: PMC10048496 DOI: 10.3390/healthcare11060824] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2023] [Revised: 03/03/2023] [Accepted: 03/07/2023] [Indexed: 03/16/2023] Open
Abstract
Improving public willingness toward organ donation is an important solution to the low organ donation rate. This study aimed to explore factors impacting public willingness for organ donation in China from a multi-agent perspective and further explore the impact of these factors on high or low willingness, using a social–ecological framework. Data from a total of 11,028 (effective rate, 94.18%) participants were analysed. Generalised linear model (GLM) and quantile regression were used to explore factors associated with willingness and high/low willingness toward organ donation, respectively. The mean willingness toward organ donation was 56.9 (range, 0–100) points. GLM regression revealed that age, family health, males, lower educational levels, and agricultural hukou were negatively associated with willingness. For personality, conscientiousness was negatively associated with willingness, whereas openness was positively associated with willingness. Health literacy perceived social support, and media utilisation were positively associated with willingness. Quantile regression further indicated that educational levels of college, bachelor, master’s, and PhD, openness, health literacy, perceived social support, and media utilisation were positively associated with organ donation willingness at all percentiles. It is necessary to adopt more targeted and diversified publicity, education, and guidance for different types of individuals. Meanwhile, social support needs to be strengthened. To enhance the willingness of the residents to donate organs, media publicity should be strengthened, particularly by using modern ways to improve their health literacy.
Collapse
Affiliation(s)
- Mengjun Zeng
- Department of Health Management, School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
- Key Laboratory of Organ Transplantation, Ministry of Education, NHC Key Laboratory of Organ Transplantation, Institute of Organ Transplantation, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
| | - Haomiao Li
- School of Political Science and Public Administration, Wuhan University, Wuhan 430072, China
| | - Xiaohui Song
- Department of Cardiology, Renmin Hospital, Wuhan University, Wuhan 430060, China
- School of Basic Medical Science, Wuhan University, Wuhan 430062, China
| | - Jipin Jiang
- Key Laboratory of Organ Transplantation, Ministry of Education, NHC Key Laboratory of Organ Transplantation, Institute of Organ Transplantation, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
- Correspondence: (J.J.); (Y.C.)
| | - Yingchun Chen
- Department of Health Management, School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
- Research Centre for Rural Health Service, Key Research Institute of Humanities & Social Sciences of Hubei Provincial Department of Education, Wuhan 430030, China
- Correspondence: (J.J.); (Y.C.)
| |
Collapse
|
2
|
Xie W, Kong S, He H, Xiong H, Zhu Q, Huang P. A mixed-methods study of emotional support for families of organ donors in Hunan Province, China. Front Psychol 2022; 13:952524. [PMID: 36118472 PMCID: PMC9478748 DOI: 10.3389/fpsyg.2022.952524] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2022] [Accepted: 08/05/2022] [Indexed: 11/13/2022] Open
Abstract
Background Family consent is a prerequisite for the organ donation of the deceased in China. However, a large number of donors are individuals who died due to accidental injuries or unanticipated diseases, which means that most of the families of such donors have just experienced the sudden death of their loved one and have to make a donation decision in a short time. This decision may cause psychological stress and some psychological damage to the minds of relatives of the donors. In addition, cultural sensitivity also has largely caused the relatives of donors inner conflicts and contradictions. And sometimes organ donation may still be stigmatized. However, have they received any emotional support and what is their emotional support needs are some questions that need to be answered. Therefore, this study aims to investigate the emotional support, influencing factors, and needs of the family members of organ donors in Hunan Province, China. Materials and methods This is mixed-methods research that combines quantitative and qualitative research methods. A cross-sectional survey was conducted among 102 donor families using a questionnaire to investigate their emotional support status. To further understand their emotional support needs, 12 donor families participated in the semi-structured interview. Results The results confirmed that: (1) A total of 67.7% of the 102 respondents received emotional support or psychological comfort. Thus, only a small number of respondents (31.4%) felt respected by the public. (2) Emotional support came mainly from immediate family members (73.91%), and official organizations such as the Red Cross (43.48%). (3) Marital status, health status, occupation, and coping style can affect the emotional support of the donor families (p < 0.05). (4) Interview showed that the families of donors need emotional support and psychological aid from psychological professionals mostly. And they also wish to receive the understanding and respect of the public. Conclusion Most families of organ donors received emotional support from family, Red Cross, and friends, but only a minority of families of donors reported receiving respect from the public after the donation. And families of donor showed a strong need for emotional support and professional psychological aid from institutions.
Collapse
Affiliation(s)
- Wenzhao Xie
- The Third Xiangya Hospital of Central South University, Changsha, China
- Key Laboratory of Medical Information Research (Central South University), College of Hunan Province, Changsha, China
- School of Life Sciences, Central South University, Changsha, China
| | - Shufeng Kong
- The Third Xiangya Hospital of Central South University, Changsha, China
- Key Laboratory of Medical Information Research (Central South University), College of Hunan Province, Changsha, China
- School of Life Sciences, Central South University, Changsha, China
| | - Haiyan He
- The Third Xiangya Hospital of Central South University, Changsha, China
- Key Laboratory of Medical Information Research (Central South University), College of Hunan Province, Changsha, China
- School of Life Sciences, Central South University, Changsha, China
| | - Huan Xiong
- The Third Xiangya Hospital of Central South University, Changsha, China
- Key Laboratory of Medical Information Research (Central South University), College of Hunan Province, Changsha, China
- School of Life Sciences, Central South University, Changsha, China
| | - Qizhen Zhu
- The Third Xiangya Hospital of Central South University, Changsha, China
- Key Laboratory of Medical Information Research (Central South University), College of Hunan Province, Changsha, China
- School of Life Sciences, Central South University, Changsha, China
- School of Medical Information Engineering, Jining Medical University, Rizhao, China
| | - Panhao Huang
- The Third Xiangya Hospital of Central South University, Changsha, China
- Department of Pharmacy, The Third Xiangya Hospital, Central South University, Changsha, China
- *Correspondence: Panhao Huang,
| |
Collapse
|