Knowledge of the Brain Death Concept Among the Puerto Rican Population Residing in Florida

Transplant Proc. 2020 Mar;52(2):449-451. doi: 10.1016/j.transproceed.2019.11.042. Epub 2020 Feb 4.

Abstract

Introduction: Puerto Rican and Cuban populations constitute the largest immigrant groups in Florida. This leads to an increase in their involvement in the organ donation and transplantation process (ODT); however, there is very little understanding about their attitude toward and knowledge of related key aspects such as brain death (BD).

Objective: Analyze knowledge of the BD concept among the Puerto Rican population residing in Florida.

Material and methods: The population under study is born in Puerto Rico and residing in Florida. Inclusion criteria was the population over 15 years stratified by age and sex. The assessment instrument was a validated questionnaire of attitude toward donation and organ transplantation "PCID-DTO-Ríos." A random selection of people was surveyed according to stratification. Support from immigration assistance associations in Florida was needed to locate potential respondents. Survey completion was anonymous and self-administered.

Results: Of the 259 respondents, 35% (n = 90) know the BD concept and consider it the death of an individual, 44% (n = 113) do not know it, and 21% (n = 56) do not consider them death. Variables significantly related to the correct knowledge of BD are as follows: sex (P = .012); marital status (P = .043); and couple's opinion (P = .001) and religion (P < .001). In the multivariate analysis, the variables that persist as significant are being married (odds ratio [OR] = 5.231; P = .002); to know the organ donation and transplantation couple attitude as favorable (OR = 4.819; P = .001) and not being Catholic (OR = 4.090; P < .001).

Conclusions: Only one third of the Puerto Rican population residing in Florida knows the concept of BD and accepts it as the death of a person.

MeSH terms

  • Adult
  • Brain Death*
  • Emigrants and Immigrants
  • Female
  • Florida
  • Health Knowledge, Attitudes, Practice / ethnology*
  • Hispanic or Latino*
  • Humans
  • Male
  • Middle Aged
  • Organ Transplantation*
  • Puerto Rico / ethnology
  • Surveys and Questionnaires
  • Tissue and Organ Procurement*