NDT Advance Access originally published online on August 17, 2004
Nephrology Dialysis Transplantation 2004 19(11):2874-2882; doi:10.1093/ndt/gfh466
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Nephrol Dial Transplant Vol. 19 No. 11 © ERA-EDTA 2004; all rights reserved
Original Article
Socio-personal factors influencing public attitude towards living donation in south-eastern Spain
1 Murcia Region Transplant Coordination Centre, Ronda de Levante no. 11, 30008, 2 Primary Health Centre Fortuna, Gerencia de Atención Primaria I, Carretera de Abanilla s/n, 30620 and 3 Transplant Unit, Hospital Universitario Virgen de la Arrixaca, El Palmar, 30120, Murcia, Spain
Correspondence and offprint requests to: Dr Antonio Ríos Zambudio, Avenida de la Libertad no. 208, Casillas, 30007, Murcia, Spain. Email: ARZRIOS{at}teleline.es
Objectives. Our aim was to determine public attitudes towards living donation compared with cadaveric donation, and to analyse psycho-social factors that may influence this attitude.
Materials and methods. An opinion poll was used to study a random sample in two geographical areas (urban and rural). Assessment was made of attitudes towards donation of one's own organs as a living donor to an unknown person, as a living donor to a relative and/or close acquaintance and, as a cadaveric donor, and of the different psycho-social variables that may influence this attitude.
Results. In the urban setting, 60% had a favourable response towards cadaveric donation; 29% were in favour of living kidney donation to an unknown person, a percentage which increased to 89% for donation to a relative or a friend. These rates were lower for liver (21 and 74%, respectively). When asked if they would accept an organ donated by a relative or a friend, 67% would accept a kidney and 60% a liver. Attitude towards living donation to an unknown person is more positive among those in favour of cadaveric donation and those who have had previous experience of donation. With respect to level of education, university students are more undecided about living donation to an unknown person than the other groups. In terms of attitude towards donation to relatives and/or friends, there is also the influence of social factors (sex, marital status). However, if the living donation is intended for oneself, there is no variable with which to associate this attitude. In the rural setting, 56% of the respondents refused to complete the survey due to fear of living donation. No statistical study was conducted due to the bias of the rural sample.
Conclusions. There is great fear and ignorance of living donation among the rural population, and uncertainties in the urban population, although attitudes are more positive towards living donation to relatives and/or friends than towards cadaveric donation. These positive attitudes towards living donation are very strongly related to attitudes towards cadaveric donation, previous experience of donation and level of education.
Keywords: attitude; information; living donation to an unknown person; living donation to a relative and/or friend; organ donation
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  A. Rios, L. Martinez-Alarcon, J. Sanchez, N. Jarvis, J. A. Garcia, J. M. Rodriguez, P. Parrilla, and P. Ramirez 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., May 1, 2008; 23(5): 1720 - 1727. [Abstract] [Full Text] [PDF]
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