Transplantation Proceedings
Volume 50, Issue 2, 2018, Pages 312-315

Emigration From Puerto Rico to Florida: Multivariate Analysis of Factors That Condition Attitudes of the Puerto Rican Population Toward Organ Donation for Transplant (Article)

Ríos A.* , López-Navas A.I. , Sánchez Á. , Martínez-Alarcón L. , Ayala M.A. , Garrido G. , Sebastián M.J. , Ramis G. , Hernández A.M. , Ramírez P. , Parrilla P.
  • a Proyecto Colaborativo Internacional Donante (“International Collaborative Donor Project”), Murcia, Spain, Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain, Transplant Unit, Surgery Service, IMIB–Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
  • b Proyecto Colaborativo Internacional Donante (“International Collaborative Donor Project”), Murcia, Spain, Department of Psychology, Catholic University of Murcia, UCAM, Murcia, Spain
  • c Proyecto Colaborativo Internacional Donante (“International Collaborative Donor Project”), Murcia, Spain
  • d Proyecto Colaborativo Internacional Donante (“International Collaborative Donor Project”), Murcia, Spain, Transplant Unit, Surgery Service, IMIB–Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
  • e Proyecto Colaborativo Internacional Donante (“International Collaborative Donor Project”), Murcia, Spain, Hospital Regional de Alta Especialidad del Bajío, León, Guanajuato, Mexico
  • f Organización Nacional de Trasplantes, Spain
  • g Proyecto Colaborativo Internacional Donante (“International Collaborative Donor Project”), Murcia, Spain, Coordinación de Trasplantes, UMAE Hospital de Especialidades No. 25 IMSS, Monterrey, Mexico
  • h Proyecto Colaborativo Internacional Donante (“International Collaborative Donor Project”), Murcia, Spain, Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain, Transplant Unit, Surgery Service, IMIB–Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
  • i Proyecto Colaborativo Internacional Donante (“International Collaborative Donor Project”), Murcia, Spain, Endocrinology and Nutrition Service, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
  • j Proyecto Colaborativo Internacional Donante (“International Collaborative Donor Project”), Murcia, Spain, Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain, Transplant Unit, Surgery Service, IMIB–Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
  • k Proyecto Colaborativo Internacional Donante (“International Collaborative Donor Project”), Murcia, Spain, Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain, Transplant Unit, Surgery Service, IMIB–Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain

Abstract

Background: The Puerto Rican population represents one of the largest immigration groups in Florida, and this has an impact on the organ transplant donation process. Our aim was to analyze attitudes toward organ donation among Puerto Ricans who currently reside in the state of Florida (USA). Methods: The population screened consisted of individuals >15 years old, who were born in Puerto Rico, living in Florida, and awaiting organs for transplant. All participants completed the “PCID-DTO Rios” questionnaire. Random selection was done according to stratification. Support from immigration associations in Spain was needed for advice on the locations of potential respondents. Study participation was anonymized and self-administered. Results: There were 259 respondents, 37% (n = 95) were in favor of donation, 36% (n = 93) were against donation, and 27% (n = 71) were undecided. The variables associated with these attitudes were: age (P =.017); civil status (P =.021); level of education (P <.001); previous experience with donation and transplant (P <.001); attitude toward organ donation of a relative (P <.001); carrying out pro-social activities (P <.001); discussing the issue of transplant with the family (P <.001) or couple (P <.001); attitude toward incineration (P <.001), burial (P <.001), and autopsy (P <.001); fear of mutilation after donation (P <.001); and religious beliefs (P <.001). In the multivariate study, it remained an independent variable to have discussed the issue at the family level (odds ratio = 11.627; P =.009). Conclusion: The Puerto Rican study population residing in Florida has an unfavorable attitude toward organ donation. © 2017 Elsevier Inc.

Author Keywords

[No Keywords available]

Index Keywords

organ transplantation educational status Puerto Rico Burial association incineration Tissue and Organ Harvesting population human immigration middle aged Odds Ratio Aged Humans ethnology religion Hispanic Americans organ donor Surveys and Questionnaires Florida transplantation autopsy migrant family Hispanic Adolescent psychology male Emigrants and Immigrants Spain female medical documentation Multivariate Analysis questionnaire Health Knowledge, Attitudes, Practice Article major clinical study adult age relative Fear attitude to health social behavior
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85044111220&doi=10.1016%2fj.transproceed.2017.11.042&partnerID=40&md5=3daa59aaecf16d8e62dc56245811f0a5
DOI: 10.1016/j.transproceed.2017.11.042
ISSN: 00411345
Original Language: English