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Knowledge and attitude regarding organ donation among medical students in Hong Kong: a cross-sectional study
  1. Steven Tsun-Wai Chu,
  2. Phoebe Pui Wun Chung,
  3. Yau Long Hui,
  4. Hing Chung Choi,
  5. Hiu Wai Lam,
  6. Ling Ling Sin,
  7. Chui Shan Law,
  8. Nga Ying Yan,
  9. Ka Yung Choi,
  10. Eric Yuk Fai Wan
  1. University of Hong Kong Faculty of Medicine, Hong Kong, Hong Kong
  1. Correspondence to Phoebe Pui Wun Chung ; ppwchung{at}hku.hk

Abstract

Objectives The rate of organ donation in Hong Kong is among the lowest in developed regions. Since medical students will play an important role in counselling patients for organ donation and identifying potential donors in the future, their knowledge, attitudes and action for organ donation are important. This study aims to understand knowledge, attitudes and actions with regard to organ donation among medical students and investigate the factors determining the knowledge and attitudes.

Design A cross-sectional study.

Setting and participants Medical students in Hong Kong were invited to complete a questionnaire. 377 medical students participated in the study.

Methods The questionnaire assessed their attitudes, knowledge, action of organ donation, belief and perception on organ donation, and other factors. Linear regression analyses and logistic regression were performed to analyse the effect of the variables on knowledge, attitudes and action for organ donation.

Results Almost all medical students (99.5%) held a positive attitude towards organ donation, but only 28.1% have signed up as organ donors. Determinants of knowledge of organ donation included belief in preservation of intact body after death (β = –0.14, 95% CI = –0.24 to –0.04) and perceived confidence and competence of organ donation discussion (β = –0.12, 95% CI = –0.22 to –0.02). Predictors of organ donor registration status included knowledge of organ donation (OR=1.03, 95% CI=1.00 to 1.06), perceived convenience of organ donation registration (OR=3.75, 95% CI=1.62 to 8.71), commitment to organ donation (OR=3.81, 95% CI=2.01 to 7.21) and exposure to organ donation (OR=4.28, 95% CI=2.37 to 7.74).

Conclusions Knowledge is positively associated with organ donation action. The above determinants of organ donation could be emphasised in medical education.

  • MEDICAL EDUCATION & TRAINING
  • MEDICAL ETHICS
  • TRANSPLANT MEDICINE

Data availability statement

Data are available on reasonable request.

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Data availability statement

Data are available on reasonable request.

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Footnotes

  • Contributors ST-WC is responsible for the overall content as the guarantor. ST-WC and PPWC contributed to the conception of the work. LLS, HWL and NYY prepared the questionnaire. ST-WC, HWL, HCC analysed and interpreted the data. ST-WC, PPWC and YLH are major contributors in writing the manuscript. EYFW supervised the project. All authors read and approved the final manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.