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.     

Public Attitudes Toward the Ethics of Organ Donation

Abstract

This study expanded on previous investigations exploring public attitudes toward the human rights issues involved in organ donation practices and personal support for these practices. Participants included college and graduate students, and senior citizens (N = 99). Attitudes were assessed prior to and following the presentation of a brief informational DVD on major organ donation practices. Results indicated that participants were largely divided in their attitudes toward human rights issues, as well as in personal support for donation practices. Registration status was correlated with education, r = .47, p < .001. Support for donation incentive programs varied. Registered donors showed a change in attitudes toward human rights issues, t(22) = 2.18, p = .04. For non-registered donors, personal support for donation practices decreased after viewing the DVD, t(51) = - 3.06, p = .004. Results are discussed in terms of implications for increasing donation.     

Acculturative Stress and Mental Health Among Korean Adolescents in the United States

This study investigated Korean-American adolescents' stress related to their acculturation experiences and mental health. A total of 260 Korean-American adolescents from immigrant families (ages 12–18 years) participated in the study. The U.S. born group had a higher level of acculturative stress than the Korea-born group (t = 2.222; df = 258; p < .05). Males reported a higher level of self-esteem than females (t = ?2.112; df = 257; p < .05). Acculturative stress was positively correlated with depression (r = .299; p < .01) and negatively related to self-esteem (r = ?.292; p < .01). Self-esteem was negatively related to depression (r = ?.536; p < .01).     

Hispanic Acculturation Index: Advancing Measurement in Acculturation

Hispanics experiences with cultural change are particularly important given its relationship with individual and family functioning. The current study attempts to improve the acculturation scale sensitivity by expanding response options, adding item content emphasizing cultural values, and improve scale orthogonality consistent with existing theory. Results indicate acceptable reliability for the Hispanic Acculturation Index Hispanic (HAI-H; α = .93) and White American Scales (HAI-WA; α = .88) with adequate model fit. Strong correlations between ethnic identity and the HAI-H (r = .83, p < .01) and HAI-WA (r = .61, p < .01) and a non-significant relationship with a measure of social support provided evidence supporting the scales' construct validity. Moreover, ethnicity was a statistically significant variable for HAI-H (β = .77, p < .01) and HAI-WA (β = .53, p < .01) scores.     

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.     

Organ Donation and Transplantation in India: An Inquiry in Kerala

Until recently, financial incentive was the prime motivation in transplantation of kidneys from nonrelated living donors in India. Prior to the Human Organ Transplantation Act of 1994, it was legal in all states of India to purchase and merchandise organs, eliminating the opportunity for black markets currently created by the enormous demand for organs. Eight years later, the question remains on how if at all The Act has changed the way organ donation is viewed and conducted in India. This study reveals attitudes and beliefs about organ donation in India from the perspectives of the doctors and the public. Interviewees expressed concerns and fears over the implementation of The Act. Mistrust of the medical profession and concerns about illegal buying and selling of organs were some major issues brought forth by the public. Additional issues were the need for public education, advertisement, and role models to promote organ donation in India. All interviewees had prior knowledge of organ donation and did not require explanation of the concept. No one interviewed was opposed to organ donation. Many participants were aware of organ donation through Ashwaria Roy, a former Miss World who does advertising campaigns promoting cornea donation in India.     

Age and social gradients in the intensity of aging males' symptoms in Poland

Background. We performed the study in order to describe the age-related changes and social gradients in the intensity of aging males' symptoms in healthy men in Poland.

Methods. We examined 405 men aged 32–79, healthy inhabitants of Poland. Severity of aging males' symptoms was assessed using the Polish version of AMS scale. The social position was expressed using their educational level, commonly accepted as a reliable and specific index of social status in Poland.

Results. Male aging in Poland was accompanied by an increase in the intensity of all groups of evaluated symptoms (psychological, sexual and somato-vegetative symptoms, respectively: r = 0.36, r = 0.72, r = 0.59, all p < 0.0001). The results of ANOVA revealed the independent effects of both age and social status on the intensity of psychological symptoms (F = 17.89, p < 0.0001 and F = 9.51, p < 0.0001 for age and educational level, respectively), sexual (F = 114.70, p < 0.0001 and F = 5.90, p < 0.01), and somato-vegetative symptoms (F = 52.86, p < 0.0001 and F = 3.85, p < 0.05). The better the education of Polish men, the less intense the aging males' symptoms, irrespective of their age.

Conclusions. Age and social position constitute major determinants of the intensity of aging males' symptoms in Poland.     

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.     

Body mass index,waist/hip ratio and androgen—estrogen activity in younger versus older Polish men

This study was performed to evaluate the associations between estradiol, dehydroepiandrosterone sulfate (DHEAS), free and total testosterone levels, and anthropometric parameters of general adiposity (body mass index, BMI) and fat distribution (waist/hip ratio, WHR), separately in two subgroups of healthy Polish men: younger (aged 22–39 years, n = 95) and older (aged 40 years and over, n = 141) subjects. Sex steroid levels were assessed using radioimmunoassay (RIA). BMI was used as a measure of general adiposity. WHR was used to estimate distribution of adipose depots. The relationships between sex steroids, BMI, WHR and age were evaluated by use of non-parametric statistics (Spearman coefficients). Aging was related to a reduction of all hormone levels (correlation coefficients with age: free testosterone r = -0.52, p < 0.001; total testosterone r = -0.25, p < 0.001; estradiol r = -0.18, p < 0.001; DHEAS r = -0.45, p < 0.001) and an increase of BMI and WHR for BMI r = 0.23, p < 0.001; for WHR r = 0.47, p < 0.001). A one way analysis of co-variance (ANCOVA) was applied separately in the two subgroups of subjects to assess the relationships between hormonal and anthropometric variables. In men aged 22–39 years, the total (but not free) testosterone and DHEAS (when controlled for age) significantly differentiated BMI values. In subjects aged 40 years and over, no associations between sex steroids and BMI were revealed. In younger males DHEAS differentiated WHR values (even when controlled for age and BMI), whereas after the age of 40 years an increased WHR was accompanied by increases in both estradiol and DHEAS levels. The associations between the androgen—estrogen activity and the anthropometric parameters of adiposity vary in younger versus older healthy men.     

The Influence of the Experienced Residential Environment on Old People's Life Satisfaction

This paper investigates the extent to which the subjectively interpreted qualities of the housing environment influence the life satisfaction (LSI-A) of elderly residents. It assesses the relative importance of social and physical environmental attributes while controlling for the effects of an elderly population's personal characteristics and activity patterns. Data were obtained from structured interviews given to a random sample of 400 persons aged 60 and older living in a middle class urban community. Results from several multiple regression analyses revealed the statistically significant (p < .05) direct effects of 9 social and physical environment experiences on old people's life satisfaction. Together they increased from 35% to 49% the amount of statistical variation that was explained by old people's personal characteristics alone. The psychological basis for the impact of this experienced environment on life satisfaction is discussed.     

When do stories change our minds? Narrative persuasion about social problems

Scholars in a number of disciplines have sought to assess the power of reading or viewing a personal story to modify people's beliefs. However, the research, which has been pursued under diverse programs, has produced conflicting findings. We focus on the persuasiveness of personal stories about problems that are structural (rather than individual) and whose solution requires government action. Overall, the research suggests that although personal stories can overcome people's tendency to resist new information, they often do not do so. People's preexisting beliefs, assumptions, and stereotypes affect their willingness to be absorbed by a story, to empathize with the stories' protagonists, and to endorse the message communicated by the story. We argue also for a sociological perspective on narrative persuasion, one which, unlike the mostly experimental research conducted so far, pays attention to the context in which people encounter stories and to the norms shaping people's assessment of a story as credible, relevant, and important.     

Effects of online news forum on corporate reputation

This study tests the effects of online discussions about a company in an online news forum on people's perception of the corporate reputation of the company. The study is a 2 (tone of comments: negative versus positive) by 2 (number of comments: one versus five) factorial design experiment (n = 80). We found significant interaction effects between the two factors (tone versus number of comments) with regard to people's perception of the company's social responsiveness and employee treatment.     

Parents Dilemmas in Sharing Donor Insemination Conception Stories with their Children

Parents of children conceived by gamete (sperm or egg) donation often find it challenging to share donor conception stories with their children. This study reports findings of a qualitative study of families with children conceived by donor insemination in New Zealand, a country where the policy and practice of sharing information in donor insemination is advanced. Almost all parents had told, or planned to tell, their children about their origins, but some parents faced considerable dilemmas around disclosure. Parents need to be given support and guidance as they inform their children about their donor family history. © 2007 The Author(s). Journal compilation © 2007 National Children's Bureau.     

The Influence of Information Costs on Donor Decision Making

This article explores whether an individual's information costs influence the information‐gathering strategies that he or she turns to prior to donating to a nonprofit. The data for the study come from a telephone survey of residents in a large county in southern California (n = 1,002). The sample was selected using random‐digit‐dialing technology and a computer‐assisted telephone interviewing system. A series of binomial logit models revealed that information costs significantly influenced the information‐gathering strategies individuals turned to in order to learn about nonprofit performance prior to making a donation. Results also revealed that greater confidence in nonprofits did not lead individuals to forgo efforts to obtain information on nonprofit performance altogether. The findings from this study suggest that it is important for nonprofit administrators to recognize, and then take into account, that not all individuals will rely on the same information sources when seeking to learn about nonprofit performance.     

The Power of Perceived Experience: Events That Shape Work as a Calling

Meaning plays an important role in many people's lives and work. A significant source of meaning derives from a greater sense of fulfilling one's calling, or purpose in work. This study examined the specific life experiences that shape people's perceptions of their calling and the characteristics of those experiences that make them so powerful. Fifty‐eight people who self‐identified as leaders responded to a questionnaire about the relevant experiences that shaped their perceptions of their work as a calling. Participants' responses were content‐analyzed to generate a taxonomy of themes in 4 overarching categories: (a) content of the event, (b) context of the event, (c) confirmation of one's call, and (d) the continuing effect that the event has had on the individual's life. By increasing knowledge about events that affect perceptions about one's calling, counselors may be more equipped to shed light on the potential, unexamined trajectories of a client's work and life.     

Migration aspirations and the perceptions of the political,economic and social environment in Africa

While much research has investigated how objective pull factors in the destination countries affect migration movements, and how subjective push factors affect migration aspirations, we know little about the interrelationship between subjective and objective factors. This paper therefore examines how people's perceptions of their political, economic and social structural environment affect their migration aspirations and to what extent these perceptions are determined by the objective situation in a country. Accounting for individual perceptions is important because individuals may be affected by structural factors to different degrees, and their knowledge of the objective situation may vary. Perceptions may also be affected by individuals' norms and values as well as people's different expectations. This study is based on data from Round 7 of the Afrobarometer survey, fielded between 2016 and 2018 in 34 African countries. Our findings show that positive perceptions of the structural environment are related to lower migration aspirations and that this relationship is only partly dependent on the objective situation in a country.     

Rural communities and well‐being: a good place to grow up?

This study looks at young people's accounts of life in communities in rural northern Scotland, and considers in what ways affective and social aspects of community are bound up with well‐being, over and above young people's concerns for the future, rural youth transitions, and out‐migration. Interviews were held with 15–18 year‐olds in four study areas (16 groups, N=60+) and a parallel survey of 11–16 year‐olds was conducted in eight study areas (N=2400+). Themes to emerge from the interviews included: opportunities locally, the future and staying on, as well as local amenities and services; but older teenagers also spoke at length about their social lives, family and social networks, and their community, both as close‐knit and caring and as intrusive and controlling. Rural communities were seen as good places in childhood, but not necessarily for young people. In parallel with that, the survey data paints a picture where feelings of support, control, autonomy, and attachment were all associated with emotional well‐being. Importantly, links between emotional well‐being and practical, material concerns were outweighed by positive identifications of community as close‐knit and caring; and equally, by negative identifications as intrusive and constraining, where the latter was felt more strongly by young women. Certainly, beliefs about future employment and educational opportunities were also linked to well‐being, but that was over and above, and independently of, affective and social aspects of community life. Additionally, migration intentions were also bound up with sense of self and well‐being, and with feelings about community life; and links between thoughts about leaving and community life as controlling and constraining were, yet again, felt more strongly by young women. Thus, gender was a key dimension affecting young people's feelings about their communities with significant implications for well‐being, and out‐migration. The study illustrates the importance of understanding the experiences young people have of growing up in rural areas, and how they evaluate those experiences: particularly, how life in rural communities matters for young people's well‐being; and especially, for young women.     

Anticipated Emotions About Unintended Pregnancy in Relationship Context: Are Latinas Really Happier?

This study examined differences in women's anticipated emotional orientations toward unintended pregnancy by relationship status and race and ethnicity. Data from a prospective survey of 437 women aged 18 to 44 years who intended no more children for at least 2 years were analyzed along with 27 in‐depth interviews among a diverse subsample. Cohabiting women and women in romantic relationships not living together were less likely to profess happiness (odds ratio = 0.42, p < .05, odds ratio = 0.25, p < .01, respectively), even when partners' intentions and feelings were controlled. The most prominent factor underlying negative feelings was partners' anticipated lack of engagement with the emotional, physical, and financial toll of unintended childbearing. Contrary to conventional wisdom regarding the “Hispanic paradox,” foreign‐born and U.S.‐born Latinas were no more likely to profess happiness than non‐Hispanic Whites or Blacks. Moreover, foreign‐born Latinas whose survey responses indicated happiness often revealed highly negative feelings at in‐depth interview, citing pressure to conform to sociocultural norms surrounding motherhood and abortion.     

Adolescents Conceived through Donor Insemination in Mother‐Headed Families: A Qualitative Study of Motivations and Experiences of Contacting and Meeting Same‐donor Offspring

This study interviewed adolescents conceived using sperm donation to examine their experiences of contacting and meeting ‘same‐donor offspring’ (i.e. donor‐conceived offspring raised in different families who share the same donor), their motivations for this contact, and how they make meaning of these relationships. This in‐depth qualitative study involved semi‐structured interviews with 23 young people aged 12–19 years (mean = 14 years). Interviewees were motivated by curiosity about their biological relations and by wanting to extend their family. Contact with same‐donor offspring was described as being either normal/neutral or as a unique experience that was integrated into their identity. This study highlights the importance of contact between same donor offspring, particularly during adolescence, a developmental stage associated with identity formation. The findings have important policy implications as they suggest that donor‐conceived individuals may benefit from contact with others conceived using the same donor prior to the age of 18 years.