Racial disparities in organ donation and why

Abstract

Transplant center-based education classes significantly and positively impact African-American concerns and beliefs surrounding living donation. Community and national strategies utilizing culturally sensitive communication and interventions can ameliorate disparities and improve access to transplantation.

Hispanic Ethnicity and Vascular Access Use in Patients Initiating Hemodialysis in the United States

“…For example, patients who await a renal transplant from a living donor may not seek creation of arteriovenous access because long-term dialysis is not anticipated. Information on anticipated receipt of kidney transplantation from a living donor would likely augment the disparities in peripheral vascular access use, because it is well documented that Hispanics are less likely to receive living donor kidneys because of cultural and other reasons that inhibit living donation among Hispanics (31). Another limitation is that this was a cross-sectional study, which did not allow us to study subsequent peripheral vascular access creation and patterns of access use.…”

Factors related to attitudes toward organ donation after death in the immigrant population in Spain

“…The greatest predisposition to donate in female immigrants obtained in our results is clearly related to the differential migration profiles as a function of gender in Spain, with the migration of some of the more Attitudes to donation in Spanish immigrants reluctant groups (North Africans and sub-Saharan Africans) mainly made up of men (33). Noteworthy is the lack of a relationship between the perception of health care in Spain and the will to donate, present in many studies (9,13,14,23), although it seems clearly conditioned by the scarce representation of the layers of negative ratings. However, and with regard to the informative variables, the will to donate in the immigrant population also varies as a function of diverse aspects of the available information on the topic, underscoring the perception of efficacy, direct knowledge, and the existence of qualified information as the elements most closely linked to a positive disposition, and also following the general tendencies previously found in this field (20,40,(49)(50)(51).…”

“…On the one hand, they may involve the existence of cultural and religious beliefs in certain collectives, which have a very important impact on their perception of donation (6-12). On the other hand, more general, highimpact factors related to differences in the cultural or socioeconomic level (11), lack of integration (11,12), mistrust of the health institutions (9,13,14), or the lack of information (10,14,15) may also condition the disposition to donate. This furthers our understanding of the results achieved in works carried out in the Spanish context, which reveal the presence of higher percentages of relativesÕ refusals to donate in diverse collectives of immigrants, compared to the native population (16).…”

Living Donor Kidney Transplantation

“…(34)(35)(36). Even if there are willing living donors, certain minorities are more likely than non-Hispanic whites to have medical conditions (e.g., diabetes, hypertension, obesity) that disqualify them as donors and are more likely to be lost to follow-up once the donor evaluation is initiated (26,37,38).…”