Consenting to HIV-positive organ donation in the USA: legal and ethical considerations in comparison with a South African context

Muller, Elmi

doi:10.2147/mb.s138735

Cited by 1 publication

(2 citation statements)

References 35 publications

(45 reference statements)

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“…However, old age may put PWH at an increased risk of getting noncommunicable diseases which rises the need of organ transplantation with end‐stage disease in this population. When making decisions regarding transplantation and organ donation from PWH, several factors including cultural and religious differences may influence acceptance 20,28 . Therefore, there is a need for targeted studies to identify knowledge gaps, demystify myths and misconceptions, reduce stigma, and increase awareness among health professionals and PWH regarding solid organ transplantation.…”

Section: Introductionmentioning

confidence: 99%

“…When making decisions regarding transplantation and organ donation from PWH, several factors including cultural and religious differences may influence acceptance. 20,28 Therefore, there is a need for targeted studies to identify knowledge gaps, demystify myths and misconceptions, reduce stigma, and increase awareness among health professionals and PWH regarding solid organ transplantation. Therefore, in this study, we sought to determine the awareness and willingness to donate organs among PWH in Northern Uganda.…”

Section: Introductionmentioning

confidence: 99%

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Organ donation and HIV: Awareness and willingness to be a living donor among people with HIV in Uganda

Bongomin,

Nantale,

Kibone

et al. 2024

Transplant Infectious Dis

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BackgroundHIV+‐to‐HIV+ organ transplantation has demonstrated promise and is now authorized for research purposes in certain countries. However, organ transplantation is dependent on the availability of organ donors. We assessed the awareness and willingness to donate organs among people with HIV (PWH) in Uganda.MethodsWe conducted a multicenter cross‐sectional study between October 2023 and January 2024 in four large HIV clinics in Northern Uganda. The study population consisted of PWH. A structured questionnaire was used to collect data regarding awareness, willingness, and beliefs regarding organ donation. Organ donation was defined as the willingness to be a living donor of a solid organ. We conducted multivariable logistic regression to assess for an association between willingness to donate organs and selected exposures. Data were analyzed in Stata version 15.0. Results are expressed as adjusted odds ratio (AOR) with 95% confidence intervals (CI).ResultsA total of 232 participants were recruited. The mean age ± standard deviation of the participants was 42.2±11.8 years. All participants were on antiretroviral therapy. Sixty‐two (26.7%) had a CD4 count less than or equal to 200 cells/mm3. The majority (80.6%, n = 187) had ever heard of organ donation. Slightly more than a third (34.9%, n = 81) were willing to donate organs. Factors associated with willingness to be a living organ donor included being female (AOR: 1.56; 95% CI: 1.15−2.11), having a tertiary education level (AOR: 1.79; 95% CI: 1.03−3.11), average monthly income >500 000 UGX (135.1USD) (AOR: 5.5; 95% CI: 1.97−15.40), ever heard about organ donation (AOR: 5.4; 95% CI: 1.67−17.8), and attending an organ donation campaign (AOR: 2.0; 95% CI: 1.07−3.74).ConclusionsAwareness about organ donation was high but the willingness to be a living organ donor was low among PWH in Uganda. There is a need to sensitize the community about the need and benefits of organ donation with the involvement of media and the healthcare workers. image

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%