Huseynov Amil, Satici Begum
Department of Transplantation, Istanbul Medicana International, İstanbul 34180, Türkiye.
Department of Psychological Counseling, Yildiz Technical University, İstanbul 34180, Türkiye.
World J Psychiatry. 2025 Apr 19;15(4):104859. doi: 10.5498/wjp.v15.i4.104859.
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.
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.
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.
The analysis showed that health literacy was positively correlated with organ donation and transplantation awareness ( = 0.340) and self-control ( = 0.376). Self-control was positively related to organ donation and transplantation awareness ( = 0.531). Mediating analysis supported a mediation model where health literacy was found to influence organ donation and transplantation awareness self-control (bootstrap = 0.158, 95% confidence interval = 0.105-0.215).
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.
器官捐赠与移植对于挽救生命至关重要，但相关认知仍然有限。健康素养，即理解和运用健康信息的能力，以及影响决策的自我控制能力，是提高认知的关键因素。了解它们之间的关系有助于指导提高器官捐赠参与度的工作。
以自我控制为中介，研究健康素养对器官捐赠与移植认知的影响，并强调其重要性。
该研究招募了来自土耳其五个不同城市的345名成年人。样本包括208名女性（60.29%）和137名男性（39.71%）。样本组的年龄范围在18至49岁之间（中位年龄 = 24.13；标准差 = 8.81）。收集了自我报告数据，包括评估器官捐赠与移植认知、健康素养和自我控制能力的心理测量指标。对数据进行了信度分析、描述性统计、相关性分析和中介分析。
分析表明，健康素养与器官捐赠与移植认知（ = 0.340）以及自我控制能力（ = 0.376）呈正相关。自我控制能力与器官捐赠与移植认知呈正相关（ = 0.531）。中介分析支持了一个中介模型，其中健康素养通过自我控制能力影响器官捐赠与移植认知（自助法 = 0.158，95%置信区间 = 0.105 - 0.215）。
结果表明，自我控制能力在健康素养与器官捐赠与移植认知之间的正向关系中起中介作用。因此，提高个体的健康素养可能通过改善自我控制能力来提高器官捐赠与移植的认知。
