Attitudes of Latin American Immigrants Resident in Florida (United States) Toward Related Living Kidney Donation

Abstract

Introduction:

Latin American immigrants comprise an important population group in the United States. The purpose of this study was to analyze the attitude toward living kidney donation found among Latin American citizens who are residents in Florida and to identify the psychosocial variables affecting their attitude.

Material and Methods:

A sample of Latin American residents in the state of Florida was randomly obtained and stratified by nationality, age, and sex (n = 1524). Attitude was assessed through a validated questionnaire that was self-administered and completed anonymously. Descriptive, Student t test and the χ² test were used to analyze findings.

Results:

The questionnaire completion rate was 94% (N = 1433), with 59% (n = 845) in favor of related living donation, 40% (n = 571) were opposed to donation, with the remaining 1% (n = 17) undecided. The following variables were related to attitude toward living donation: country of origin (P < .001), marital status (P < .001), having descendants (P = .004), educational background (P < 0.001), having had previous experience of donation and transplantation (P < .001), attitude toward deceased donation (P < .001), considering the possibility of needing a transplant (P < .001), the respondent’s partner’s opinion (P < .001), having considered the subject with one’s family (P < .001), having carried out prosocial type activities (P < .001), the respondent’s religion (P < .001), knowing that one’s religion is in favor of this therapy (P < .001), concern about mutilation after donation (P < .001), and considerations of the risks of living donation (P < .001).

Conclusions:

The attitude toward related living kidney donation of Latin American residents in Florida is not very favorable (only 59%).

Keywords

organ donation attitude general population united states Latin Americans family living donation kidney psychosocial factors

Get full access to this article

View all access options for this article.

References

Ríos

López-Navas

Navalón

. The Latin-American population in Spain and organ donation. Attitude toward deceased organ donation and organ donation rates. Transpl Int. 2015;28(4):437–447. doi:10.1111/tri.12511.

Ríos

López-Navas

García

. The attitude of Latin American immigrants in Florida (USA) toward deceased organ donation—a cross section cohort study. Transpl Int. 2017;30(10):1020–1031. doi:10.1111/tri.12997.

United States Census Bureau. https://www.census.gov/2010census/popmap/. Accessed July 22, 2018.

Hispanic Community Health Study Study of Latinos. US department of Health and Human Services. National Institutes of Health. National Heart, Lung and Blood Institute . https://www.nhlbi.nih.gov/files/docs/resources/NHLBI-HCHSSOL-English-508.pdf. Accessed July 22, 2018.

Brown

Foulkrod

Dworaczyk

. Barriers to obtaining family consent for potential organ donors. J Trauma. 2010;68(2):447–451. doi:10.1097/TA.0b013e3181caab8f.

Ríos

López-Navas

Ayala-García

. A multicenter study in Spanish, Mexican, and Cuban hospitals of attitude toward living kidney donation. Ann Transplant. 2014;19:96–103.

Ríos

Martinez-Alarcon

Sánchez

. Factors that influence the attitude of East European residents in Spain toward living kidney donation. Transpl Int. 2009;22(7):707–716. doi:10.1111/j.1432-2277.2009.00862.x.

Ríos

López-Navas

Martínez-Alarcón

Ramírez

Parrilla

. Latin-Americans in Spain and their attitude toward living kidney donation. Clin Transplant. 2015;29(12):1054–1062. doi:10.1111/ctr.12626.

Ríos Zambudio

. International collaborative donor project. Cir Esp. 2018;96(2):69–75. doi:10.1016/j.ciresp.2017.11.009.

10.

Conesa

Ríos

Ramírez

del Mar Rodríguez

Parrilla

. Socio-personal factors influencing public attitude towards living donation in south-eastern Spain. Nephrol Dial Transplant. 2004;19(11):2874–2882.

11.

Gordon

Feinglass

Carney

. An interactive, bilingual, culturally targeted website about living kidney donation and transplantation for Hispanics: development and formative evaluation. JMIR Res Protoc. 2015;4(2):e42. doi:10.2196/resprot.3838.

12.

Gordon

Mullee

Ramirez

. Hispanic/Latino concerns about living kidney donation: a focus group study. Prog Transplant. 2014;24(2):152–162. doi:10.7182/pit2014946.

13.

Gordon

Reddy

Gil

. Culturally competent transplant program improves Hispanics’ knowledge and attitudes about live kidney donation and transplant. Prog Transplant. 2014;24(1):56–68. doi:10.7182/pit2014378.

14.

Purnell

Powe

Troll

. Measuring and explaining racial and ethnic differences in willingness to donate live kidneys in the United States. Clin Transplant. 2013;27(5):673–683. doi:10.1111/ctr.12196.

15.

Siegel

O’Brien

Alvaro

Poulsen

. Barriers to living donation among low-resource Hispanics. Qual Health Res. 2014;24(10):1360–1367. doi:10.1177/1049732314546869.

16.

Mazaris

Warrens

Smith

Tekkis

Papalois

. Live kidney donation: attitudes towards donor approach, motives and factors promoting donation. Nephrol Dial Transplant. 2012;27(6):2517–2525. doi:10.1093/ndt/gfr642.

17.

Tumin

Rasiah

Noh

. Living kidney donation: the importance of public education. Clin Transplant. 2014;28(4):423–427. doi:10.1111/ctr.12334.

18.

Ríos

Martínez-Alarcón

Sánchez

. The quest for favourable subgroups to encourage living kidney donation in Spain. An attitudinal study among British and Irish citizens resident in southeastern Spain. Nephrol Dial Transplant. 2008;23(5): 1720–1727. doi:10.1093/ndt/gfm844.

19.

Ríos

López-Navas

Ayala-García

. Spanish-Latin American multicenter study of attitudestoward organ donation among personnel from hospital healthcare centers. Cir Esp. 2014;92(6):393–403. doi:10.1016/j.ciresp.2013.12.017.

20.

Ríos

López-Navas

López-López

. A multicentre and stratified study of the attitude of medical students towards organ donation in Spain. Ethn Health. 2017;30:1–19. doi:10.1080/13557858.2017.1346183.