Evaluation of Organ Donation Attitudes in The Context of Health Literacy and Fatalism: A Cross-Sectional Correlational Study.

The aim of the study is to investigate the relationships among health literacy (HL), fatalistic tendencies, and attitudes toward organ donation. A cross-sectional correlational study design was employed. The sample consists of 1566 voluntary participants residing in four major cities in the Central Anatolian Region of Türkiye. Data were collected via an online form between August 1 and December 31, 2023, using the Organ Donation Attitude Scale, Health Literacy Scale-14, and Fatalism Tendency Scale. Mediation analysis was performed utilizing Hayes' PROCESS Macro (Model 4). Of the participants, 72.8% demonstrated knowledge about organ transplantation, and 40.4% reported having considered organ donation after death. The analyses revealed that fatalistic tendencies explained 5.4% of the variance in humanity and moral conviction and 13.31% of the variance in negative attitudes. Additionally, HL partially mediated the relationship between fatalistic tendencies and attitudes toward organ donation. These findings suggest that addressing fatalism and improving HL could positively influence perceptions of organ donation.