@article {LiE551, author = {Alvin Ho-ting Li and Ngan N. Lam and Sonny Dhanani and Matthew Weir and Versha Prakash and Joseph Kim and Greg Knoll and Amit X. Garg}, title = {Registration for deceased organ and tissue donation among Ontario immigrants: a population-based cross-sectional study}, volume = {4}, number = {4}, pages = {E551--E561}, year = {2016}, doi = {10.9778/cmajo.20160024}, publisher = {Canadian Medical Association Open Access Journal}, abstract = {Background: Canada has low rates of deceased organ and tissue donation. Immigrants to Canada may differ in their registered support for deceased organ donation based on their country of origin.Methods: We used linked administrative databases in Ontario (about 11 million residents aged >= 16 yr) to study the proportion of immigrants and long-term residents registered for deceased organ and tissue donation as of October 2013. We used modified Poisson regression to identify and quantify predictors of donor registration.Results: Compared with long-term residents (n = 9 244 570), immigrants (n = 1 947 646) were much less likely to register for deceased organ and tissue donation (11.9\% v. 26.5\%). Immigrants from the United States, Australia and New Zealand had the highest registration rate (40.0\%), whereas immigrants with the lowest registration rates were from Eastern Europe and Central Asia (9.4\%), East Asia and Pacific (8.4\%) and sub-Saharan Africa (7.9\%). The largest numbers of unregistered immigrants were from India (n = 202 548), China (n = 186 678) and the Philippines (n = 125 686). Characteristics among the immigrant population associated with a higher likelihood of registration included economic immigrant status, living in a rural area (population \< 10 000), living in an area with a lower ethnic concentration, less material deprivation, a higher education, ability to speak English and French, and more years residing in Canada.Interpretation: Immigrants in Ontario were less likely to register for deceased organ and tissue donation than long-term residents. There is a need to better understand reasons for lower registration rates among Canadian immigrants and to create culture-sensitive materials to build support for deceased organ and tissue donation.}, URL = {https://www.cmajopen.ca/content/4/4/E551}, eprint = {https://www.cmajopen.ca/content/4/4/E551.full.pdf}, journal = {Canadian Medical Association Open Access Journal} }