Voluntary organ donation is the sole legitimate source of deceased transplantable organs in China. Migrant workers have been major donors. The aim of this study was to examine willingness to communicate about organ donation and identify its predictors among Chinese migrant workers.
A total of 660 Chinese migrant workers were recruited into the study. Data were collected by the Chinese version of Organ Donation Attitude Scale, Death Attitude Profile-Revised (DAP-R), Self-Report Altruism Scale (SRA), Willingness to Communicate Sale (WTCS), and a socio-demographic data sheet.
A total of 688 eligible migrant workers was approached and 660 workers completed the study with the response rate of 95.9%. Migrant workers reported moderate level of willingness to communicate about organ donation. The best-fit regression analysis revealed five variables that explained 32.6% of the variance in willingness to communicate about organ donation. They were approval of organ donation, obstacle of organ donation, approach acceptance and death avoidance.
Migrant workers who had a stronger feeling about organ donation or death, and stronger altruism tendencies had a higher willingness to communicate about organ donation. Accordingly, the campaign strategy to promote family communication should enhance positive attitudes about donation, alleviate the fear of death and focus on the altruism element of donation behavior.
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Mainland China has become the second largest organ donation country following the United States of America (USA) since 1960s. The Chinese Health Authorities estimated that the need for transplants was 300,000 per year, however, the transplant rate in China was only 1.2 people per million population in 2014 [1]. On January 1, 2015, organs procured from prisoners were officially called off, voluntary civilian organ donation has become the sole legitimate source of deceased transplantable organs in China [2]. China’s new organ donation system has been welcomed by the public, and the developing processes remains challenging [3].
