NDLI: Difficulties in organ procurement and transplantation in the aboriginal minority people in Taiwan.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Shih, F. J. Chang, Y. C. Chen, C. F. Lin, F. J. Huang, Y. S. Yan, Y. H. Shih, F. Jong Chen, C. R.
Spatial Coverage	Taiwan
Description	Country affiliation: Taiwan Author Affiliation: Shih FJ ( Institute of Clinical & Community Health Nursing, National Yang-Ming University, Taiwan.)
Abstract	BACKGROUND: Aboriginal people (AP) are a minority group in Taiwan. Little information on their perspectives on organ transplantation (OT) is available. Their rights for organ donation (OD) and as OT recipients (OTR) are constrained as a vulnerable population in society. This research sought to explore various Highland Aborigine Tribes beliefs systems and concepts related to OT. METHODS: We employed a qualitative design on a purposive sample including seven categories of Taiwanese AP. Data collected by face-to-face interviews were evaluated by content analysis. RESULTS: Seventy-five informants (45 female and 30 males) of 18 to 82 years from seven tribes completed interviews: Bunun (n = 20), Shao (n = 18), Tsou (n = 15), Amis (n = 12), Truku (n = 4), Rukai (n = 3), and Puyuma (n = 3). Of there, 33% had no idea of OT. All informants reported lack of knowledge of OD, organ procurement, and OTR. Eighty percent (45-82 years) had no willingness for OD or OTR; others might consult family members and health professionals (HP) to learn about OT. Seven hindering factors were identified: (1) having no background of OT; (2) limited impressions obtained from television news reports; (3) negative concepts of donating one's organs to others; (4) OT concepts contrast with cultural meanings of death; (5) possibility of being stigmatized; (6) fear of being rejected by others; and (7) HP had never mentioned OT. CONCLUSIONS: Taiwan APs' perspectives of OT concepts showed the majority to be unfamiliar with the concept and benefits of OT. Future research is necessary to explore the possible avenues to facilitate communications between HP and AP leaders, as well as elders in each AP category in Taiwan.
File Format	HTM / HTML
ISSN	00411345
Issue Number	4
Volume Number	44
e-ISSN	18732623
Journal	Transplantation Proceedings
Language	English
Publisher	Elsevier
Publisher Date	2012-05-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Transplantation__semicolon__medicine Asian Continental Ancestry Group Health Services Accessibility Healthcare Disparities Ethnology Minority Groups Minority Health Organ Transplantation Tissue And Organ Procurement Adolescent Adult Aged Aged, 80 And Over Psychology Statistics & Numerical Data Cultural Characteristics Fear Female Health Education Health Knowledge, Attitudes, Practice Humans Interviews As Topic Male Middle Aged Qualitative Research Rejection (psychology) Stereotyping Taiwan Epidemiology Young Adult Journal Article
Content Type	Text
Resource Type	Article
Subject	Transplantation Surgery

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