Choosing to be a designated organ donor on their first driver's license: actions, opinions, intentions, and barriers of Asian American and Pacific Islander adolescents in Hawaii.
BACKGROUND
The factors associated with Asian American and Pacific Islander adolescents' decision to be a designated organ donor on their first driver's license are largely unknown.


OBJECTIVE
To assess knowledge and attitudes about organ donation and sociocultural factors associated with designated organ donor status in Asian American and Pacific Islander youth in Hawaii.


METHODS
Written surveys and focus groups were conducted at high schools and churches.


METHODS
Two hundred eight Asian American and Pacific Islander teens, mean age 16 (SD, 2) years, 52.6% females, and 53.4% Catholic.


METHODS
Donor status on driver's license, awareness, attitudes, intentions, and barriers to becoming a designated organ donor.


RESULTS
Eighteen percent of teens with a driver's license are designated organ donors. Twenty-one percent have talked to their parents about becoming a designated donor on their license. Of those without a license, 27.7% intended to become a designated donor. Sex, grade level, and immigrant status were not associated with designated organ donor status; however, Catholics were significantly less likely to be donors. Key barriers to being a designated donor included a lack of knowledge or misperceptions due to urban myths about organ donation, parents completing "organ donor" question on driver's license application, and not wanting to have their body "cut up."


CONCLUSIONS
Future organ donor campaigns should educate ethnic minority adolescents about the importance of becoming a designated organ donor on their first driver's license and counter urban myths about deceased organ donation. Guidelines for how to initiate family discussions about organ donation should be sensitive to cultural and religious beliefs.
Prevention and Control Program, Cancer Research Center of Hawaii, University of Hawaii, Honolulu 96813, USA. calbright@crch.hawaii.edu
Cheryl L
CL
Albright
Linda L
LL
Wong
May Rose
MR
Dela Cruz
Tony
T
Sagayadoro
D001213:Asian / Q000208:ethnology* / Q000706:statistics & numerical data; D001294:Attitude to Health / Q000208:ethnology*; D001334:Automobile Driving / Q000706:statistics & numerical data; D016009:Chi-Square Distribution; D002755:Choice Behavior; D004641:Emigration and Immigration / Q000706:statistics & numerical data; D005260:Female; D017144:Focus Groups; D006254:Hawaii; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D033182:Intention; D008004:Licensure / Q000706:statistics & numerical data; D008297:Male; D000297:Psychology, Adolescent / Q000706:statistics & numerical data; D012069:Religion and Psychology; D012959:Socioeconomic Factors; D009927:Tissue and Organ Procurement / Q000706:statistics & numerical data