title: Spanish-Latin American multicenter study of attitudes toward organ donation among personnel from hospital healthcare centers.
abstract: BACKGROUND
  Hospital personnel are a group which has an influence on the opinion of the rest of the population about healthcare matters. Any unfavorable attitude of this group would be an obstacle to an increase in organ donation.
  
  
  OBJECTIVE
  To analyze the attitude of hospital workers toward the donation of one's own organs in Spanish and Latin American hospitals and to determine the factors affecting this attitude.
  
  
  METHODS
  Eleven hospitals from the "International Collaborative Donor Project" were selected, 3 in Spain, 5 in Mexico, 2 in Cuba and one in Costa Rica. A random sample was stratified by the type of service and job category. Attitude toward donation and transplantation was assessed using a validated survey. The questionnaire was completed anonymously and was self-administered.
  
  
  METHODS
  Student's t-test, the χ2 test and logistic regression analysis.
  
  
  RESULTS
  Of the 2,785 workers surveyed, 822 were from Spain, 1,595 from Mexico, 202 from Cuba and 166 from Costa Rica and 79% (n=2,191) were in favor of deceased organ donation. According to country, 94% (n=189) of Cubans were in favor, compared to 82% (n=1,313) of the Mexicans, 73% (n=121) of the Costa Ricans and 69% (n=568) of the Spanish (P<.001). In the multivariate analysis, the following variables had the most specific weight: 1) originating from Cuba (odds ratio=8.196; P<.001); 2) being a physician (OR= 2.544; P<.001); 3) performing a job related to transplantation (OR = 1.610; P=.005); 4) having discussed the subject of donation and transplantation within the family (OR= 3.690; P<.001); 5) having a partner with a favorable attitude toward donation and transplantation (OR= 3.289; P<.001); 6) a respondent's belief that his or her religion is in favor of donation and transplantation (OR= 3.021; P=.001); 7) not being concerned about the possible mutilation of the body after donation (OR= 2.994; P<.001); 8) the preference for other options apart from burial for treating the body after death (OR= 2.770; P<.001); and 9) acceptance of carrying out an autopsy if one were needed (OR= 2.808; P<.001).
  
  
  CONCLUSIONS
  Hospital personnel in Spanish and Latin American healthcare centers had a favorable attitude toward donation, although 21% of respondents were not in favor of donating. This attitude was more favorable among Latin American workers and was very much conditioned by job-related and psychosocial factors.
authors.affiliation: Proyecto Colaborativo Internacional Donante «International Collaborative Donor Project», España; Coordinación Regional de Trasplantes, Consejería de Sanidad y Consumo de la Región de Murcia, Murcia, España; Unidad de Trasplantes, Servicio de Cirugía, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, España; Departamento de Cirugía, Ginecología y Pediatría, Universidad de Murcia, Murcia, España. Electronic address: arzrios@um.es.
authors.forename: Antonio
authors.initials: A
authors.lastname: Ríos
authors.affiliation: Proyecto Colaborativo Internacional Donante «International Collaborative Donor Project», España; Coordinación Regional de Trasplantes, Consejería de Sanidad y Consumo de la Región de Murcia, Murcia, España; Departamento de Psicología, Universidad Católica de San Antonio, Universidad Católica de San Antonio de Murcia, Murcia, España.
authors.forename: Ana
authors.initials: A
authors.lastname: López-Navas
authors.affiliation: Cirugía, Hospital Regional de Alta Especialidad del Bajío, León, Guanajuato, México; Servicio de Cirugía, Hospital General de Zona N.(o) 10, Instituto Mexicano del Seguro Social, Delegación Guanajuato, Guanajuato, México.
authors.forename: Marco Antonio
authors.initials: MA
authors.lastname: Ayala-García
authors.affiliation: Coordinación de Trasplantes, Unidad Médica de Alta Especialidad, Hospital de Especialidades N° 25, Instituto Mexicano de la Seguridad Social, Monterrey, México.
authors.forename: María José
authors.initials: MJ
authors.lastname: Sebastián
authors.affiliation: Coordinación de Trasplantes, Centro de Investigaciones Médico-Quirúrgicas, La Habana, Cuba.
authors.forename: Anselmo
authors.initials: A
authors.lastname: Abdo-Cuza
authors.affiliation: Departamento de Psicología, Universidad de Costa Rica, Costa Rica.
authors.forename: Jeannina
authors.initials: J
authors.lastname: Alán
authors.affiliation: Proyecto Colaborativo Internacional Donante «International Collaborative Donor Project», España; Coordinación Regional de Trasplantes, Consejería de Sanidad y Consumo de la Región de Murcia, Murcia, España; Unidad de Trasplantes, Servicio de Cirugía, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, España.
authors.forename: Laura
authors.initials: L
authors.lastname: Martínez-Alarcón
authors.affiliation: Universidad de Guanajuato, México.
authors.forename: Ector Jaime
authors.initials: EJ
authors.lastname: Ramírez
authors.affiliation: CMN Siglo XXI del Instituto Mexicano del Seguro Social, México.
authors.forename: Gerardo
authors.initials: G
authors.lastname: Muñoz
authors.affiliation: Hospital Hermanos Ameijeiras, La Habana, Cuba.
authors.forename: Juliette
authors.initials: J
authors.lastname: Suárez-López
authors.affiliation: Coordinación de Trasplantes, Centro de Investigaciones Médico-Quirúrgicas, La Habana, Cuba.
authors.forename: Roberto
authors.initials: R
authors.lastname: Castellanos
authors.affiliation: Departamento de Psicología, Universidad de Costa Rica, Costa Rica.
authors.forename: Ricardo
authors.initials: R
authors.lastname: Ramírez
authors.affiliation: Cirugía, Hospital Regional de Alta Especialidad del Bajío, León, Guanajuato, México; Universidad de Guanajuato, México.
authors.forename: Beatriz
authors.initials: B
authors.lastname: González
authors.affiliation: Instituto de Salud Pública del Estado de Guanajuato, México.
authors.forename: Miguel Angel
authors.initials: MA
authors.lastname: Martínez
authors.affiliation: Cirugía, Hospital Regional de Alta Especialidad del Bajío, León, Guanajuato, México; Servicio de Cirugía, Hospital General de Zona N.(o) 10, Instituto Mexicano del Seguro Social, Delegación Guanajuato, Guanajuato, México.
authors.forename: Ernesto
authors.initials: E
authors.lastname: Díaz
authors.affiliation: Proyecto Colaborativo Internacional Donante «International Collaborative Donor Project», España; Coordinación Regional de Trasplantes, Consejería de Sanidad y Consumo de la Región de Murcia, Murcia, España; Unidad de Trasplantes, Servicio de Cirugía, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, España; Departamento de Cirugía, Ginecología y Pediatría, Universidad de Murcia, Murcia, España.
authors.forename: Pablo
authors.initials: P
authors.lastname: Ramírez
authors.affiliation: Unidad de Trasplantes, Servicio de Cirugía, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, España; Departamento de Cirugía, Ginecología y Pediatría, Universidad de Murcia, Murcia, España.
authors.forename: Pascual
authors.initials: P
authors.lastname: Parrilla
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D003364:Costa Rica; D003462:Cuba; D005260:Female; D006761:Hospitals; D006801:Humans; D008297:Male; D008800:Mexico; D010564:Personnel, Hospital; D013030:Spain; D011795:Surveys and Questionnaires; D009927:Tissue and Organ Procurement
keywords: Actitud; Attitude; Donación de órganos; Hospital personnel; Organ donation; Personal hospitalario