Asian American adolescents' willingness to donate organs and engage in family discussion about organ donation and transplantation

Department of Surgery, University of California, San Francisco, 513 Parnassus Avenue, S-320, San Francisco, CA 94143-0104, USA.
Progress in transplantation (Aliso Viejo, Calif.) (Impact Factor: 0.84). 03/2012; 22(1):33-40, 70. DOI: 10.7182/pit2012328
Source: PubMed


Despite the growing need for organ donation among Asian Americans, studies suggest that they are reluctant to donate.
To examine the association of attitudes and knowledge about organ donation and transplantation with willingness to donate and willingness to engage in family discussion about organ donation among Asian American adolescents.
A cross-sectional study.
The Big Island of Hawaii.
Self-identified Asian American adolescents (Japanese, Chinese, Filipino, Korean), ages 16 to 17 years old, and each adolescent's parent or guardian.
Asian American adolescents provided demographic information and completed the Modified Organ Donation Attitude Survey, the Organ Donation and Transplantation Knowledge Survey, and the Suinn-Lew Asian Self-Identity Acculturation Scale. A parent or guardian also provided demographic information. Linear regression analyses were used to examine the associations with willingness to donate and to engage in family discussion about organ discussion.
Willingness to donate was associated with positive knowledge related to general aspects about organ donation and cultural limitations in receiving an organ transplant, a high level of acculturation, and a low level of negative attitudes (R2 = 0.402, F = 18.86, P = .005). Asian American adolescents with approving or positive attitudes were likely to engage in family discussion about organ donation (R2 = 0.195, F = 27.93, P = .005). To reinforce and maintain high levels of knowledge and positive attitudes, organ donation education is most likely needed in high schools.

Download full-text


Available from: Joyce Trompeta, Oct 27, 2015
    • "Fishbein and Ajzen's Theory of Reasoned Action (1975) states that behaviour depends on two variables: attitudes and subjective norms. 5 In practice, several researchers have demonstrated that discussions with family members are driven by an attitude and subjective norms that are favourable to organ donation (Hyde and White, 2009; Jones et al., 2008; Morgan, 2004; Morgan and Miller, 2002; Murray et al., 2013; Trompeta et al., 2012; Wu, 2008). Wang (2012) measures self-monitoring, a similar concept to subjective norms, proving that for people who are highly sensitive to their social image, the desire to discuss with family members is the consequence of an attitude of self-expression rather than a utilitarian attitude. "
    [Show abstract] [Hide abstract]
    ABSTRACT: In France, more than 16,000 patients hope to receive a donated organ each year. Only one third of these patients receive transplants and 500 people die before being called for a transplant. However, the number of donations could be increased considerably by encouraging donor card holders to discuss the subject with their families. The objective of this research is to develop a better understanding of discussion behaviours with families regarding a decision to donate one’s organs post mortem. To this end, a quantitative survey was carried out on a broad sample of 11,235 holders of organ donor cards. This work introduces two main contributions in relation to previous work. First, it demonstrates that the intensity of discussions with next-of-kin has an impact on the donor’s confidence in having their wishes respected. Second, it demonstrates the need to take into account individual determinants such as the taboo of death, superstition and extraversion in order to better understand the intensity of discussions with next-of-kin. Our research also confirms the impact of altruism on discussions about organ donation. In light of our results, managerial implications are proposed below.
    No preview · Article · Jul 2015
  • [Show abstract] [Hide abstract]
    ABSTRACT: The German transplantation system is in a crisis due to a lack of donor organs. Information campaigns are one of the main approaches to increase organ donation rates. Since 2012, German health insurance funds are obliged by law to inform their members about organ donation. We raised the hypothesis: The willingness to sign a donor card rises due to the subsequent increase of specific knowledge by receiving the information material of the health insurance funds. The objective of the study was to assess the influence of information campaigns on the specific knowledge and the willingness to donate organs. We conducted an online survey based on recruitment via Facebook groups, advertisements using the snowball effect, and on mailing lists of medical faculties in Germany. Besides the demographic data, the willingness to hold an organ donor card was investigated. Specific knowledge regarding transplantation was explored using five factual questions resulting in a specific knowledge score. We recruited a total of 2484 participants, of which 32.7% (300/917) had received information material. Mean age was 29.9 (SD 11.0, median 26.0). There were 65.81% (1594/2422) of the participants that were female. The mean knowledge score was 3.28 of a possible 5.00 (SD 1.1, median 3.0). Holding a donor card was associated with specific knowledge (P<.001), but not with the general education level (P=.155). Receiving information material was related to holding a donor card (P<.001), but not to a relevant increase in specific knowledge (difference in mean knowledge score 3.20 to 3.48, P=.006). The specific knowledge score and the percentage of organ donor card holders showed a linear association (P<.001). The information campaign was not associated with a relevant increase in specific knowledge, but with an increased rate in organ donor card holders. This effect is most likely related to the feeling of being informed, together with an easy access to the organ donor card.
    No preview · Article · Jul 2015
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: This study explores the factors affecting the willingness of dialysis patients' family members to become involved in living and deceased organ donation. We utilize cross sectional data on 350 family members of dialysis patients collected through self-administered survey from June to October 2013. The factors affecting willingness to become deceased and living organ donors among respondents were identified by running logistic regressions. The findings reveal that ethnicity, education and role in family are significant factors explaining will­ingness for living donation, while ethnicity, knowledge of organ donation and donor age drive willingness for deceased donation. We also find that the reasons of respondents being unwilling to donate center on the lack of information and family objections for deceased donation, while being medically unfit, scared of surgery and family objections are the reasons for unwillingness to donate living organs. In light of our findings,educational efforts are suggested to decrease the reluctance to become in­volved in living and deceased donation.&nbsp.
    Full-text · Article · Sep 2015 · Urology journal