Investigation and Strategic Analysis of Public Willingness and Attitudes Toward Organ Donation in East China

Zhang, H.; Jin, Zheng; Liu, W.; Ding, Jinxia; Zhang, Liuchao; Zou, Yonghua; Fu, Yu

doi:10.1016/j.transproceed.2015.09.011

Cited by 16 publications

(19 citation statements)

References 11 publications

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“…In mainland China, the expressed willingness varied greatly between region and study population, ranged from 38.9% to 81.9%. [26,28,31,32,[36][37][38][39][40] The expressed willingness to donate was 38.9%, 39.7%, 53.5%, and 73% among the surveyed public in Changsha city, East China, Hunan province, and Beijing city, respectively; 42.2% among general nurses and 33.4% among transplantation nurses; 64.2% among doctors; 62.7% among transplant patients and 50.7% among patients' caregivers; and 64.1% among university students and 81.9% among medical students [26,28,31,32,[36][37][38][39][40]. When both expressed willingness and registration rate were examined, 61.3% of the surveyed mainland college students expressed willingness to donate but only 3% of them had actually signed an organ donor card [36].…”

Section: Main Synthesismentioning

confidence: 99%

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Cultural barriers to organ donation among Chinese and Korean individuals in the United States: a systematic review

Hillyer

Husain

2019

Transpl Int

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Asian Americans have the lowest organ donation registration rates in the United States, and the reason for this is incompletely understood. Aiming to understand the reasons for low organ donation registration rate among Asian Americans, more specifically Chinese and Korean Americans, we conducted a systematic search of databases, websites, and gray literature. Altogether, 34 papers were retained after the assessment of relevance and quality. Commonly reported barriers to organ donation registration among Chinese and Koreans in the literature included lack of knowledge about organ donation, distrust of health-care and allocation system, cultural avoidance of discussion of death-related topics, and desire for intact body mainly stemming from the Confucian concept of filial piety. Strong family values coupled with a cultural reluctance to discuss death-related topics among family members appear to underscore the reluctance to organ donation among Chinese and Koreans. Notably, improved knowledge negatively impacted organ donation intent and religion seemed to play a more important role when making decision about organ donation among Koreans, and the distrust of the allocation system is more prominent among Chinese. This information should be used to inform the development of culturally competent organ donation educational materials.

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Section: Main Synthesismentioning

confidence: 99%

“…In a more recent study conducted in China, 65.3% of the respondents did not agree with filial piety and only 28.1% of the respondents thought that body intactness was important [26]. In another, only 15.3% of the participants felt that organ donation is against Chinese traditions [32].…”

Section: Barriers To Organ Donationmentioning

confidence: 99%

Cultural barriers to organ donation among Chinese and Korean individuals in the United States: a systematic review

Hillyer

Husain

2019

Transpl Int

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“…65 'Traditional Chinese culture focused on preserving the human body intact, which often limited organ donation.' 66 However, many Chinese Americans in Lam and McCullough's study were not entirely against organ donation, but rather preferred to donate to specific recipients, such as someone from their home country and/or their family, rather than to a complete stranger; 67 doing so was consistent with their cultural 'values that prioritize the needs of the family above the needs of strangers.' 68 Similarly, the UK Transplant organization completed a study in which 14% of black participants stated that they would be motivated to donate if they knew someone within the black community who needed a transplant.…”

Section: Cultur Al Per S Pec Tive Smentioning

confidence: 89%

“…'66 However, many Chinese Americans in Lam and McCullough's study were not entirely against organ donation, but rather preferred to donate to specific recipients, such as someone from their home country and/or their family, rather than to a complete stranger;67 doing so was consistent with their cultural 'values that prioritizethe needs of the family above the needs of strangers.' '66 However, many Chinese Americans in Lam and McCullough's study were not entirely against organ donation, but rather preferred to donate to specific recipients, such as someone from their home country and/or their family, rather than to a complete stranger;67 doing so was consistent with their cultural 'values that prioritizethe needs of the family above the needs of strangers.'…”

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confidence: 88%

Deceased‐directed donation: Considering the ethical permissibility in a multicultural setting

Bianchi

Greenberg

2018

Bioethics

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This paper explores the ethics of deceased-directed donation (DDD) and brings a unique perspective to this issue-the relevance of providing family-centered care and culturally sensitive care to deceased donors, potential recipients, and their families. The significance of providing family-centered care is becoming increasingly prevalent, specifically in pediatric healthcare settings. Therefore, this topic is especially relevant to those working with and interested in pediatrics. As the world is becoming more diverse with globalization, assessing the cultural aspect of the ethics of DDD is increasingly salient. We provide a brief overview of DDD across the globe, review prominent arguments both for and against DDD, consider family-centered and culturally specific considerations, and offer considerations for the development of a policy or guideline. We determine that the practice of DDD is ethically defensible in certain circumstances and congruent with providing both family-centered and culturally sensitive care. Our analysis is relevant to any country with a diverse population and any healthcare provider or institution that operates under a framework of family-centered care, such as those in pediatric hospitals.

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“…From the perspective of the family, "as one's fair and skin were given by one's parents, one should not have them damaged, which is the beginning of lial piety". As a result, it is a taboo to talk about it with family members [24][25][26][27][28]; the Chinese are deeply in uenced by Buddhist thoughts; many Chinese believe in karma, and think that if the body is not complete after death in this life, they will be disabled in the next life [29,30].…”

Section: Discussionmentioning

confidence: 99%

A Study on the Impact of Chinese Family Culture on Citizens' Voluntary Organ Donation

Luo¹,

He²,

Xie³

et al. 2020

Preprint

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Objectives: Family members’ attitude is the key factor in organ donation. This study aimed to analyze the attitude and willingness of families towards organ donation and to explore the impact of Chinese family culture on voluntary organ donation.Methods: Taking the family as a unit, a total of 15 families (59 family members) were interviewed using the semi-structured interviews.Results: Among the 59 participants, 58 had heard of organ donation, 30 were unwilling to donate organs, 25 had an intention to donate, and 13 were very taboo about it. 29 weren’t giving consent for family members’ donation, only 8 supported families to sign up as donors. Particularly, 7 participants could donate their organs but wouldn’t donate organs of family members. The family culture models were divided into the patriarchal family culture model (4 families), independent family culture model (8 families), patriarchal subversion family culture model (3 families). Based on the influence of social and cultural factors (taking national policy as an example) on the willingness to donate organs of relatives, the family culture models were divided into the stubborn family culture model (3 families), swing family culture model(9 families), and selfless dedication family culture model(3 families). Conclusions: Organ donation is still a taboo topic in Chinese families. Although the patriarchal family cultural model is no longer dominant, the father's thoughts and views still play an essential role in the whole family. Most families belong to the swing family culture model, and the willingness to donate is greatly influenced by social and cultural factors.

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Investigation and Strategic Analysis of Public Willingness and Attitudes Toward Organ Donation in East China

Cited by 16 publications

References 11 publications

Cultural barriers to organ donation among Chinese and Korean individuals in the United States: a systematic review

Cultural barriers to organ donation among Chinese and Korean individuals in the United States: a systematic review

Deceased‐directed donation: Considering the ethical permissibility in a multicultural setting

A Study on the Impact of Chinese Family Culture on Citizens' Voluntary Organ Donation

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