Demographic and Socioeconomic Factors Influencing Public Attitudes Toward a Presumed Consent System for Organ Donation Without and With a Priority Allocation Scheme.
The influence of demographic and socioeconomic factors on the public's attitude towards a presumed consent system (PCS) of organ donation was estimated in 2 scenarios: without and with a priority allocation scheme (PAS). Self-administered questionnaires were completed by 775 respondents. Using multiple logistic regressions, respondents' objections to donating organs in both scenarios were estimated. In total, 63.9% of respondents would object to donating under a PCS, whereas 54.6% would object under a PCS with a PAS. Respondents with pretertiary education were more likely to object than were respondents with tertiary education, in both the first (adjusted odds ratio [AOR] = 1.615) and second (AOR = 1.728) scenarios. Young respondents were less likely to object than were middle-aged respondents, in both the first (AOR = 0.648) and second (AOR = 0.572) scenarios. Respondents with mid-ranged personal monthly income were more likely to object than were respondents with low income, in both the first (AOR = 1.994) and second (AOR = 1.519) scenarios. It does not seem that Malaysia is ready to implement a PCS. The educational level, age, and income of the broader public should be considered if a PCS, without or with a PAS, is planned for implementation in Malaysia.
From the Department of Administrative Studies and Politics (MT); Institute of Research Management and Monitoring (KT); Department of Applied Statistics (MATAT); Department of Economics (NMS, SMS); Department of Medicine (WAHWMA); and University of Malaya, Lembah Pantai, Kuala Lumpur, Malaysia (YSL).
Makmor
M
Tumin
Khaled
K
Tafran
Muzalwana Abdul Talib Abdul
MATA
Mutalib
NurulHuda Mohd
NM
Satar
Saad Mohd
SM
Said
Wan Ahmad Hafiz Wan Md
WAHWM
Adnan
Yong Sook
YS
Lu
D000328:Adult; D001290:Attitude; D003710:Demography; D005260:Female; D006801:Humans; D008296:Malaysia; D008297:Male; D008875:Middle Aged; D019724:Presumed Consent; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D009927:Tissue and Organ Procurement