title: The factors that influence attitudes toward organ donation for transplantation among UK university students of Indian and Pakistani descent.
abstract: BACKGROUND
  The shortage of organs donated for transplantation is particularly severe among ethnic minorities. Previous work has often studied ethnic minorities in broad groups, failing to differentiate by age or country of education. We investigated the younger generation of UK-educated ethnically Indian and Pakistani students to determine their attitudes toward organ donation.
  
  
  METHODS
  We conducted nine focus groups and eight semi-structured interviews. Participants were divided by ethnicity, gender, and medical/non-medical background. Interview transcripts were analyzed by thematic analysis.
  
  
  RESULTS
  Six key factors influencing attitudes toward organ donation were found: religion, awareness of the importance of donation, impact of medical education, culture-specific factors, treatment of donors and their organs, and influence of family. The attitude of Islam to donation was highly relevant to Pakistani participants, more than other factors; for Indians, all six factors were similarly relevant. We found that medical education specifically had an important effect on shaping attitudes toward donation. Cultural changes suggested the younger generation may differ from their elders as they adopt British culture. Awareness of donation was universally low.
  
  
  CONCLUSIONS
  Indian and Pakistani students are hesitant to donate organs because of multiple factors, which if addressed in a culturally relevant manner could substantially improve donation rates.
authors: Imperial College Business School, London, UK.
authors: Salman T
authors: ST
authors: Gauher
authors: Ravi
authors: R
authors: Khehar
authors: Gaurav
authors: G
authors: Rajput
authors: Alia
authors: A
authors: Hayat
authors: Bhavagaya
authors: B
authors: Bakshi
authors: Hanmeet
authors: H
authors: Chawla
authors: Benita M
authors: BM
authors: Cox
authors: Anthony N
authors: AN
authors: Warrens
mesh_terms: D000293:Adolescent; D000328:Adult; D001290:Attitude; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007194:India; D008297:Male; D016377:Organ Transplantation; D010154:Pakistan; D013337:Students, Medical / Q000523:psychology*; D011795:Surveys and Questionnaires; D009927:Tissue and Organ Procurement; D006113:United Kingdom; D014495:Universities; D055815:Young Adult