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Published in: BMC Public Health 1/2022

Open Access 01-12-2022 | Brain Death | Research

Knowledge, attitudes and willingness to organ donation among the general public: a cross-sectional survey in China

Authors: Xiaojing Fan, Meng Li, Heike Rolker, Yingying Li, Jiaoyang Du, Duolao Wang, Enchang Li

Published in: BMC Public Health | Issue 1/2022

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Abstract

Background

The purpose of this study is to assess the level of knowledge, attitudes, and willingness to organ donation among the general public in China.

Methods

The study population consisted of 4274 participants from Eastern, Central and Western China. The participants’ knowledge, attitudes and willingness to organ donation were collected by a self-designed questionnaire consisting of 30 items. Knowledge is measured by 10 items and presented as a 10 point score, attitudes is measured by 20 items using a 5-step Likert scale and total score ranged between 0 and 80; while the willingness to donate is assessed as binary variable (0 = No; 1 = Yes). A logistic regression model was used to assess the association of knowledge and attitudes with willingness to organ donation, controlling for demographic and socioeconomic confounders.

Results

The questionnaire response rate was 94.98%. The mean score (± SD) of the general public’s knowledge to organ donation was 6.84 ± 1.76, and the mean score (± SD) of attitudes to organ donation was 47.01 ± 9.07. The general public’s knowledge and attitudes were the highest in Eastern China, followed by West and Central China. The logistic regression model indicated a positive association between knowledge and the willingness to organ donation (OR = 1.12, 95%CI: 1.08, 1.17; P < 0.001); attitudes were also positively potential determinant of more willingness to organ donation (OR = 1.08, 95%CI: 1.07, 1.09; P < 0.001).

Conclusions

Knowledge and attitudes were found to be positively associated with the Chinese general public’s willingness to organ donation. Knowledge about the concept of brain death and the transplant procedure may help raise the rate of willingness to organ donation.
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Literature
2.
go back to reference Benitez C, Wolff R. Current Status and Future Challenges of Liver Transplantation Programs in Chile. Liver Transpl. 2018;24(12):1757–61.PubMedCrossRef Benitez C, Wolff R. Current Status and Future Challenges of Liver Transplantation Programs in Chile. Liver Transpl. 2018;24(12):1757–61.PubMedCrossRef
5.
go back to reference White SL, Hirth R, Mahillo B, et al. The global diffusion of organ transplantation: trends, drivers and policy implications. Bull World Health Organ. 2014;92(11):826–35.PubMedPubMedCentralCrossRef White SL, Hirth R, Mahillo B, et al. The global diffusion of organ transplantation: trends, drivers and policy implications. Bull World Health Organ. 2014;92(11):826–35.PubMedPubMedCentralCrossRef
6.
go back to reference Bendorf A, Pussell BA, Kelly PJ, Kerridge IH. Socioeconomic, demographic and policy comparisons of living and deceased kidney transplantation rates across 53 countries. Nephrology (Carlton). 2013;18(9):633–40.CrossRef Bendorf A, Pussell BA, Kelly PJ, Kerridge IH. Socioeconomic, demographic and policy comparisons of living and deceased kidney transplantation rates across 53 countries. Nephrology (Carlton). 2013;18(9):633–40.CrossRef
8.
go back to reference Stadlbauer V, Steiner P, Schweiger M, et al. Knowledge and attitude of ICU nurses, students and patients towards the Austrian organ donation law. BMC Med Ethics. 2013;14:32.PubMedPubMedCentralCrossRef Stadlbauer V, Steiner P, Schweiger M, et al. Knowledge and attitude of ICU nurses, students and patients towards the Austrian organ donation law. BMC Med Ethics. 2013;14:32.PubMedPubMedCentralCrossRef
9.
go back to reference Murakami M, Fukuma S, Ikezoe M, et al. Knowledge Does Not Correlate with Behavior toward Deceased Organ Donation: A Cross-Sectional Study in Japan. Ann Transplant. 2020;25:e918936.PubMedPubMedCentralCrossRef Murakami M, Fukuma S, Ikezoe M, et al. Knowledge Does Not Correlate with Behavior toward Deceased Organ Donation: A Cross-Sectional Study in Japan. Ann Transplant. 2020;25:e918936.PubMedPubMedCentralCrossRef
10.
go back to reference Alkhatib AA, Maldonado AQ, Abdel Jalil A, Hutson W. Physicians’ attitude toward organ donation and transplantation in the USA. Clin Transplant. 2014;28(2):149–51.PubMedCrossRef Alkhatib AA, Maldonado AQ, Abdel Jalil A, Hutson W. Physicians’ attitude toward organ donation and transplantation in the USA. Clin Transplant. 2014;28(2):149–51.PubMedCrossRef
13.
go back to reference Zhang GY, Liao T, Fu XB, Li QF. Organ transplantation in China: concerns remain. Lancet. 2015;385(9971):854–5.PubMedCrossRef Zhang GY, Liao T, Fu XB, Li QF. Organ transplantation in China: concerns remain. Lancet. 2015;385(9971):854–5.PubMedCrossRef
14.
go back to reference Hu D, Huang H. Knowledge, attitudes, and willingness toward organ donation among health professionals in China. Transplantation. 2015;99(7):1379–85.PubMedCrossRef Hu D, Huang H. Knowledge, attitudes, and willingness toward organ donation among health professionals in China. Transplantation. 2015;99(7):1379–85.PubMedCrossRef
15.
go back to reference Tsai NW, Leung YM, Ng PY, et al. Attitudes of visitors at adult intensive care unit toward organ donation and organ support. Chinese Med J-Peking. 2019;132(3):373–6.CrossRef Tsai NW, Leung YM, Ng PY, et al. Attitudes of visitors at adult intensive care unit toward organ donation and organ support. Chinese Med J-Peking. 2019;132(3):373–6.CrossRef
16.
go back to reference Zhang JW, Wang XM, Li X, Zhuo J. Optimal Analysis of R&D Allocation in China’s Three Main Regions and Industries. R & D Management. 2017;29(6):49–58. Zhang JW, Wang XM, Li X, Zhuo J. Optimal Analysis of R&D Allocation in China’s Three Main Regions and Industries. R & D Management. 2017;29(6):49–58.
17.
go back to reference Wang PX, Dong SQ, Wang S, Zhu J, Fang CY, Jing CY. Analysis of citizens’ knowledge, recognition and behaviour towards organ donation and the factors influencing them in Zhejiang Province. China Health Industry. 2019;16(12):158–9. Wang PX, Dong SQ, Wang S, Zhu J, Fang CY, Jing CY. Analysis of citizens’ knowledge, recognition and behaviour towards organ donation and the factors influencing them in Zhejiang Province. China Health Industry. 2019;16(12):158–9.
18.
go back to reference Qu SM, Liang YT, Ma MG, Zeng CR. Investigation and analysis of the recognition and willingness of organ donation by residents in Nanning city. Med Inf. 2019;32(10):129-132,135. Qu SM, Liang YT, Ma MG, Zeng CR. Investigation and analysis of the recognition and willingness of organ donation by residents in Nanning city. Med Inf. 2019;32(10):129-132,135.
19.
go back to reference Xiao D. Intervention effects of knowledge, attitudes and willingness of organ donation on students of vovational colleges: University of South China; 2014. Xiao D. Intervention effects of knowledge, attitudes and willingness of organ donation on students of vovational colleges: University of South China; 2014.
21.
go back to reference Fontana F, Massari M, Giovannini L, Alfano G, Cappelli G. Knowledge and attitudes toward organ donation in health care undergraduate students in Italy. Transplant Proc. 2017;49(9):1982–7.PubMedCrossRef Fontana F, Massari M, Giovannini L, Alfano G, Cappelli G. Knowledge and attitudes toward organ donation in health care undergraduate students in Italy. Transplant Proc. 2017;49(9):1982–7.PubMedCrossRef
22.
go back to reference Mohandas R, Casey MJ, Cook RL, Lamb KE, Wen X, Segal MS. Racial and socioeconomic disparities in the allocation of expanded criteria donor kidneys. Clin J Am Soc Nephrol. 2013;8(12):2158–64.PubMedPubMedCentralCrossRef Mohandas R, Casey MJ, Cook RL, Lamb KE, Wen X, Segal MS. Racial and socioeconomic disparities in the allocation of expanded criteria donor kidneys. Clin J Am Soc Nephrol. 2013;8(12):2158–64.PubMedPubMedCentralCrossRef
24.
go back to reference Rydzewska-Rosolowska A, Jamiolkowska M, Kakareko K, Naumnik B, Zbroch E, Hryszko T. Medical Students’ Attitude Toward Organ Donation in a Single Medical University. Transplant Proc. 2020;52(3):695–9.PubMedCrossRef Rydzewska-Rosolowska A, Jamiolkowska M, Kakareko K, Naumnik B, Zbroch E, Hryszko T. Medical Students’ Attitude Toward Organ Donation in a Single Medical University. Transplant Proc. 2020;52(3):695–9.PubMedCrossRef
25.
go back to reference Singh R, Agarwal TM, Al-Thani H, Al Maslamani Y, El-Menyar A. Validation of a Survey Questionnaire on Organ Donation: An Arabic World Scenario. J Transplant. 2018;2018:9309486.PubMedPubMedCentralCrossRef Singh R, Agarwal TM, Al-Thani H, Al Maslamani Y, El-Menyar A. Validation of a Survey Questionnaire on Organ Donation: An Arabic World Scenario. J Transplant. 2018;2018:9309486.PubMedPubMedCentralCrossRef
26.
go back to reference Bland JM, Altman DG. Cronbach’s alpha. Brit Med J. 1997;314(7080):570–2.CrossRef Bland JM, Altman DG. Cronbach’s alpha. Brit Med J. 1997;314(7080):570–2.CrossRef
27.
go back to reference Wang TX, Song LJ, Wang T, Ding GS. Cognition of and attitude towards organ donation among urban residents in Ji’nan city. Chin J Public Health. 2014;30(5):645–7. Wang TX, Song LJ, Wang T, Ding GS. Cognition of and attitude towards organ donation among urban residents in Ji’nan city. Chin J Public Health. 2014;30(5):645–7.
28.
go back to reference Jia LN, Xiao QG, Yang QL, Liu LJ, Guo XX. A Study of factors influencing family decision of donation after citizen’s death in Northwest China. Chinese Med Ethics. 2019;32(4):474–9. Jia LN, Xiao QG, Yang QL, Liu LJ, Guo XX. A Study of factors influencing family decision of donation after citizen’s death in Northwest China. Chinese Med Ethics. 2019;32(4):474–9.
31.
go back to reference Mekkodathil A, El-Menyar A, Sathian B, Singh R, Al-Thani H. Knowledge and willingness for organ donation in the Middle Eastern Region: A Meta-analysis. J Relig Health. 2020;59(4):1810–23.PubMedCrossRef Mekkodathil A, El-Menyar A, Sathian B, Singh R, Al-Thani H. Knowledge and willingness for organ donation in the Middle Eastern Region: A Meta-analysis. J Relig Health. 2020;59(4):1810–23.PubMedCrossRef
32.
go back to reference Zhang QX, Xie JF, Zhou JD, Xiao SS, Liu AZ, Hu GQ, Chen Y, Wang CY. Impact factors and attitudes toward organ donation among transplantation patients and their caregivers in China. Transplant Proc. 2017;49(9):1975–81.PubMedCrossRef Zhang QX, Xie JF, Zhou JD, Xiao SS, Liu AZ, Hu GQ, Chen Y, Wang CY. Impact factors and attitudes toward organ donation among transplantation patients and their caregivers in China. Transplant Proc. 2017;49(9):1975–81.PubMedCrossRef
33.
go back to reference Martinez-Alarcon L, Rios A, Gutierrez PR, Gomez FJ, Canadas-De la Fuente GA, Garcia-Mayor S, et al. Attitudes toward organ donation: differences between medical and nursing andalusian students. Transplant Proc. 2020;S0041–1345(19):31226–6. Martinez-Alarcon L, Rios A, Gutierrez PR, Gomez FJ, Canadas-De la Fuente GA, Garcia-Mayor S, et al. Attitudes toward organ donation: differences between medical and nursing andalusian students. Transplant Proc. 2020;S0041–1345(19):31226–6.
34.
go back to reference Inthorn J, Wohlke S, Schmidt F, Schicktanz S. Impact of gender and professional education on attitudes towards financial incentives for organ donation: results of a survey among 755 students of medicine and economics in Germany. BMC Med Ethics. 2014;15:56.PubMedPubMedCentralCrossRef Inthorn J, Wohlke S, Schmidt F, Schicktanz S. Impact of gender and professional education on attitudes towards financial incentives for organ donation: results of a survey among 755 students of medicine and economics in Germany. BMC Med Ethics. 2014;15:56.PubMedPubMedCentralCrossRef
35.
go back to reference Dibaba FK, Goro KK, Wolide AD, et al. Knowledge, attitude and willingness to donate organ among medical students of Jimma University, Jimma Ethiopia: cross-sectional study. BMC Public Health. 2020;20(1):799.PubMedPubMedCentralCrossRef Dibaba FK, Goro KK, Wolide AD, et al. Knowledge, attitude and willingness to donate organ among medical students of Jimma University, Jimma Ethiopia: cross-sectional study. BMC Public Health. 2020;20(1):799.PubMedPubMedCentralCrossRef
36.
go back to reference Figueroa CA, Mesfum ET, Acton NT, Kunst AE. Medical students’ knowledge and attitudes toward organ donation: results of a Dutch survey. Transplant Proc. 2013;45(6):2093–7.PubMedCrossRef Figueroa CA, Mesfum ET, Acton NT, Kunst AE. Medical students’ knowledge and attitudes toward organ donation: results of a Dutch survey. Transplant Proc. 2013;45(6):2093–7.PubMedCrossRef
37.
go back to reference Wale J, Arthur A, Faull C. An analysis of knowledge and attitudes of hospice staff towards organ and tissue donation. BMJ Support Palliat Care. 2014;4(1):98–103.PubMedCrossRef Wale J, Arthur A, Faull C. An analysis of knowledge and attitudes of hospice staff towards organ and tissue donation. BMJ Support Palliat Care. 2014;4(1):98–103.PubMedCrossRef
38.
go back to reference Marck CH, Weiland TJ, Neate SL, Hickey BB, Jelinek GA. Australian emergency doctors’ and nurses’ acceptance and knowledge regarding brain death: a national survey. Clin Transplant. 2012;26(3):E254–60.PubMedCrossRef Marck CH, Weiland TJ, Neate SL, Hickey BB, Jelinek GA. Australian emergency doctors’ and nurses’ acceptance and knowledge regarding brain death: a national survey. Clin Transplant. 2012;26(3):E254–60.PubMedCrossRef
39.
go back to reference Chung J, Choi D, Park Y. Knowledge and opinions of deceased organ donation among middle and high school students in Korea. Transpl P. 2015;47(10):2805–9.CrossRef Chung J, Choi D, Park Y. Knowledge and opinions of deceased organ donation among middle and high school students in Korea. Transpl P. 2015;47(10):2805–9.CrossRef
40.
go back to reference Ibrahim M, Randhawa G. Knowledge, Attitudes, and Behavior of Nigerian Students Toward Organ Donation. Transplant Proc. 2017;49(8):1691–7.PubMedCrossRef Ibrahim M, Randhawa G. Knowledge, Attitudes, and Behavior of Nigerian Students Toward Organ Donation. Transplant Proc. 2017;49(8):1691–7.PubMedCrossRef
41.
go back to reference Lartey S, Antwi-Adjei EK, Agyapong S, Mohammed AK, Mensah DNO, Genego ES. Awareness and attitudes toward corneal donation among applicants and staff of a driver, vehicle and licensing authority (DVLA) in Ghana. Bmc Ophthalmol. 2019;19(1):224. https://doi.org/10.1186/s12886-019-1231-x. Lartey S, Antwi-Adjei EK, Agyapong S, Mohammed AK, Mensah DNO, Genego ES. Awareness and attitudes toward corneal donation among applicants and staff of a driver, vehicle and licensing authority (DVLA) in Ghana. Bmc Ophthalmol. 2019;19(1):224. https://​doi.​org/​10.​1186/​s12886-019-1231-x.
42.
go back to reference Aijing L, Wenzhao X, Wei W, Qiquan W, Xuantong D. Public Opinion on Organ Donation After Death and Its Influence on Attitudes Toward Organ Donation. Ann Transplant. 2016;21:516–24.PubMedCrossRef Aijing L, Wenzhao X, Wei W, Qiquan W, Xuantong D. Public Opinion on Organ Donation After Death and Its Influence on Attitudes Toward Organ Donation. Ann Transplant. 2016;21:516–24.PubMedCrossRef
43.
go back to reference Jia JJ, Luo J, Shu J, Zheng SS. Narrative medicine principles and organ donation communications. Hepatobiliary Pancreat Dis Int. 2021;S1499–3872(21):00197–201. Jia JJ, Luo J, Shu J, Zheng SS. Narrative medicine principles and organ donation communications. Hepatobiliary Pancreat Dis Int. 2021;S1499–3872(21):00197–201.
44.
go back to reference Cai Y. On the impacts of traditional Chinese culture on organ donation. J Med Philos. 2013;38(2):149–59.PubMed Cai Y. On the impacts of traditional Chinese culture on organ donation. J Med Philos. 2013;38(2):149–59.PubMed
45.
go back to reference Pan X, Liu L, Xiang H, Ding C, Ren L, Xue W. Current attitudes toward organ donation after cardiac death in northwest China. Chin Med J (Engl). 2014;127(5):835–8. Pan X, Liu L, Xiang H, Ding C, Ren L, Xue W. Current attitudes toward organ donation after cardiac death in northwest China. Chin Med J (Engl). 2014;127(5):835–8.
46.
go back to reference Rasiah R, Manikam R, Chandrasekaran SK, et al. Deceased Donor Organs: What Can Be Done to Raise Donation Rates Using Evidence from Malaysia? Am J Transplant. 2016;16(5):1540–7.PubMedCrossRef Rasiah R, Manikam R, Chandrasekaran SK, et al. Deceased Donor Organs: What Can Be Done to Raise Donation Rates Using Evidence from Malaysia? Am J Transplant. 2016;16(5):1540–7.PubMedCrossRef
47.
go back to reference Gordon EJ, Patel CH, Sohn MW, Hippen B, Sherman LA. Does Financial Compensation for Living Kidney Donation Change Willingness to Donate? Am J Transplant. 2015;15(1):265–73.PubMedCrossRef Gordon EJ, Patel CH, Sohn MW, Hippen B, Sherman LA. Does Financial Compensation for Living Kidney Donation Change Willingness to Donate? Am J Transplant. 2015;15(1):265–73.PubMedCrossRef
49.
go back to reference Abukhaizaran N, Hashem M, Hroub O, Belkebir S, Demyati K. Knowledge, attitudes, and practices of Palestinian people relating to organ donation in 2016: a cross-sectional study. Lancet. 2018;391(Suppl 2):S45.PubMedCrossRef Abukhaizaran N, Hashem M, Hroub O, Belkebir S, Demyati K. Knowledge, attitudes, and practices of Palestinian people relating to organ donation in 2016: a cross-sectional study. Lancet. 2018;391(Suppl 2):S45.PubMedCrossRef
50.
go back to reference Yan J, Wang Y, Shao J, Yuan H. Attitudes toward living organ donation and willingness to be a living organ donor among Chinese citizens in 3 Cities. Transplant Proc. 2018;50(10):3065–70.PubMedCrossRef Yan J, Wang Y, Shao J, Yuan H. Attitudes toward living organ donation and willingness to be a living organ donor among Chinese citizens in 3 Cities. Transplant Proc. 2018;50(10):3065–70.PubMedCrossRef
51.
go back to reference Iliyasu Z, Abubakar IS, Lawan UM, Abubakar M, Adamu B. Predictors of public attitude toward living organ donation in Kano, northern Nigeria. Saudi J Kidney Dis Transpl. 2014;25(1):196–205.PubMedCrossRef Iliyasu Z, Abubakar IS, Lawan UM, Abubakar M, Adamu B. Predictors of public attitude toward living organ donation in Kano, northern Nigeria. Saudi J Kidney Dis Transpl. 2014;25(1):196–205.PubMedCrossRef
52.
53.
go back to reference Rithalia A, McDaid C, Suekarran S, Myers L, Sowden A. Impact of presumed consent for organ donation on donation rates: a systematic review. BMJ. 2009;338:a3162.PubMedPubMedCentralCrossRef Rithalia A, McDaid C, Suekarran S, Myers L, Sowden A. Impact of presumed consent for organ donation on donation rates: a systematic review. BMJ. 2009;338:a3162.PubMedPubMedCentralCrossRef
54.
go back to reference Li D, Hawley Z, Schnier K. Increasing organ donation via changes in the default choice or allocation rule. J Health Econ. 2013;32(6):1117–29.PubMedCrossRef Li D, Hawley Z, Schnier K. Increasing organ donation via changes in the default choice or allocation rule. J Health Econ. 2013;32(6):1117–29.PubMedCrossRef
Metadata
Title
Knowledge, attitudes and willingness to organ donation among the general public: a cross-sectional survey in China
Authors
Xiaojing Fan
Meng Li
Heike Rolker
Yingying Li
Jiaoyang Du
Duolao Wang
Enchang Li
Publication date
01-12-2022
Publisher
BioMed Central
Keyword
Brain Death
Published in
BMC Public Health / Issue 1/2022
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-022-13173-1

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