{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T08:30:47Z","timestamp":1793781047456,"version":"4.6.1"},"reference-count":42,"publisher":"Oxford University Press (OUP)","issue":"1173","license":[{"start":{"date-parts":[[2022,8,5]],"date-time":"2022-08-05T00:00:00Z","timestamp":1659657600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,6,30]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>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.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Design<\/jats:title>\n                  <jats:p>A cross-sectional study.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Setting and participants<\/jats:title>\n                  <jats:p>Medical students in Hong Kong were invited to complete a questionnaire. 377 medical students participated in the study.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>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.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>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 (\u03b2 = \u20130.14, 95%\u2009CI = \u20130.24 to \u20130.04) and perceived confidence and competence of organ donation discussion (\u03b2 = \u20130.12, 95%\u2009CI = \u20130.22 to \u20130.02). Predictors of organ donor registration status included knowledge of organ donation (OR=1.03, 95%\u2009CI=1.00 to 1.06), perceived convenience of organ donation registration (OR=3.75, 95%\u2009CI=1.62 to 8.71), commitment to organ donation (OR=3.81, 95%\u2009CI=2.01 to 7.21) and exposure to organ donation (OR=4.28, 95%\u2009CI=2.37 to 7.74).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Knowledge is positively associated with organ donation action. The above determinants of organ donation could be emphasised in medical education.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/pmj-2022-141781","type":"journal-article","created":{"date-parts":[[2022,8,25]],"date-time":"2022-08-25T15:31:27Z","timestamp":1661441487000},"page":"744-752","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":13,"title":["Knowledge and attitude regarding organ donation among medical students in Hong Kong: a cross-sectional study"],"prefix":"10.1093","volume":"99","author":[{"given":"Steven Tsun-Wai","family":"Chu","sequence":"first","affiliation":[{"name":"University of Hong Kong Faculty of Medicine , Hong Kong , Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Phoebe Pui Wun","family":"Chung","sequence":"additional","affiliation":[{"name":"University of Hong Kong Faculty of Medicine , Hong Kong , Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yau Long","family":"Hui","sequence":"additional","affiliation":[{"name":"University of Hong Kong Faculty of Medicine , Hong Kong , Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hing Chung","family":"Choi","sequence":"additional","affiliation":[{"name":"University of Hong Kong Faculty of Medicine , Hong Kong , Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiu Wai","family":"Lam","sequence":"additional","affiliation":[{"name":"University of Hong Kong Faculty of Medicine , Hong Kong , Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ling Ling","family":"Sin","sequence":"additional","affiliation":[{"name":"University of Hong Kong Faculty of Medicine , Hong Kong , Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chui Shan","family":"Law","sequence":"additional","affiliation":[{"name":"University of Hong Kong Faculty of Medicine , Hong Kong , Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nga Ying","family":"Yan","sequence":"additional","affiliation":[{"name":"University of Hong Kong Faculty of Medicine , Hong Kong , Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ka Yung","family":"Choi","sequence":"additional","affiliation":[{"name":"University of Hong Kong Faculty of Medicine , Hong Kong , Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric Yuk Fai","family":"Wan","sequence":"additional","affiliation":[{"name":"University of Hong Kong Faculty of Medicine , Hong Kong , Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2022,8,5]]},"reference":[{"key":"2023063014164355100_R1","volume-title":"Number of organ\/tissue donation & patient waiting for transplantation under Hong Kong Hospital Authority (1.1.2011 - 31.12.2020)","author":"Statistics","year":"2020"},{"key":"2023063014164355100_R2","article-title":"Organ donation promotion charter","author":"Department of Health","year":"2020"},{"key":"2023063014164355100_R3","article-title":"Know more about centralised organ donation register Hong Kong","author":"Department of Health","year":"2020"},{"key":"2023063014164355100_R4","first-page":"192","article-title":"Attitudes, acceptance, and registration in relation to organ donation in Hong Kong: a cross-sectional study","volume":"26","author":"Teoh","year":"2020","journal-title":"Hong Kong Med J"},{"key":"2023063014164355100_R5","volume-title":"Organ donation and transplants [press release]","author":"LCQ4","year":"2019"},{"key":"2023063014164355100_R6","doi-asserted-by":"crossref","first-page":"465","DOI":"10.1016\/S0140-6736(20)31692-5","article-title":"Donation and transplantation activity in the UK during the COVID-19 lockdown","volume":"396","author":"Manara","year":"2020","journal-title":"Lancet"},{"key":"2023063014164355100_R7","doi-asserted-by":"crossref","first-page":"e95","DOI":"10.1016\/S0140-6736(20)31040-0","article-title":"Organ procurement and transplantation during the COVID-19 pandemic","volume":"395","author":"Loupy","year":"2020","journal-title":"The Lancet"},{"key":"2023063014164355100_R8","doi-asserted-by":"crossref","first-page":"E726","DOI":"10.1111\/jocn.14154","article-title":"Organ donation and transplantation: awareness and roles of healthcare professionals-A systematic literature review","volume":"27","author":"Jawoniyi","year":"2018","journal-title":"J Clin Nurs"},{"key":"2023063014164355100_R9","doi-asserted-by":"crossref","first-page":"268","DOI":"10.1016\/j.trre.2017.08.006","article-title":"Primary care interventions to encourage organ donation registration: a systematic review","volume":"31","author":"Jones","year":"2017","journal-title":"Transplant Rev"},{"key":"2023063014164355100_R10","doi-asserted-by":"crossref","DOI":"10.1186\/s12916-022-02266-8","article-title":"Promoting deceased organ and tissue donation registration in family physician waiting rooms (RegisterNow-1): a pragmatic stepped-wedge, cluster randomized controlled registry trial","volume":"20","author":"Li","year":"2022","journal-title":"BMC Med"},{"key":"2023063014164355100_R11","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1177\/1526924819853836","article-title":"The patients save lives program to facilitate organ donor designation in primary care offices","volume":"29","author":"Degenholtz","year":"2019","journal-title":"Prog Transplant"},{"key":"2023063014164355100_R12","doi-asserted-by":"crossref","first-page":"1466","DOI":"10.1016\/j.transproceed.2009.11.055","article-title":"Organ donation: cross-sectional survey of knowledge and personal views of Brazilian medical students and physicians","volume":"42","author":"Lima","year":"2010","journal-title":"Transplant Proc"},{"key":"2023063014164355100_R13","doi-asserted-by":"crossref","first-page":"2093","DOI":"10.1016\/j.transproceed.2013.02.135","article-title":"Medical students' knowledge and attitudes toward organ donation: results of a Dutch survey","volume":"45","author":"Figueroa","year":"2013","journal-title":"Transplant Proc"},{"key":"2023063014164355100_R14","doi-asserted-by":"crossref","first-page":"2976","DOI":"10.1016\/j.transproceed.2018.04.062","article-title":"Medical students' attitude toward organ donation: understanding reasons for refusal in order to increase transplantation rates","volume":"50","author":"Atama\u00f1uk","year":"2018","journal-title":"Transplant Proc"},{"key":"2023063014164355100_R15","doi-asserted-by":"crossref","first-page":"1","DOI":"10.9734\/BJMMR\/2016\/26208","article-title":"Awareness and attitudes on organ donation among undergraduate medical students in Malaysia: an analytical cross sectional study","volume":"16","author":"Huern","year":"2016","journal-title":"Br J Med Med Res"},{"key":"2023063014164355100_R16","doi-asserted-by":"crossref","first-page":"E125","DOI":"10.1080\/01421590801932236","article-title":"Knowledge, acceptance and perception towards brainstem death among medical students in Hong Kong: a questionnaire survey on brainstem death","volume":"30","author":"Connie","year":"2008","journal-title":"Med Teach"},{"key":"2023063014164355100_R17","first-page":"278","article-title":"Attitudes, knowledge, and actions with regard to organ donation among Hong Kong medical students","volume":"14","author":"Chung","year":"2008","journal-title":"Hong Kong Med J"},{"key":"2023063014164355100_R18","doi-asserted-by":"crossref","first-page":"2761","DOI":"10.1016\/j.transproceed.2006.08.140","article-title":"Current knowledge and attitudes about organ donation and transplantation among Chinese university students","volume":"38","author":"Chen","year":"2006","journal-title":"Transplant Proc"},{"key":"2023063014164355100_R19","doi-asserted-by":"crossref","first-page":"667","DOI":"10.1080\/13548506.2012.658818","article-title":"Knowledge and attitudes of Polish university students toward organ donation and transplantation","volume":"17","author":"Perenc","year":"2012","journal-title":"Psychol Health Med"},{"key":"2023063014164355100_R20","first-page":"164","article-title":"Knowledge, attitudes and proposals of medical students concerning transplantations in Greece","volume":"2","author":"Dardavessis","year":"2011","journal-title":"Int J Prev Med"},{"key":"2023063014164355100_R21","doi-asserted-by":"crossref","first-page":"408","DOI":"10.18231\/j.ijcap.2019.089","article-title":"Comparison of knowledge, attitude about organ donation among first year medical and engineering students","volume":"6","author":"Lavanya","year":"2019","journal-title":"Indian Journal of Clinical Anatomy and Physiology"},{"key":"2023063014164355100_R22","doi-asserted-by":"crossref","DOI":"10.1097\/MD.0000000000003178","article-title":"Factors associated with medical and nursing students' willingness to donate organs","volume":"95","author":"Tumin","year":"2016","journal-title":"Medicine"},{"key":"2023063014164355100_R23","doi-asserted-by":"crossref","DOI":"10.1016\/j.trim.2022.101634","article-title":"Medical students' knowledge, attitudes and awareness toward organ donation","volume":"73","author":"Akbulut","year":"2022","journal-title":"Transpl Immunol"},{"key":"2023063014164355100_R24","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1097\/01376517-198712000-00005","article-title":"Organ donation: a study of the donor family perspective","volume":"19","author":"Bartucci","year":"1987","journal-title":"J Neurosci Nurs"},{"key":"2023063014164355100_R25","doi-asserted-by":"crossref","first-page":"1714","DOI":"10.1097\/00007890-200406150-00015","article-title":"Knowledge and attitude regarding organ donation among medical students and physicians","volume":"77","author":"Schaeffner","year":"2004","journal-title":"Transplantation"},{"key":"2023063014164355100_R26","doi-asserted-by":"crossref","first-page":"1196","DOI":"10.1016\/j.transproceed.2012.01.108","article-title":"Knowledge, attitudes and commitment toward organ donation among nursing students in Hong Kong","volume":"44","author":"Tam","year":"2012","journal-title":"Transplant Proc"},{"key":"2023063014164355100_R27","doi-asserted-by":"crossref","DOI":"10.1186\/s12904-018-0317-1","article-title":"Self-competence in death work among health and social care workers: a region-wide survey in Hong Kong","volume":"17","author":"Cheung","year":"2018","journal-title":"BMC Palliat Care"},{"key":"2023063014164355100_R28","doi-asserted-by":"crossref","first-page":"3179","DOI":"10.1007\/s11606-021-06737-1","article-title":"A consensus-based checklist for reporting of survey studies (cross)","volume":"36","author":"Sharma","year":"2021","journal-title":"J Gen Intern Med"},{"key":"2023063014164355100_R29","doi-asserted-by":"crossref","DOI":"10.1186\/s40001-015-0116-6","article-title":"Medical students' education on organ donation and its evaluation during six consecutive years: results of a voluntary, anonymous educational intervention study","volume":"20","author":"Radunz","year":"2015","journal-title":"Eur J Med Res"},{"key":"2023063014164355100_R30","doi-asserted-by":"crossref","DOI":"10.1186\/1472-6939-14-38","article-title":"Knowledge and ethical perception regarding organ donation among medical students","volume":"14","author":"Ali","year":"2013","journal-title":"BMC Med Ethics"},{"key":"2023063014164355100_R31","doi-asserted-by":"crossref","first-page":"1683","DOI":"10.1097\/00007890-200205270-00029","article-title":"Determinants of willingness to donate living related and cadaveric organs: identifying opportunities for intervention","volume":"73","author":"Boulware","year":"2002","journal-title":"Transplantation"},{"key":"2023063014164355100_R32","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1080\/13557858.2017.1346183","article-title":"A multicentre and stratified study of the attitude of medical students towards organ donation in Spain","volume":"24","author":"R\u00edos","year":"2019","journal-title":"Ethn Health"},{"key":"2023063014164355100_R33","doi-asserted-by":"crossref","first-page":"342","DOI":"10.1034\/j.1399-0012.1999.130411.x","article-title":"The public's willingness to discuss their preference for organ donation with family members","volume":"13","author":"Guadagnoli","year":"1999","journal-title":"Clin Transplant"},{"key":"2023063014164355100_R34","doi-asserted-by":"crossref","DOI":"10.1016\/j.transproceed.2008.12.011","volume-title":"Survey of first-year medical students to assess their knowledge and attitudes toward organ transplantation and donation","author":"Mekahli","year":"2009"},{"key":"2023063014164355100_R35","doi-asserted-by":"crossref","first-page":"1123","DOI":"10.1016\/S0140-6736(15)00298-6","article-title":"Evidence for effective interventions to reduce mental-health-related stigma and discrimination","volume":"387","author":"Thornicroft","year":"2016","journal-title":"Lancet"},{"key":"2023063014164355100_R36","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1177\/152692480901900105","article-title":"Communicating effectively about donation: an educational intervention to increase consent to donation","volume":"19","author":"Siminoff","year":"2009","journal-title":"Prog Transplant"},{"key":"2023063014164355100_R37","doi-asserted-by":"crossref","first-page":"140","DOI":"10.12659\/AOT.882648","article-title":"The effect of education on the attitude of medical students towards organ donation","volume":"17","author":"Radunz","year":"2012","journal-title":"Ann Transplant"},{"key":"2023063014164355100_R38","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1177\/0972753121990238","article-title":"Effectiveness of interventional strategies in modulating knowledge and attitude of health care professionals for promoting organ donation: a study in tertiary care public hospital of North India","volume":"27","author":"Mahajan","year":"2020","journal-title":"Ann Neurosci"},{"key":"2023063014164355100_R39","doi-asserted-by":"crossref","DOI":"10.1186\/s12909-018-1267-2","article-title":"Efficient undergraduate learning of liver transplant: building a framework for teaching subspecialties to medical students","volume":"18","author":"Ho","year":"2018","journal-title":"BMC Med Educ"},{"key":"2023063014164355100_R40","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1177\/1526924820978590","article-title":"The educational value and emotional impact on medical students after participating in transplant organ retrieval","volume":"31","author":"Reed","year":"2021","journal-title":"Prog Transplant"},{"key":"2023063014164355100_R41","doi-asserted-by":"crossref","DOI":"10.1186\/s12909-021-02736-2","article-title":"Attitude and knowledge of medical students about organ donation - training needs identified from a Canadian survey","volume":"21","author":"Robert","year":"2021","journal-title":"BMC Med Educ"},{"key":"2023063014164355100_R42","doi-asserted-by":"crossref","first-page":"771","DOI":"10.1097\/TP.0000000000000423","article-title":"An imperative need to change organ donation and transplant curriculum results of a nationwide United Kingdom junior doctor survey","volume":"99","author":"Hakeem","year":"2015","journal-title":"Transplantation"}],"container-title":["Postgraduate Medical Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/pmj\/article-pdf\/99\/1173\/744\/50753429\/pmj-2022-141781.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/pmj\/article-pdf\/99\/1173\/744\/50753429\/pmj-2022-141781.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,6,30]],"date-time":"2023-06-30T14:34:51Z","timestamp":1688135691000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/pmj\/article\/99\/1173\/744\/7146670"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,8,5]]},"references-count":42,"journal-issue":{"issue":"1173","published-online":{"date-parts":[[2022,8,5]]},"published-print":{"date-parts":[[2023,6,30]]}},"URL":"https:\/\/doi.org\/10.1136\/pmj-2022-141781","relation":{},"ISSN":["0032-5473","1469-0756"],"issn-type":[{"value":"0032-5473","type":"print"},{"value":"1469-0756","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2023,7]]},"published":{"date-parts":[[2022,8,5]]}}}