Understanding and overcoming barriers to living kidney donation among racial and ethnic minorities in the United States.

Journal Article (Journal Article;Review)

In the United States, racial-ethnic minorities experience disproportionately high rates of ESRD, but they are substantially less likely to receive living donor kidney transplants (LDKT) compared with their majority counterparts. Minorities may encounter barriers to LDKT at several steps along the path to receiving it, including consideration, pursuit, completion of LDKT, and the post-LDKT experience. These barriers operate at different levels related to potential recipients and donors, health care providers, health system structures, and communities. In this review, we present a conceptual framework describing various barriers that minorities face along the path to receiving LDKT. We also highlight promising recent and current initiatives to address these barriers, as well as gaps in initiatives, which may guide future interventions to reduce racial-ethnic disparities in LDKT.

Full Text

Duke Authors

Cited Authors

  • Purnell, TS; Hall, YN; Boulware, LE

Published Date

  • July 2012

Published In

Volume / Issue

  • 19 / 4

Start / End Page

  • 244 - 251

PubMed ID

  • 22732044

Pubmed Central ID

  • PMC3385991

Electronic International Standard Serial Number (EISSN)

  • 1548-5609

Digital Object Identifier (DOI)

  • 10.1053/j.ackd.2012.01.008


  • eng

Conference Location

  • United States