{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T23:36:12Z","timestamp":1788305772901,"version":"build-2803163510"},"reference-count":32,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2021,11,19]],"date-time":"2021-11-19T00:00:00Z","timestamp":1637280000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["Liver Transpl"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:p>Cuban immigrants constitute an important group in both the United States and Spain, with different behaviors toward organ donation having been described among the different Latin American nationalities. We analyzed the attitude toward organ donation among the Cuban populations in Cuba, Spain, and Florida. The study population was Cuban immigrants over 15\u00a0years of age residing in Cuba, Spain, and Florida, with samples randomly stratified by age and sex. A validated questionnaire on psychosocial aspects of organ donation (PCID\u2010DTO Rios) was used. Census was used as the sampling base in all 3 countries; however, additionally, in Spain and the United States (Florida), we sought the support of immigration support associations to determine the Cuban population without legal documentation. The questionnaire was completed anonymously and self\u2010administered. The completion rate of the study was 74% (4123\/5574) among 424 surveyed in Spain, 1224 in Florida, and 2475 in Cuba. The attitude in favor of donating their own organs upon death was 60.6% of those surveyed in Spain, 37.6% in Florida, and 68.9% in Cuba, or 58% of the global sample. Multivariate analysis showed that country of residence was an independent factor associated with attitude toward organ donation (odds ratio,\u00a01.929). Other factors associated with attitude were sex, educational level, performance of prosocial activities, knowledge of the brain death concept, religion, the couple\u2019s opinion toward donation, fear of mutilation after donation, and attitude toward manipulation of the body after death. The attitude toward organ donation among Cubans in their country of origin and immigrants in Spain was similar, being significantly different from those who emigrate to Florida, where the attitude is much less favorable.<\/jats:p>","DOI":"10.1002\/lt.26338","type":"journal-article","created":{"date-parts":[[2021,10,20]],"date-time":"2021-10-20T16:27:40Z","timestamp":1634747260000},"page":"581-592","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":11,"title":["International Population Study in Spain, Cuba, and the United States of Attitudes Toward Organ Donation Among the Cuban Population"],"prefix":"10.1097","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5512-9010","authenticated-orcid":false,"given":"Antonio","family":"R\u00edos","sequence":"first","affiliation":[{"name":"Proyecto Colaborativo Internacional Donante (\u201cInternational Collaborative Donor Project\u201d),Murcia,Spain"},{"name":"Department of Surgery, Paediatrics, Obstetrics and Gynaecology,University of Murcia,Murcia,Spain"},{"name":"Transplant Unit,Surgery Service, IMIB \u2010 Hospital Cl\u00ednico Universitario Virgen de la Arrixaca,Murcia,Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alvaro","family":"S\u00e1nchez\u2010Mart\u00ednez","sequence":"additional","affiliation":[{"name":"Proyecto Colaborativo Internacional Donante (\u201cInternational Collaborative Donor Project\u201d),Murcia,Spain"},{"name":"Transplant Unit,Surgery Service, IMIB \u2010 Hospital Cl\u00ednico Universitario Virgen de la Arrixaca,Murcia,Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco Antonio","family":"Ayala\u2010Garc\u00eda","sequence":"additional","affiliation":[{"name":"Proyecto Colaborativo Internacional Donante (\u201cInternational Collaborative Donor Project\u201d),Murcia,Spain"},{"name":"Hospital Regional General N\u00famero 58 del IMSS (Instituto Mexicano del Seguro Social),Delegaci\u00f3n de Guanajuato,Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pedro R.","family":"Guti\u00e9rrez","sequence":"additional","affiliation":[{"name":"Proyecto Colaborativo Internacional Donante (\u201cInternational Collaborative Donor Project\u201d),Murcia,Spain"},{"name":"Servicio de Urolog\u00eda,Complejo Hospitalario Universitario de Canarias (CHUC),Tenerife,Spain"},{"name":"Departamento de Cirug\u00eda,Universidad de La Laguna (ULL), San Crist\u00f3bal de La Laguna,Tenerife,Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerardo","family":"Palacios","sequence":"additional","affiliation":[{"name":"Transplant Coordination Center,UMAE Hospital de Especialidades N\u00ba 25 IMSS,Monterrey,Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marina","family":"Iniesta\u2010Sep\u00falveda","sequence":"additional","affiliation":[{"name":"Department of Psychology,Universidad Cat\u00f3lica de Murcia (UCAM),Murcia,Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pablo","family":"Ram\u00edrez","sequence":"additional","affiliation":[{"name":"Proyecto Colaborativo Internacional Donante (\u201cInternational Collaborative Donor Project\u201d),Murcia,Spain"},{"name":"Department of Surgery, Paediatrics, Obstetrics and Gynaecology,University of Murcia,Murcia,Spain"},{"name":"Transplant Unit,Surgery Service, IMIB \u2010 Hospital Cl\u00ednico Universitario Virgen de la Arrixaca,Murcia,Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Isabel","family":"L\u00f3pez\u2010Navas","sequence":"additional","affiliation":[{"name":"Proyecto Colaborativo Internacional Donante (\u201cInternational Collaborative Donor Project\u201d),Murcia,Spain"},{"name":"Department of Psychology,Universidad Cat\u00f3lica de Murcia (UCAM),Murcia,Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,11,19]]},"reference":[{"key":"lt26338-bib-0002-20250824","doi-asserted-by":"crossref","first-page":"2020","DOI":"10.1111\/j.1600-6143.2007.01879.x","article-title":"Emigration from the British Isles to south\u2010eastern Spain: a study of attitudes toward organ donation","volume":"7","year":"2007","journal-title":"Am J Transplant"},{"key":"lt26338-bib-0003-20250824","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1111\/j.1399-0012.2009.01079.x","article-title":"German citizens in south\u2010eastern Spain: a study of attitude toward organ donation","volume":"24","year":"2010","journal-title":"Clin Transplant"},{"key":"lt26338-bib-0004-20250824","first-page":"1700","article-title":"The panorama effect on altruistic organ 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Attitude toward deceased organ donation and organ donation rates","volume":"28","year":"2015","journal-title":"Transplant Int"},{"key":"lt26338-bib-0009-20250824","first-page":"E200","article-title":"Factors related to attitudes toward organ donation after death in the immigrant population in Spain","volume":"26","year":"2012","journal-title":"Clin Transplant"},{"key":"lt26338-bib-0010-20250824","doi-asserted-by":"crossref","first-page":"553","DOI":"10.1097\/00007890-198810000-00017","article-title":"Organ donation in three major American cities with large Latino and black populations","volume":"46","year":"1988","journal-title":"Transplantation"},{"key":"lt26338-bib-0011-20250824","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1016\/j.transproceed.2017.11.063","article-title":"Psychometric characteristics of the attitude questionnaire toward the donation of organs for transplant (PCID\u2010DTO\u2010RIOS)","volume":"50","year":"2018","journal-title":"Transplant Proc"},{"key":"lt26338-bib-0012-20250824","first-page":"69","article-title":"International collaborative donor project [Article in Spanish: \u201cProyecto Colaborativo Internacional Donante\u201d]","volume":"96","year":"2018","journal-title":"Cir Esp"},{"key":"lt26338-bib-0013-20250824","first-page":"4","article-title":"Knowledge about brain death and attitude towards organ donation in non\u2010sanitary population of Havana, Cuba [Article in Spanish: \u201cConocimiento sobre la muerte encef\u00e1lica y actitud hacia la donaci\u00f3n de \u00f3rganos en poblaci\u00f3n no sanitaria de La Habana, Cuba\u201d]","volume":"4","year":"2012","journal-title":"Invest Medicoquir"},{"key":"lt26338-bib-0014-20250824","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1034\/j.1399-0012.1999.t01-2-130107.x","article-title":"Correlates of support for organ donation among three ethnic groups","volume":"13","year":"1999","journal-title":"Clin Transplant"},{"key":"lt26338-bib-0015-20250824","doi-asserted-by":"crossref","first-page":"1435","DOI":"10.1016\/j.transproceed.2020.02.066","article-title":"Differences in attitude toward organ donation in the three main cities of Cuba","volume":"52","year":"2020","journal-title":"Transplant Proc"},{"key":"lt26338-bib-0016-20250824","doi-asserted-by":"crossref","first-page":"286","DOI":"10.1016\/j.transproceed.2018.10.015","article-title":"Attitude toward organ donation in the population of Cienfuegos, Cuba","volume":"51","year":"2019","journal-title":"Transplant Proc"},{"key":"lt26338-bib-0017-20250824","doi-asserted-by":"crossref","first-page":"2260","DOI":"10.1016\/j.transproceed.2018.03.069","article-title":"Attitude of the citizens of Havana, Cuba, toward organ donation. A multivariate analysis of the psychosocial factors affecting attitude","volume":"50","year":"2018","journal-title":"Transplant Proc"},{"key":"lt26338-bib-0018-20250824","doi-asserted-by":"crossref","first-page":"2268","DOI":"10.1016\/j.transproceed.2018.04.012","article-title":"Psychosocial factors affecting attitude toward organ donation in Santiago, Cuba","volume":"50","year":"2018","journal-title":"Transplant Proc"},{"key":"lt26338-bib-0019-20250824","first-page":"684","article-title":"Multivariate study of the psychosocial factors affecting public attitude towards organ donation [Article in Spanish: \u201cEstudio multivariante de los factores psicosociales que influyen en la actitud poblacional hacia la donaci\u00f3n de \u00f3rganos\u201d]","volume":"25","year":"2005","journal-title":"Nefrolog\u00eda"},{"key":"lt26338-bib-0020-20250824","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1080\/10810730701807142","article-title":"Intentions of becoming a living organ donor among Hispanics: a theory\u2010based approach exploring differences between living and nonliving organ donation","volume":"13","year":"2008","journal-title":"J Health Commun"},{"key":"lt26338-bib-0021-20250824","first-page":"13","article-title":"Organ donation in the Hispanic population: Dond\u00e9 estan ellos?","volume":"86","year":"1994","journal-title":"J Natl Med Assoc"},{"key":"lt26338-bib-0022-20250824","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1177\/152692480201200303","article-title":"Hispanic perceptions of organ donation","volume":"12","year":"2002","journal-title":"Prog Transplant"},{"key":"lt26338-bib-0023-20250824","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1097\/00007890-198909000-00013","article-title":"Racial perspectives on kidney transplant donors and recipients","volume":"48","year":"1989","journal-title":"Transplantation"},{"key":"lt26338-bib-0024-20250824","doi-asserted-by":"crossref","first-page":"3745","DOI":"10.1016\/S0041-1345(97)01095-6","article-title":"Organ donation among Hispanics: a single center experience","volume":"29","year":"1997","journal-title":"Transplant Proc"},{"key":"lt26338-bib-0025-20250824","doi-asserted-by":"crossref","first-page":"498","DOI":"10.1111\/j.1525-1594.2006.00250.x","article-title":"Strategies for establishing organ transplant programs in developing conuntries: the Latin America and Caribbean Experiencia","volume":"30","year":"2006","journal-title":"Artif Organs"},{"key":"lt26338-bib-0026-20250824","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1016\/j.transproceed.2007.01.017","article-title":"Organ donation in Latin America","volume":"39","year":"2007","journal-title":"Transplant Proc"},{"key":"lt26338-bib-0027-20250824","doi-asserted-by":"crossref","first-page":"1439","DOI":"10.1016\/j.transproceed.2020.02.065","article-title":"Analysis of the socio\u2010personal profile of Latin Americans living in Spain and the United States: does it justify the differences in attitude toward organ donation?","volume":"52","year":"2020","journal-title":"Transplant Proc"},{"key":"lt26338-bib-0028-20250824","doi-asserted-by":"crossref","first-page":"334","DOI":"10.1016\/j.transproceed.2017.11.039","article-title":"Does the attitude toward organ donation change as a function of the country where people emigrate? Study between Uruguayan emigrants to the United States and Spain","volume":"50","year":"2018","journal-title":"Transplant Proc"},{"key":"lt26338-bib-0029-20250824","doi-asserted-by":"crossref","first-page":"316","DOI":"10.1016\/j.transproceed.2017.11.045","article-title":"Differences in attitudes toward living kidney donation among Dominican immigrants living in Spain and the United States","volume":"50","year":"2018","journal-title":"Transplant Proc"},{"key":"lt26338-bib-0030-20250824","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1177\/000313481207800232","article-title":"Organ donation and Hispanic American high school students: attitudes, beliefs, perceptions, and intent to donate","volume":"78","year":"2012","journal-title":"Am Surg"},{"key":"lt26338-bib-0031-20250824","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1177\/1090198104272251","article-title":"Organ donor registration preferences among Hispanic populations: which modes of registration have the greatest promise?","volume":"32","year":"2005","journal-title":"Health Educ Behav"},{"key":"lt26338-bib-0032-20250824","first-page":"28","article-title":"Hispanic organ donation: impact of a Spanish\u2010language organ donation campaign","volume":"98","year":"2006","journal-title":"J Natl Med Assoc"},{"key":"lt26338-bib-0033-20250824","article-title":"Examination of racial and ethnic differences in deceased organ donation ratio over time in the US","volume":"156","year":"2021","journal-title":"JAMA Surg"}],"container-title":["Liver Transplantation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lt.26338","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/lt.26338","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1002\/lt.26338","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,25]],"date-time":"2025-08-25T00:03:04Z","timestamp":1756080184000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1002\/lt.26338"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,11,19]]},"references-count":32,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.1002\/lt.26338","relation":{},"ISSN":["1527-6465","1527-6473"],"issn-type":[{"value":"1527-6465","type":"print"},{"value":"1527-6473","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,11,19]]},"assertion":[{"value":"2021-06-12","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-10-12","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}