Respondent Countries Research Articles

Questionnaire survey on the use of thermal insulation solutions in building facades of Portugal, Italy and Norway

The use of adequate thermal insulation solutions in the opaque walls is one of the most efficient passive strategies towards the improvement of the buildings’ thermal performance. Nevertheless, beyond the thermal performance, a set of different performance criteria (i.e., hygrothermal performance, fire behavior, environmental footprint, among others) must also be considered when selecting thermal insulation materials. This study aimed to enhance understanding of the use of thermal insulation solutions in new construction and for the thermal retrofitting of building facades in Portugal, Italy and Norway. To that end, a questionnaire survey was prepared considering the relationships among the different Political, Economic, Social, Technological and Environmental criteria involved in the selection of thermal insulation solutions. The questionnaire was available online between November 2022 and February 2023 and respondents, primarily living and/or working in Portugal, Italy and Norway, were asked to answer questions related to the use and performance of different thermal insulation solutions. Results showed that different perceptions and levels of knowledge regarding the performance of several insulation materials could be ascribed to the respondent's country of residence.

Vaccine Diplomacy: How COVID-19 Vaccine Distribution in Latin America Increases Trust in Foreign Governments

abstract: Vaccine distribution in the Global South has created opportunities for vaccine-developing countries to improve their international reputations. Leveraging a panel survey conducted in early 2021, this article evaluates whether vaccine diplomacy affects trust in foreign governments in six Latin American countries. Among vaccinated respondents, trust in the government of the country that they believed developed their vaccine increased relative to trust in the governments of other foreign powers. Furthermore, providing information about the aggregate distribution of vaccines within a respondent's country increased vaccine-eligible respondents' trust in the governments of countries from which more vaccines were delivered. In each case, greater trust principally reflects updated perceptions of a common good motivation. The article's empirical findings suggest that vaccine distribution—especially by China, but for other vaccine-developing countries as well—can cultivate favorable international public opinion. These favorable opinions may in turn facilitate great powers' economic, political, or military foreign policy goals.

Clinicians' experience with topical benzydamine and morphine for the management of oral mucositis: adverse effects and barriers.

Among the evidence-based agents outlined in the Multinational Association of Supportive Care in Cancer/International Society of Oral Oncology (MASCC/ISOO) mucositis guidelines, benzydamine and morphine are advised for the management of oral mucositis (OM) in certain cancer patients. This study is aimed to collect information from a group of highly experienced healthcare professionals in the field of oral mucositis about their clinical experience with these agents. A survey questionnaire about the clinical experience with topical benzydamine and morphine to manage oral mucositis and their related adverse effects (AEs) was electronically distributed to the members of the Mucositis Study Group of MASCC/ISOO. Eighty-eight entries were recorded (response rate 25%), and 54 entries submitted complete questionnaires about the drug-related AE (completion rate 65%) and were used for the data analysis. Of the respondents, 44% and 27.7% prescribed benzydamine and morphine to manage their patients' oral mucositis, respectively. Lack of availability in the respondent's country was the common reason for not prescribing benzydamine and morphine (18.9% and 5.4%, respectively); however, a large portion of the respondents indicated that 'another reason' stopped them from prescribing these agents (51.3% and 73%, respectively). AEs to benzydamine or morphine were observed by 25.9% and 12.9% of respondents, respectively, with mild numbness and tingling as the most common drug-related AE for both agents. The use of topical benzydamine and morphine for the management of OM varies between countries. While relatively common, the AEs related to these agents are mild. Mitigating the barriers for prescribing them may increase their use.

Consumer attitudes toward dairy products from sheep and goats: A cross-continental perspective.

This study aimed to assess consumer knowledge, attitudes, and perceptions toward dairy products from sheep and goats. A web-based survey was conducted in Latin America (Mexico and Chile), Europe (Italy, Spain, Greece, and Denmark), and Asia (Bangladesh). From March to June 2021, adult participants answered an online survey available in 5 languages. In total, 1,879 surveys were completed. Categorical and ordinal data were analyzed as frequencies and percentages. To determine the relationship between the variables for purchasing and consumption behaviors of respondents who declared that they consume dairy products, a multiple correspondence analysis was carried out. Most completed surveys were from Mexico and Italy (30% and 33.7%, respectively). Most respondents were between 18 and 29 yr old, female, highly educated, and employed. The majority of respondents (70.8%) declared that they consume dairy products from small ruminants. Consumers preferred products from both sheep and goats (49.4%); however, it was observed that in Mexico, Denmark, and Bangladesh, more than 50% preferred goat dairy products. The most-consumed products were mature and fresh cheeses. Mature cheese was the most-preferred product in Chile; in Mexico, Italy, Greece, and Denmark, it was fresh cheese. Unlike the rest of the countries, in Bangladesh, dairy product consumption from small ruminants was observed by more than 30% of respondents. In Mexico, a higher percentage of people do not consume sheep or goat dairy products because they are unfamiliar with them. In Mexico, Chile, and Bangladesh, limited market availability was also a variable responsible for nonconsumption. In European and Asian countries, sheep and goat dairy products are not consumed because consumers dislike them, in addition to a greater awareness of sustainability and climate change issues. The multiple correspondence analysis defined 5 dimensions. Dimension 1 was associated with the geographic location of the respondent (country and continent), the type of milk (sheep or goat), and the consideration of well-being and health as characteristics associated with the consumption of dairy products from small ruminants. Dimension 2 was associated with the respondent's country of origin and the frequency of consumption. Dimension 3 was associated with gender, education, and employment status. Dimension 4 was associated with the respondent's age, the association of the "healthy" concept of sheep and goat dairy products, and the consideration of the nutritional benefits of dairy as responsible for considering them healthy. Dimension 5 was associated with a "strong smell and taste" of sheep and goat dairy products. This study showed that consumer attitudes toward dairy products from sheep and goats vary between continents. In conclusion, results showed consumer interest in animal welfare and environmental impact issues related to small ruminant farming as well as a general attraction to local products. It seems that these factors contribute to consumers' perception of the quality of dairy products, so the industry and select farmers should carefully consider incorporating them into their supply chain.

Coronavirus awareness, confinement stress, and mental health: Evidence from Honduras, Chile, Costa Rica, Mexico and Spain

RationaleThe purpose of the current study was to analyze the influence of coronavirus awareness, psychological stress responses, and sociodemographic variables on mental health indicators (somatization, depression, and anxiety) in residents of Honduras, Chile, Costa Rica, Mexico, and Spain. MethodsThe study used a quantitative, cross-sectional approach. Data was collected online using the Brief Symptom Inventory-18 (BSI-18); the Coronavirus Awareness Scale-6 (CAS-6) and a questionnaire that included psychological and sociodemographic questions. The total sample size consisted of 1559 respondents from Honduras (34%), Chile (29%), Costa Rica (17%), Mexico (11%), and Spain (9%). ResultsThe most common stress domains correspond to family (22.97%), financial (22.53%), academic (16.47%), leisure time constraints (14.23%), health (12.48%), peer group (7.63%), and religious concerns (3.69%). These domains are significantly associated with the respondent's country, sex, employment status, and being or not a health worker. Respondents who reported confinement stress also reported higher scores in anxiety, depression, and somatization. The Global Severity Index was significantly predicted by confinement stress, health, academic, and leisure time-related stress, sex, age, being a health worker, COVID-19 Personal Concern, and Perceived Seriousness. Non-significant predictors were employment status, the number of people at home, presence of older adults and children at home, financial, peer group, family, and religious concerns; the regression model had an R2 of 0.26. Similar analyses were conducted for somatization, depression, and anxiety subscales. ConclusionsThe COVID-19 pandemic has adverse effects on the mental health of the general population, particularly regarding anxiety, depression, and somatization. Specific populations, such as women and healthcare workers, are at particular risk of suffering a deterioration in mental wellbeing. The implications of the study for public policy are discussed.

The hidden impact of rapid spread of the COVID-19 pandemic in professional, financial, and psychosocial health of Latin American orthopedic trauma surgeons.

ObjectiveTo assess the quality of life of Latin American orthopedic trauma surgeons during the beginning of COVID-19 pandemic in Latin America.MethodsA total of 400 orthopedic trauma surgeons from 14 Latin American countries were invited to complete an electronic survey aiming to understand the general situation of COVID-19 in each country and how COVID-19 had impacted life's participant financially and psychosocially. The relationship between the occurrence of the disease and the existence of legal regulations on the medical activity in the respondent's country, protocols for tracking the disease among patients hospitalized in an emergency basis due to skeletal trauma, and personal protective equipment to deal with patients diagnosed with COVID-19 who need orthopedic trauma surgery was investigated, as well as the financial and psychosocial impact caused by the disease. Data was statistically analyzed with significance p < 0.05.Results220 respondents completed the survey. 21 respondents were diagnosed with COVID-19. Local regulation was decisive in terms of increasing the risk for COVID-19 disease (p = 0.001). 91.8% of the respondents reported being concerned about their financial health and 57.7% described a state of feeling emotionally overextended. 75.0% believe that pandemic can change their professional activity.ConclusionThe rapid spread of the COVID-19 pandemic in Latin America has negatively impacted the professional, financial, and psychosocial health of orthopedic trauma surgeons. It seems reasonable to state that the combination of psychosocial distress and deprivation together with financial uncertainty and decreased revenue can be straightly related to development of burnout symptoms among doctors.

Core Values of Family Medicine in Europe: Current State and Challenges.

Background: Values are deeply held views that act as guiding beliefs for individuals and organizations. They state what is important in a profession. The aims of this study were to determine whether European countries have already developed (or are developing) documents on core values in family medicine; to gather the lists of core values already developed in countries; and to gather the opinions of participants on what the core family values in their countries are.Methods: This was a qualitative study. The questionnaire was distributed as an e-survey via email to present and former members of the European Society for Quality and Safety in Family Practice (EQuiP), and other family medicine experts in Europe. The questionnaire included six items concerning core values in family medicine in the respondent's country: the process of defining core values, present core values, the respondents' suggestions for core values, and current challenges of core values.Results: Core values in family medicine were defined or in a process of being defined in several European countries. The most common core values already defined were the doctor-patient relationship, continuity, comprehensiveness and holistic care, community orientation, and professionalism. Some countries expressed the need for an update of the current core values' list. Most respondents felt the core values of their discipline were challenged in today's world. The main values challenged were continuity, patient-centered care/the doctor-patient relationship and comprehensive and holistic care, but also prioritization, equity, and community orientation and cooperation. These were challenged by digital health, workload/lack of family physicians, fragmentation of care, interdisciplinary care, and societal trends and commercial interests.Conclusion: We managed to identify suggestions for core values of family medicine at the European level. There is a clear need to adopt a definition of a value and tailor the discussion and actions on the family medicine core values accordingly. There is also a need to identify the core values of family medicine in European countries. This could strengthen the profession, promote its development and research, improve education, and help European countries to advocate for the profession.

Unhappiness and age

I examine the relationship between unhappiness and age using data from eight well-being data files on nearly 14 million respondents across forty European countries and the United States and 168 countries from the Gallup World Poll. I use twenty different individual characterizations of unhappiness including many not good mental health days; anxiety; worry; loneliness; sadness; stress; pain; strain, depression and bad nerves; phobias and panic; being downhearted; having restless sleep; losing confidence in oneself; not being able to overcome difficulties; being under strain; being unhappy; feeling a failure; feeling left out; feeling tense; and thinking of yourself as a worthless person. I also analyze responses to a further general attitudinal measure regarding whether the situation in the respondent's country is getting worse. Responses to all these unhappiness questions show a, ceteris paribus, hill shape in age, with controls and many also do so with limited controls for time and country. Unhappiness is hill-shaped in age and the average age where the maximum occurs is 49 with or without controls. There is an unhappiness curve.

Acceptability of App-Based Contact Tracing for COVID-19: Cross-Country Survey Evidence

Background: The COVID-19 pandemic is the greatest public health crisis of the last 100 years. Countries have responded with various levels of lockdown to save lives and stop health systems from being overwhelmed. At the same time, lockdowns entail large socio-economic costs. One exit strategy under consideration is a mobile phone app that traces close contacts of those infected with COVID-19. Contact tracing apps work best when used by a large proportion of the population. The objective of this study is to investigate user acceptability of a contact-tracing app in five countries hit by the pandemic. Methods: We conducted cross-sectional anonymous online surveys in France, Germany, Italy, the UK and the US. The survey asked about intentions to use a contact-tracing app under various scenarios. Our study sample consists of 5995 adults. Findings: We find very strong support for a contact-tracing app, with an overall acceptance rate of 74.8%. Acceptability is high regardless of the respondent's country or individual background, or the scenario considered. Trust in government is an important determinant of support. Interpretation: Acceptability of app-based contact tracing for COVID-19 was widely supported in five countries hit by the pandemic to various degrees and with different attitudes towards privacy. Our findings are therefore encouraging for the viability of this approach. Funding Statement: Economic and Social Research Council (grant ES/R011710/1), the University of Oxford and Volkswagen Foundation (grant Consequences of Artificial Intelligence for Urban Societies''). Declaration of Interests: None declared. Ethics Approval Statement: Ethics approval was obtained from the University of Oxford (reference number ECONCIA20-21-06).

Differences in treatment of epilepsy in pregnancy: A worldwide survey.

How to safely treat pregnant women with epilepsy is a question for which there are guidelines, but variations in practice exist. To better characterize how clinicians address this difficult clinical question, we distributed an anonymous survey to neurology practitioners across subspecialties and different levels of training via the Neurology®: Clinical Practice website. The survey was conducted from May 31 to December 3, 2017. We received responses from 642 participants representing 81 countries. We performed both descriptive and inferential analyses. For the inferential analysis, a multiple logistic regression model was used to analyze the effect of provider characteristics on the constructed binary outcome variables of interest. The results of this survey demonstrate a wide range in the amount of folic acid recommended and the frequency of checking levels of anti-epileptic drugs. Choice of first-line agent varied by the economic development status of the respondent's country, suggesting that access to medications plays an important role in clinical decision making in many parts of the world. This survey highlights several areas where further research would be helpful in guiding practice.

Attitude of Spine Surgeons Towards the Application of 3D Technologies – A Survey of AOSpine Members

3D technologies (3D virtual and physical model, 3D printing, computer aided engineering, finite element analysis based simulations) play an important role in personalized spine surgery. Objective - In collaboration with AOSpine a global, online survey-based study was performed in order to determine the acceptance rate and the factors which stand against the wider spread of 3D technologies. A survey containing 21 questions was developed and divided into five pages, every page corresponding to one chapter. Our analysis is based on the responses of 282 spine surgeons from 57 countries. To interpret our results in a global context, we used the Human Development Index of the respondent's countries in comparisons. Significant difference between the AOSpine regions (p ≤ 0.05) was found, with the highest acceptance in Asia-Pacific region. There was no significant difference in acceptance score according to the field of spine surgery, or the surgical experience in years (p=0.77, and p=0.19). In the case of public practice, we found significantly higher acceptance compared to private and mixed (public and private) surgical practice (p ≤ 0.05). The acceptance of the technology varied based on the respondent's resident country's Human Development Index and was significantly different between "Medium" vs "Very high" (p = 0.0005) and "High" vs "Very high" (p=0.019) category. Significant positive correlation was found between the acceptance score and the HDI score (Spearman test, ρ = 0.37, p = 0.007). The main limitation factor was identified as the lack of information. There is high interest among spine surgeons towards the incorporation of 3D technologies into the clinical practice. Education, the healthcare system, and the economic environment plays a major role in acceptance. Our results provide the basis of a strategy to promote the application of 3D technologies.

Assessing awareness of tree pests and pathogens amongst tree professionals: A pan-European perspective

Tree professionals play an important role in protecting forests against invasive pests. Their awareness of pests and knowledge of how they spread is likely to be a key component of effective detection, eradication and management measures, but very little is known about awareness levels of this stakeholder group. To address this important evidence gap, a questionnaire survey of tree professionals was carried out across nine European countries. Results from 392 tree professionals show relatively low levels of self-reported awareness for a number of pests and pathogens. Levels of awareness rise with increasing age as well as frequency of visits to forests. Awareness also appeared higher where pests were present in the respondent's country. There was a high level of support for purchasing plant material from accredited sources. Barriers to changing behaviours include financial and resource pressures but also the perceived behaviour of others. Tree professionals utilise multiple sources to gain information about tree pests but the internet was the most popular. A considerable amount of pest information is already available online and this study recommends that different approaches to raising awareness be trialled, including the use of experienced tree professionals as knowledge brokers and exploring new ways of using digital technologies as a learning tool.

Si usted fuera migrante. Las preferencias de candidato como hipótesis

Based on data from a survey of all countries in the European Union (UE25), we attempt to comprehend the way in which European societies link concepts of citizenship (based on the possible transfer of voting rights in cases of geographic mobility) with their voting preferences (based on preference for a candidate from either their country of origin or the destination country) in the hypothetical case that survey respondents were to migrate to another country in the European Union. The results show a significant correlation between four different notions of citizenship in cases of mobility (nation-based, state-based, cosmopolitan, and based on the forfeiture of voting rights) and the preferred candidate's country of origin. A nation-based view of citizenship is linked to a preference for candidates from the respondent's country of origin, while respondents with a state-oriented view of citizenship are likely to prefer candidates from their country of destination. The conclusions drawn from this exploratory study allow us to further reflect on the explanatory factors that influence these conceptions of nationality and citizenship (within the current context of economic and social crisis), as well as on the effect this set of public opinion may have on the future of the European Union as a supranational, democratic political project.

A Multicenter Study on Attitude Toward Organ Donation in Spain and Latin America Between the Surgical Units of 12 Hospitals

IntroductionMedical advances and improvements in surgical techniques have transformed transplantation into an ever safer therapeutic option. However, its main limitation is the shortage of available organs. Therefore, it is necessary to join forces to achieve optimal deceased donation and prevent the loss of potential donors. We sought to analyze the acceptance of deceased organ donation (OD) among hospital personnel in surgical units in hospitals in Spain and Latin America. MethodA random sample (n = 554) was taken was stratified according to surgical services and job category in 12 hospitals—4 in Spain (n = 294 participants), 5 in Mexico (n = 202), 2 in Cuba (n = 41), and 1 in Costa Rica (n = 17). Attitude was assessed using a questionnaire validated, which was completed anonymously and self-administered. The χ2 test, Student t test, and a logistic regression analysis were used. ResultsOverall, 75% of respondents (n = 417) were in favor of deceased OD and 25% were against it (n = 137). Regarding the respondent's country, there was a favorable attitude among 88% of Cubans, 85% of Mexicans, 82% of Costa Ricans, and 67% of Spaniards (P < .001). The physicians were most in favor of OD with 87% supporting it (n = 149), followed by nurses (n = 182) and ancillary personnel (n = 28) both at 74%, and the health care assistants at 59% (n = 58; P < .001). The following factors affect attitude toward OD: young age (37 ± 10 years; P = .001), being a male (P = .018), having an unstable job situation (P = .009), a belief that one might need a future transplant (P = .036), having a favorable attitude toward living donation (P < .001), being in favor of donating a family member's organs (P < .001), having had a family discussion about OD (P < .001), and a partner's favorable attitude (P < .001). ConclusionsAttitude toward OD among surgeons in hospitals in Spain and Latin America was not as favorable as we might have expected.

International variation in policies and practices related to informed consent in acute cardiovascular research: Results from a 44 country survey

BackgroundResearch in an emergency setting such as that with an acute cardiovascular event is challenging because the window of opportunity to treat may be short and may preclude time to obtain informed consent from the patient or their representative. Some perceive that requiring informed consent in emergency situations has limited improvements in care. Vulnerable populations including minorities or residents of low-income countries are at greatest risk of need for resuscitation. Lack of enrollment of such patients would increase uncertainties in treatment benefit or harm in those at greater risk of need for resuscitation. We sought to assess international variation in policies and procedures related to exception from informed consent (EFIC) or deferred consent for emergency research. MethodsA brief survey instrument was developed and modified by consensus among the investigators. Included were multiple choice and open-ended responses. The survey included an illustrative example of a hypothetical randomized study. Elicited information included the possibility of conducting such a study in the respondent's country, as well as approvals required to conduct the study. The population of interest was emergency physicians or other practitioners of acute cardiovascular event research. ResultsUsable responses were obtained from 44 countries (76% of surveyed). Community opposition to EFIC was noted in 6 (14%) countries. Emergency Medical Services (EMS) providers in 8 (20%) countries were judged unable or unwilling to participate. A majority of countries (36, 82%) required approval by a Research Ethics Committee or similar. Government approval was required in 25 (57%) countries. ConclusionThere is international variation in practices and polices related to consent for emergency research. There is an ongoing need to converge regulations based on the usefulness of multinational emergency research to benefit both affluent and disadvantaged populations.

A content analysis of the comment letters to the FASB and IASB: Accounting for contingencies

In this study, we read and analyze 369 comment letters written in response to the IASB's Exposure Draft (ED) of Proposed Amendments to IAS 37 and the FASB's Exposure Draft of Proposed Amendments to FASB Statement No. 5. We also examine how responses to the IASB ED are affected by whether or not the use of IFRS is mandated or permitted by the respondent's country. Although responses were overwhelmingly unfavorable to both EDs, more support was shown for the IASB's proposal to eliminate the probability recognition criterion than for the FASB's proposal to amend the U.S. GAAP disclosure rules. Users responding to the FASB ED provided significantly more intense support than corporate preparers, financial preparers, and legal practitioners. Significantly more respondents to the IASB ED were from countries required or permitted to use IFRS than from countries required to report under their national GAAP. In addition, constituents required or permitted to use IFRS were significantly more likely to express an unfavorable response to the ED and to cite relevance to support their position.

Multivariate Analysis to Determine the Factors Affecting the Attitudes Toward Organ Donation of Healthcare Assistants in Spanish and Mexican Healthcare Centers

BackgroundHealthcare assistants are an important group of workers who can influence public opinion. Their attitudes toward organ donation may influence public awareness of healthcare matters; negative attitudes toward donation and transplantation could have a negative impact on public attitudes. Our objective was analyze the attitudes of healthcare assistants, in Spanish and Mexican healthcare centers toward organ donation and determine factors affecting them using a multivariate analysis. Material and MethodsAs part of the “International Collaborative Donor Project,” 32 primary care centers and 4 hospitals were selected in Spain and 5 hospitals in Mexico. A randomized sample of healthcare assistants was stratified according to healthcare services. Attitudes were evaluated using a validated questionnaire of the psychosocial aspects of donation, which was self-completed anonymously by the respondent. Statistical analysis used the chi-square test, Student t test, and logistic regression analysis. ResultsOf 532 respondents, 66% in favored donation and 34% were against it or undecided. Upon multivariate analysis, the following variables had the most weight: 1) country of origin (Mexicans were more in favor than Spanish; odds ratio [OR]) = 1.964; P = .014); 2) a partner with a favorable attitude (OR = 2.597; P = .013); 3) not being concerned about possible bodily mutilation after donation (OR = 2.631; P = .006); 4) preference for options apart from burial for handling the body after death (OR = 4.694; P < .001) and 5) accepting an autopsy if one was needed (OR = 3.584; P < .001). ConclusionsThe attitudes of healthcare assistants toward organ donation varied considerably according to the respondent's country of origin. The psycho-social profile of a person with a positive attitude to donation was similar to that described within the general public.

Donation and Transplantation Among Personnel in the Hospital Emergency Department: A Multicenter Study Conducted in Spain and Mexico

Introduction The promotion of different means of procureming both deceased and living organs (kidney and liver) is a necessity given the current organ shortage. Emergency department personnel are involved in the donation and transplantation process. Our objective was to analyze the attitude to the different kinds of organ donation of emergency services personnel in hospital centers in Spain and Mexico. Materials and Methods A randomized sample was obtained from the “International Collaborative Donor Project” and was stratified according to emergency services and job category in nine hospitals, in Spain and in Mexico ( n = 22). Attitude was evaluated using a validated survey. Results Of the respondents, 76% were in favor of deceased organ donation and 24% were not in favor. This attitude toward deceased donation was associated with the respondent's country of origin, age, and job category; Mexicans ( P = .036), younger respondents ( P = .023), and physicians were most in favor ( P < .001). With regard to attitude toward living kidney donation, 89% were in favor of related donation. Regarding living liver donation, 85% were in favor of related donation. In attitude toward living kidney and liver donation, relevant factors were related to donation and transplantation. Conclusions Professionals in emergency departments in hospital centers in Spain and Mexico had a favorable attitude toward the different kinds of donation, although it was less favorable than the attitude reported in other professional hospital groups.

Emigration from the British Isles to Southeastern Spain: A Study of Attitudes Toward Organ Donation

Southeastern Spain is a cosmopolitan area where there is a growing British and Irish population. The objective is to analyze the attitude toward organ donation among British and Irish citizens living in southeastern Spain. A sample was taken stratified according to a respondent's country of origin (n = 1700) between November 2005 and April 2006. Attitude was evaluated using a validated questionnaire, which was self-administered and completed anonymously. A sample of 2000 Spanish citizens was used as a control group. The survey completion rate was 95% (n = 1611). Attitude toward donation is favorable in 72% (n = 1155) of respondents with 8% (n = 122) against and 20% (n = 334) undecided. Attitude is more favorable than in the control group (72% vs. 63%; p < 0.0001). The following factors influence this attitude: (1) attitude toward the donation of a family member's organs (OR = 4.891); (2) having discussed the matter of organ donation within the family (OR = 2.513); (3) a willingness to accept an autopsy if it were necessary (OR = 1.706); (4) having no concern about the mutilation of the deceased donor (OR = 3.294); (5) having a partner who is in favor of donation (OR = 2.786) and (6) a respondent's belief that he or she might need a transplant in the future (OR = 2.243). The attitude of this population is more positive than in the native Spanish population and is determined by many psychosocial factors.