Observational Study
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jun 6, 2020; 8(11): 2235-2245
Published online Jun 6, 2020. doi: 10.12998/wjcc.v8.i11.2235
Attitudes, awareness, and knowledge levels of the Turkish adult population toward organ donation: Study of a nationwide survey
Sami Akbulut, Ali Ozer, Ayse Gokce, Khaled Demyati, Hasan Saritas, Sezai Yilmaz
Sami Akbulut, Ali Ozer, Ayse Gokce, Department of Public Health, Inonu University Faculty of Medicine, Malatya 44280, Turkey
Sami Akbulut, Khaled Demyati, Sezai Yilmaz, Liver Transplant Institute, Inonu University, Malatya 44280, Turkey
Khaled Demyati, Department of Surgery, An-Najah National University Hospital, An-Najah National University, Nablus 11941, Palestine
Hasan Saritas, Department of Surgical Nursing, Inonu University Faculty of Nursing, Malatya 44280, Turkey
Author contributions: Akbulut S, Saritas H, Gokce A and Ozer A collected data; Akbulut S and Ozer A analyzed statistical; Akbulut S, Ozer A and Demyati K wrote manuscript; Akbulut S and Yilmaz S projected development and reviewed final version.
Supported by Inonu University Scientific Research Projects Coordination Unit, No. 2018/976.
Institutional review board statement: This study was reviewed and approved by the Inonu University institutional review board for non-interventional studies (2017/24-7)
Informed consent statement: Verbal consent was obtained from all parents.
Conflict-of-interest statement: The authors declare no conflicts of interest regarding this manuscript.
Data sharing statement: There are no additional data available for this study.
STROBE statement: The authors have read the STROBE Statement—checklist of items, and the manuscript was prepared and revised according to the STROBE Statement—checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (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/
Corresponding author: Sami Akbulut, MD, Associate Professor, Liver Transplant Institute, Inonu University, Elazig Yolu 10. Km, Malatya 44280, Turkey. akbulutsami@gmail.com
Received: March 12, 2020
Peer-review started: March 12, 2020
First decision: April 25, 2020
Revised: May 4, 2020
Accepted: May 26, 2020
Article in press: May 26, 2020
Published online: June 6, 2020
Processing time: 87 Days and 6.8 Hours
Abstract
BACKGROUND

The most important factors affecting attitudes on organ donation are socioeconomic, educational, cultural, and religious factors in many countries.

AIM

To evaluate the attitudes, awareness, and knowledge levels of the Turkish adult population toward organ donation.

METHODS

This nationwide study surveyed 3000 adults (≥ 18 years) in Turkey. To ensure a representative sample, the Nomenclature of Territorial Units for Statistics-II (modified for Turkey) was used. Turkey was divided into 26 regions based on social, economic, and geographic criteria as identified by the Turkish Statistical Institute. A stratified sampling method was used with an even distribution of adults across cities and towns based on population data. Data were collected by the PRP Research and Consultancy Company using computer-assisted personal interviews.

RESULTS

Out of 3000 individuals represented in the study population, 1465 (48.8%) were male and 1535 (51.2%) female. The results showed that most participants were under 45 years (59.0%) and married (72.1%), some had a bachelor's degree or higher (21.9%), and very few (1.5%) had any direct experience with organ transplantation - whether in the family, or a family member on a transplantation waiting list. Most of the study population (88.3%) had not considered donating an organ, however, most (87.9%) said that they would accept an organ from a donor if they needed one. Among the individuals surveyed, 67% were willing to donate an organ to a close relative, while 26.8% would donate an organ to an unrelated person. Only 47.2% said they had adequate information about brain death, and 85.2% refused to consent to donating organs of family members declared brain dead. Only 33.9% thought they had adequate information about organ donation. The main source of information was the television. The two main reasons for refusing organ donation were that it was too soon to think about organ donation and the importance of retaining the integrity of the dead person’s body.

CONCLUSION

This study showed that Turkey’s adult population has inadequate knowledge about organ donation. The study advocates for public education programs to increase awareness among the general population about legislation related to organ donation.

Keywords: Organ donation; Adult population; Attitudes; Knowledge levels; Awareness; Barriers to the organ donation

Core tip: The small pool of transplant organs remains a major problem especially in Asia and the Middle East. The most important factors affecting the availability of organs are socioeconomic, educational, cultural, and religious. In the present study, we aimed to evaluate the attitudes, awareness, and knowledge levels of Turkish adults toward organ donation.