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Volume 13, Issue 4 (2025)
Health Educ Health Promot 2025, 13(4): 703-710 |
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Received: 2025/12/14 | Accepted: 2025/12/23 | Published: 2025/11/19
Received: 2025/12/14 | Accepted: 2025/12/23 | Published: 2025/11/19
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Masoudy G, Saeidinejad F, Ansari H, Izadirad H. Knowledge, Attitudes, and Predictors of Posthumous Organ Donation Card Registration in University Student. Health Educ Health Promot 2025; 13 (4) :703-710
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Abstract (418 Views)
Background: Donation after brain death (DBD) serves as the most effective source of transplantable organs. However, Iran experiences a concerning disparity between potential and actual donors, with an alarming shortfall in conversion rates despite numerous annual brain death cases.This study aimed to evaluate knowledge, attitudes, experiences, and predictors of organ donor card registration among non-medical students in southeastern Iran.
Materials and methods: A cross-sectional study employing multi-stage random sampling was conducted from June 2022 to June 2023 at the University of Sistan and Baluchestan. Data collection utilized a validated questionnaire with strong content validity (CVI > 0.8, CVR > 0.62) and internal consistency (Cronbach's alpha: 0.71 for knowledge, 0.70 for attitude). Analysis incorporated descriptive statistics and analytical methods, including logistic regression, with significance set at p < 0.05.
Results: Among 320 participants (mean age 22.49 ± 2.11 years), females predominated (53.4%). Most students pursued Bachelor's degrees (90.6%) in Social Sciences (51.6%). Only 11.9% were registered donors. Knowledge levels were primarily moderate (53.1%), while attitudes were largely positive (96.6% moderate-to-good). The regression model (Nagelkerke R² = 0.52) identified personal Experiences as the sole significant registration predictor (OR: 3.86, 95% CI: 2.43-6.13, p < 0.001).
Conclusion: These results demonstrate a substantial intention-behaviour gap among students. Interventions should prioritize developing meaningful experiential learning opportunities through direct exposure to organ donation contexts and personal narratives from donors and recipients, rather than depending exclusively on conventional knowledge-based campaigns. Strategic partnerships with donor associations and integration of personal testimonies into educational programs are recommended.
Materials and methods: A cross-sectional study employing multi-stage random sampling was conducted from June 2022 to June 2023 at the University of Sistan and Baluchestan. Data collection utilized a validated questionnaire with strong content validity (CVI > 0.8, CVR > 0.62) and internal consistency (Cronbach's alpha: 0.71 for knowledge, 0.70 for attitude). Analysis incorporated descriptive statistics and analytical methods, including logistic regression, with significance set at p < 0.05.
Results: Among 320 participants (mean age 22.49 ± 2.11 years), females predominated (53.4%). Most students pursued Bachelor's degrees (90.6%) in Social Sciences (51.6%). Only 11.9% were registered donors. Knowledge levels were primarily moderate (53.1%), while attitudes were largely positive (96.6% moderate-to-good). The regression model (Nagelkerke R² = 0.52) identified personal Experiences as the sole significant registration predictor (OR: 3.86, 95% CI: 2.43-6.13, p < 0.001).
Conclusion: These results demonstrate a substantial intention-behaviour gap among students. Interventions should prioritize developing meaningful experiential learning opportunities through direct exposure to organ donation contexts and personal narratives from donors and recipients, rather than depending exclusively on conventional knowledge-based campaigns. Strategic partnerships with donor associations and integration of personal testimonies into educational programs are recommended.
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