{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T05:48:52Z","timestamp":1785908932588,"version":"3.56.0"},"reference-count":30,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T00:00:00Z","timestamp":1784764800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T00:00:00Z","timestamp":1784764800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Prog Transpl"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Organ donation (OD) is a life-saving intervention, but its success depends on public willingness to donate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study aimed to assess the knowledge, attitudes, and composite willingness of the Lebanese general public toward OD, and to explore conditions influencing donation decisions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A cross-sectional study was conducted in Lebanon (December 2024-June 2025) using an online questionnaire distributed via snowball sampling. Knowledge, attitudes, and willingness toward OD were assessed using three carefully constructed and validated scales.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The study included 830 participants, of whom 503 (60.6%) were females. Nearly all participants (97.6%) had heard of OD, but only 20.2% demonstrated good knowledge; 66.7% had a positive attitude (PA); and 43.9% demonstrated favorable composite willingness toward OD, whereas only 34.9% reported current willingness to register as organ or tissue donors. Higher odds of favorable composite willingness were observed among postgraduates (Adjusted Odds Ratio (aOR)=1.75, 95% confidence interval (CI)=[1.12-2.74]), females (aOR=1.66, 95%CI= [1.21-2.26]), workers in the medical\/health field (aOR=2.14, 95%CI=[1.55-2.95]), and those employed in the private sector (aOR=2.02, 95%CI=[1.24-3.28]). Common barriers included family and social pressures, fear of discussing death, lack of knowledge, and religious concerns.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Among this predominantly young, educated, and digitally connected Lebanese population, PAs toward OD were common, whereas knowledge and current willingness to register as an organ donor remained limited. Participants reported greater willingness under several hypothetical facilitating conditions, suggesting that informational, social, and structural factors may influence OD decisions. These findings may help inform future strategies to promote OD in Lebanon.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15269248261471006","type":"journal-article","created":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T07:30:42Z","timestamp":1784791842000},"page":"122-131","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Knowledge, Attitudes, and Factors Associated with Organ Donation Willingness among Adults in Lebanon"],"prefix":"10.1177","volume":"36","author":[{"given":"Lynn","family":"Cheaito","sequence":"first","affiliation":[{"name":"Lebanese University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rouba","family":"Boukaily","sequence":"additional","affiliation":[{"name":"Lebanese University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khaled","family":"Mouchref","sequence":"additional","affiliation":[{"name":"Center of research for information technology and communications, Faculty of Engineers, Arts, Sciences and Technology University, Beirut, Lebanon"},{"name":"Laboratoire de Technologie et Instrumentation pour la sant\u00e9, Lebanese University, Tripoli, Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Al Banna","sequence":"additional","affiliation":[{"name":"Lebanese University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0964-9722","authenticated-orcid":false,"given":"Georges","family":"Hatem","sequence":"additional","affiliation":[{"name":"Lebanese University"},{"name":"Environmental Health Department, National Institute of Health Dr Ricardo Jorge, Porto, Portugal"},{"name":"EPIUnit - Instituto de Sa\u00fade P\u00fablica, Universidade do Porto, Porto, Portugal"},{"name":"Laborat\u00f3rio para a Investiga\u00e7\u00e3o Integrativa e Translacional em Sa\u00fade P\u00fablica (ITR), Porto, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fatima","family":"Atoui","sequence":"additional","affiliation":[{"name":"Lebanese University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dana","family":"Cheaito","sequence":"additional","affiliation":[{"name":"Lebanese University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanaa","family":"Awada","sequence":"additional","affiliation":[{"name":"Lebanese University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,23]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12910-020-00565-4"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejim.2024.11.010"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/2054358121992921"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.5500\/wjt.v15.i1.99683"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1017\/cem.2019.482"},{"key":"e_1_3_2_7_2","unstructured":"Observatory on Donation and Transplantation. Accessed October 9 2025. https:\/\/www.transplant-observatory.org."},{"key":"e_1_3_2_8_2","unstructured":"Lundberg M. Consent to organ donation and family authorization: A causal inference study of the French Amendment of Article L1232-1 in Code de la Sant\u00e9 Publique and Organ Donations [dissertation]. J\u00f6nk\u00f6ping University; 2022. https:\/\/urn.kb.se\/resolve?urn=urn:nbn:se:hj:diva-57178."},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.53855\/bjt.v27i1.618_ENG"},{"key":"e_1_3_2_10_2","unstructured":"International Registry on Organ Donation and Transplantation (IRODaT). IRODaT 2023. DTI Foundation; 2024. Accessed July 2 2026. https:\/\/www.irodat.org\/img\/database\/pdf\/IRODaT%202023.pdf."},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemep.2023.100952"},{"key":"e_1_3_2_12_2","doi-asserted-by":"crossref","unstructured":"Stephan J. Public Private Partnership-based performance management in fragmented healthcare systems: the case of organ donation and transplantation in Lebanon [Dissertation]. Nantes Universit\u00e9; 2022. doi:10.70675\/d5e828e0ze66ez41fdza0bfze5fb39f8f33a.","DOI":"10.70675\/d5e828e0ze66ez41fdza0bfze5fb39f8f33a"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0295930"},{"key":"e_1_3_2_14_2","first-page":"169","article-title":"Knowledge, perception, and attitude of healthcare professionals towards organ donation in Lebanon: A tertiary care center survey","volume":"17","author":"Ariss T","year":"2014","unstructured":"Ariss T, Naamani S, Tamim H, Karam M, Khalife M, Sharara-Chami R. Knowledge, perception, and attitude of healthcare professionals towards organ donation in Lebanon: A tertiary care center survey. 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