■了解国民对活体肾脏捐赠的态度将使我们能够识别和解决活体肾脏捐赠的现有不利因素。我们进行了一项全国调查,以描述活体肾脏捐赠的看法,影响捐赠意愿的感知因素,并按人口统计亚组分析了差异。
■调查项目捕捉到了活肾捐赠意识,活肾捐献知识,愿意捐赠,以及活体肾脏捐赠的障碍和促进者。
■我们在2021年6月对802名美国成年人(25-65岁)进行了调查,这些调查是从具有不同代表性的在线平台随机选择的。
■我们开发了总结,使用方差分析评估活肾捐献知识(9项)和捐献意愿(8项)与自我报告的人口统计学特征和其他感兴趣变量之间的关联。使用Pearson的χ2和Fisher精确检验计算分类问题的所有其他关联。我们对自由文本响应进行了归纳评估,以确定活体肾脏捐赠的其他障碍和促进因素。
■大多数(86.6%)的受访者表示,他们可能或肯定会考虑在还活着的时候捐赠肾脏。活体肾脏捐赠的障碍包括对手术风险的担忧,支付医疗费用,和潜在的健康影响。活体肾脏捐赠的促进者包括提供捐赠手术安全性的信息,知道捐赠者不必支付与捐赠有关的医疗费用,听到活生生的肾脏捐赠成功故事。意识到参与肾脏配对捐赠的能力与更高的捐赠意愿有关。
■使用调查小组和不同的激励金额可能导致选择偏差,和测量误差与受访者的注意力水平有关。
■大多数人会考虑成为一个有生命的肾脏捐献者。通过投资文化上有能力的教育干预措施,解决与捐赠相关的风险,可以提高活体肾脏捐赠率。减少金融抑制的政策,和宣传活动,提高人们对肾脏配对捐赠和活体肾脏捐赠的认识。
了解公众对活体肾脏捐赠的看法将有助于发展更好的教育并增加活体肾脏捐赠者的数量。我们对公众进行了调查,以了解:(1)他们对活着时捐赠肾脏的机会有多了解;(2)他们对活着的肾脏捐赠了解多少;(3)他们是否愿意捐赠;(4)什么会影响他们的捐赠意愿。我们发现教会人们捐赠的风险,降低与捐赠相关的成本,提高对它的认识可以增加愿意捐赠的人数。
UNASSIGNED: Understanding national attitudes about living kidney donation will enable us to identify and address existing disincentives to living kidney donation. We performed a national survey to describe living kidney donation perceptions, perceived factors that affect the willingness to donate, and analyzed differences by demographic subgroups.
UNASSIGNED: The survey items captured living kidney donation awareness, living kidney donation knowledge, willingness to donate, and barriers and facilitators to living kidney donation.
UNASSIGNED: We surveyed 802 US adults (aged 25-65 years) in June 2021, randomly selected from an online platform with diverse representation.
UNASSIGNED: We developed summed, scaled indices to assess the association between the living kidney donation knowledge (9 items) and the willingness to donate (8 items) to self-reported demographic characteristics and other variables of interest using analysis of variance. All other associations for categorical questions were calculated using Pearson\'s χ2 and Fisher exact tests. We inductively evaluated free-text responses to identify additional barriers and facilitators to living kidney donation.
UNASSIGNED: Most (86.6%) of the respondents reported that they might or would definitely consider donating a kidney while they were still living. Barriers to living kidney donation included concerns about the risk of the surgery, paying for medical expenses, and potential health effects. Facilitators to living kidney donation included having information on the donation surgery\'s safety, knowing that the donor would not have to pay for medical expenses related to the donation, and hearing living kidney donation success stories. Awareness of the ability to participate in kidney-paired donation was associated with a higher willingness to donate.
UNASSIGNED: Potential for selection bias resulting from the use of survey panels and varied incentive amounts, and measurement error related to respondents\' attention level.
UNASSIGNED: Most people would consider becoming a living kidney donor. Increased rates of living kidney donation may be possible with investment in culturally competent educational interventions that address risks associated with donating, policies that reduce financial disincentives, and communication campaigns that raise awareness of kidney-paired donation and living kidney donation.
Understanding what the general public thinks about living kidney donation will help to develop better education and increase the number of living kidney donors. We surveyed the public to find out: (1) how aware they are about the opportunity to donate a kidney while alive; (2) how much they know about living kidney donation; (3) whether they would be willing to donate; and (4) what would affect their willingness to donate. We found that teaching people about the risks of donating, decreasing costs related to donation, and raising awareness about it could increase the number of people willing to donate.