Attitudes Toward Organ Donation for Persons Who Have a Substance Use Disorder Relative to Other Health Conditions
Background: Increases in opioid-related overdose and death have led to increases in the number of organs available for donation and transplant, however persons who have a substance use disorder (SUD) may be disadvantaged relative to other health conditions with regard to receiving an organ for trans...
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Frontiers Media S.A.
2021
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oai:doaj.org-article:2734515b0647450694a0bfb0996257362021-11-12T06:01:51ZAttitudes Toward Organ Donation for Persons Who Have a Substance Use Disorder Relative to Other Health Conditions1664-064010.3389/fpsyt.2021.698645https://doaj.org/article/2734515b0647450694a0bfb0996257362021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpsyt.2021.698645/fullhttps://doaj.org/toc/1664-0640Background: Increases in opioid-related overdose and death have led to increases in the number of organs available for donation and transplant, however persons who have a substance use disorder (SUD) may be disadvantaged relative to other health conditions with regard to receiving an organ for transplant.Objective: This study aimed to evaluate perceptions regarding acceptability and priority for organ donation vs. a control condition (resuscitation) for hypothetical persons with nine target health conditions including a substance use disorder, among persons recruited as part of an online survey.Methods: Respondents (N = 285; male = 172, female = 113) recruited from Amazon Mechanical Turk rated acceptability and priority that hypothetical persons representing nine target health conditions expected to influence transplant success (including a SUD) receive an organ transplant and resuscitation via a survey hosted by Qualtrics. Primary outcomes of stigma ratings and priority ranking of persons as a function of the hypothetical target health condition were analyzed using Repeated Measures Analyses of Variance and Bonferroni-corrected t-tests. Demographic information was presented descriptively for all respondents.Results: Ratings for acceptability and priority for persons who had a SUD were generally lower than ratings for other conditions for both organ for transplant and resuscitation, though respondents reported less stigma toward resuscitation, F(8) = 22.35, p <0.001 overall. Respondents were least supportive of persons who smoked cigarettes receiving an organ, p's < 0.001. Priority rankings favored persons who were young or had a history of heart disease. Multivariable models determined that target health condition, F(8) = 33.64, p < 0.001, was a better and more consistent predictor of response than demographic variables that were examined.Conclusions: Data suggest that general perception of acceptability and priority ranking for receipt of life-saving interventions was lower for persons who have a SUD relative to other clinically-relevant health conditions. Research to examine this effect among persons working in the donation system are warranted and efforts to reduce stigma toward persons who have a SUD should be continued.Caitlyn J. GrubbCecilia L. BergeriaAndrew S. HuhnKelly E. DunnFrontiers Media S.A.articleopioidsubstance use disorderorgan donationstigmaoverdosePsychiatryRC435-571ENFrontiers in Psychiatry, Vol 12 (2021) |
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DOAJ |
| collection |
DOAJ |
| language |
EN |
| topic |
opioid substance use disorder organ donation stigma overdose Psychiatry RC435-571 |
| spellingShingle |
opioid substance use disorder organ donation stigma overdose Psychiatry RC435-571 Caitlyn J. Grubb Cecilia L. Bergeria Andrew S. Huhn Kelly E. Dunn Attitudes Toward Organ Donation for Persons Who Have a Substance Use Disorder Relative to Other Health Conditions |
| description |
Background: Increases in opioid-related overdose and death have led to increases in the number of organs available for donation and transplant, however persons who have a substance use disorder (SUD) may be disadvantaged relative to other health conditions with regard to receiving an organ for transplant.Objective: This study aimed to evaluate perceptions regarding acceptability and priority for organ donation vs. a control condition (resuscitation) for hypothetical persons with nine target health conditions including a substance use disorder, among persons recruited as part of an online survey.Methods: Respondents (N = 285; male = 172, female = 113) recruited from Amazon Mechanical Turk rated acceptability and priority that hypothetical persons representing nine target health conditions expected to influence transplant success (including a SUD) receive an organ transplant and resuscitation via a survey hosted by Qualtrics. Primary outcomes of stigma ratings and priority ranking of persons as a function of the hypothetical target health condition were analyzed using Repeated Measures Analyses of Variance and Bonferroni-corrected t-tests. Demographic information was presented descriptively for all respondents.Results: Ratings for acceptability and priority for persons who had a SUD were generally lower than ratings for other conditions for both organ for transplant and resuscitation, though respondents reported less stigma toward resuscitation, F(8) = 22.35, p <0.001 overall. Respondents were least supportive of persons who smoked cigarettes receiving an organ, p's < 0.001. Priority rankings favored persons who were young or had a history of heart disease. Multivariable models determined that target health condition, F(8) = 33.64, p < 0.001, was a better and more consistent predictor of response than demographic variables that were examined.Conclusions: Data suggest that general perception of acceptability and priority ranking for receipt of life-saving interventions was lower for persons who have a SUD relative to other clinically-relevant health conditions. Research to examine this effect among persons working in the donation system are warranted and efforts to reduce stigma toward persons who have a SUD should be continued. |
| format |
article |
| author |
Caitlyn J. Grubb Cecilia L. Bergeria Andrew S. Huhn Kelly E. Dunn |
| author_facet |
Caitlyn J. Grubb Cecilia L. Bergeria Andrew S. Huhn Kelly E. Dunn |
| author_sort |
Caitlyn J. Grubb |
| title |
Attitudes Toward Organ Donation for Persons Who Have a Substance Use Disorder Relative to Other Health Conditions |
| title_short |
Attitudes Toward Organ Donation for Persons Who Have a Substance Use Disorder Relative to Other Health Conditions |
| title_full |
Attitudes Toward Organ Donation for Persons Who Have a Substance Use Disorder Relative to Other Health Conditions |
| title_fullStr |
Attitudes Toward Organ Donation for Persons Who Have a Substance Use Disorder Relative to Other Health Conditions |
| title_full_unstemmed |
Attitudes Toward Organ Donation for Persons Who Have a Substance Use Disorder Relative to Other Health Conditions |
| title_sort |
attitudes toward organ donation for persons who have a substance use disorder relative to other health conditions |
| publisher |
Frontiers Media S.A. |
| publishDate |
2021 |
| url |
https://doaj.org/article/2734515b0647450694a0bfb099625736 |
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AT caitlynjgrubb attitudestowardorgandonationforpersonswhohaveasubstanceusedisorderrelativetootherhealthconditions AT cecilialbergeria attitudestowardorgandonationforpersonswhohaveasubstanceusedisorderrelativetootherhealthconditions AT andrewshuhn attitudestowardorgandonationforpersonswhohaveasubstanceusedisorderrelativetootherhealthconditions AT kellyedunn attitudestowardorgandonationforpersonswhohaveasubstanceusedisorderrelativetootherhealthconditions |
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