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Perceived Susceptibility to Chronic Kidney Disease and Hypertension Self-Management among Black and White Live Kidney Donors.

Publication ,  Journal Article
Gianaris, K; Vargas, GB; Johnson, M; Yu, Y; Wilson, E; Perkins, JA; Jackson, A; Boulware, LE; Massie, A; Levan, ML; Segev, DL; Purnell, TS ...
Published in: Ethnicity & disease
January 2022

Despite the societal benefits of live kidney donation, Black donors may be more likely than White donors to develop hypertension (HTN) and chronic kidney disease after donation. Among live kidney donors diagnosed with post-donation HTN, little is known about potential racial/ethnic differences in HTN self-care behaviors and perceived susceptibility to developing kidney disease.We ascertained electronic medical records and phone survey data from live donors enrolled in the multi-center Wellness and Health Outcomes of LivE Donors (WHOLE-Donor) Hypertension Care Study between May 2013 and April 2020. Using multivariable logistic regression models performed January through June 2021, we examined potential associations of donor race/ethnicity with perceived susceptibility to kidney disease and self-care behaviors (ie, Behavioral Risk Factor Surveillance System measure assessing self-reported actions to control high blood pressure).The study included 318 US-based live kidney donors who developed post-donation HTN (57.6% female; 78.9% White; 18.6% Black; and mean age 46.7 years at donation). Black donors were equally as likely as White donors to report being moderately or strongly concerned about developing kidney disease (adjusted odds ratio, aOR: 1.27, 95%CI: .66, 2.14, P=.57). Donors with diabetes were more likely than those without diabetes (aOR: 2.43, 95%CI: 1.03, 5.01, P=.04), while donors aged >50 years were less likely than younger donors (aOR: .39, 95%CI: .18, .85, P=.02) to report being moderately or strongly concerned about kidney disease. Overall, 87% of donors reported taking at least one action to help control blood pressure, with no significant differences by sociodemographic factors.We found no substantial differences in perceived susceptibility to kidney disease among Black and White donors, despite published evidence that Black donors may experience greater risk of developing kidney disease than White donors. Behavioral interventions to enhance knowledge about future disease risk, attitudes, and self-care strategies among living kidney donors may be beneficial.

Duke Scholars

Published In

Ethnicity & disease

DOI

EISSN

1945-0826

ISSN

1049-510X

Publication Date

January 2022

Volume

32

Issue

2

Start / End Page

101 / 108

Related Subject Headings

  • Tissue Donors
  • Self-Management
  • Renal Insufficiency, Chronic
  • Public Health
  • Middle Aged
  • Male
  • Kidney Transplantation
  • Hypertension
  • Humans
  • Female
 

Citation

APA
Chicago
ICMJE
MLA
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Gianaris, K., Vargas, G. B., Johnson, M., Yu, Y., Wilson, E., Perkins, J. A., … WHOLE-Donor Hypertension Care Study Investigators, . (2022). Perceived Susceptibility to Chronic Kidney Disease and Hypertension Self-Management among Black and White Live Kidney Donors. Ethnicity & Disease, 32(2), 101–108. https://doi.org/10.18865/ed.32.2.101
Gianaris, Kevin, Grecia B. Vargas, Morgan Johnson, Yifan Yu, Elena Wilson, Jamilah A. Perkins, Aswad Jackson, et al. “Perceived Susceptibility to Chronic Kidney Disease and Hypertension Self-Management among Black and White Live Kidney Donors.Ethnicity & Disease 32, no. 2 (January 2022): 101–8. https://doi.org/10.18865/ed.32.2.101.
Gianaris K, Vargas GB, Johnson M, Yu Y, Wilson E, Perkins JA, et al. Perceived Susceptibility to Chronic Kidney Disease and Hypertension Self-Management among Black and White Live Kidney Donors. Ethnicity & disease. 2022 Jan;32(2):101–8.
Gianaris, Kevin, et al. “Perceived Susceptibility to Chronic Kidney Disease and Hypertension Self-Management among Black and White Live Kidney Donors.Ethnicity & Disease, vol. 32, no. 2, Jan. 2022, pp. 101–08. Epmc, doi:10.18865/ed.32.2.101.
Gianaris K, Vargas GB, Johnson M, Yu Y, Wilson E, Perkins JA, Jackson A, Boulware LE, Massie A, Levan ML, Segev DL, Purnell TS, WHOLE-Donor Hypertension Care Study Investigators. Perceived Susceptibility to Chronic Kidney Disease and Hypertension Self-Management among Black and White Live Kidney Donors. Ethnicity & disease. 2022 Jan;32(2):101–108.

Published In

Ethnicity & disease

DOI

EISSN

1945-0826

ISSN

1049-510X

Publication Date

January 2022

Volume

32

Issue

2

Start / End Page

101 / 108

Related Subject Headings

  • Tissue Donors
  • Self-Management
  • Renal Insufficiency, Chronic
  • Public Health
  • Middle Aged
  • Male
  • Kidney Transplantation
  • Hypertension
  • Humans
  • Female