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- Title
Factors Associated with Willingness toward Organ Donation in China: A Nationwide Cross-Sectional Analysis Using a Social–Ecological Framework.
- Authors
Zeng, Mengjun; Li, Haomiao; Song, Xiaohui; Jiang, Jipin; Chen, Yingchun
- Abstract
Improving public willingness toward organ donation is an important solution to the low organ donation rate. This study aimed to explore factors impacting public willingness for organ donation in China from a multi-agent perspective and further explore the impact of these factors on high or low willingness, using a social–ecological framework. Data from a total of 11,028 (effective rate, 94.18%) participants were analysed. Generalised linear model (GLM) and quantile regression were used to explore factors associated with willingness and high/low willingness toward organ donation, respectively. The mean willingness toward organ donation was 56.9 (range, 0–100) points. GLM regression revealed that age, family health, males, lower educational levels, and agricultural hukou were negatively associated with willingness. For personality, conscientiousness was negatively associated with willingness, whereas openness was positively associated with willingness. Health literacy perceived social support, and media utilisation were positively associated with willingness. Quantile regression further indicated that educational levels of college, bachelor, master's, and PhD, openness, health literacy, perceived social support, and media utilisation were positively associated with organ donation willingness at all percentiles. It is necessary to adopt more targeted and diversified publicity, education, and guidance for different types of individuals. Meanwhile, social support needs to be strengthened. To enhance the willingness of the residents to donate organs, media publicity should be strengthened, particularly by using modern ways to improve their health literacy.
- Subjects
CHINA; KRUSKAL-Wallis Test; SOCIAL support; CONFIDENCE intervals; CROSS-sectional method; SOCIAL media; ONE-way analysis of variance; QUANTITATIVE research; SOCIAL context; HEALTH literacy; CONCEPTUAL structures; RESEARCH funding; DESCRIPTIVE statistics; STATISTICAL sampling; DATA analysis software; ORGAN donation
- Publication
Healthcare (2227-9032), 2023, Vol 11, Issue 6, p824
- ISSN
2227-9032
- Publication type
Article
- DOI
10.3390/healthcare11060824