title: Acceptance of living liver donation among medical students: A multicenter stratified study from Spain.
abstract: OBJECTIVE
  To analyze the attitude of Spanish medical students toward living liver donation (LLD) and to establish which factors have an influence on this attitude.
  
  
  METHODS
  
  
  
  METHODS
  A sociological, interdisciplinary, multicenter and observational study.
  
  
  METHODS
  Medical students enrolled in Spain (n = 34000) in the university academic year 2010-2011.
  
  
  METHODS
  A sample of 9598 students stratified by geographical area and academic year. Instrument used to measure attitude: A validated questionnaire (PCID-DVH RIOS) was self-administered and completed anonymously. Data collection procedure: Randomly selected medical schools. The questionnaire was applied to each academic year at compulsory sessions.
  
  
  METHODS
  Student´s t test, χ(2) test and logistic regression analysis.
  
  
  RESULTS
  The completion rate was 95.7% (n = 9275). 89% (n = 8258) were in favor of related LLD, and 32% (n = 2937) supported unrelated LLD. The following variables were associated with having a more favorable attitude: (1) age (P = 0.008); (2) sex (P < 0.001); (3) academic year (P < 0.001); (4) geographical area (P = 0.013); (5) believing in the possibility of needing a transplant oneself in the future (P < 0.001); (6) attitude toward deceased donation (P < 0.001); (7) attitude toward living kidney donation (P < 0.001); (8) acceptance of a donated liver segment from a family member if one were needed (P < 0.001); (9) having discussed the subject with one's family (P < 0.001) and friends (P < 0.001); (10) a partner's opinion about the subject (P < 0.001); (11) carrying out activities of an altruistic nature; and (12) fear of the possible mutilation of the body after donation (P < 0.001).
  
  
  CONCLUSIONS
  Spanish medical students have a favorable attitude toward LLD.
authors.affiliation: Antonio Ríos, Ana Isabel López-Navas, Laura Martínez-Alarcón, Marco Antonio Ayala, Pablo Ramírez, International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante" , 30007 Casillas, Murcia, Spain.
authors.forename: Antonio
authors.initials: A
authors.lastname: Ríos
authors.affiliation: Antonio Ríos, Ana Isabel López-Navas, Laura Martínez-Alarcón, Marco Antonio Ayala, Pablo Ramírez, International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante" , 30007 Casillas, Murcia, Spain.
authors.forename: Ana Isabel
authors.initials: AI
authors.lastname: López-Navas
authors.affiliation: Antonio Ríos, Ana Isabel López-Navas, Laura Martínez-Alarcón, Marco Antonio Ayala, Pablo Ramírez, International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante" , 30007 Casillas, Murcia, Spain.
authors.forename: Ana Isabel
authors.initials: AI
authors.lastname: López-López
authors.affiliation: Antonio Ríos, Ana Isabel López-Navas, Laura Martínez-Alarcón, Marco Antonio Ayala, Pablo Ramírez, International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante" , 30007 Casillas, Murcia, Spain.
authors.forename: Francisco Javier
authors.initials: FJ
authors.lastname: Gómez
authors.affiliation: Antonio Ríos, Ana Isabel López-Navas, Laura Martínez-Alarcón, Marco Antonio Ayala, Pablo Ramírez, International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante" , 30007 Casillas, Murcia, Spain.
authors.forename: Jorge
authors.initials: J
authors.lastname: Iriarte
authors.affiliation: Antonio Ríos, Ana Isabel López-Navas, Laura Martínez-Alarcón, Marco Antonio Ayala, Pablo Ramírez, International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante" , 30007 Casillas, Murcia, Spain.
authors.forename: Rafael
authors.initials: R
authors.lastname: Herruzo
authors.affiliation: Antonio Ríos, Ana Isabel López-Navas, Laura Martínez-Alarcón, Marco Antonio Ayala, Pablo Ramírez, International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante" , 30007 Casillas, Murcia, Spain.
authors.forename: Gerardo
authors.initials: G
authors.lastname: Blanco
authors.affiliation: Antonio Ríos, Ana Isabel López-Navas, Laura Martínez-Alarcón, Marco Antonio Ayala, Pablo Ramírez, International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante" , 30007 Casillas, Murcia, Spain.
authors.forename: Francisco Javier
authors.initials: FJ
authors.lastname: Llorca
authors.affiliation: Antonio Ríos, Ana Isabel López-Navas, Laura Martínez-Alarcón, Marco Antonio Ayala, Pablo Ramírez, International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante" , 30007 Casillas, Murcia, Spain.
authors.forename: Angel
authors.initials: A
authors.lastname: Asunsolo
authors.affiliation: Antonio Ríos, Ana Isabel López-Navas, Laura Martínez-Alarcón, Marco Antonio Ayala, Pablo Ramírez, International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante" , 30007 Casillas, Murcia, Spain.
authors.forename: Pilar
authors.initials: P
authors.lastname: Sánchez-Gallegos
authors.affiliation: Antonio Ríos, Ana Isabel López-Navas, Laura Martínez-Alarcón, Marco Antonio Ayala, Pablo Ramírez, International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante" , 30007 Casillas, Murcia, Spain.
authors.forename: Pedro Ramón
authors.initials: PR
authors.lastname: Gutiérrez
authors.affiliation: Antonio Ríos, Ana Isabel López-Navas, Laura Martínez-Alarcón, Marco Antonio Ayala, Pablo Ramírez, International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante" , 30007 Casillas, Murcia, Spain.
authors.forename: Ana
authors.initials: A
authors.lastname: Fernández
authors.affiliation: Antonio Ríos, Ana Isabel López-Navas, Laura Martínez-Alarcón, Marco Antonio Ayala, Pablo Ramírez, International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante" , 30007 Casillas, Murcia, Spain.
authors.forename: María Teresa
authors.initials: MT
authors.lastname: de Jesús
authors.affiliation: Antonio Ríos, Ana Isabel López-Navas, Laura Martínez-Alarcón, Marco Antonio Ayala, Pablo Ramírez, International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante" , 30007 Casillas, Murcia, Spain.
authors.forename: Laura
authors.initials: L
authors.lastname: Martínez-Alarcón
authors.affiliation: Antonio Ríos, Ana Isabel López-Navas, Laura Martínez-Alarcón, Marco Antonio Ayala, Pablo Ramírez, International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante" , 30007 Casillas, Murcia, Spain.
authors.forename: Alberto
authors.initials: A
authors.lastname: Lana
authors.affiliation: Antonio Ríos, Ana Isabel López-Navas, Laura Martínez-Alarcón, Marco Antonio Ayala, Pablo Ramírez, International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante" , 30007 Casillas, Murcia, Spain.
authors.forename: Lorena
authors.initials: L
authors.lastname: Fuentes
authors.affiliation: Antonio Ríos, Ana Isabel López-Navas, Laura Martínez-Alarcón, Marco Antonio Ayala, Pablo Ramírez, International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante" , 30007 Casillas, Murcia, Spain.
authors.forename: Juan Ramón
authors.initials: JR
authors.lastname: Hernández
authors.affiliation: Antonio Ríos, Ana Isabel López-Navas, Laura Martínez-Alarcón, Marco Antonio Ayala, Pablo Ramírez, International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante" , 30007 Casillas, Murcia, Spain.
authors.forename: Julio
authors.initials: J
authors.lastname: Virseda
authors.affiliation: Antonio Ríos, Ana Isabel López-Navas, Laura Martínez-Alarcón, Marco Antonio Ayala, Pablo Ramírez, International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante" , 30007 Casillas, Murcia, Spain.
authors.forename: José
authors.initials: J
authors.lastname: Yelamos
authors.affiliation: Antonio Ríos, Ana Isabel López-Navas, Laura Martínez-Alarcón, Marco Antonio Ayala, Pablo Ramírez, International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante" , 30007 Casillas, Murcia, Spain.
authors.forename: José Antonio
authors.initials: JA
authors.lastname: Bondía
authors.affiliation: Antonio Ríos, Ana Isabel López-Navas, Laura Martínez-Alarcón, Marco Antonio Ayala, Pablo Ramírez, International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante" , 30007 Casillas, Murcia, Spain.
authors.forename: Antonio Miguel
authors.initials: AM
authors.lastname: Hernández
authors.affiliation: Antonio Ríos, Ana Isabel López-Navas, Laura Martínez-Alarcón, Marco Antonio Ayala, Pablo Ramírez, International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante" , 30007 Casillas, Murcia, Spain.
authors.forename: Marco Antonio
authors.initials: MA
authors.lastname: Ayala
authors.affiliation: Antonio Ríos, Ana Isabel López-Navas, Laura Martínez-Alarcón, Marco Antonio Ayala, Pablo Ramírez, International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante" , 30007 Casillas, Murcia, Spain.
authors.forename: Pablo
authors.initials: P
authors.lastname: Ramírez
authors.affiliation: Antonio Ríos, Ana Isabel López-Navas, Laura Martínez-Alarcón, Marco Antonio Ayala, Pablo Ramírez, International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante" , 30007 Casillas, Murcia, Spain.
authors.forename: Pascual
authors.initials: P
authors.lastname: Parrilla
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000533:Altruism; D001291:Attitude of Health Personnel; D005260:Female; D006801:Humans; D016030:Kidney Transplantation; D016031:Liver Transplantation; D019520:Living Donors; D016015:Logistic Models; D008297:Male; D012737:Sex Factors; D013030:Spain; D013337:Students, Medical; D011795:Surveys and Questionnaires; D009927:Tissue and Organ Procurement; D055815:Young Adult
keywords: Attitude; Living liver donation; Medical students; Organ donation; Psychosocial variables; Spain; Transplantation