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A total of 203 participants aged 19\u201330\u2009years were recruited from different Italian regions. The analysis identified four clusters: \u201cAltruistic choice,\u201d framing donation as a life-oriented act rooted in responsibility and hope; \u201cRequest for dialogue,\u201d emphasizing communication and shared reflection as prerequisites for informed decisions; \u201cBeliefs about the body,\u201d highlighting how bodily representations shape attitudes toward donation; and \u201cImpact with reality,\u201d capturing the emotional and cognitive effects of confronting donation and transplantation. These clusters were associated with socio-demographic variables and familiarity with donation, revealing distinct symbolic pathways through which young adults process its emotional implications. Promotional strategies should prioritize dialogue and community engagement to foster a donation culture grounded in shared meaning.<\/jats:p>","DOI":"10.1177\/13591053261466546","type":"journal-article","created":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T04:47:44Z","timestamp":1785127664000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Exploring emotional representations of organ donation in Italian young adults: Implications for promoting a donation culture"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5085-3453","authenticated-orcid":false,"given":"Michela","family":"Di Trani","sequence":"first","affiliation":[{"name":"Sapienza University of Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chiara","family":"Bertolinis","sequence":"additional","affiliation":[{"name":"Sapienza University of Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martina","family":"Costa","sequence":"additional","affiliation":[{"name":"Sapienza University of Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silvia","family":"Daniele","sequence":"additional","affiliation":[{"name":"Sapienza University of Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arianna","family":"Mancia","sequence":"additional","affiliation":[{"name":"Sapienza University of Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silvia","family":"Monaco","sequence":"additional","affiliation":[{"name":"Sapienza University of Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8553-4444","authenticated-orcid":false,"given":"Alessia","family":"Renzi","sequence":"additional","affiliation":[{"name":"Sapienza University of Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,26]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"crossref","unstructured":"Abdeldayem H El-Kased AF Elshaarawy A et al. 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