Multivariate Analysis of Factors That Condition the Attitude Toward Organ Donation Among the Population of Mali Residents in Spain

• Published in: Transplantation proceedings 2019-03, Vol.51 (2), p.269-272
• Main Authors: Ríos, A., Carrillo, J., López-Navas, A.I., Ayala-García, M.A., Sánchez, Á., Hernández, A.M., Ramírez, P., Parrilla, P.
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Emigrants and Immigrants - psychology; Female; Health Knowledge, Attitudes, Practice - ethnology; Humans; Male; Mali; Middle Aged; Multivariate Analysis; Organ Transplantation - psychology; Spain; Surveys and Questionnaires; Tissue and Organ Procurement
• ISSN: 0041-1345; 1873-2623
• DOI: 10.1016/j.transproceed.2018.10.008

The population from Mali is migrating toward Europe in a significant way. To analyze the attitude toward organ donation (ODT) among the population born in Mali who are currently residents in Spain. Study population: people born in Mali who are ≥15 years of age and residents of Spain, stratified by age and sex. The assessment instrument is the validated attitude questionnaire toward organ donation (PCID-DTO-Ríos). Fulfillment was anonymous and self-administred. The statistics used were descriptive, χ2 test, Student t test, and a logistic regression analysis. This study surveyed 402 Malians. Thirty-four percent (n = 136) are in favor of donating their own organs after dying, 39% (n = 156) are against organ donation, and 27% (n = 110) are undecided. Multiple factors are associated with this attitude, such as level of studies (P = .042, OR = 6.535), having a positive attitude toward ODT (P = .001, OR = 47.619), performing prosocial activities (P = .001, OR = 141.679), being familiar with the scope of the transplant (P < .001, OR = 16.949), the attitude toward the incineration of the body (P = .002, OR = 8.928) and toward autopsy (P = .003, OR = 8.620), having had a prior donation or transplantation relationship (P = .001, OR = 17.910) and not having concerns about the possible mutilation of the body after donating (P < .001; OR = 90.909). The Malians have an unfavorable attitude toward the donation of their own organs, which is conditioned by multiple psychosocial factors. •The Malians have an unfavorable attitude toward the donation of their own organs, conditioned by multiple psychosocial factors.•Multiple factors are associated with this unfavorable attitude, such as level of studies, having a familiar scope of the subject of transplant, attitude toward the incineration of the body, or performing prosocial activities.•Only 34% of the Mali immigrant population living in Spain who were analyzed in this study are in favor of organ donation.•Educational level, social interaction, and attitude toward treatment of the body are the factors most related to the attitude toward donation; integration into Spanish society and improvement of the educational level may improve the attitude toward organ donation.