Alvin Ho-Ting Li1, Ngan N Lam1, Sonny Dhanani1, Matthew Weir1, Versha Prakash1, Joseph Kim1, Greg Knoll1, Amit X Garg1. 1. Department of Epidemiology and Biostatistics (Li, Weir, Garg), Western University, London, Ont.; Division of Nephrology (Lam), University of Alberta, Edmonton, Alta.; Trillium Gift of Life Network (Dhanani, Prakash), Toronto, Ont.; Division of Critical Care (Dhanani), Children's Hospital of Eastern Ontario, University of Ottawa, Ottawa, Ont.; Division of Nephrology (Weir, Garg), Western University, London, Ont.; Division of Nephrology (Kim), Department of Medicine, University of Toronto, Toronto, Ont.; Division of Nephrology and Ottawa Hospital Research Institute (Knoll), The Ottawa Hospital and University of Ottawa, Ottawa, Ont.; Institute for Clinical Evaluative Sciences (Garg), London, Ont.
Abstract
BACKGROUND: Canada has low rates of deceased organ and tissue donation. Immigrants to Canada may differ in their registered support for deceased organ donation based on their country of origin. METHODS: We used linked administrative databases in Ontario (about 11 million residents aged ≥ 16 yr) to study the proportion of immigrants and long-term residents registered for deceased organ and tissue donation as of October 2013. We used modified Poisson regression to identify and quantify predictors of donor registration. RESULTS: Compared with long-term residents (n = 9 244 570), immigrants (n = 1 947 646) were much less likely to register for deceased organ and tissue donation (11.9% v. 26.5%). Immigrants from the United States, Australia and New Zealand had the highest registration rate (40.0%), whereas immigrants with the lowest registration rates were from Eastern Europe and Central Asia (9.4%), East Asia and Pacific (8.4%) and sub-Saharan Africa (7.9%). The largest numbers of unregistered immigrants were from India (n = 202 548), China (n = 186 678) and the Philippines (n = 125 686). Characteristics among the immigrant population associated with a higher likelihood of registration included economic immigrant status, living in a rural area (population < 10 000), living in an area with a lower ethnic concentration, less material deprivation, a higher education, ability to speak English and French, and more years residing in Canada. INTERPRETATION: Immigrants in Ontario were less likely to register for deceased organ and tissue donation than long-term residents. There is a need to better understand reasons for lower registration rates among Canadian immigrants and to create culture-sensitive materials to build support for deceased organ and tissue donation.
BACKGROUND: Canada has low rates of deceased organ and tissue donation. Immigrants to Canada may differ in their registered support for deceased organ donation based on their country of origin. METHODS: We used linked administrative databases in Ontario (about 11 million residents aged ≥ 16 yr) to study the proportion of immigrants and long-term residents registered for deceased organ and tissue donation as of October 2013. We used modified Poisson regression to identify and quantify predictors of donor registration. RESULTS: Compared with long-term residents (n = 9 244 570), immigrants (n = 1 947 646) were much less likely to register for deceased organ and tissue donation (11.9% v. 26.5%). Immigrants from the United States, Australia and New Zealand had the highest registration rate (40.0%), whereas immigrants with the lowest registration rates were from Eastern Europe and Central Asia (9.4%), East Asia and Pacific (8.4%) and sub-Saharan Africa (7.9%). The largest numbers of unregistered immigrants were from India (n = 202 548), China (n = 186 678) and the Philippines (n = 125 686). Characteristics among the immigrant population associated with a higher likelihood of registration included economic immigrant status, living in a rural area (population < 10 000), living in an area with a lower ethnic concentration, less material deprivation, a higher education, ability to speak English and French, and more years residing in Canada. INTERPRETATION: Immigrants in Ontario were less likely to register for deceased organ and tissue donation than long-term residents. There is a need to better understand reasons for lower registration rates among Canadian immigrants and to create culture-sensitive materials to build support for deceased organ and tissue donation.
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Authors: Alvin Ho-Ting Li; Eric McArthur; Janet Maclean; Cynthia Isenor; Versha Prakash; S Joseph Kim; Greg Knoll; Baiju Shah; Amit X Garg Journal: PLoS One Date: 2015-07-31 Impact factor: 3.240
Authors: Alvin Ho-Ting Li; Amit X Garg; Jeremy M Grimshaw; Versha Prakash; Alexie J Dunnett; Stephanie N Dixon; Monica Taljaard; Joanna Mitchell; Kyla L Naylor; Cathy Faulds; Rachel Bevan; Leah Getchell; Greg Knoll; S Joseph Kim; Jessica Sontrop; Allison Tong; Lise M Bjerre; Karyn Hyjek; Donna Currie; Susan Edwards; Mike Sullivan; Linda Harvey-Rioux; Justin Presseau Journal: BMC Med Date: 2022-03-03 Impact factor: 8.775