Multivariate Analysis of Factors That Condition the Attitude Toward Organ Donation Among the Population of Mali Residents in Spain.

Introduction: The population from Mali is migrating toward Europe in a significant way.

Objective: To analyze the attitude toward organ donation (ODT) among the population born in Mali who are currently residents in Spain.

Method: Study population: people born in Mali who are ≥15 years of age and residents of Spain, stratified by age and sex. The assessment instrument is the validated attitude questionnaire toward organ donation (PCID-DTO-Ríos). Fulfillment was anonymous and self-administred. The statistics used were descriptive, χ test, Student t test, and a logistic regression analysis.

Results: This study surveyed 402 Malians. Thirty-four percent (n = 136) are in favor of donating their own organs after dying, 39% (n = 156) are against organ donation, and 27% (n = 110) are undecided. Multiple factors are associated with this attitude, such as level of studies (P = .042, OR = 6.535), having a positive attitude toward ODT (P = .001, OR = 47.619), performing prosocial activities (P = .001, OR = 141.679), being familiar with the scope of the transplant (P < .001, OR = 16.949), the attitude toward the incineration of the body (P = .002, OR = 8.928) and toward autopsy (P = .003, OR = 8.620), having had a prior donation or transplantation relationship (P = .001, OR = 17.910) and not having concerns about the possible mutilation of the body after donating (P < .001; OR = 90.909).

Conclusions: The Malians have an unfavorable attitude toward the donation of their own organs, which is conditioned by multiple psychosocial factors.