Factors Associated with the Willingness to Become a Living Kidney Donor: A National Cross-Sectional Study

Int J Environ Res Public Health. 2022 Jan 25;19(3):1313. doi: 10.3390/ijerph19031313.

Abstract

Introduction: Living donor kidney transplantation is the preferred method of treating kidney failure. The donor agrees to undergo an elective procedure for the benefit of the recipient.

Aim: To assess the attitude toward living kidney donation and to investigate the factors that contribute to kidney donation willingness.

Methods: A cross-sectional study was carried out between December 2020 and February 2021. The study covered a representative group of 953 Poles aged 18-77, living in all Polish voivodships. The relationship between sociodemographic factors, personal values (Personal Values List), the total score of life satisfaction (Satisfaction with Life Scale) and the willingness to donate a kidney to another human was assessed using a logistic regression model.

Results: The most frequently chosen personal values were: good health; physical and mental fitness; love and friendship; knowledge and wisdom. The most frequently chosen symbols of happiness were: good health, successful family life, being needed by others. The median satisfaction with life for the entire group was 20 [16; 24]. Voluntary donation of a kidney to another human being i.e., family, friends, strangers were more often declared by women (OR = 1.21; Cl95%: 1.03-1.42), for whom the most important symbol of happiness was a life full of adventures, travels (OR = 1.39; Cl95%: 1.06-1.82) and the most important personal value was goodness and tenderness (OR = 1.21; Cl95%: 1.05-1.40). Total scores of The Satisfaction with Life Scale correlated positively with the willingness to voluntarily donate a kidney (OR = 1.03; Cl95%: 1.003-1.06), while age correlated negatively (OR = 0.99; Cl95%: 0.98-0.99).

Conclusions: Respondents who declare their willingness to be a living kidney donor are mainly female, for which the most important symbol of happiness is a life full of adventures and travel, and the most important values are personal goodness and tenderness. The desire to donate a kidney to another person decreases with age and grows with life satisfaction.

Trial registration: ClinicalTrials.gov (ID: NCT04789122).

Keywords: attitude; factors; life satisfaction; living kidney donation; personal values.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Cross-Sectional Studies
  • Female
  • Humans
  • Kidney
  • Kidney Transplantation*
  • Living Donors*
  • Middle Aged
  • Personal Satisfaction
  • Surveys and Questionnaires
  • Young Adult

Associated data

  • ClinicalTrials.gov/NCT04789122