Please use this identifier to cite or link to this item: https://doi.org/10.3389/fpubh.2021.712584
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dc.titleA Multiethnic Asian Perspective of Presumed Consent for Organ Donation: A Population-Based Perception Study
dc.contributor.authorMuthiah, Mark D
dc.contributor.authorChua, Melissa Sin Hui
dc.contributor.authorGriva, Konstadina
dc.contributor.authorLow, Ivan
dc.contributor.authorLim, Wen Hui
dc.contributor.authorNg, Cheng Han
dc.contributor.authorHwang, Jeff YF
dc.contributor.authorYap, Jason CH
dc.contributor.authorIyer, Shridhar G
dc.contributor.authorBonney, Glenn K
dc.contributor.authorAnantharaman, Vathsala
dc.contributor.authorHuang, Daniel Q
dc.contributor.authorTan, Eunice Xiang-Xuan
dc.contributor.authorLee, Guan-Huei
dc.contributor.authorKow, Alfred WC
dc.contributor.authorTai, Bee Choo
dc.date.accessioned2022-07-25T08:04:52Z
dc.date.available2022-07-25T08:04:52Z
dc.date.issued2021-10-05
dc.identifier.citationMuthiah, Mark D, Chua, Melissa Sin Hui, Griva, Konstadina, Low, Ivan, Lim, Wen Hui, Ng, Cheng Han, Hwang, Jeff YF, Yap, Jason CH, Iyer, Shridhar G, Bonney, Glenn K, Anantharaman, Vathsala, Huang, Daniel Q, Tan, Eunice Xiang-Xuan, Lee, Guan-Huei, Kow, Alfred WC, Tai, Bee Choo (2021-10-05). A Multiethnic Asian Perspective of Presumed Consent for Organ Donation: A Population-Based Perception Study. FRONTIERS IN PUBLIC HEALTH 9. ScholarBank@NUS Repository. https://doi.org/10.3389/fpubh.2021.712584
dc.identifier.issn2296-2565
dc.identifier.urihttps://scholarbank.nus.edu.sg/handle/10635/229129
dc.description.abstractBackground: Organ shortage is still a world-wide problem, resulting in long waiting lists for kidney, liver, and heart transplant candidates across many transplant centers globally. This has resulted in the move toward presumed consent to increase deceased organ donation rates. However, there remains a paucity of literature on public attitude and barriers regarding the opt-out system, with existing studies limited to Western nations. Therefore, this study aimed to understand public sentiment and different barriers toward organ donation from the perspective of Singapore, a highly diverse and multiethnic Asian society. Methods: A cross-sectional community semi-structured interview was conducted in a public housing estate in Singapore. Pilot test was undertaken before participants were interviewed face-to-face by trained personnel. All statistical evaluations were conducted using Stata. The χ2-test compared subgroups based on patient characteristics while multivariable logistic regression identified predictors of willingness to donate/ assent. Effect estimates were quantified using odds ratio (OR). Findings: Out of 799 individuals, 85% were agreeable to organ donation after death and 81% were willing to assent to donations of family members' organs, which declined by 16% (p < 0.001) after a clinical scenario was presented. Demographic factors including ethnicity, education, marital, and employment status affected willingness to donate and assent. Knowledge correlated significantly with willingness to donate and assent. In particular, knowledge regarding brain death irreversibility had the strongest correlation (AOR 2.15; 95% CI 1.60–2.89). Conclusions: Organ donation rates remain low albeit presumed consent legislation, due to patient-level barriers, including but not limited to knowledge gaps, cultural values, religious backgrounds, and emotional impact at relatives' death. To effectively boost donor rates, it is crucial for policy makers to invest in public education and improve transplant provisions and family protocols.
dc.language.isoen
dc.publisherFRONTIERS MEDIA SA
dc.sourceElements
dc.subjectpresumed consent
dc.subjectorgan transplantation
dc.subjectattitude
dc.subjectknowledge
dc.subjectpolicy
dc.typeArticle
dc.date.updated2022-07-22T00:45:55Z
dc.contributor.departmentMEDICINE
dc.contributor.departmentPSYCHOLOGY
dc.contributor.departmentSURGERY
dc.contributor.departmentPHYSIOLOGY
dc.contributor.departmentSAW SWEE HOCK SCHOOL OF PUBLIC HEALTH
dc.description.doi10.3389/fpubh.2021.712584
dc.description.sourcetitleFRONTIERS IN PUBLIC HEALTH
dc.description.volume9
dc.published.statePublished
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