Gypsy Population Presents a Favorable Attitude Toward Related Living Donation

Transplant Proc. 2019 Mar;51(2):296-298. doi: 10.1016/j.transproceed.2018.10.019. Epub 2018 Oct 30.

Abstract

Introduction: Negative organ donation rates among the Gypsies is much higher than that of any other social group in Spain. However, living donation rates have not been raised much in this social group, despite the existence of several Gypsy patients on the waiting list for transplantation.

Objective: To analyze the attitude toward related living donation among the Gypsy population who reside in Spain.

Methods: This type of study is an observational sociological study. The study consisted of the adult Gypsy population residing in Spain, and a random sampling of 230 adult gypsies was conducted. Attitude questionnaires for live donation, both hepatic PCID-DVH-Ríos and renal PCID-DVR-Ríos, were used, and random selection was based on stratification. Questionnaires were self-administered and completed anonymously. Student t test, χ2, Fisher, and a logistic regression analysis were used.

Results: A sample of 206 Gypsies (52% women) with a mean age of 34 years is obtained. Seventy-two percent (n = 150) would donate an organ to a relative in life, 8% (n = 16) would not donate it, and 20% (n = 41) have doubts. Respondents with a favorable attitude toward living donation presented a more favorable attitude toward cadaveric organ donation (55% vs 0%, P < .001). The attitude toward living kidney donation was more favorable (81% in favor) than toward living liver donation (P < .001).

Conclusions: The Gypsy ethnic group is sensitized to live donor transplantation. The family and cultural roots of Gypsy people could condition this favorable attitude, a fact to be taken into account to sensitize this social group and promote donation campaigns with the aim of increasing donation rates.

Publication types

  • Observational Study

MeSH terms

  • Adult
  • Attitude / ethnology*
  • Female
  • Humans
  • Living Donors / psychology*
  • Male
  • Middle Aged
  • Organ Transplantation / psychology*
  • Roma / psychology*
  • Spain
  • Surveys and Questionnaires
  • Tissue and Organ Procurement / methods*
  • Waiting Lists