Investigation on the willingness of organ donation of the floating population in Guangdong Province and its influence factors
-
摘要:
目的 了解广东省流动人口的器官捐献意愿现状,探讨其影响因素。 方法 采用问卷调查法,调查流动人口的一般资料及器官捐献意愿、器官捐献知识、器官捐献态度、死亡态度、家庭讨论(器官捐献)意愿等。各变量与流动人口器官捐献意愿的相关分析采用Spearman秩相关。多因素分析采用多重线性回归模型分析。 结果 在流动人口中,女性、来源于城市、家庭人均月收入4 001~5 000元、有认识器官捐献者或家属、有认识接受器官者或家属的人器官捐献意愿较高(均为P<0.05)。流动人口的器官捐献意愿、器官捐献知识、器官捐献态度、家庭讨论意愿得分分别为(1.95±0.91)分、(5.02±2.40)分、(92.00±16.78)分、(3.98±1.28)分。家庭讨论意愿、器官捐献知识、认同器官捐献价值与器官捐献意愿呈正相关(P<0.05~0.01);阻碍器官捐献原因、死亡恐惧与器官捐献意愿呈负相关(均为P<0.01)。多重线性回归分析共有5个变量进入回归模型,包括家庭讨论意愿、器官捐献知识、认同器官捐献价值、阻碍器官捐献原因、死亡恐惧。 结论 广东省流动人口的器官捐献意愿处于中等偏下水平,家庭讨论意愿、器官捐献知识水平、认同器官捐献价值、阻碍器官捐献原因、死亡恐惧水平是流动人口器官捐献意愿的影响因素。 Abstract:Objective To investigate the current status of the willingness of organ donation among floating population in Guangdong Province and explore its influence factors. Methods The questionnaire survey was conducted to investigate general information of the floating population and their willingness of organ donation, knowledge of organ donation, attitude towards organ donation and death as well as the willingness of family discussion (organ donation), etc. The correlation analysis of variables and the willingness of organ donation in floating population was conducted by Spearman rank correlation, and the multivariate analysis was conducted by multiple linear regression model. Results Among the floating population, the people who were female, from city, owned an average monthly household income per capita of RMB 4 001-5 000 yuan, got acquaintance with the organ donors or their families, got acquaintance with accepted the organ donors or their families had higher willingness of organ donation (all in P<0.05). Scores of the willingness of organ donation, knowledge of organ donation, attitude towards organ donation and the willingness of family discussion were 1.95±0.91, 5.02±2.40, 92.00±16.78 and 3.98±1.28 respectively. The willingness of family discussion, knowledge of organ donation and recognition of the value of organ donation showed positive correlation with the willingness of organ donation (P<0.05-0.01). The cause hindering organ donation and fear of death showed negative correlation with the willingness of organ donation (all in P<0.01). Five variables were integrated into the multiple linear regression analysis model, including willingness of family discussion, knowledge of organ donation, recognition of the value of organ donation, cause hindering organ donation and fear of death. Conclusions The willingness of organ donation among the floating population in Guangdong Province is on or below the medium level, and its influence factors include willingness of family discussion, knowledge of organ donation, recognition of the value of organ donation, cause hindering organ donation and fear of death. -
表 1 流动人口的器官捐献意愿的多重线性回归模型
Table 1. Multiple linear regression model of willingness of organ donation among floating population (n=660)
变 量 R R2 偏回归系数 标化偏回归系数 P 常数项 3.180 <0.001 X1家庭讨论意愿 0.275 0.076 0.055 0.224 0.001 X2阻碍器官捐献原因 0.359 0.129 -0.013 -0.195 <0.001 X3认识接受捐献者或家属 0.427 0.182 -0.860 -0.261 <0.001 X4认同器官捐献价值 0.461 0.213 0.027 0.218 <0.001 X5死亡恐惧 0.472 0.223 -0.026 -0.114 0.037 -
[1] Huang J,Millis JM,Mao Y,et al. A pilot programme of organ donation after cardiac death in China[J]. Lancet,2012,379(9818): 862-865. doi: 10.1016/S0140-6736(11)61086-6 [2] Huang J, Millis JM, Mao Y, et al. Voluntary organ donation system adapted to Chinese cultural values and social reality[J]. Liver Transpl,2015,21(4): 419-422. doi: 10.1002/lt.v21.4 [3] 邹湘江. 基于"六普"数据的我国人口流动与分布分析[J]. 人口与经济,2011,32(6): 23-27. http://www.cnki.com.cn/Article/CJFDTOTAL-RKJJ201106004.htmZou XJ. Analysis of population movement and distribution based on sixth census[J]. Popul Econ, 2011,32(6): 23-27. http://www.cnki.com.cn/Article/CJFDTOTAL-RKJJ201106004.htm [4] 黄芬,周金莉,刘佳琪,等. 农村居民器官捐赠知识态度及意愿调查[J]. 中国公共卫生, 2013,29(3): 417-419. http://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW201303042.htmHuang F, Zhou JL, Liu JQ, et al. Knowledge, attitude and willingness of organ donation among rural residents [J]. Chin J Public Health, 2013,29(3): 417-419. http://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW201303042.htm [5] 朱海玲, 史宝欣. 中文版死亡态度描绘量表修订版的信效度研究[J]. 中国实用护理杂志, 2011, 27(8):51-53.Zhu HL, Shi BX. Validation of a Chinese version of death attitude profile-revised[J]. Chin J Pract Nurs, 2011, 27(8):51-53. [6] Schulz PJ, van Ackere A, Hartung U, et al. Prior family communication and consent to organ donation: using intensive care physicians' perception to model decision processes[J]. J Public Health Res,2012,1(2):130-136. http://cn.bing.com/academic/profile?id=2151853521&encoded=0&v=paper_preview&mkt=zh-cn [7] 梁宏. 广东省流动人口的特征及其变化[J]. 人口与发展,2013,19(4): 46-53. http://www.cnki.com.cn/Article/CJFDTOTAL-SCRK201304006.htmLiang H. Characteristics and changes of floating population in Guangdong province[J]. Popul Dev, 2013,19(4): 46-53. http://www.cnki.com.cn/Article/CJFDTOTAL-SCRK201304006.htm [8] 张在其,骆福添,陈兵,等. 我国大中城市院前死亡患者流行病学调查分析——附12 568例分析[J]. 新医学, 2010,41(11): 708-711. http://www.cnki.com.cn/Article/CJFDTOTAL-XYXX201011003.htmZhang ZQ, Luo FT, Chen B, et al. Epidemiologic analysis of pre-hospital deaths in large and medium-sized cities of China[J]. New Med,2010,41(11): 708-711. http://www.cnki.com.cn/Article/CJFDTOTAL-XYXX201011003.htm [9] 李洋, 池桂波, 董晓梅,等. 2008-2011年中国特大道路交通伤害的流行病学分析[J]. 中华疾病控制杂志, 2013,17(10):833-836.Li Y, Chi G, Dong X, et al. Epidemiological analysis on heavy road traffic injuries in China, 2008-2011[J]. Chin J Dis Contr Prev, 2013,17(10):833-836. [10] 张学志,才国伟. 收入、价值观与居民幸福感——来自广东成人调查数据的经验证据[J]. 管理世界,2011(9): 63-73. http://www.cnki.com.cn/Article/CJFDTOTAL-GLSJ201109008.htmZhang XZ, Cai GW. Income, value and Happiness of Residents in Guangdong[J]. Manag World, 2011(9): 63-73. http://www.cnki.com.cn/Article/CJFDTOTAL-GLSJ201109008.htm [11] Wang W,Tian H,Yin H,et al. Attitudes toward organ donation in China[J]. Chin Med J, 2012, 125(1): 56-62. http://cn.bing.com/academic/profile?id=2442901677&encoded=0&v=paper_preview&mkt=zh-cn [12] Skwirczynska-Szalbierz E, Matoszka N, Sepiolo A, et al. Communication with family after loss, in the context of transplantology[J]. Transplant Proc,2014,46(6): 2036-2039. doi: 10.1016/j.transproceed.2014.06.016 [13] Hu D,Huang H. Knowledge, attitudes, and willingness toward organ donation among health professionals in China[J]. Transplantation,2015,99(7): 1379-1385. doi: 10.1097/TP.0000000000000798 [14] Davison S N,Jhangri GS. Knowledge and attitudes of Canadian First Nations people toward organ donation and transplantation: a quantitative and qualitative analysis[J]. Am J Kidney Dis,2014,64(5): 781-789. doi: 10.1053/j.ajkd.2014.06.029 [15] Shepherd L,O'Carroll RE. Do affective attitudes predict organ donor registration? a prospective study[J]. J Health Psychol,2014,19(10): 1329-1333. doi: 10.1177/1359105313488984 [16] Wu A,Tang CS,Yogo M. Death anxiety, altruism, self-efficacy, and organ donation intention among Japanese college students: a moderated mediation analysis[J]. Aust J Psychol,2013,65(2): 115-123. doi: 10.1111/ajpy.2013.65.issue-2 [17] Hyde MK, White KM. Are organ donation communication decisions reasoned or reactive? a test of the utility of an augmented theory of planned behaviour with the prototype/willingness model[J]. Br J Health Psychol,2010,15(2): 435-452. doi: 10.1348/135910709X468232
点击查看大图
表(1)
计量
- 文章访问数: 126
- HTML全文浏览量: 45
- PDF下载量: 6
- 被引次数: 0