title: Multivariate analysis to determine the factors affecting the attitudes toward organ donation of healthcare assistants in Spanish and Mexican healthcare centers.
abstract: BACKGROUND
  Healthcare assistants are an important group of workers who can influence public opinion. Their attitudes toward organ donation may influence public awareness of healthcare matters; negative attitudes toward donation and transplantation could have a negative impact on public attitudes. Our objective was analyze the attitudes of healthcare assistants, in Spanish and Mexican healthcare centers toward organ donation and determine factors affecting them using a multivariate analysis.
  
  
  METHODS
  As part of the "International Collaborative Donor Project," 32 primary care centers and 4 hospitals were selected in Spain and 5 hospitals in Mexico. A randomized sample of healthcare assistants was stratified according to healthcare services. Attitudes were evaluated using a validated questionnaire of the psychosocial aspects of donation, which was self-completed anonymously by the respondent. Statistical analysis used the chi-square test, Student t test, and logistic regression analysis.
  
  
  RESULTS
  Of 532 respondents, 66% in favored donation and 34% were against it or undecided. Upon multivariate analysis, the following variables had the most weight: 1) country of origin (Mexicans were more in favor than Spanish; odds ratio [OR]) = 1.964; P = .014); 2) a partner with a favorable attitude (OR = 2.597; P = .013); 3) not being concerned about possible bodily mutilation after donation (OR = 2.631; P = .006); 4) preference for options apart from burial for handling the body after death (OR = 4.694; P < .001) and 5) accepting an autopsy if one was needed (OR = 3.584; P < .001).
  
  
  CONCLUSIONS
  The attitudes of healthcare assistants toward organ donation varied considerably according to the respondent's country of origin. The psycho-social profile of a person with a positive attitude to donation was similar to that described within the general public.
authors: International Collaborative Donor Project, Murcia, Spain. ARZRIOS@teleline.es
authors: A
authors: A
authors: Ríos
authors: A
authors: A
authors: López-Navas
authors: M A
authors: MA
authors: Ayala-García
authors: M
authors: M
authors: Sebastián
authors: B
authors: B
authors: Febrero
authors: E J
authors: EJ
authors: Ramírez
authors: G
authors: G
authors: Muñoz
authors: G
authors: G
authors: Palacios
authors: J S
authors: JS
authors: Rodríguez
authors: M A
authors: MA
authors: Martínez
authors: A
authors: A
authors: Nieto
authors: L
authors: L
authors: Martínez-Alarcón
authors: G
authors: G
authors: Ramis
authors: P
authors: P
authors: Ramírez
authors: P
authors: P
authors: Parrilla
mesh_terms: D000533:Altruism; D001291:Attitude of Health Personnel; D001293:Attitude to Death; D001344:Autopsy; D002048:Burial; D016009:Chi-Square Distribution; D032882:Comprehension; D003466:Cultural Characteristics; D005239:Fear; D037921:Gift Giving; D007722:Health Knowledge, Attitudes, Practice; D006282:Health Personnel / Q000523:psychology*; D006801:Humans; D016015:Logistic Models; D008800:Mexico; D015999:Multivariate Analysis; D016017:Odds Ratio; D013030:Spain; D011795:Surveys and Questionnaires; D014019:Tissue Donors / Q000523:psychology*; D009927:Tissue and Organ Procurement