TITLE PAGE: Multivariate analysis of the factors affecting attitude toward organ donation among the Ecuadorian population resident in Spain

摘要: Introduction. Immigrants from Ecuador represent the largest group of Latin Americans in Spain and are, therefore, a subgroup of interest to understand their attitudes and influences in respect to organ donation and transplantation. Objective. To analyze the attitude of nationals of Ecuador resident in Spain regarding deceased organ donation. Methods. Study Population: Ecuadorian population resident in Spain. Inclusion criteria: A sample of population older than 15 years was obtained randomly and stratified by age and sex (n= 461). Instrument valuation: Attitude was assessed using a validated questionnaire on psychosocial aspects toward organ donation (PCID-DTO Ríos). Setting for the study: A random selection of people to be surveyed was carried out. Assistance from immigration support associations in Spain was needed to advice on the location of potential respondents.Results. Attitude toward cadaveric donation was favorable in 59%(n= 271) of respondents, 12%(n= 57) were against, and 29%(n= 133), undecided. Several variables were associated with having a more favorable attitude. And in the multivariate analysis, the following variables continue to feature as independent variables: 1) level of formal education [OR= 6.849 (25.641-1.818); p= 0.004]; 2) being in favor of donating a family member's organs [OR= 8.849 (20.833-3.717); p< 0.001]; 3) having commented at a family level about transplant [OR= 3.717 (6.578-2.109); p< 0.001]; 4) not being concerned about the possible mutilation of the body after donation [OR= 4.608 (8.547-2.487); p< 0.001] and 5) knowing the attitude of one's religion toward donation [OR= 7.462 (34.482-1.623 …