Observational Study
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. May 6, 2020; 8(9): 1620-1631
Published online May 6, 2020. doi: 10.12998/wjcc.v8.i9.1620
Attitudes, knowledge levels and behaviors of Islamic religious officials about organ donation in Turkey: National survey study
Sami Akbulut, Ali Ozer, Betul Firinci, Hasan Saritas, Khaled Demyati, Sezai Yilmaz
Sami Akbulut, Ali Ozer, Betul Firinci, 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
Hasan Saritas, Department of Surgical Nursing, Inonu University Faculty of Nursing, Malatya 44280, Turkey
Khaled Demyati, Department of Surgery, An-Najah National University Hospital, An-Najah National University, Nablus 11941, Palestine
Author contributions: Akbulut S, Saritas H, Firinci B 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. 2018/1024.
Institutional review board statement: This study was reviewed and approved by the Inonu University institutional review board for non-interventional studies (2018/1-9).
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: December 25, 2019
Peer-review started: December 25, 2019
First decision: January 7, 2020
Revised: March 12, 2020
Accepted: April 24, 2020
Article in press: April 24, 2020
Published online: May 6, 2020
Processing time: 126 Days and 17.9 Hours
ARTICLE HIGHLIGHTS
Research background

Each year, the number of people on the waiting list continues increase, and the unavailability of adequate organs for transplantation to meet the existing demand has resulted in major organ shortage crises. Religious misconceptions on organ donation is one of the major barriers to organ donation and hence Islamic religious officials as opinion leaders in Islamic communities can play a major role in promoting organ donation culture and clearing misconceptions.

Research motivation

A large number of patients with organ failure die on the waiting lists because of the lack of available organs, many of them become too sick for transplant while waiting and get dropped from the list. We aim to explore readiness of Islamic religious officials as opinion leaders in Turkey to take part in promoting organ donation culture in the country.

Research objectives

The main objective of this study is to evaluate Islamic religious officials’ attitudes and behaviors toward and level of knowledge on organ donation and transplantation. Data from this study would help us to evaluate if this group of opinion leaders have adequate knowledge and attitude which allows them to effectively promote the public knowledge and influence their attitude towards organ donation.

Research methods

We surveyed 2350 Islamic religious officials working in Turkey. Based on the Nomenclature of Territorial Units for Statistics-II, Turkey was divided into 26 regions. The number of Islamic religious officials in each city and town in each of the 26 regions was proportionate to the population. A stratified sampling method based on demographic factors was used.

Research results

This study showed that only 60.5% of the religious officials deemed organ donation as appropriate to Islamic beliefs. These data show that misperceptions of religion stand of organ donation do exist not only in the public, but it even exists in Islamic opinion leaders. Furthermore, the level of education of religious officials significantly affected the willingness to donate their organs, with far more religious officials with a higher educational level believed that organ donation is a necessary and appropriate human behavior.

Research conclusions

Our results showed that Religious officials in Turkey have inadequate information on organ donation, and they need better education before they can be recruited to overcome religious barriers to organ donation and promote organ donation in the country. Furthermore, educational level found to correlate well with positive attitude towards organ donation. This further stress the importance of education and showed that Islamic officials with higher education should be selected for the purpose of public education.

Research perspectives

Opinion leaders in the community can have the same misperceptions that present in the public. Their knowledge and attitude needs to be tested before they can take role in public education. Further studies are needed to test the effectiveness of educational courses in changing attitude in opinion leaders, which would help utilizing the efforts of these influential people in promoting organ donation in the country.