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Demographic and Socioeconomic Factors Influencing Public Attitudes Toward a Presumed Consent System for Organ Donation Without and With a Priority Allocation Scheme

By M. Tumin, K. Tafran, M.A.T.A. Mutalib, N.M. Satar, S.M. Said, W.A.H.W.M. Adnan and Y.S. Lu


The influence of demographic and socioeconomic factors on the public's attitude towards a presumed consent system (PCS) of organ donation was estimated in 2 scenarios: without and with a priority allocation scheme (PAS). Self-Administered questionnaires were completed by 775 respondents. Using multiple logistic regressions, respondents' objections to donating organs in both scenarios were estimated. In total, 63.9% of respondents would object to donating under a PCS, whereas 54.6% would object under a PCS with a PAS. Respondents with pretertiary education were more likely to object than were respondents with tertiary education, in both the first (adjusted odds ratio [AOR]=1.615) and second (AOR=1.728) scenarios. Young respondents were less likely to object than were middle-Aged respondents, in both the first (AOR=0.648) and second (AOR=0.572) scenarios. Respondents with mid-ranged personal monthly income were more likely to object than were respondents with low income, in both the first (AOR=1.994) and second (AOR=1.519) scenarios. It does not seem that Malaysia is ready to implement a PCS. The educational level, age, and income of the broader public should be considered if a PCS, without or with a PAS, is planned for implementation in Malaysia

Topics: HB Economic Theory, R Medicine
Publisher: 'Ovid Technologies (Wolters Kluwer Health)'
Year: 2015
DOI identifier: 10.1097/MD.0000000000001713
OAI identifier:
Provided by: UM Digital Repository
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