Willingness For Organ Donation Research Articles

Knowledge Does Not Correlate with Behavior toward Deceased Organ Donation: A Cross-Sectional Study in Japan.

BackgroundAlthough knowledge is an important factor that influences decisions regarding deceased organ donation, the associations of knowledge with attitude and behavior regarding organ donation remain uncertain in countries with low organ donation rates like Japan.Material/MethodsWe conducted a cross-sectional survey of hospital medical and non-medical staff in 15 Japanese medical facilities. The questionnaire included items on knowledge, attitude, and behavior toward deceased organ donation and transplantation. Participants were divided into 3 groups according to the tertile of knowledge score. Modified Poisson regression models were used for associations of knowledge score with organ donor registration and willingness to become an organ donor after death.ResultsOf the 1967 staff, 1275 returned the questionnaires (response rate, 64.8%). There were 1190 study subjects with complete data for analysis. For the lowest (n=512), middle (n=428), and highest (n=250) tertile knowledge groups, the proportions of participants who registered and expressed willingness to donate organs were 20.1%, 23.4%, and 28.4% and 31.1%, 38.3%, and 44.0%, respectively. The adjusted proportion ratios for organ donor registration were 0.90 (95% CI, 0.73–1.10) for the middle and 1.00 (0.80–1.26) for the highest tertile of knowledge, compared with the lowest tertile. However, participants with the highest tertile of knowledge score expressed higher willingness for organ donation than the lowest tertile (adjusted proportion ratio, 1.37; 95% CI, 1.13–1.66).ConclusionsFor hospital staff in Japanese medical facilities, high knowledge about organ donation and transplantation was not associated with donor registration, but was associated with willingness to become an organ donor.

Current political aspects of transplantation medicine in Germany: Organ donation in contradiction?

Despite the claimed high organ donation willingness in Germany, the real numbers for organ donation are far below the international average. About 8000 patients in Germany are waiting for atransplant kidney, of which only afraction, after years of waiting, can be treated with asuitable transplant. Further changes to the transplantation law to improve organ donation in Germany were recently adopted. However, it remains the demand for areorganization of organ donation towards the opting out solution. The political decision on this is at the time of delivery of the article.

Reluctance and Willingness for Organ Donation After Death Among the Slovene General Population.

IntroductionThe paper presents the findings of the first large-scale survey on post-mortem organ donation among the general Slovenian population. It focuses on the reported donation willingness, the barriers to joining the register of organ donors and the position towards consent to donate organs of deceased relatives.MethodsA face-to-face survey was conducted on a probability sample of 1,076 Slovenian residents between October and December 2017. The performed analyses included estimations of means and proportions for target variables, an evaluation of between-group differences and a partial proportional odds model to study the relations between organ donation willingness and socio-demographic characteristics.ResultsThe mean reported willingness to donate one’s own organs after death was 3.77 on a 5-point scale, with less than a third of respondents claiming to be certainly willing. Only 6% of those at least tentatively willing to donate organs were certain to join the register of organ donors in the future. The most frequently reported barriers to registration were unfamiliarity with the procedure and a lack of considering it beforehand. The reported willingness to donate organs of a deceased relative strongly depended on the knowledge of the relative’s wishes, yet 80% of the respondents did not discuss their wishes with any family members.ConclusionsThe findings confirm the gap between the reported donation willingness and joining the register of donors. Future post-mortem organ donation strategies need to consider socio-demographic and attitudinal factors of donation willingness and help stimulate the communication about organ donation wishes between family members.

Religious denomination influencing attitudes towards brain death, organ transplantation and autopsy-a survey among people of different religions.

(Brain) death, willingness of organ donation and autopsy are relevant questions of life and death. Religious beliefs are expected to have a significant influence on individual attitudes. People with an active relationship to a religion were surveyed about brain death, organ transplantation and autopsy using an anonymous questionnaire. The study was aimed in particular at students of theology and people in religious communities. In addition to a descriptive statistical analysis, a binary logistic regression analysis was carried out. From November 2016 to April 2017, 1306 people took part in the study. Religious denomination had statistically significant implications. Members of a certain religion were found to share similar positions. Significant differences were noted in the attitudes shown by members of different religions and by those without any religious affiliation. Especially the concept of brain death was rejected by Buddhists. The majority of Sunni Muslims, Hindus and Buddhists rejected organ donation following brain death. In all religious groups, the majority did not possess an organ donor card. Catholics and Protestants had more organ donor cards than any other religious group and more likely supported autopsies. Religious denomination plays a central role in the various viewpoints and attitudes. The findings are just as relevant in scientific and public discussions as they are in medical practice and may contribute to increasing sensitivity and professionalism and to facilitate communication.

Knowledge and Willingness for Organ Donation in the Middle Eastern Region: A Meta-analysis

Medical advancements over the past decades brought organ transplantation as a definitive therapy for different end-stage organ failure. However, non-availability of organs required for transplantation is a major challenge worldwide. We aimed to determine the knowledge and willingness to donate organs in various populations and settings in the Middle Eastern region. Literature searches were conducted on PubMed, MEDLINE, Cochrane, and Google scholar electronic databases. Different combinations of search terms such as “organ donation”; “knowledge”, “awareness”; “beliefs”, “willingness”; and “attitude” along with the country names were used. Additional searches using reference lists of studies and review articles were conducted. Data were extracted using standardized excel form and pilot tested. Three authors independently abstracted the data using a data collection form. Results from different studies were pooled for the analysis when appropriate. The search yielded 1806 articles; 1000 duplicates and review articles were excluded, and a further 792 articles not relevant were excluded. Finally, 14 original studies met the inclusion criteria. Total pooled sample size for assessing knowledge was 6697 and for willingness was 8714. Pooled overall knowledge regarding organ donation was 69% with a 95% CI [64.5, 73.5]. Pooled overall willingness to donate organ was 49.8% with a 95% CI [41.3, 58.4]. Knowledge about organ donation and willingness to donate organs varies in different population and settings in the Middle East. These in fact are linked to multiple social factors ultimately leads to ‘consent’ for donating organs by a potential donor. Family’s influence; religious, traditional and spiritual beliefs; and status of ethnic, minority, and immigrant populace are the important determinants of the decision for organ donation. Understandings on social determinants in organ donation remain crucial and should be addressed while developing policies and organizational developments.

Comparing web-based video interventions to enhance university student willingness to donate organs: A randomized controlled trial.

The efficacy of video interventions to increase organ donation willingness remains unclear. Three-arm web-based randomized controlled trial involving 2261 students at 3 northeastern Ohio universities. Intervention students watched a live-action (n=755) or animated (n=753) donation video. Control students (n=753) viewed wellness information from the Centers for Disease Control and Prevention (CDC). The primary outcome was proportion of students who visited their state electronic donor registry to consent. The secondary outcome was intervention quality. Logistic regression assessed the effects of interventions on visiting the state registry to provide donation consent while controlling for baseline variables. Students in the live-action video arm visited their state registry more frequently than students in the CDC arm (OR=1.86, 95% CI=1.20-2.88). There was no difference between students in the animated video and CDC arms (OR=1.10, 95% CI=0.69-1.76). The quality of the live-action video was rated lower than the animated video and the CDC text (75%±18, 84%±16, 80%±16, respectively; P<0.001). Students who watched the live-action video were more willing to visit their electronic donor registry to register as organ donors, but rated it lower in satisfaction. Future work should identify the most potent components of organ donation interventions.

36 Culturally Targeted and Individually Tailored Videos Improve Organ Donation Willingness Among Black Men After Viewing

Black men have disproportionally greatest need for kidney transplants due to higher prevalence of hypertension and diabetes and inadequate access to treatment. Black men also are least likely to donate organs. The ED is the portal of entry for potential organ donors with more opportunities arising from new programs that consider donation after failed resuscitation. These programs are reliant on patients being registered donors. We assessed whether generic, culturally targeted, or individually tailored videos differentially impact donation willingness among black men. Videos were produced with clients, barbers, and owners of black-owned barbershops (BOBs) throughout NYC. Content was informed from individual qualitative interviews with clients. Beliefs mapped into religion, culture/knowledge, altruism, and normative constructs. Videos were evaluated with a single blinded RCT. Clients viewed videos with iPads and noise cancelling headphones, after which registration was offered. The control video showed a white mother who met the recipient of her daughter’s heart (a white man). The targeted video conveyed information with testimonials from black transplant specialists, barbers, and a black man who is awaiting a kidney transplant. Content debunked myths about organ donation with equal length segments devoted to the belief constructs. Tailoring consisted of 16 video variations based on the targeted video. Pre-intervention organ donation beliefs were assessed with an index validated with multidimensional Rasch models. If a participant scored < 0.6 logits in a domain, that content was included. The primary outcome was proportion of participants who registered. Secondary outcomes included taking an informational pamphlet and change in pre/post organ donation willingness scores (ODWS) assessed with a 5-item scale informed by stages of change theory. We modeled registration with multi-level logistic regression using video group as the primary regressor and BOB location as a random effect. Ordinal logistic regression was used to model post-viewing ODWS as the dependent variable, video group as the primary regressor adjusting for baseline ODWS. Outcomes were assessed with intention to treat (ITT) and treatment effects. 3,746 men were approached in 40 BOBs. Of these, 1,440 were enrolled and 1,353 completed the study. Mean age was 34 years. Randomization yielded approximately equal groups based on age, sex, education, religion, and baseline ODWS. Outcomes are presented in the table below. Tailored and targeted videos did not impact registration differentially compared to generic content, but these production choices improved taking pamphlets and willingness among black men. There were no significant differences between the tailored and targeted groups. Distributing culturally targeted videos without individually tailoring content in community settings may be effective means for improving organ donor willingness among black men.

Study to assess knowledge, attitude and practice regarding organ donation among interns of a medical college in Telangana, India

Background: There is a gradual decrease in health status and daily functioning in patients with end stage organ failure and timing of death remains uncertain. Organ transplantation is the only cure to such patients. Organ donation rate in India is only 0.26 per million. This is due to lack of awareness about the need of organ donation and the ignorance of common men and medical fraternity about the importance, procedures, benefits and legal issues of organ donation. The objective of this study is to assess the knowledge, attitude and practice regarding organ donation among medical interns.Methods: A cross-sectional study was conducted among 160 interns with a pre-tested, semi structured questionnaire in order to assess their knowledge, attitude and practice regarding organ donation. Data collected was analysed using SPSS software.Results: The mean age of the interns was 23.03±0.73 and majority were females (70%). 79.4% of interns were having adequate knowledge and majority (77.5%) were willing for organ donation. Only 5.6% had donor card. Willingness for organ donation was significantly associated with knowledge about organ donation. The major barrier for organ donation was fear of organs misuse. Most common source of information was found to be internet.Conclusions: Though most of the interns had adequate knowledge, still gaps exist in their knowledge, attitude and practices. By giving right knowledge and orientation medicos can be become future organ donors who can then easily motivate their patients to follow the path.

护理本科生器官捐献意愿及其影响因素的调查

护理本科生器官捐献意愿及其影响因素的调查

Medical Students’ Knowledge, Attitudes and Willingness of Organ Donation

IntroductionOrgan donation after citizens’ death was initiated in the 2010s and great progress had been made since then. But the willingness of organ donation still very low. Our research aimed to investigate the knowledge, attitudes and willingness of organ donation in medical students and identifi

Knowledge, attitude, and practices regarding organ donation among adult visitors in a public hospital in Delhi, India

Objective: To assess knowledge, attitude, and practices regarding organ/tissue donation. Materials and Methods: A cross-sectional descriptive study was conducted among ambulatory, consenting adult (>18 years) visitors of a mid-level government hospital using a predesigned, pretested, semistructured interview schedule. Data were analyzed by calculating proportion, Chi-square test, and odds ratio (OR). Results: Of 450 respondents, 271 (60.2%) were aged more than 31 years, 264 (58.7%) were male, 345 (76.7%) were married, 374 (83.1%) were Hindu, 304 (67.6%) had studied up to 10th class, 278 (61.8%) were working, 217 (48.2%) had 0–2 previous visit to this hospital, and 142 (31.6%) reported history of hospitalization. Majority (337, 74.9%) of the respondents had heard the term organ donation (OD). On probing further, nearly 87.3% and 82.4% of respondents had ever heard of eye and kidney donation, respectively. Encouragingly, more than half of respondents, i.e., 261 (58.0%), showed willingness for OD. Statistically (P

Willingness of human immunodeficiency virus-positive patients to donate their organs for transplantation in Taiwan: a cross-sectional questionnaire survey.

With the introduction of combination antiretroviral therapy (cART) that has significantly improved survival, human immunodeficiency virus (HIV)-positive patients may be potential organ donors to HIV-positive recipients in a few countries. Organ shortage remains a challenge for organ transplantation in Taiwan, where organ donation by HIV-positive patients remains prohibited by law. We assessed the willingness of organ donation (should they be pronounced brain dead, and the ban on HIV-positive organ donation be lifted) among HIV-positive patients who received regular HIV care at a university hospital in a cross-sectional survey between May and August 2015 with the use of an anonymous, self-administered questionnaire interview. Of the 1010 participants, 93.7% were receiving cART with the latest mean CD4 count and plasma HIV RNA load of 587 cells/mm3 and 2.73 log10 copies/mL, respectively. Overall, 71.9% were willing to donate organs. In multivariate analysis, factors associated with willingness to donate organs included college or graduate school diploma (odds ratio [OR] 1.571, 95% confidence interval [CI] 1.166-2.191), registered willingness to donate in the National Health Insurance system (OR 9.430, 95% CI 1.269-70.051), and knowledge of the information on HIV-positive deceased donors (HIVDD) (OR 1.673, 95% CI 1.073-2.608). We concluded that a significant proportion (71.9%) of HIV-positive Taiwanese patients were willing to donate their organs. The willingness was associated with a higher education level, prior registered willingness to donate organs, and awareness of HIVDD.

Effects of structured education program on organ donor designation of nursing students and their families: A randomized controlled trial.

Little is known about the effect of education programs on changing attitudes and behaviors of participants and their families toward deceased organ donation. The subjects of this randomized trial were Japanese nursing students who were not previously designated organ donors. They were randomly assigned to either the education program or information booklet group. The program comprised a lecture followed by group discussion and information booklet. The primary outcome was self-reported organ donor designation. Outcomes were assessed by questionnaire. Data of 203 (99.0%) students were analyzed. At study end, seven of 102 students (6.9%) of the program group and one of 101 students (1.0%) of the booklet group consented to donate organs (proportion ratio 6.93 [95% CI 0.87-55.32]). There were significant between-group differences in willingness to consent for donation (54.9% vs 39.6%; proportion ratio 1.39 [95% CI 1.03-1.87]), family discussion (31.4% vs 15.9%; 1.98 [1.16-3.38]), and organ donor designation of family members (11.8% vs 2.0%; 5.94 [1.36-25.88]). No group differences were found in willingness for organ donation by students and family members. Although there were no significant between-group differences in organ donor designation, the program seems to indirectly promote consent to organ donation by their families.

Why are we Poor Organ Donors: A Survey Focusing on Attitudes of the Lay Public From Northern India

Knowledge, sociocultural views, and awareness about organ donation in the general population are important for the success of deceased organ donation. There is an urgent need to gather this information in order to find out the reasons for poor organ donation rates in India. A 30-item questionnaire was designed in the English and Hindi language and was administered to the lay people in order to assess their knowledge, views, and attitude regarding brain death and organ donation. Three hundred and fifty-two people (male:female=202:150; mean age=30.6±13.9 years) completed the questionnaire. Only 70% of the people were aware that the organs can be donated after brain death and only 44% thought that they understood the meaning of brain death. Media and Internet were the preferred sources for seeking information on brain death and organ donation. The majority of people (81.2%) were willing to donate organs after brain death but only 1.4% had registered for organ donation. Lack of awareness (80.1%), religious beliefs and superstitions (63.4%), and lack of faith in the healthcare system (40.3%) were believed to be the most important reasons for poor deceased organ donation rates in India. The survey also highlighted the importance of the opinion of family members and the religious leaders in making the decision for organ donation. Educational qualification above matriculation was significantly associated with the knowledge of brain death and the willingness for organ donation. Lack of awareness appears to be the most important factor for low donation rates in India. Educating people by using media and Internet and conducting awareness programs may help in improving the donation rates.

ORGAN DONATION: AWARENESS AND PERCEPTION AMONG MEDICAL STUDENTS

Every personal bereavement hides an even larger tragedy as many lives could have been saved by just a single pledge to donate organs. The present study was conducted to emphasize this attitude among medical students who are the future hopes to improve the poor scenario of organ do nation in our society. The aim of this study is to determine the a wareness, perception and willingness for organ donation among the medical students. A cross - sectional study with purposive sampling was conducted in medical students of Basaveshwara Medical College, Chitradurga , Karnataka, India . After obtaining consent, i nformation was collected by a self - administered questionnaire. Out of the 340 students, 46 % were male and 54 % were female. Awareness about organ donation was very good in 11.77 %, good in 75.29 % and poor in 12.94 %, with predominant source of informatio n being the media/internet (40 %). Majority (86.76 %) knew that organ donation is legal in India. 75.29 % were aware of the shortage of organs. 97.65 % knew that kidney can be donated, 81 % knew cornea, liver and heart can be donated and only 32 % knew tha t lungs and pancreas can be donated. Positive perception towards organ donation was seen in 50.29 % and 68.82 % were ready to become organ donors. More willingness for organ donation was seen among females. Overall awareness about organ donation was good, but still fifty percent students had negative perception. Most of them knew about kidney donation, but not much of other organs l ike lungs and pancreas. Positive attitude towards organ donation could be enhanced among the students by including it in the me dical curriculum so that it will also improve the perception of the entire community in the long run and slowly work up in narrowing the vast shortage of organs in India.

Histocompatibility testing for organ transplantation purposes in Albania: a single center experience.

Histocompatibility testing (HT) which includes donor-recipient human leukocyte antigen (HLA) matching, cross-match testing (XMT) and anti-HLA antibody searching are crucial examinations in solid organ transplantation aiming to avoid the hyperacute graft rejection and also to predict the immunological outcome of the graft. The aim of this study was to analyse the tissue typing data collected at the Laboratory of Immunology and Histocompatibility of the University Hospital Center of Tirana, Albania, in order to define those actions that should be taken for improvements in the situation of kidney transplantation in Albania. Descriptive study. The donor/recipient cross-match testing was performed through a standard complement-dependent cytotoxicity (CDC) assay using separated donor T and B cells that were tested in parallel with the recipient serum sample. All recipient sera were screened for anti-Class I and anti-Class II HLA antibodies using a bead based Luminex anti-HLA antibody screening test. In the case of detected positivity, an allele-specific anti-HLA antibody determination was conducted with the respective Luminex anti-Class I and Class II HLA antibody determination kits. A total of 174 recipients and 202 donors were typed for the purpose of living donor kidney transplantation at our laboratory between January 2006 and December 2012. The mean age and female gender proportion of patients were 34.9 years and 34.5%, respectively, and 48.0 years and 65.3% for the donors, respectively. Here, 25.9% of the patients reported a positive complement-dependent cytotoxicity cross-match test and/or a positive anti-HLA antibody testing result. Eighteen patients that were negative for the complement-dependent cytotoxicity cross-match test were positive for anti-HLA antibodies. The predominant causes of end-stage renal disease (ESRD) in our patient population are chronic pyelonephritis and glomerulonephritis. The female gender is significantly more frequent among donors, which emphasises the need for more gender equity as far as the altruistic willingness for organ donation is concerned. The significant number of patients with Luminex anti-HLA antibody positivity combined with complement-dependent cytotoxicity cross-match negative results underlines the necessity of using additional methods like cell-based flow cytometry or bead-based Luminex anti-HLA antibody assays for the detection of anti-donor-specific antibodies. We also suggest that the number of kidney transplantations in Albania needs to be increased significantly by expanding it with paired exchange living donation and also by implementing an efficient deceased donor kidney transplantation program.

Willingness and reasons of non-medical person for organ donation

Objective To understand non-medical person' s willingness of organ donation,and analyze its reasons.Methods Using convenient sampling method,540 people who had no medical background were surveyed.Results The rate of willingness for non-medical person to organ donation were 7.7％-35.9％.About 35.9％ were willing to donate organs to their family members.About 8.9％ were willing to donate corpse after their death.And 30.8％ of them were ready for both kind of donation.When asked about strangers,7.9％ of them wanted to donate live organs.29.2％ were willing to donate corpse after their death,and 7.7％ of them were ready for both kind of donation.The reasons for donation live and dead organs were saving lives and prolong life-span of others.Reasons for not willing to donate live organs were fearings for death,worring about body damage,shortened lifespan.Reasons for not willing to donate live organs were fearings for death,worring about body damage,influenced by manners and customs.Conclusions Due to the lack of acknowledge of organ donation,non-medical person was not willing to donate organs.Methods for improving organ donation rates are popularize knowledge of organ donation and transplantation,so as to enhance the recognition of the public. Key words: Organ donation; Non-medical staff; Willingness ; Reasons

The moral code in Islam and organ donation in Western countries: reinterpreting religious scriptures to meet utilitarian medical objectives.

End-of-life organ donation is controversial in Islam. The controversy stems from: (1) scientifically flawed medical criteria of death determination; (2) invasive perimortem procedures for preserving transplantable organs; and (3) incomplete disclosure of information to consenting donors and families. Data from a survey of Muslims residing in Western countries have shown that the interpretation of religious scriptures and advice of faith leaders were major barriers to willingness for organ donation. Transplant advocates have proposed corrective interventions: (1) reinterpreting religious scriptures, (2) reeducating faith leaders, and (3) utilizing media campaigns to overcome religious barriers in Muslim communities. This proposal disregards the intensifying scientific, legal, and ethical controversies in Western societies about the medical criteria of death determination in donors. It would also violate the dignity and inviolability of human life which are pertinent values incorporated in the Islamic moral code. Reinterpreting religious scriptures to serve the utilitarian objectives of a controversial end-of-life practice, perceived to be socially desirable, transgresses the Islamic moral code. It may also have deleterious practical consequences, as donors can suffer harm before death. The negative normative consequences of utilitarian secular moral reasoning reset the Islamic moral code upholding the sanctity and dignity of human life.

Difficulties in Organ Procurement and Transplantation in the Aboriginal Minority People in Taiwan

BackgroundAboriginal people (AP) are a minority group in Taiwan. Little information on their perspectives on organ transplantation (OT) is available. Their rights for organ donation (OD) and as OT recipients (OTR) are constrained as a vulnerable population in society. This research sought to explore various Highland Aborigine Tribes beliefs systems and concepts related to OT. MethodsWe employed a qualitative design on a purposive sample including seven categories of Taiwanese AP. Data collected by face-to-face interviews were evaluated by content analysis. ResultsSeventy-five informants (45 female and 30 males) of 18 to 82 years from seven tribes completed interviews: Bunun (n = 20), Shao (n = 18), Tsou (n = 15), Amis (n = 12), Truku (n = 4), Rukai (n = 3), and Puyuma (n = 3). Of there, 33% had no idea of OT. All informants reported lack of knowledge of OD, organ procurement, and OTR. Eighty percent (45–82 years) had no willingness for OD or OTR; others might consult family members and health professionals (HP) to learn about OT. Seven hindering factors were identified: (1) having no background of OT; (2) limited impressions obtained from television news reports; (3) negative concepts of donating one's organs to others; (4) OT concepts contrast with cultural meanings of death; (5) possibility of being stigmatized; (6) fear of being rejected by others; and (7) HP had never mentioned OT. ConclusionsTaiwan APs' perspectives of OT concepts showed the majority to be unfamiliar with the concept and benefits of OT. Future research is necessary to explore the possible avenues to facilitate communications between HP and AP leaders, as well as elders in each AP category in Taiwan.

Attitude and willingness of high school students toward organ donation

Public awareness of organ donation fundamentally affects the organ transplantation programs. This study was performed to assess the attitude and willingness of high school adolescents regarding organ donation. The study population consisted of 416 high school girls who were studying in four grades of three educational courses. Data were collected by a questionnaire and included demographic variables and attitude and willingness, which were assessed based on the Likert scale. The SPSS v.16 was used for data analysis. The mean age of the study subjects was 16.26 ± 1.06 years, 31% studied in grade-1, 27% in grade-2 (25% natural sciences, 27% mathematics and 48% humanities), 26% in grade-3 (30% natural sciences, 34% mathematics and 36% humanities) and 16% in pre-university stage (32% natural sciences, 42% mathematics and 26% humanities). The students had a highly positive attitude toward organ donation (mean score 4.2 ± 0.54). The greatest willingness for organ donation was concerning the kidney (88%) and heart (84%), followed by the liver (83.4%), pancreas (79.6%), cornea (67.8%) and skin (51%). Willingness for deceased as well as living organ donation was indicated by 92% and 47%, respectively, of the participants. Organ donation was considered acceptable only to relatives by 5% of the participants when the donors were deceased donors and by 16% of the participants when the donors were living donors; donation to all needy persons from deceased donors was accepted by 87% of the participants and from living donors by 31%. The purpose of donation was stated as lending help to others by 89% and progression of science by 40.2% of the participants. Willingness for organ donation from a deceased relative was declared by 63% of the students. There was significant positive correlation between willingness for organ donation and attitude (P <0.001). In addition, attitude and willingness had positive correlation with educational levels, age and educational courses. Our study suggests that Iranian adolescents have a great attitude and willingness toward organ donation, which reflects favorable knowledge of transplantation. Further research on public awareness in both genders and various age ranges is needed.