Postgraduate Students' Organ Donation Attitudes and Religious Beliefs: A Cross-sectional Study

Umit Apak¹Sami Akbulut^2*Zeynep Kucukakcali³Hasan Saritas⁴

• ¹Transplantation Coordinator Program, Inonu University Liver Transplant Institute, Malatya, Türkiye
• ²Department of Surgery and Liver Transplant Institute, Inonu University Faculty of Medicine, Malatya, Türkiye
• ³Department of Biostatistics and Medical Informatics, Inonu University Faculty of Medicine, Malatya, Türkiye
• ⁴Department of Surgical Nursing, Siirt University Faculty of Health Science, Siirt, Türkiye

Background: Organ donation is a critical public health issue, and understanding the factors influencing individuals' knowledge, attitudes, and awareness is essential. To address this, we conducted a descriptive and analytical study among postgraduate students, aiming to evaluate the relationship between their knowledge, attitudes, and awareness of organ donation and their religious beliefs.A survey-based study was conducted among 500 postgraduate students at Inonu University Health Sciences Institute. A demographic information form, an organ donation knowledge form, and the validated Turkish version of the Organ Donation Attitude Scale (ODAS) were used. Data collection was conducted online via Google Forms. Independent variables included age, marital status, education programs, alcohol and cigarette use, and awareness of organ donation, while dependent variables were ODAS total and subdimension scores.Results: A total of 324 postgraduate students completed the survey. Despite 96.5% recognizing the necessity of organ donation, only 16.9% reported having registered as donors. Religious beliefs were important for 92.5% of postgraduate students, influenced major decisions for 62.2%, and 65.8% believed organ donation was compatible with Islam. The ODAS total scores showed no significant differences based on gender (p = 0.073), marital status (p = 0.483), education program (p = 0.051), or the influence of religious beliefs on life decisions (p = 0.135). Doctoral postgraduate students were more aware of the fatwa on organ donation (p = 0.010). Postgraduate students who had not donated an organ were significantly more likely to believe that brain death is reversible (p < 0.001), to disapprove of organ donation from a Muslim to a non-Muslim (p = 0.004), and to consider organ donation incompatible with Islam (p < 0.001). The Cronbach's alpha value of the ODAS scale was 0.841, indicating good internal consistency.Although religious beliefs influenced major life decisions for most postgraduate students, they did not significantly alter attitudes towards organ donation, as measured by ODAS scores. Misconceptions about brain death and religious permissibility persist, highlighting the need for targeted educational programs, especially considering that postgraduate students, as future health professionals, can play a crucial role in promoting organ donation awareness.