Decisions to donate bone marrow: The role of attitudes and subjective norms across cultures

Abstract

This paper reports the results of a field investigation of the determinants of decisions to donate bone marrow. Predictions are made on the basis of a modification of the theory of reasoned action wherein attitudes are operational-ized in separate affective and evaluative components. Boundary conditions of the theory of reasoned action are further explored by examining the effects of culture (Hong Kong Chinese, N= 190; American Chinese, N = 107; black Americans, N = 124; and white Americans N = 122) on decisions to donate for each of four targets: Immediate Family Members (TFM), Close Relatives (CR), Ethnic Strangers (ES), and Total Strangers (TS). For this life or death decision, the willingness to give is hypothesized to vary as a function of the so-called fitness value of the recipients (i.e., their capacity to contribute to the donor's inclusive fitness), as modified by cultural differences between group- versus independent-based cultures. Among other results, the following gradient was found in attitudes, subjective norms, and intentions for Chinese: IFM > CR > ES > TS; for Americans the pattern was IFM = CR > ES = TS. American Chinese showed stronger attitudes and felt norms, but not intentions, to give to close relatives than did Hong Kong Chinese, reflecting differential in-group/out-group pressures. Black and White Americans showed stronger attitudes, subjective norms, and intentions to donate to strangers than did Chinese.     

Door-in-the-Face Technique and Delay to Fulfill the Final Request: An Evaluation With a Request to Give Blood

We tested the Door-in-the-Face technique (DITF) on blood donation with a delay between the acceptance of the request and the real possibility of complying with it. University students were solicited to give blood during a special one-day drive. After the refusal to participate in a long-term donor program, participants were asked for a one unit blood donation. In the control condition, only the latter request was addressed. The participants were either solicited two or three hours before the blood drive (delay) or during the blood drive (no delay). Results showed the DITF technique to be associated with greater verbal compliance with the request. However, the DITF technique with no delay was associated with greater behavioral compliance than were both of the control conditions and the DITF with a delay condition.     

捐献骨髓的态度及对白血病人的移情反应的研究

本研究采用AB两种问卷测查在职员工和大学生对骨髓捐献的态度以及对白血病患者的情感反应,AB卷的差异主要在于：B卷中增加了骨髓移植和骨髓捐献的一些基本知识。研究结果显示,捐献骨髓的意向在AB卷、男女性、在校学生和在职员工等几个方面均无显著差异;但在捐献检测费意向上,A卷和B卷、男性和女性之间存在显著差异,从捐献骨髓和捐献检测费的各种原因中可以了解到骨髓捐献中遇到的一些问题。此外,人们在不同故事情境中所唤起的移情反应的程度是不同的,研究结果显示,对幼儿和青少年主人公,人们的情感反应的程度更高些。     

组织工程骨在口腔颌面部骨缺损中的应用与思考

组织工程已经开始应用于口腔医学领域,组织工程骨在治疗牙槽骨缺损,上颌骨及下颌骨缺损方面也取得了很大的进展,为颌面骨缺损的修复开辟了一条新途径,但同时也存在技术方面的不足和伦理学问题.     

移植协调员在DCD工作中的角色和作用

器官捐献是器官移植事业发展的基石,而协调员在器官捐献工作中则有着举足轻重的地位和作用。自2010年3月我国推行人体器官捐献试点工作以来,适合中国国情的DCD工作成为器官捐献工作的重中之重。如何充分发挥协调员在DCD工作中的作用,提高DCD捐献率和供体转化率,以有效地促进和推动DCD工作,是急待探讨和解决的问题。本文结合...     

骨髓间充质干细胞移植治疗对心肌梗死后心功能的影响

目前心肌梗死常规治疗不能修复已死亡或者濒死的心肌,应用干细胞替代受损或死亡的心肌细胞来改善心功能,已成为近年来国内外研究的热点。骨髓间充质干细胞通过修复坏死心肌、促进血管新生等改善心梗后心功能,其移植治疗有望成为治疗心肌梗死的一个全新方法。     

骨巨细胞瘤外科治疗几个问题的思考

骨巨细胞瘤是临床上常见的骨肿瘤,其治疗方式由以前的截肢术发展到保肢术,一直到现在的多种局部切除与功能重建方式,透过其治疗理念的更新,以及手术技术的转变,不难看出临床医生应重视循证医学实践,不断更新观念,坚持个体化治疗,明确切除范围、切除方式与重建方法及肢体功能之间的关系,不断改善患者的生活质量。     

急性有机磷农药中毒救治中的几个问题

解决急性有机磷农药中毒病死率居高不下的问题,必须提高救治中的辩证思维.正确理解标本兼治的含义,外周性、中枢性抗胆碱药物和复能剂联合应用,合理维持阿托品化,积极应用机械通气进行必要的呼吸支持治疗和适时行血液灌流治疗是救治有机磷农药中毒的有效保证.     

When is the gift given? Organ donation,social representations,and an opportunity to register

The gift of life doctrine underpins Australia's approach to organ donation: in legislation, clinical practice, community awareness campaigns, and educational activities. In this paper, we present an approach that situates an understanding of organ donation within a social representation framework as a system of values, ideas, and practices. In cadaveric donation, the final giving‐of‐the‐gift can never be by the donor, leading us to ask where the potential donor's decision to give the gift really lies. We present research from three studies that explored the relationship between what was socially understood about organ donation and the registration of donation intent. Drawing from three socially and culturally diverse populations, we asked people working in a corporate city institution and those attending two football matches in the outer city area to complete a word‐association task and Likert‐scale belief questions about organ donation—followed by an opportunity to register immediately on the Australian Organ Donor Register. Driven by the interdependent themata of life/death and self/other, the gift of life doctrine is inextricably linked with the loss of life emerging as both positive and negative beliefs allowing their relationship to actual registration behaviour to be observed. Our findings suggest that in many instances, the potential donor's genuine desire to give the gift lies in the tension between positive and negative beliefs, manifesting as a consent registration when the positive beliefs about donation prevail and an immediate opportunity to register is available.     

Social exclusion and donation behaviour: What conditions motivate the socially excluded to donate?

Previous research has indicated that social exclusion can result in people becoming more focused on themselves than on others, and this may reduce their likelihood of engaging in prosocial behaviour. However, the question of how to promote prosocial behaviour in people who have experienced social exclusion remains. This study comprised two experiments that address this question in the context of donation advertising. Experiment 1 examined participants’ donation intentions after experiencing social exclusion in a ball‐passing game. Experiment 2 followed the same design as Experiment 1, except that real‐life donation behaviour was measured. Consistent with prior findings, our results indicated that those who experienced social exclusion displayed lower donation intentions (Experiment 1) and donated less (Experiment 2) than did those who did not experience social exclusion. However, when those who experienced social exclusion watched advertisements that only portrayed alienated people, they showed as much donation intent as those who did not experience social exclusion (Experiment 1) and ultimately donated more (Experiment 2). These findings indicate that social exclusion may increase an individual's tendency to help others who also are alienated.