Abstract
This study aims to assess the level and determinants of the general public's willingness to organ donation. We conducted a population-based cross-sectional study of 4261 participants in China. The primary outcome was the willingness to donate organs. Logistic regression modelling was used to determine the factors that affect willingness to donate organs. Overall, the proportion of participants who showed a willingness to donate organs was 47.45% (95%CI: 0.46, 0.49) in this study. Logistic regression modelling showed participants from Western (OR = 1.33, 95%CI = 1.11-1.59) and Eastern China (OR = 1.40, 95%CI = 1.19-1.65) were more willing to donate organs compared with those from Central China. The odds of being willing to donate organs was higher in females than males (OR = 1.35, 95%CI = 1.17-1.55); and was higher in those participants with experience of organ donation (OR = 1.58, 95%CI = 1.13-2.21), experience of caring for organ transplant patients (OR = 1.45, 95%CI = 1.01-2.07), and those undertaking related voluntary activities (OR = 1.67, 95%CI = 1.45-1.94), than those without. The general public's level of willingness to organ donation was not high in this study. Geographical region, gender, experience of organ donation related activities, taking care of organ transplant patients and volunteering in related activities were independently associated with participants' willingness to donate organs.
Highlights
This study aims to assess the level and determinants of the general public’s willingness to organ donation
This study aims to explore the level and determinants of willingness towards organ donation by using a large national sample obtained from Eastern, Central and Western China
We found that 47.45% of the general public from three regions of China are willing to donate organs, which is similar to the percentage of organ donors in Germany (46.8%) > 10 years ago 22
Summary
This study aims to assess the level and determinants of the general public’s willingness to organ donation. There is a severe imbalance between supply and demand, the need for organs dramatically exceeds the number of donated organs available for transplantation 3. Countries around the world attempt to increase the number of organs donors to meet the demand. Rate of organ donation per million population (pmp) is higher in Western countries. In Europe, Greece has the fewest organ donations; with 5.5 of donors pmp 5,6. Previous studies have shown that organ donation rates in Asia tend to be lower than in Western countries 7–9. In 2019, the organ donation rate in Iran was 11.26 pmp, 0.75 pmp in Japan, and 4.43 pmp in China. Increasing the rate of organ donation in Asian populations represents a significant public health challenge
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