title: [Hospital-based multicenter study in Spain, Mexico and Cuba on attitudes to living liver donation].
abstract: BACKGROUND
  Given the lack of a sufficient number of livers available for transplantation, living liver donation (LLD) is being developed in the Spanish-speaking world. To do this, it is essential that health workers in hospitals are in favor of such donation, given that they are a key component in this treatment and that their attitudes influence public opinion.
  
  
  OBJECTIVE
  To analyze attitude toward LLD among hospital personnel from healthcare centers in Spain and Latin America.
  
  
  METHODS
  Ten hospitals were selected from the «International Donor Collaborative Project»: 3 from Spain, 5 from Mexico and 2 from Cuba. Random sampling stratified by type of service and job category was used. Attitudes to LLD were evaluated through a validated questionnaire on psychosocial aspects. The questionnaire was anonymous and self-administered. Statistical tests consisted of Student's T test, the chi-square test and logistic regression analysis.
  
  
  RESULTS
  Of the 2,618 employees surveyed, 85% (n=2,231) were in favor of related LLD; of these, 31% (n=804) were in favor of unrelated LLD. No association was found between the country of the interviewed, personal-social variables or work-related variables. The following factors were associated with a favorable attitude toward related LLD donation: having had personal experience of donation and transplantation (P<.001); being in favor of deceased donation (P<.001); believing that one might need a possible transplant (P<.001); being in favor of living kidney donation (P<.001); being willing to accept a liver from a living donor (P<.001); having discussed the matter of donation and transplantation within the family (P<.001) and with one's partner (P<.001); carrying out pro-social type activities (P<.001); being Catholic (P=.040); believing that one's religion is in favor of donation and transplantation (P<.001); and not being concerned about the possible mutilation of the body after donation (P<.001).
  
  
  CONCLUSIONS
  Hospital personnel from Spain and Latin America had a favorable attitude toward LLD, which was associated with factors directly and indirectly related to donation and transplantation, family and religious factors, and attitudes toward the body.
authors.affiliation: Proyecto Colaborativo Internacional Donante, Murcia, España; Coordinación Regional de Trasplantes, Consejería de Sanidad y Consumo de la Región de 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, Murcia, España; Coordinación Regional de Trasplantes, Consejería de Sanidad y Consumo de la Región de Murcia, España; Departamento de Psicología, Universidad Católica de San Antonio, Universidad Católica de San Antonio de Murcia, Murcia, España.
authors.forename: Ana Isabel
authors.initials: AI
authors.lastname: López-Navas
authors.affiliation: Hospital Regional de Alta Especialidad del Bajío, León, Guanajuato, México; Hospital General de SubZona n.(o) 10 del Instituto Mexicano del Seguro Social, Delegación Guanajuato, México.
authors.forename: Marco Antonio
authors.initials: MA
authors.lastname: Ayala-García
authors.affiliation: Centro de Coordinación de Trasplantes, Unidad Médica de Alta Especialidad, Hospital de Especialidades n.(o) 25 Instituto Mexicano del Seguro Social (IMSS), Monterrey, México.
authors.forename: María José
authors.initials: MJ
authors.lastname: Sebastián
authors.affiliation: Centro de Investigaciones Medico-Quirúrgicas, La Habana, Cuba.
authors.forename: Anselmo
authors.initials: A
authors.lastname: Abdo-Cuza
authors.affiliation: Proyecto Colaborativo Internacional Donante, Murcia, España; Coordinación Regional de Trasplantes, Consejería de Sanidad y Consumo de la Región de 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, Guanajuato, México.
authors.forename: Ector Jaime
authors.initials: EJ
authors.lastname: Ramírez
authors.affiliation: Centro Médico Nacional Siglo XXI del Instituto Mexicano del Seguro Social, México.
authors.forename: Gerardo
authors.initials: G
authors.lastname: Muñoz
authors.affiliation: Centro de Coordinación de Trasplantes, Unidad Médica de Alta Especialidad, Hospital de Especialidades n.(o) 25 Instituto Mexicano del Seguro Social (IMSS), Monterrey, México.
authors.forename: Gerardo
authors.initials: G
authors.lastname: Palacios
authors.affiliation: Hospital Hermanos Ameijeiras, La Habana, Cuba.
authors.forename: Juliette
authors.initials: J
authors.lastname: Suárez-López
authors.affiliation: Centro de Investigaciones Medico-Quirúrgicas, La Habana, Cuba.
authors.forename: Roberto
authors.initials: R
authors.lastname: Castellanos
authors.affiliation: Hospital Regional de Alta Especialidad del Bajío, León, Guanajuato, México; Universidad de Guanajuato, Guanajuato, México.
authors.forename: Beatríz
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: Hospital Regional de Alta Especialidad del Bajío, León, Guanajuato, México; Hospital General de SubZona n.(o) 10 del Instituto Mexicano del Seguro Social, Delegación Guanajuato, México.
authors.forename: Ernesto
authors.initials: E
authors.lastname: Díaz
authors.affiliation: Proyecto Colaborativo Internacional Donante, Murcia, España; Coordinación Regional de Trasplantes, Consejería de Sanidad y Consumo de la Región de 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; D001294:Attitude to Health; D003462:Cuba; D005260:Female; D006761:Hospitals; D018594:Human Body; D006801:Humans; D016031:Liver Transplantation / Q000523:psychology*; D019520:Living Donors / Q000523:psychology*; D008297:Male; D008800:Mexico; D008875:Middle Aged; D010564:Personnel, Hospital / Q000523:psychology*; D012067:Religion; D012494:Sampling Studies; D012945:Social Values; D013030:Spain; D011795:Surveys and Questionnaires
keywords: Actitud; Attitude; Donación hepática de vivo; Hospital personnel; Living liver donation; Personal hospitalario; Transplantation; Trasplante