title: Dominicans Resident in Spain and the United States Faced With Deceased Organ Donation.
abstract: BACKGROUND
  Investigating the attitude of subgroups of populations living in different countries is useful for establishing whether there are differences in opinion in terms of place of residence. The objective of the study was to analyze attitudes toward deceased organ donation in the population from the Dominican Republic who are residing in the southeast of the United States and Spain.
  
  
  METHODS
  A sample was taken of residents of the population from the Dominican Republic residing in Florida (the United States) (n = 63) and in Spain (n = 80), which was stratified by age and sex. A validated questionnaire about psychosocial aspects (PCID-DTO Rios) was self-administered and completed anonymously: the χ(2) test, Student t test, and logistic regression analysis were used.
  
  
  RESULTS
  The completion rate was 86% (123 respondents of the 143 selected). Of those surveyed, 54% were in favor, 23% were against, and 23% were undecided. Of the residents in Spain (n = 57) 63% (n = 36) were in favor, 12% (n = 7) were against, and 25% (n = 14) were undecided. Of the residents in the United States (n = 66) 46% (n = 30) were in favor, 33% (n = 22) were against, and 21% (n = 14) were undecided (P < .001). The following factors were found to be associated with attitude: 1) level of education [OR = 12.195 (52.631-2.808); P = .001]; 2) concern about the possible mutilation of the body after donation [OR = 11.363 (47.619-2.695; P = .001]; and 3) rejection of cremation or burial of the body after death [OR = 6.134 (21.276-1.763); P = .004].
  
  
  CONCLUSIONS
  Attitude toward the donation of the respondent's own deceased organs after death was more favorable among Dominican residents in Spain compared with those living in the United States.
authors.affiliation: 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 - Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain; Regional Transplant Centre, Consejería de Sanidad y Consumo de la Región de Murcia, Murcia, Spain. Electronic address: arzrios@um.es.
authors.forename: A
authors.initials: A
authors.lastname: Ríos
authors.affiliation: International Collaborative Donor Project (Proyecto Colaborativo Internacional Donante), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics, and Gynaecology, University of Murcia, Murcia, Spain; Department of Psychology, Universidad Católica San Antonio, UCAM, Murcia, Spain.
authors.forename: A
authors.initials: A
authors.lastname: López-Navas
authors.affiliation: Department of Psychology, Universidad Católica San Antonio, UCAM, Murcia, Spain.
authors.forename: A
authors.initials: A
authors.lastname: Ros-Martínez
authors.affiliation: International Collaborative Donor Project (Proyecto Colaborativo Internacional Donante), Murcia, Spain; Department of Nursing, University of Murcia, Murcia, Spain; Reina Sofia General University Hospital, Murcia, Spain.
authors.forename: M
authors.initials: M
authors.lastname: Mikla
authors.affiliation: 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 - Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain; Regional Transplant Centre, Consejería de Sanidad y Consumo de la Región de Murcia, Murcia, Spain.
authors.forename: L
authors.initials: L
authors.lastname: Martínez-Alarcón
authors.affiliation: Surgery Service, Orihuela Hospital, Alicante, Spain.
authors.forename: J C
authors.initials: JC
authors.lastname: Navalón
authors.affiliation: Faculty of Veterinary Science, University of Murcia, Murcia, Spain.
authors.forename: G
authors.initials: G
authors.lastname: Ramis
authors.affiliation: Department of Surgery, Paediatrics, Obstetrics, and Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB - Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain; Regional Transplant Centre, Consejería de Sanidad y Consumo de la Región de Murcia, Murcia, Spain.
authors.forename: P
authors.initials: P
authors.lastname: Ramírez
authors.affiliation: Department of Surgery, Paediatrics, Obstetrics, and Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB - Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain.
authors.forename: P
authors.initials: P
authors.lastname: Parrilla
mesh_terms: D000328:Adult; D001293:Attitude to Death / Q000208:ethnology*; D002048:Burial; D004293:Dominican Republic / Q000208:ethnology; D004522:Educational Status; D005260:Female; D005431:Florida; D006801:Humans; D008297:Male; D008875:Middle Aged; D016377:Organ Transplantation / Q000523:psychology*; D013030:Spain; D011795:Surveys and Questionnaires; D014019:Tissue Donors / Q000523:psychology*; D009927:Tissue and Organ Procurement