Latin Americans in Spain and their attitude toward living kidney donation.
BACKGROUND
The Latin American (LA) population in Spain is ever increasing in size and is perfectly integrated into the social structure. The objectives were to analyze the attitude of citizens, born in Latin America and living in Spain, toward living kidney donation (LKD) and to determine the psychosocial variables affecting this attitude.


METHODS
A sample of LA residents living in Spain was obtained randomly in 2010 and stratified according to the respondent's nationality (n = 1314). Attitude was evaluated using a validated questionnaire ("Proyecto Colaborativo Internacional Donante sobre Donación de Vivo Renal" Ríos). The survey was self-administered and completed anonymously.


RESULTS
The questionnaire completion rate was 86% (n = 1.132). A total of 89% (n = 1003) were in favor of related living donation, and 30% if the donation were unrelated. The variables associated with attitude toward LKD were as follows: sex (p = 0.043); marital status (p = 0.013); previous experience of organ donation (p = 0.009); attitude toward deceased organ donation (p < 0.001); a respondent's belief that he or she could be a possible recipient of a future transplant (p < 0.001); knowledge of a partner's opinion (p = 0.021); family discussion about organ donation (p = 0.001); knowledge of the view of one's religion toward donation (p < 0.001); concern about "mutilation" after donation (p = 0.004); and evaluation of the risk from living donation (p = 0.036).


CONCLUSIONS
The attitude of LA citizens residing in Spain was favorable both toward related LKD and unrelated living donation.
International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain.|Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain.|Transplant Unit, Surgery Service, IMIB - Virgen de la Arrixaca University Hospital, Murcia, Spain.|Regional Transplant Center, Consejería de Sanidad y Consumo de la Región de Murcia, Murcia, Spain.
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Ríos
International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain.|Regional Transplant Center, Consejería de Sanidad y Consumo de la Región de Murcia, Murcia, Spain.|Department of Psychology, UCAM, San Antonio Catholic University, Murcia, Spain.
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López-Navas
International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain.|Transplant Unit, Surgery Service, IMIB - Virgen de la Arrixaca University Hospital, Murcia, Spain.|Regional Transplant Center, Consejería de Sanidad y Consumo de la Región de Murcia, Murcia, Spain.
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Martínez-Alarcón
Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain.|Transplant Unit, Surgery Service, IMIB - Virgen de la Arrixaca University Hospital, Murcia, Spain.|Regional Transplant Center, Consejería de Sanidad y Consumo de la Región de Murcia, Murcia, Spain.
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Ramírez
Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain.|Transplant Unit, Surgery Service, IMIB - Virgen de la Arrixaca University Hospital, Murcia, Spain.
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Parrilla
D000293:Adolescent; D000328:Adult; D000368:Aged; D001294:Attitude to Health; D005260:Female; D005500:Follow-Up Studies; D007722:Health Knowledge, Attitudes, Practice; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D019520:Living Donors / Q000523:psychology*; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy / Q000523:psychology*; D011379:Prognosis; D012067:Religion; D011795:Surveys and Questionnaires; D020858:Tissue and Organ Harvesting / Q000523:psychology*; D009927:Tissue and Organ Procurement / Q000379:methods*; D055815:Young Adult
Latin-Americans; Spain; attitude; family; general public; kidney; living donor; organ donation; psychosocial factors