11th Congress of the Andalusian Society of Organ and Tissue Transplantation
Organ donation
Are Ghanaians Residing in Spain Aware of the Donation of Living Related Kidney?

https://doi.org/10.1016/j.transproceed.2019.12.021Get rights and content

Highlights

  • The Ghanaian emigrant population in Spain is in favor of related living kidney donation in 72% of cases.

  • Multiple psychosocial factors condition the attitude of the Ghanaian population residing in Spain toward related living kidney donation.

  • The risk of living kidney donation is an independent factor that determines the attitude of Ghanaians residing in Spain toward related living kidney donation.

Abstract

Introduction

The population of Ghana has an emerging migratory flow to Europe and especially to Spain. Therefore, there is an increase in waiting lists in kidney transplantation.

Objective

To analyze the attitude toward related living kidney donation (LKD) among the population born in Ghana and residing in Spain.

Material and Methods

Population under study. Population born in Ghana and resident in Spain. Inclusion criteria. Sample of population over 15 years stratified by age and sex, according to census data and immigrant assistance associations. Instrument. Validated attitude questionnaire toward LKD “PCID-DVR-Ríos.” Field work. Random selection of people to be surveyed according to stratification.

Results

A total of 237 respondents have been included in the study. 72% are in favor of LKD, not just related. The remaining 28% do not accept the related living donation or have doubts about it. Respondents in favor of the related LKD have a more positive attitude toward ODT (P < .001). The attitude toward related LKD is linked to socio-personal factors, knowledge factors about the donation and organ transplantation process, social interaction factors, attitude factors toward the body, religious factors, and the risk assessment that comes with a living donation (P < .05). In the multivariate analysis persists: the attitude toward the cadaveric OTD (odds ratio [OR] = 6.993), perform pro-social activities (OR = 14.084), fear of body mutilation (OR = 20.408) and renal risk (OR = 29.411).

Conclusions

The Ghanaian population immigrating to Spain has an unfavorable attitude toward related LKD compared with existing studies of Western European and Spanish populations, which is conditioned by multiple psychosocial factors.

Section snippets

Population Under Study

The study included the population born in Ghana and residing in Spain extracted from the International Collaborative Donor Project.

Inclusion Criteria

The sample of the population included those over 15 years stratified by age and sex, according to census data and immigrant assistance associations.

Evaluation Instrument

The study used the “PCID-DVR-Ríos” [11]: an attitude questionnaire toward LKD, which explains 63.995% of the total variance, with a Cronbach’s alpha reliability coefficient of 0.801.

Fieldwork

People were randomly selected among

Attitude Toward Related LKD

Of the 237 Ghanaian residents surveyed, 72% (n = 170) are in favor of related LKD, not just related (ie, from relatives and close friends). The remaining 28% (n = 67) were against or undecided.

Bivariate Analysis

Factors associated with the attitude toward living organ donation are shown in Table 1.

Discussion

Renal transplantation with a living donor is growing in importance due to the large and persistent number of patients pending a renal transplant. The dead body waiting list method is insufficient. In addition, there are the following positive factors associated with choosing LKD [4,[7], [8], [9]]: 1. It is a process that has a low risk of surgery in healthy donors and better results than with cadaveric donation; 2. in Spain, most transplant centers have developed a live donor program. and 3.

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