Al-Salhi A, Othman EH. Public knowledge about and attitudes toward organ donation, and public barriers to donate in Jordan: A cross-sectional study. World J Transplant 2024; 14(4): 95419 [PMID: 39697461 DOI: 10.5500/wjt.v14.i4.95419]
Corresponding Author of This Article
Elham H Othman, PhD, Assistant Professor, Faculty of Nursing, Applied Science Private University, Shafa Badran, Amman 11962, Jordan. elham.othman@ymail.com
Research Domain of This Article
Public, Environmental & Occupational Health
Article-Type of This Article
Observational Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Transplant. Dec 18, 2024; 14(4): 95419 Published online Dec 18, 2024. doi: 10.5500/wjt.v14.i4.95419
Table 1 Participants characteristics, n = 396
Characteristics
n (%)
Sex
Female
208 (52.7)
Male
188 (47.3)
Age in years
18-35
235 (59.3)
36-55
121 (30.6)
> 55
40 (10.1)
Marital status
Single
206 (52)
Married
171 (43.2)
Others, divorced or widowed
19 (4.8)
Educational level
Less than high school
53 (13.4)
Diploma
54 (13.6)
BSc
258 (65.2)
Higher education
31 (7.8)
Employment
Full-time job
146 (36.9)
Part-time job
43 (10.9)
Not working
207 (52.3)
Monthly income in JD
< 500
123 (31.1)
500-999
157 (39.6)
1000-1500
70 (17.7)
> 1500
46 (11.6)
Residency
Urban
362 (91.4)
Rural
34 (8.6)
Table 2 History of chronic illnesses, n = 396
Related organ
Participant
Relatives
Heart
17 (4.3)
135 (34.1)
Pancreas
10 (2.5)
46 (11.6)
Kidney
9 (2.3)
45 (11.4)
Lung
8 (2)
39 (9.8)
Small intestine
10 (2.5)
34 (8.6)
Liver
0
17 (4.3)
None
342 (86.4)
80 (20.2)
Table 3 Participants’ knowledge about organ donation and brain death, n = 396
Question
Correct answer
Incorrect answer
Organ donation is when a person donates one or more parts of his body during his life or after his death to another person
371 (93.7)
25 (6.3)
The blood group of the donor and the patient must match when transplanting organs
284 (71.7)
112 (28.3)
Human kidney can be transplanted
377 (95.2)
19 (4.8)
Human corneal can be transplanted
350 (88.4)
46 (11.6)
Human heart can be transplanted
318 (80.3)
78 (19.7)
Human liver can be transplanted
309 (78)
87 (22)
Human bone marrow can be transplanted
279 (70.5)
117 (29.5)
Human lung can be transplanted
209 (52.8)
187 (47.2)
Human skin can be transplanted
185 (46.7)
211 (53.3)
Brain death is the irreversible cessation of all brain functions, which means that a brain-dead person does not have the ability to exercise vital functions such as breathing without artificial support devices and medications
341 (86.1)
55 (13.9)
Even if the doctor declares brain death, the patient is alive as long as he is breathing
51 (12.9)
345 (87.1)
Even if the doctor declares brain death, the patient may recover from his injuries
211 (53.3)
185 (46.7)
Even if the doctor declares brain death, taking the patient's organs is forbidden by religion (Sharia)
66 (16.7)
330 (83.3)
Even if the doctor declares brain death, taking the patient's organs is immoral
60 (15.2)
336 (84.8)
Table 4 Participants’ attitude toward organ donation
Subscale
Total score M (SD)
Min-Max
95%CI
Lower
Upper
Total Attitude scale (out of 124) range
72.78 (18.36)
25-120
70.96
74.60
Opinions about organ donation (out of 36) range
24.29 (8.42)
0-36
23.46
25.13
Preferences for organ donation (out of 32) range
17.41 (9.23)
0-32
16.50
18.33
Perceived risks of living organ donation (out of 24) range
13.15 (7.43)
0-24
12.41
13.88
Hesitations and barriers to organ donation (out of 32) range
17.39 (7.56)
0-32
17.18
18.68
Table 5 Numbers and percentages for participants’ responses to the PABOD, n = 396
Items
Disagree
Neutral
Agree
Opinions about organ donation
I believe that organ donation is a permanent good deed that benefits the community (ongoing charity)
37 (9.3)
55 (13.9)
304 (76.8)
I believe that organ donation after death can transform the experience of death into a happy one by giving another person a chance to live
48 (12.1)
54 (13.6)
294 (74.2)
If it was up to me, I would give consent to donate the organs of a family member when he dies, only if I knew he wanted to be a donor
62 (15.7)
65 (16.4)
269 (67.9)
In my opinion, the donor’s family feels comfortable after his death because part of him is still alive in the body of another person
65 (16.4)
91 (23)
240 (60.6)
I don’t agree to donate my organs after my death
210 (53)
84 (21.2)
102 (25.8)
If it was up to me, I would give consent to donate the organs of a family member when he dies
118 (29.8)
86 (21.7)
192 (48.5)
I encourage my family members to donate organs
134 (33.8)
140 (35.4)
122 (30.8)
I agree to donate organs during my life to a member of my family
65 (16.4)
60 (15.2)
271 (68.4)
I agree to donate organs regardless of the recipient’s attributes, as long as he/she needs it
95 (24)
79 (19.9)
222 (56.1)
Preferences for organ donation
I prefer to donate to someone who is not an alcoholic
123 (31.1)
58 (14.6)
215 (54.3)
I prefer to donate to non-smokers
180 (45.4)
83 (21)
133 (33.6)
I prefer to donate to someone without any physical disability or disease other than what is related to the donated organ
187 (47.2)
106 (26.8)
(26)
I prefer to donate to someone who shares my religious beliefs
154 (38.9)
81 (20.5)
161 (40.7)
I prefer to donate to someone who is under the age of 50 years
165 (41.7)
97 (24.5)
134 (33.8)
I prefer to donate to someone without any psychological disorder or mental disability
184 (46.5)
89 (22.5)
(31)
I prefer to donate to someone who has not been criminally convicted
166 (41.9)
102 (25.8)
128 (32.3)
I prefer to donate to someone from my own tribe
192 (48.5)
105 (26.5)
99 (25)
Perceived risks of living organ donation
Living donation entails the risk of causing pain to the donor
150 (37.9)
34 (8.6)
212 (53.5)
Living donation entails the risk of causing infections to the donor
150 (37.9)
47 (11.8)
199 (50.3)
Organ donation during life causes no risks or harms
305 (77)
20 (5.1)
71 (17.9)
Living donation entails the risk of causing bleeding to the donor
227 (57.3)
10 (2.5)
159 (40.2)
Living donation entails the risk of causing weakness in the donor
160 (40.4)
33 (8.3)
203 (51.3)
Living donation entails the risk of causing psychological harm, such as stress, anxiety, or depression, to the donor
205 (51.8)
16 (4)
175 (44.2)
Hesitations and barriers to organ donation
I may hesitate to donate organs because the body might be deformed if its organs are removed
207 (52.3)
91 (23)
98 (24.7)
I may hesitate to donate organs because I believe it is essential that the human body contains all its parts when it is buried
231 (58.3)
73 (18.4)
92 (23.2)
I may hesitate to donate organs because my family does not approve of it
172 (43.4)
117 (29.5)
107 (27)
I may hesitate to donate organs because I fear side effects, medications, and surgeries
79 (19.9)
115 (29)
202 (51)
I may hesitate to donate organs because I don't like the idea of giving up one of my organs, I might need it in the future
145 (36.6)
106 (26.8)
145 (36.6)
I may hesitate to donate organs because I lack trust in the medical staff
183 (46.2)
112 (28.3)
101 (25.5)
I may hesitate to donate organs because my religious beliefs are not compatible with organ donation
249 (62.9)
86 (21.7)
61 (15.4)
I may hesitate to donate organs because I fear falling into the network of organ trafficking
139 (35.1)
74 (18.7)
183 (46.2)
Table 6 Differences in participants’ attitudes toward organ donation based on their characteristics
Characteristic
Mean (SD)
Test
P value
Sex
2.93
0.004
Female
74.41 (18.39)
Male
68.35 (17.59)
Age in years
2.16
0.116
18-35
73.14 (17.71)
36-55
73.96 (19.46)
> 55
67.18 (18.14)
Marital status
0.89
0.446
Single
72.92 (18.02)
Married
73.11 (18.90)
Others, divorced or widowed
79.33 (17.36)
Educational level
1.64
0.181
Less than high school
72.62 (20.61)
Diploma
67.91 (18.33)
BSc
73.95 (17.89)
Higher education
71.71 (17.70)
Employment
1.35
0.258
Full time job
74.34 (17.16)
Part timer job
69.26 (19.24)
Not working
72.41 (18.95)
Monthly income in JD
0.42
0.737
< 500
18.54 (1.68)
500-999
18.47 (1.47)
1000-1500
18.73 (2.24)
> 1500
17.20 (2.54)
Residency
0.93
0.351
Urban
73.04 (18.27)
Rural
69.94 (19.37)
History of chronic illnesses
1.02
0.413
Yes
72.17 (16.96)
No
72.88 (18.59)
Chronic illnesses of relatives
0.945
0.45
Yes
72.82 (17.52)
No
72.74 (19.16)
Do you have a personal relationship with a person who donated organs?
0.803
0.44
Yes
74.23 (18.61)
No
72.40 (18.30)
Do you have a personal relationship with someone who needs an organ transplant?
1.36
0.17
Yes
74.75 (18.89)
No
71.97 (18.10)
Have you thought about organ donation before?
7.62
< 0.001
Yes
79.41 (17.46)
No
66.22 (16.84)
Have you ever registered your name to donate organs with any government institution?
2.42
0.02
Yes
78.96 (14.41)
No
72.31 (18.56)
Citation: Al-Salhi A, Othman EH. Public knowledge about and attitudes toward organ donation, and public barriers to donate in Jordan: A cross-sectional study. World J Transplant 2024; 14(4): 95419