Evaluation of Attitude toward Living Organ Donation among Adolescents in Southeast Spain

Rı́os, Antonio; Febrero, Beatríz; López-Navas, A.; Martı́nez-Alarcón, L.; Sánchez, José Luis Cobo; Guzmán, D.; Ramı́rez, Pablo; Parrilla, Pascual

doi:10.1016/j.transproceed.2012.05.067

Cited by 13 publications

(6 citation statements)

References 11 publications

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“…Fourteen studies involving the general population, potential kidney donors, or live donors across 5 countries (United States, India, Sweden, Spain, and Germany) have shown that a higher proportion of women exhibited greater willingness, initiative, and volunteerism toward living kidney donation compared with men (Table 1). 24,27,32,34,39,41,[44][45][46]48,55,58,60 In general, women were less willing to accept any financial compensation for living kidney donation, including health insurance coverage, compared with men. 27,32,47 Women were also more likely to discuss with families about living kidney organ donation.…”

Section: Cognitive and Emotional Reasonsmentioning

confidence: 99%

“…27,32,47 Women were also more likely to discuss with families about living kidney organ donation. 45,55 Three observational studies found that a greater proportion of women were willing to offer their kidneys to families and strangers compared with men. 27,32,60 The perceived risks and fear of complications associated with living donation were also considered a hindrance to living kidney donation.…”

Section: Cognitive and Emotional Reasonsmentioning

confidence: 99%

“…27,32,60 The perceived risks and fear of complications associated with living donation were also considered a hindrance to living kidney donation. The fear of open surgery, 40,56 mutilation, 44,45 kidney failure, 24 and infertility 42 were some of the concerns raised by both women and men in high-and lowermiddle-income countries. Some authors indicated that certain cultures perceive surgical scars as unacceptable in women.…”

Section: Cognitive and Emotional Reasonsmentioning

confidence: 99%

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Sex and Gender Disparities in Living Kidney Donation: A Scoping Review

Vilayur,

van Zwieten,

Chen

et al. 2023

Transplantation Direct

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Background. Women are more likely than men to be living kidney donors. We summarized the evidence concerning the reasons behind sex and gender disparities in living kidney donation (LKD). Methods. A scoping review of quantitative and qualitative evidence on reasons for sex and gender disparities in LKD was conducted from inception to March 2023. Results. Of 1123 studies screened, 45 were eligible for inclusion. Most studies were from North America, Europe, and Central Asia (n = 33, 73%). A predominance of women as living donors (55%–65%) was observed in 15 out of 18 (83%) studies. Reasons for sex and gender disparities in LKD included socioeconomic, biological, and cognitive or emotional factors. A gendered division of roles within the families was observed in most studies, with men being the primary income earner and women being the main caregiver. Fear of loss of income was a barrier to male donation. Human leukocyte antigen sensitization through pregnancy in female recipients precluded male partner donation, whereas female donation was supported by altruism and a positive attitude toward LKD. Conclusions. Sex imbalance in LKD is prevalent, with a predominance of women as living donors. Such disparities are driven by societal and cultural perceptions of gender roles, pregnancy-induced sensitization, and attitudes toward donation and at least some of these factors are modifiable. Donor compensation to support predonation assessments and income loss, implementation of innovative desensitization treatments, promotion of paired kidney exchange program, and targeted educational initiatives to promote equitable living donation may help to close the gender gap in LKD.

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Section: Cognitive and Emotional Reasonsmentioning

confidence: 99%

Section: Cognitive and Emotional Reasonsmentioning

confidence: 99%

Section: Cognitive and Emotional Reasonsmentioning

confidence: 99%

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Sex and Gender Disparities in Living Kidney Donation: A Scoping Review

Vilayur,

van Zwieten,

Chen

et al. 2023

Transplantation Direct

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“…Attitude toward the treatment of the body after death is influenced by the ideas someone has about what death is like, how it happens… which means that this is a relevant factor affecting attitude toward the donation of one’s own organs [ 8 , 9 , 16 , 30 , 31 , 32 ]. In the present study, acceptance of cremation was found in only 31% of the respondents, but is associated with a better attitude toward the donation of one’s own organs, persisting as a significant variable in the multivariate analysis alongside acceptance of an autopsy.…”

Section: Discussionmentioning

confidence: 99%

“…. which means that this is a relevant factor affecting attitude toward the donation of one's own organs [8,9,16,[30][31][32].…”

Section: Discussionmentioning

confidence: 99%

The New Age of Organ Donation—What Factors Have an Influence on the Attitude of Older People? An Attitudinal Survey in Southeastern Spain

Febrero

Almela-Baeza

Ros-Madrid

et al. 2022

IJERPH

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Currently, more than half of all donors are aged over 65 years, and previous studies have shown that this group is less willing to support organ donation. Objective: to analyse the attitude of people aged over 65 years toward organ donation and transplantation (ODT) and to determine how their psychosocial profile affects their attitude. Study population: citizens residing in southeastern Spain older than 65 years of age. A representative sample was obtained, which was stratified by gender and geographical location (n = 420). A validated questionnaire about ODT was used. Statistical analysis: a bivariate analysis was performed using the X2 test and a multivariate analysis. The favourable attitude toward the donation of one’s own organs was 53%. The psychosocial variables affecting attitude were mainly: having discussed ODT with one’s family (p < 0.001) or friends (OR 2.223), acceptance of cremation (OR 2.508), and acceptance of an autopsy (OR 2.578). Citizens aged over 65 tend to have an unfavourable attitude toward the donation of their own organs. The lack of dialogue about ODT in social and family settings, and the attitude to the manipulation of one’s own body after death, are aspects of a respondent’s psychosocial profile, which influence this attitude.

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