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基于ABC态度模型的器官捐献意愿影响因素分析

国航, 侯晓丽, 任敬, 等. 基于ABC态度模型的器官捐献意愿影响因素分析[J]. 器官移植, 2022, 13(3): 378-384. doi: 10.3969/j.issn.1674-7445.2022.03.015
引用本文: 国航, 侯晓丽, 任敬, 等. 基于ABC态度模型的器官捐献意愿影响因素分析[J]. 器官移植, 2022, 13(3): 378-384. doi: 10.3969/j.issn.1674-7445.2022.03.015
Guo Hang, Hou Xiaoli, Ren Jing, et al. Analysis of influencing factors of organ donation willingness based on ABC attitude model[J]. ORGAN TRANSPLANTATION, 2022, 13(3): 378-384. doi: 10.3969/j.issn.1674-7445.2022.03.015
Citation: Guo Hang, Hou Xiaoli, Ren Jing, et al. Analysis of influencing factors of organ donation willingness based on ABC attitude model[J]. ORGAN TRANSPLANTATION, 2022, 13(3): 378-384. doi: 10.3969/j.issn.1674-7445.2022.03.015

基于ABC态度模型的器官捐献意愿影响因素分析

doi: 10.3969/j.issn.1674-7445.2022.03.015
基金项目: 

教育部人文社会科学研究青年基金项目 19YJCZH072

国家级大学生创新训练项目 202110440014

国家级大学生创新训练项目 S202010440023

滨州医学院社会科学发展基金年度项目 20SKNY09

详细信息
    作者简介:
    通讯作者:

    孔杨,女,1981年生,博士研究生,副教授,研究方向为卫生事业管理,Email:kongyangyxy@163.com

  • 中图分类号: R617, R19

Analysis of influencing factors of organ donation willingness based on ABC attitude model

More Information
  • 摘要:   目的  探索认知和情感态度对公众器官捐献意愿的影响及促进路径。  方法  采用便利抽样的方法,并以ABC态度模型为理论基础,建立中介效应和结构方程模型,探索认知和情感态度对于公众器官捐献意愿的影响及提升路径。  结果  在4 565名被调查者中,621名明确表示不愿意在自己去世后捐献器官,701名表示愿意在自己去世后捐献器官,仅259名被调查者已签署器官捐献同意卡。不同性别、年龄、宗教信仰、居住地、受教育程度的被调查者器官捐献意愿情况差异均有统计学意义(均为P < 0.05)。调查问卷整体Cronbach’s α系数为0.781,KMO=0.842,信效度较好。在结构方程模型中,认知对捐献意愿的路径系数为0.39,态度对捐献意愿的路径系数为0.25,认知和情感态度均对器官捐献意愿存在正向影响。中介效应检验结果显示,认知对捐献意愿的影响关系中,态度的中介作用显著,中介效应值为0.035(P < 0.01)。器官捐献知晓度是认知因素的最大影响因子,对捐献意愿的路径系数为0.20;社会光荣感是态度因素的最大影响因子,路径系数为0.16。  结论  认知和情感态度均对器官捐献意愿存在正向影响,器官捐献知晓度是认知因素的最大影响因子,社会光荣感是态度因素的最大影响因子。提高公众的器官捐献认知水平和提升公众器官捐献的社会光荣感,有利于提高公众的器官捐献意愿。

     

  • 图  1  器官捐献意愿结构方程模型

    Figure  1.  Structural equation model of organ donation intention

    表  1  不同特征人群捐献意愿的差异性分析

    Table  1.   Difference analysis of donation willingness of people with different characteristics [n(%)]

    类别 人数 愿意捐献人数 χ2 P
    性别 69.544 < 0.001
      男 1 830(40.09) 227(12.4)
      女 2 735(59.91) 474(17.3)
    年龄 118.875 < 0.001
      18~30岁 3 876(84.91) 628(16.2)
      31~40岁 187(4.10) 22(11.8)
      41~50岁 360(7.89) 42(11.7)
       > 50岁 142(3.11) 9(6.3)
    民族 4.684 0.096
      汉族 4 411(96.63) 679(15.4)
      少数民族 154(3.37) 22(14.3)
    宗教信仰 14.682 0.001
      有 196(4.29) 32(16.3)
      无 4 369(95.71) 669(15.3)
    居住地 18.542 < 0.001
      城镇 2 453(53.73) 428(17.4)
      农村 2 112(46.27) 273(12.9)
    受教育程度 168.453 < 0.001
      初中及以下 283(6.20) 27(9.5)
      高中/中专 508(11.13) 62(12.2)
      专科/大专 607(13.30) 77(12.7)
      本科 3 078(67.42) 520(16.9)
      硕士及以上 89(1.95) 15(16.9)
    下载: 导出CSV

    表  2  具体路径分析

    Table  2.   Specific path analysis

    潜变量 路径关系 S.E C.R 标准化路径系数
    认知 知晓度→捐献意愿 0.019 17.702 0.20
    程序→捐献意愿 0.032 10.296 0.10
    短缺状况→捐献意愿 0.023 7.322 0.08
    态度 认同价值→捐献意愿 0.012 -5.034 0.06
    自我传承→捐献意愿 0.010 7.173 0.08
    社会光荣感→捐献意愿 0.011 13.767 0.16
    奉献精神→捐献意愿 0.010 3.014 0.03
    宗教支撑→捐献意愿 0.011 8.149 0.09
    下载: 导出CSV
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  • 收稿日期:  2022-02-08
  • 网络出版日期:  2022-04-29
  • 刊出日期:  2022-05-15

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