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Knowing a donor and identifying as one : determinants of people's willingness for related and anonymous living donation in Australia

Hyde, Melissa K. & White, Katherine M. (2009) Knowing a donor and identifying as one : determinants of people's willingness for related and anonymous living donation in Australia. Psychology, Health & Medicine, 14(5), pp. 524-535.

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Abstract

While LRD (living donation to a genetically/emotionally related recipient) is well established in Australia, LAD (living anonymous donation to a stranger) is rare. Given the increasing use of LAD overseas, Australia may likely follow suit. Understanding the determinants of people’s willingness for LAD is essential but infrequently studied in Australia. Consequently, we compared the determinants of people’s LRD and LAD willingness, and assessed whether these determinants differed according to type of living donation. We surveyed 487 health students about their LRD and LAD willingness, attitudes, identity, prior experience with blood and organ donation, deceased donation preference, and demographics. We used Structural Equation Modelling (SEM) to identify the determinants of willingness for LRD and LAD and paired sample t-tests to examine differences in LRD and LAD attitudes, identity, and willingness. Mean differences in willingness (LRD 5.93, LAD 3.92), attitudes (LRD 6.43, LAD 5.53), and identity (LRD 5.69, LAD 3.58) were statistically significant. Revised SEM models provided a good fit to the data (LRD: x2 (41) = 67.67, p = 0.005, CFI = 0.96, RMSEA = 0.04; LAD: x2 (40) = 79.64, p < 0.001, CFI = 0.95, RMSEA = 0.05) and explained 45% and 54% of the variation in LRD and LAD willingness, respectively. Four common determinants of LRD and LAD willingness emerged: identity, attitude, past blood donation, and knowing a deceased donor. Religious affiliation and deceased donation preference predicted LAD willingness also. Identifying similarities and differences in these determinants can inform future efforts aimed at understanding people’s LRD and LAD willingness and the evaluation of potential living donor motives. Notably, this study highlights the importance of people’s identification as a living donor as a motive underlying their willingness to donate their organs while living.

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5 citations in Web of Science®

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ID Code: 28124
Item Type: Journal Article
Keywords: living related donation, living anonymous donation, willingness, attitude, identity
DOI: 10.1080/13548500903012855
ISSN: 1354-8506
Subjects: Australian and New Zealand Standard Research Classification > PSYCHOLOGY AND COGNITIVE SCIENCES (170000) > PSYCHOLOGY (170100) > Health Clinical and Counselling Psychology (170106)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Psychology & Counselling
Copyright Owner: Copyright 2009 Taylor & Francis (Routledge)
Copyright Statement: This is an electronic version of an article published in Hyde, Melissa K. and White, Katherine M. (2009) Knowing a donor and identifying as one : determinants of people's willingness for related and anonymous living donation in Australia. Psychology, Health & Medicine, 14(5). pp. 524-535. Psychology, Health & Medicine is available online at informaworld.
Deposited On: 23 Oct 2009 10:24
Last Modified: 29 Feb 2012 23:56

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