Observational Study
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Psychiatry. Apr 19, 2025; 15(4): 104859
Published online Apr 19, 2025. doi: 10.5498/wjp.v15.i4.104859
From health literacy to organ donation and transplantation awareness: The path through self-control
Amil Huseynov, Begum Satici
Amil Huseynov, Department of Transplantation, Istanbul Medicana International, İstanbul 34180, Türkiye
Begum Satici, Department of Psychological Counseling, Yildiz Technical University, İstanbul 34180, Türkiye
Author contributions: Huseynov A and Satici B designed the study; Huseynov A was responsible for developing the methodology; Huseynov A and Satici B participated in the formal analysis and investigation, wrote the original draft, participated in the review and editing.
Institutional review board statement: This study was approved by the relevant Yildiz Technical University Ethics Committee (No. 20241003354).
Informed consent statement: Informed consent was obtained from all participants.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
STROBE statement: The authors have read the STROBE Statement—a checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-a checklist of items.
Data sharing statement: Data will be made available on request.
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: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Amil Huseynov, MD, Assistant Professor, Department of Transplantation, Istanbul Medicana International, Beylikduzu, İstanbul 34180, Türkiye. atu-boy@hotmail.com
Received: January 6, 2025
Revised: January 24, 2025
Accepted: February 17, 2025
Published online: April 19, 2025
Processing time: 80 Days and 19.5 Hours
Abstract
BACKGROUND

Organ donation and transplantation are vital for saving lives, yet awareness remains limited. Health literacy, the ability to understand and use health information, and self-control, which influences decision-making, are crucial factors in promoting awareness. Understanding their relationship can guide efforts to increase participation in organ donation.

AIM

To investigate the effect of health literacy on organ donation and transplantation awareness, with self-control acting as a mediator, and to emphasize its importance.

METHODS

The study comprised 345 adults recruited from five different cities in Türkiye. The sample included 208 women (60.29%) and 137 men (39.71%). The age range of the sample group varies between 18 and 49 (median age = 24.13; SD = 8.81). Self-report data were collected including psychometric measures assessing organ donation and transplantation awareness, health literacy, and self-control. Reliability analysis, descriptive statistics, correlational analysis, and mediational analysis of the data were carried.

RESULTS

The analysis showed that health literacy was positively correlated with organ donation and transplantation awareness (r = 0.340) and self-control (r = 0.376). Self-control was positively related to organ donation and transplantation awareness (r = 0.531). Mediating analysis supported a mediation model where health literacy was found to influence organ donation and transplantation awareness via self-control (bootstrap = 0.158, 95% confidence interval = 0.105-0.215).

CONCLUSION

The results indicate that self-control mediates the positive relationship between health literacy and organ donation and transplantation awareness. Enhancing individuals’ health literacy may therefore increase awareness of organ donation and transplantation through improvements in self-control.

Keywords: Health literacy; Organ donation; Organ transplantation; Self-assessments; Mediation

Core Tip: This study explores the relationship between health literacy, self-control, and organ donation and transplantation awareness. Findings reveal that self-control mediates the positive impact of health literacy on awareness. By enhancing health literacy, individuals can develop better self-control, leading to increased awareness of organ donation and transplantation. These insights highlight the importance of targeting health literacy and self-regulation in public health initiatives to promote organ donation.