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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.
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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.)
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Alanzi AK, Gomaa FRE, Gomaa OR, Janahi AIM, Ezzat MY, Adeel S, Almukhodher SMJAA, Helmy M, Fekih-Romdhane F, Jahrami H. Willingness and Attitude of the Arab World Population Toward Solid-Organ Donation. EXP CLIN TRANSPLANT 2022; 20:811-816. [DOI: 10.6002/ect.2022.0010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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Jiang W, Xue W, Ye Q, Chen Z, Fang Q, Wu X, Wang Y, Xu X, Wang H, Sun X, Li L, Gu M, Jin H. Chinese Efforts to Pursue Effective Communication With Family of Potential Organ and Tissue Donor. Transplant Proc 2022; 54:1724-1729. [PMID: 35973865 DOI: 10.1016/j.transproceed.2022.04.033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2021] [Revised: 04/03/2022] [Accepted: 04/03/2022] [Indexed: 11/17/2022]
Abstract
Within the last decade, deceased organ donation and transplantation in China have made great progress, but there is still much room for improvement. Inefficient communication with the family of potential organ and tissue donors is one of the major reasons for donor loss. In this study, the current progress of the deceased organ donation program in China was summarized, with a particular focus on the analysis of problems and solutions for achieving best practices in communication with the family of potential organ and tissue donors. This paper is in compliance with the Helsinki Congress and the Declaration of Istanbul.
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Affiliation(s)
- Wenshi Jiang
- Shanxi Provincial Organ Procurement and Allocation Center, Taiyuan, China.
| | - Wujun Xue
- The First Affiliated Hospital of Xi'an Jiao Tong University, Xi'an, China
| | - Qifa Ye
- Zhongnan Hospital of Wuhan University, Wuhan, China
| | - Zhonghua Chen
- Tongji Hospital Tongji Medical College of Hust, Wuhan, China
| | - Qiang Fang
- The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China
| | - Xiaotong Wu
- Shanxi Provincial Organ Procurement and Allocation Center, Taiyuan, China
| | - Yue Wang
- Peking University, Beijing, China
| | - Xiao Xu
- Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou, China
| | - Haifeng Wang
- The First Bethune Hospital of Jilin University, Changchun, China
| | - Xuyong Sun
- The Second Affiliated Hospital of Guangxi Medical University, Nanning, China
| | - Li Li
- The First Hospital of Kunming, Kunming, China
| | - Min Gu
- The Second Affiliated Hospital of Nanjing Medical University, Nanjing, China
| | - Hailong Jin
- The Third Medical Center of PLA General Hospital, Beijing, China
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Luo A, He H, Xu Z, Ouyang W, Chen Y, Li K, Xie W. A Qualitative Study in Family Units on Organ Donation: Attitude, Influencing Factors and Communication Patterns. Transpl Int 2022; 35:10411. [PMID: 35401037 PMCID: PMC8983816 DOI: 10.3389/ti.2022.10411] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2022] [Accepted: 02/24/2022] [Indexed: 11/13/2022]
Abstract
This study aimed to analyze the attitude, influencing factors and communication patterns of organ donation in Chinses families. We conducted in-depth interviews with 97 participants from 26 families in China from August 2018 to October 2020. Interviews were audio-recorded, transcribed by the researchers. Thematic analysis was used to analyze the data and Nvivo 12 was used to catalog coded data. Thirty-eight participants indicated that they would like to be a donor while the majority were unlikely to donate. Among those who were willing to donate, some disagreed with family members to donate organs. Themes found included attitude, the timing of thinking, taboo and fear, traditional beliefs, ethics and family communication patterns. Lack of knowledge, fear, taboo, some traditional beliefs and mistrust may discourage donation. Altruism and policy which is good for the family seem to encourage donation. We also constructed three family communication patterns to provide a deeper understanding of the family in China. This is the first qualitative study that analyzed attitude, influencing factors and communication patterns based on family units in China mainland. Our findings showed that family comes first in Chinese. We suggest that family-based consent and incentives are more suitable for the Chinese social context.
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Affiliation(s)
- Aijing Luo
- The Third Xiangya Hospital of Central South University, Changsha, China.,Second Xiangya Hospital of Central South University, Changsha, China.,Key Laboratory of Medical Information Research (Central South University), College of Hunan Province, 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
| | - Zehua Xu
- 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.,Public Health College of Central South University, Changsha, China
| | - Wei Ouyang
- 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
| | - Yang Chen
- School of Life Sciences, Central South University, Changsha, China
| | - Ke Li
- 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
| | - 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
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