The Impact of Gender, Ethnicity, and the COVID-19 Pandemic on Organ Donation Intentions Over 50 Years in New Zealand

IF 1.9 4区医学 Q2 SURGERY Clinical Transplantation Pub Date : 2025-01-23 DOI:10.1111/ctr.70089

Natalie E. Allen, Jie Zhang, Charles N. J. McGhee, Akilesh Gokul, Rachael Niederer

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Abstract

Aim

To identify the demographics and trends of individuals intending to donate their organs, based on intentions at the time of driver's license registration.

Methods

Data were collected from 4 742 475 individuals first registering for a New Zealand (NZ) driver's license, between January 1, 1974, and November 16, 2023, with positive or negative organ donor intentions recorded. Gender, ethnicity, and year of registration were collected. Predictors of positive organ donation intention were examined with a multivariate logistic regression model.

Results

A positive response to the question regarding organ donation intentions was reported in 2 476 914 individuals (52.2%). This included 1 201 275 males (48.4%) and 1 275 639 females (56.4%). Positive organ donation intention was reported in 1 695 672 NZ Europeans (66.2%), 246 303 Māori (36.2%), 76 749 Pasifika (27.6%), 273 879 Asians (34.4%), 52 137 Middle Eastern, Latin American and African (MELAA) (47.0%), 48 876 “Other” ethnicity (63.5%), and 83 298 “Not otherwise specified” (34.7%). On multivariate logistic regression, the female gender was associated with an increased likelihood of organ donation intention (OR 1.37, p < 0.001), and driver's license registration in a more recent year was associated with an increased likelihood of organ donation intention (OR 1.02, p < 0.001). Compared to all other ethnicities, NZ Europeans were associated with a higher likelihood of positive organ donation intention.

Conclusions

This is the largest study of organ donation intention published in Australasia. It demonstrates a higher likelihood of organ donation intentions in females, ethnic differences, and increasing donation intention rates over time. Further investigation is required to explore the difference between intentions and end-of-life organ donation.

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性别、种族和COVID-19大流行对新西兰50多年来器官捐献意愿的影响

目的：根据驾驶执照登记时的意愿，确定有意捐献器官的个人的人口统计数据和趋势。方法：收集1974年1月1日至2023年11月16日期间首次登记新西兰（NZ）驾照的4742475人的数据，记录了积极或消极的器官捐赠意向。收集了性别、种族和登记年份。用多变量logistic回归模型检验阳性器官捐献意愿的预测因子。结果：有2 476 914人（52.2%）对器官捐献意向有肯定的回答。其中男性1 201 275人（48.4%），女性1 275 639人（56.4%）。有器官捐献意向的有新西兰欧洲人1 695 672人（66.2%）、Māori人246 303人（36.2%）、Pasifika人76 749人（27.6%）、亚洲人273 879人（34.4%）、中东、拉丁美洲和非洲（MELAA）人52 137人（47.0%）、“其他”种族48 876人（63.5%）、“其他未指明”种族83 298人（34.7%）。在多变量logistic回归中，女性性别与器官捐献意愿增加的可能性相关（OR 1.37, p）。结论：这是澳大拉西亚发表的最大的器官捐献意愿研究。它显示了女性器官捐赠意愿的可能性更高，种族差异，随着时间的推移，捐赠意愿率也在增加。需要进一步的调查来探索意图和临终器官捐赠之间的区别。

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来源期刊

Clinical Transplantation 医学-外科

CiteScore

3.70

自引率

4.80%

发文量

286

审稿时长

2 months

期刊介绍： Clinical Transplantation: The Journal of Clinical and Translational Research aims to serve as a channel of rapid communication for all those involved in the care of patients who require, or have had, organ or tissue transplants, including: kidney, intestine, liver, pancreas, islets, heart, heart valves, lung, bone marrow, cornea, skin, bone, and cartilage, viable or stored. Published monthly, Clinical Transplantation’s scope is focused on the complete spectrum of present transplant therapies, as well as also those that are experimental or may become possible in future. Topics include: Immunology and immunosuppression; Patient preparation; Social, ethical, and psychological issues; Complications, short- and long-term results; Artificial organs; Donation and preservation of organ and tissue; Translational studies; Advances in tissue typing; Updates on transplant pathology;. Clinical and translational studies are particularly welcome, as well as focused reviews. Full-length papers and short communications are invited. Clinical reviews are encouraged, as well as seminal papers in basic science which might lead to immediate clinical application. Prominence is regularly given to the results of cooperative surveys conducted by the organ and tissue transplant registries. Clinical Transplantation: The Journal of Clinical and Translational Research is essential reading for clinicians and researchers in the diverse field of transplantation: surgeons; clinical immunologists; cryobiologists; hematologists; gastroenterologists; hepatologists; pulmonologists; nephrologists; cardiologists; and endocrinologists. It will also be of interest to sociologists, psychologists, research workers, and to all health professionals whose combined efforts will improve the prognosis of transplant recipients.