Human Organ Donation: Does Knowledge Correlate with Intention?

Abstract

One increasing form of social distress in the USA today is the increasing number of ill Americans who die while awaiting a life-saving organ (Satel, 2008). While organ donation is a life saving practice supported by 95 per cent of Americans, only half of the U.S. population is registered to donate organs. To explore this discrepancy between attitudes and behaviors relating to organ donation, 135 New Yorkers completed an anonymous 25-item survey to assess individuals' accurate knowledge of organ donation and their organ donor practices. Results support the researchers' two hypotheses: (a) individuals who possess more accurate information about organ donation practices are more likely to be organ donors (r=.225, p<.01) and (b) are more likely to have had experience with organ donation, either directly or indirectly (r =.247, p <.01). These findings have implications for the organ donation community, specifically the focus of campaigns that seek to increase the number of registered organ donors.     

Reducing Public Misinformation About Organ Donation: An Experimental Intervention

Abstract

The shortage of life-saving human organs for transplantation today is a growing and international problem. A recent survey in this Journal found that people with “more accurate information about organ donation practices are more likely to be organ donors (r= .225, p< .01)” (Nickols, Stack, Viviano, & Whitney, 2008, p. 240). How much can a factual 20-minute message about organ donation significantly increase people's knowledge and pro-donation behavior? In this field experiment, 101 students in two urban colleges completed a one-page survey before and after an expert's 20-minute message. The survey assessed participants' knowledge about organ donation from 0 (low) to 40 (high), biodata, self-reported experiences, and behavior in the past (registered organ donor) and future (consider becoming a donor). As hypothesized: (1) Pre-message knowledge about organ donation was moderate (mean = 21.8 on the 0-40 scale), and rose significantly after the message (mean = 28.6, p < .01). (2) This knowledge positively correlated with consideration to register in the future as an organ donor (r = +.41; p < .001 post-presentation). (3) However, there was no significant correlation of prior donor registration with knowledge prior to the message (r = +.08) or after the message (r = +.04). From these findings, it seems a brief FAQ fact-sheet or DVD would be highly useful to increase people's accurate knowledge about donations.     

Cultures of the soul: spiritual beliefs about organ donation in China and the United States

Spiritual beliefs shape ideas about the meaning of life, the moment of death, and the care that must be taken to deliver the body of the loved one to the spiritual realm. This study investigated spiritual beliefs about organ donation for participants in China (n = 364) and the United States (n = 384). Results showed that spiritual connection with the transplant recipient, spiritual concern about removing organs, and attitudes toward organ donation significantly predicted willingness to become an organ donor for participants in both countries. Americans reported being significantly more religious compared to Chinese. However, altruism and religiosity were not significant predictors of willingness to donate organs. Chinese participants showed significantly higher levels of spiritual connection with the potential recipient of transplanted organs. Even so, Chinese participants exhibited more reluctance to become organ donors compared to Americans. Gender differences in organ donation behaviors are also reported. The study discusses the implications of the findings for structuring organ procurement campaigns that will address spiritual beliefs about organ donation.     

Changing college student perceptions and participation in organ donation: A classroom and service learning intervention

Each day an average of 18 people die from the lack of available organs for transplantation and the demand for organ, eye and tissue donation continues to vastly exceed the number of available donors. The single most effective method in addressing this issue remains programmatic efforts to encourage and support organ donation. The purpose of this article is to introduce a creative and comprehensive approach to enhance awareness, participation and organ donor registry among young adults. The programmatic intervention utilized a service learning model within a Freshman Year Seminar course focused on organ donation. The partnership between classroom-based curriculum and experiential learning served to increase knowledge and enhance positive attitudes toward organ donation, as measured by pre-post tests and student reflections in portfolio assessments. The number of organ donor registrants was increased as a result of student outreach activities. Results are discussed in terms of implications for increasing donation.     

Contact Reduces Transprejudice: A Study on Attitudes towards Transgenderism and Transgender Civil Rights in Hong Kong

ABSTRACT

This paper examines the relationship between Hong Kong Chinese people's contact with transgender/transsexual (TG/TS) people and attitudes toward transgenderism and transgender civil rights, based on Allport's Contact Hypothesis. The term transprejudice is introduced to refer to the negative valuing, stereotyping and discriminatory treatment of TG/TS people. Data are presented from a population-based survey with a random sample of 856 Hong Kong Chinese persons aged between 15 and 64, using the Chinese Attitudes towards Transgenderism and Transgender Civil Rights Scale (CATTCRS). Attitudes, assessed on both personal and institutional dimensions, are examined in relation to participants’ gender, age, educational level, religiosity, and previous contact with transpeople. Results suggest that previous contact with transpeople was significantly associated with attitudes reflected in the scale; decreased social distance, decreased social discrimination, and decreased transprejudice, increased awareness of discrimination against transpeople, increased support for equal opportunities, increased support for post-operative transsexual civil rights, and increased support for anti-discrimination legislation. Our findings support the contact hypothesis, that contact has a positive effect on attitudes towards TG/TS persons. We discuss the implications of these findings for public education interventions and public policy, as well as for research.     

Examining the Relationship Between Female Inmate Homosexual Behavior and Attitudes Toward Homosexuality and Homosexuals

Most sociologists and penologists tend to shy away from studying inmate attitudes toward homosexuality and homosexuals. Researchers within the corrections field who focus on prison sexuality typically conduct their research on consensual samesex sexual behavior and sexual coercion. The focus of the present study, however, was to ascertain female inmates' attitudes toward homosexuality and homosexuals while exploring the role ofseveral predictor variables on their attitudes. Specifically, the authors examine the relationship between female inmate homosexual behavior and attitudes toward homosexuality and homosexuals. Because of the number of items pertaining to attitudes toward homosexuality and homosexuals, factor analysis was conducted to examine whether the items measured similar constructs. Results ofthe factor analysis revealed two distinct factors/issues:civil/personal rights and personal deviance models. The mostsalient, and only statistically significant, variables in the civil/personal rights model were age, homosexual activity prior to incarceration, and homosexual activity during incarceration. Homosexual behavior during incarceration was the only statistically significant predictor of the personal deviance model.     

Enforcing a Tobacco-Free Campus Through an Ambassador-Based Program: A Phenomenology

Abstract

Objective: The purpose of this study was to determine whether student awareness and attitudes about organic foods would predict their behaviors with regard to organic food consumption and other healthy lifestyle practices. A secondary purpose was to determine whether attitudes about similar eco-friendly practices would result in socially conscious behaviors. Participants: The sample was students (N = 443) enrolled in 1 of 2 core courses in a mid-sized Southern university. Method Summary: Students completed an anonymous 28-item survey about their awareness, attitudes, and behaviors. Linear regression and path analysis were used to test whether attitudes were related to purchase of organic foods and eco-friendly behaviors. Results: Many students (49%) possessed factual knowledge about organic foods. More (64%) felt positively about having organic food options available to them both on campus and elsewhere. Taste and price most influenced the purchase of such foods. Attitudes were significant predictors of consumption behaviors and healthy practices. Conclusions: Positive attitudes toward organic foods and other environmentally friendly practices significantly predicted similar behaviors. Student consumers seem to act upon their beliefs.     

Exploring the Use of the Stages of Change Model to Increase Organ Donations Among African Americans

Abstract

The success of organ transplants is affected by the degree of antigen match between donor and recipient. With organ transplants among African Americans, finding a good antigen match is difficult. While the consent rate for organ donations among Caucasians is 50%, this rate among African Americans is only 12%. The resulting ratio of donors to “recipients” is 1 to 9 in African Americans. The majority of organs received by African Americans come from Caucasian donors, thereby reducing the probability of an antigen match and increasing the probability of organ rejection. These circumstances could be improved if the organ donation rate eamong African Americans was increased. There is some empirical support for the theory that behavior change occurs through identifiable stages. This paper presents evidence for the construct validity of a stage of change measure suitable for use in designing and evaluating attempts to promote organ donations in the African American community. Use of this measure also permits clinicians to assess how receptive a client will be to organ donation promotional material. Use of this measure offers the possibility of refining approaches to organ donations among African Americans. Increases in the donor rate will result in a larger pool of antigen compatible organs in this subpopulation.     

Including Curriculum Content on Lesbian and Gay Issues

Abstract

This paper presents a rationale for requiring content on lesbian and gay issues in the social work curriculum. Recent research suggests that a considerable percentage of social workers possess homophobic attitudes. Some support exists for making education a tool to reduce negative attitudes toward the gay population. However, students are unlikely to receive adequate information about this population before they enter the social work curriculum. The goals of including content on lesbian and gay issues are to decrease homophobic attitudes and to prepare students to provide effective social work practice with lesbian and gay clients. Methods and resources for incorporating content on lesbian and gay issues in human behavior, direct practice, policy, community organization and research courses of the social work curriculum are presented.     

Personal and Human Rights Attitudes Toward Global Organ Donation Practices

Abstract

To reduce the global shortage of life-saving human organs, four controversial policies have emerged in some nations today: Transplant Tourism, Mandated Prisoner Donation, Free Market Sales, Presumed Consent. How do people regard these practices? Here, 127 students in five colleges in New York City completed a survey rating each of these four practices on a 0-9 scale, how much they regarded that practice as a “human rights issue” (HR), and how much they “personally accepted” that practice (PA); After a brief informational message on these four practices, they completed a post-survey using the same scales. Three results emerged: (a) Students were extremely divided in their ratings of all four practices, with scores ranging from 0 to 9, in near-bimodal distributions (overall HR mean= 23.0, s.d.= 9.2, PA mean= 16.0, s.d.= 9.5). (b) These ratings were unchanged after hearing details on these four practices (total HR mean= 23.3, s.d.= 10.6, PA mean=15.5, s.d.= 10.4). (c) There were a few possible demographic correlates of one's attitudes—one's gender, political affiliation, and whether one considered registering to be an organ donor themselves. Future research can improve upon the limitations of the current study--including a longer and more powerful video message, and modification of the survey for clearer responding.     

Envisioning agricultural sustainability from field to plate: Comparing producer and consumer attitudes and practices toward ‘environmentally friendly’ food and farming in Washington State, USA

A substantial body of sociological research has examined the relationship between farmers’ environmental attitudes and their conservation behaviors, but little research has compared the attitudes of producers and consumers toward the environment with their behaviors or practices in support of sustainable agri-food systems. This paper addresses these shortcomings by analyzing the intersection between producer and consumer attitudes toward environmental sustainability with their actual practices, drawing data from focus group interviews and surveys with producers and consumers in Washington State, USA. We compare farmers’ attitudes toward several agricultural and environmental policies with their self-reported practices to examine whether support for environmental policies aligns with sustainable farming practices. For consumers, we investigate the relationship between their attitudes toward the same agricultural and environmental policy issues with their interest in purchasing food produced in an environmentally sustainable manner. Through our analyses, we find that consumers’ and producers’ practices are not always consistently correlated with their environmental attitudes, but that support for agricultural land preservation is one policy area in which the interests of producers and consumers intersect with their interest in sustainable farming and food. Findings from our individual and focus group interviews assist us in understanding the multiple, sometimes competing, factors that consumers and producers must weigh in making decisions about environmentally sustainable food and farming.     

Examining interactions within the theory of planned behavior in the prediction of intentions to engage in cannabis-related driving behaviors

Abstract

Objective: As marijuana use becomes more available to college students through increasing legal reform, this paper seeks to examine intentions for driving under the influence of cannabis (DUIC) and riding with a high driver (RWHD) through the lens of the theory of planned behavior (TPB) and assess potential interactions between personal attitudes, subjective norms, perceived behavioral control (PBC), and sex. Participants: Undergraduate college students (N?=?311) completed online surveys in September, 2013. Method: Participants self-reported their attitudes toward DUIC, subjective norms, PBC, past DUIC and RWHD, and intentions to DUIC and RWHD. Results: Participants’ attitudes toward DUIC, subjective norms, and PBC were strongly associated with intentions to DUIC and RWHD bivariately. In regression models, attitudes and PBC were both positively and significantly related to intentions to DUIC and RWHD. Conclusions: DUIC and RWHD are concerns for college populations. Targeting personal attitudes and perceived behavioral control via interventions may reduce these behaviors.     

Manager attitudes concerning flexible work arrangements: fixed or changeable?

ABSTRACT

Flexible work arrangements (FWAs) present a vehicle for supporting caregiving responsibilities, but have yet to be widely implemented, in part, because of limited support from managers. This study examines transformation of manager attitudes toward FWAs in the context of a change initiative. Panel surveys of 721 managers revealed positive and negative attitudes concerning the use of FWAs and predictors of changes in these attitudes. Over the course of one year, the attitudes shifted in positive and negative directions consistent with conservation of resources and symbolic interactionism theory. Experience in supervising workers in FWAs, exposure to training, and perceived career rewards predicted favorable changes in attitudes. Findings offer support for advocacy for FWAs on the basis of a positive spiral of affirmation that connects experience and attitudes toward FWAs. The viewing of a personalized report on support of flexible work use by peers predicted development of more favorable attitudes in the merits of schedule flexibility. Findings indicate that manager attitudes about FWAs can be influenced, which in turn has potential to enhance family responsive employment practices.     

Preventing Domestic Violence by Changing Australian Gender Relations: Issues and Considerations

ABSTRACT

In recent years Australian governments have significantly refocused domestic violence policies to prioritise primary prevention strategies. The objective of such strategies is to change how Australians perceive, acknowledge, and respond to domestic violence as a gender-based problem. Recognising the value of these efforts to address oppressive cultural practices, we draw attention to limitations inherent in shifting culture as a means to prevent domestic violence. We demonstrate how governments may improve policy approaches by addressing the structural inequalities that have historically forced women into positions of subordination. This will help us move toward more effective and long-term solutions to domestic violence.

IMPLICATIONS

• Australian domestic violence policy must include structural and systems changes prioritising women’s equal rights in addition to equal opportunities.

• To change cultural attitudes and behaviours, we must alter the environment in which oppressions and opportunities are located.

• Social workers can shape the debate to ensure that changing culture to prevent domestic violence is conceptualised as part of a wider social and policy change agenda.

     

“You see,one day they cut”: The evolution,expression, and consequences of resistance for women who oppose female genital cutting

ABSTRACT

It is estimated that more than 200 million women alive today have undergone female genital cutting (FGC). While emerging evidence shows that attitudes toward FGC may evolve for immigrants as they acculturate to the host country, scant empirical research explores how women come to oppose the practice. This qualitative study used grounded theory methods to explore the trajectory of resistance to FGC for seven women circumcised in childhood who sought asylum in the United States as adults to protect their daughters from the practice. Participants originated from Burkina Faso, Guinea, The Gambia, and Chad. Analysis revealed nine themes tracing the evolution of resistance to FGC and other gender role norms for participants: coercion, threat, and retribution narratives; traumatic memories of circumcision; growing awareness of the personal implications of circumcision; emergence of critical thinking; trangressive thoughts and acts; navigating the consequences of resistance; everyday reinforcement; negotiating resistance dilemmas; and making meaning of resistance. In contrast to previous studies linking opposition to FGC to post-settlement acculturation or pre-migration exposure to organized international human rights campaigns, findings of this study indicate that traumatic memories of the circumcision rite, combined with the capacity to reflect on “taken for granted” cultural practices and to employ critical thinking skills, may lead to resistance to FGC for some women. Furthermore, findings highlight that FGC, and opposition to it, has lasting consequences for women from societies where the practice is embraced, and these consequences persist after migration. Practice and policy recommendations are drawn from the analysis.     

Pills in the Public's Mind

Abstract

We investigate the sources of public attitudes toward RU 486 to determine whether the drug will change public attitudes toward abortion. Not surprisingly, public attitudes toward RU 486 are influenced by the same factors that influence abortion opinion more generally. Two other considerations seem to influence opinion toward RU 486. First, the fact that the drug is administered early in pregnancy increases support, for many Americans take an emergent view of fetal rights and oppose abortions in the last several months of pregnancy. Second, opposition to the drug is highest among those who insist on consultation about the abortion decision, suggesting that at least some Americans fear that the drug will allow women to make hasty decisions about abortion without consulting family and friends. This latter finding suggests that pro-choice advocates should emphasize that RU 486 is prescribed after consultation with a doctor     

Psychologists' Attitudes Toward Adult Male Survivors of Sexual Abuse

ABSTRACT

Psychologists' attitudes toward adult male sexual abuse survivors were explored. Psychologists (n = 154) read vignettes describing the sexual abuse of a male victim, then completed the Male Role Norm Scale, the Jackson Incest Blame Scale, a vignette response sheet, and a personal data sheet. Stepwise regression was used to analyze the data. Variables included characteristics of the psychologists, the perpetrator, and the victim. The psychologists' attitudes toward men, rather than the sex of the psychologists, predicted blaming attitudes. Victim responses, sexual abuse treatment experience, and the severity of abuse were also predictors. Practical suggestions for treatment are noted.     

The influence of donors on cross class social movements: same sex marriage and trans rights campaigns in New York State

ABSTRACT

New York State’s largest gay rights organization, the Empire State Pride Agenda (ESPA), won significant legislative victories, including the legalization of same sex marriage in 2011. Yet ESPA was never able to mount comparable efforts for its long-standing commitment to transgender rights before disbanding in 2015, despite the fact that marriage equality was less widely supported than transgender rights in ESPA’s own public opinion polling. In-depth interviews reveal that ESPA was constrained by the class and personal interests of its affluent major donors, mainly high-income gay white men. The organization’s abrupt closure provided an unusual opportunity to research the often secret topic of major donor influence, as frustrated former staff were willing to be frank in interviews. ESPA was only able to successfully campaign on issues that were especially compelling for these donors, and was forced to close when its legislative agenda diverged from their interests. This case suggests class interests and access to resources shape the causal impact of collective identities on social movement dynamics.     

“Egg Donor Wanted”: Social Work with Women Looking for an Egg Donor

Abstract

Women seeking fertility treatment using donor eggs can face challenges associated with recruiting suitable egg donors and negotiating the role that the donor may play in the life of the child. Social work in infertility clinics is an emerging area of practice and social work counsellors have an important role to play with parties involved in the egg donation process. This paper seeks to raise awareness of social work practice with women seeking egg donors, providing an overview of issues for social work practice. Findings from a small practice research project are also presented to highlight the experiences of women advertising for egg donors and to illustrate an empowerment approach to social work practice with these women. It was found that with the support of the social work counsellor, newspaper advertising can be an effective method to recruit egg donors for fertility treatment that allows women control over the process.