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Factors Associated with Willingness toward Organ Donation in China: A Nationwide Cross-Sectional Analysis Using a Social-Ecological Framework

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单位: [1]Huazhong Univ Sci & Technol, Tongji Med Coll, Sch Med & Hlth Management, Dept Hlth Management, Wuhan 430030, Peoples R China [2]Huazhong Univ Sci & Technol,Tongji Hosp,Inst Organ Transplantat,Tongji Med Coll,Key Lab Organ Transpplantat,Minist,Wuhan 430030,Peoples R China [3]Wuhan Univ, Sch Polit Sci & Publ Adm, Wuhan 430072, Peoples R China [4]Wuhan Univ, Renmin Hosp, Dept Cardiol, Wuhan 430060, Peoples R China [5]Wuhan Univ, Sch Basic Med Sci, Wuhan 430062, Peoples R China [6]Hubei Prov Dept Educ, Key Res Inst Humanities & Social Sci, Res Ctr Rural Hlth Serv, Wuhan 430030, Peoples R China
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关键词: organ donation willingness social-ecological quantile regression China

摘要:
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.

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出版当年[2022]版:
大类 | 4 区 医学
小类 | 4 区 卫生政策与服务 4 区 卫生保健与服务
最新[2025]版:
大类 | 4 区 医学
小类 | 4 区 卫生保健与服务 4 区 卫生政策与服务
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出版当年[2021]版:
Q2 HEALTH CARE SCIENCES & SERVICES Q2 HEALTH POLICY & SERVICES
最新[2023]版:
Q2 HEALTH CARE SCIENCES & SERVICES Q2 HEALTH POLICY & SERVICES

影响因子: 最新[2023版] 最新五年平均 出版当年[2021版] 出版当年五年平均 出版前一年[2020版] 出版后一年[2022版]

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第一作者单位: [1]Huazhong Univ Sci & Technol, Tongji Med Coll, Sch Med & Hlth Management, Dept Hlth Management, Wuhan 430030, Peoples R China [2]Huazhong Univ Sci & Technol,Tongji Hosp,Inst Organ Transplantat,Tongji Med Coll,Key Lab Organ Transpplantat,Minist,Wuhan 430030,Peoples R China
通讯作者:
通讯机构: [1]Huazhong Univ Sci & Technol, Tongji Med Coll, Sch Med & Hlth Management, Dept Hlth Management, Wuhan 430030, Peoples R China [6]Hubei Prov Dept Educ, Key Res Inst Humanities & Social Sci, Res Ctr Rural Hlth Serv, Wuhan 430030, Peoples R China
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