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Hemodialysis Disparities in African Americans: The Deeply Integrated Concept of Race in the Social Fabric of Our Society.

Publication ,  Journal Article
Norris, KC; Williams, SF; Rhee, CM; Nicholas, SB; Kovesdy, CP; Kalantar-Zadeh, K; Ebony Boulware, L
Published in: Semin Dial
May 2017

End-stage renal disease (ESRD) is one of the starkest examples of racial/ethnic disparities in health. Racial/ethnic minorities are 1.5 to nearly 4 times more likely than their non-Hispanic White counterparts to require renal replacement therapy (RRT), with African Americans suffering from the highest rates of ESRD. Despite improvements over the last 25 years, substantial racial differences are persistent in dialysis quality measures such as RRT modality options, dialysis adequacy, anemia, mineral and bone disease, vascular access, and pre-ESRD care. This report will outline the current status of racial disparities in key ESRD quality measures and explore the impact of race. While the term race represents a social construct, its association with health is more complex. Multiple individual and community level social determinants of health are defined by the social positioning of race in the U.S., while biologic differences may reflect distinct epigenetic changes and linkages to ancestral geographic origins. Together, these factors conspire to influence dialysis outcomes among African Americans with ESRD.

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Published In

Semin Dial

DOI

EISSN

1525-139X

Publication Date

May 2017

Volume

30

Issue

3

Start / End Page

213 / 223

Location

United States

Related Subject Headings

  • Urology & Nephrology
  • United States
  • Racial Groups
  • Morbidity
  • Kidney Failure, Chronic
  • Humans
  • Black or African American
  • 3202 Clinical sciences
  • 1103 Clinical Sciences
 

Citation

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ICMJE
MLA
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Norris, K. C., Williams, S. F., Rhee, C. M., Nicholas, S. B., Kovesdy, C. P., Kalantar-Zadeh, K., & Ebony Boulware, L. (2017). Hemodialysis Disparities in African Americans: The Deeply Integrated Concept of Race in the Social Fabric of Our Society. Semin Dial, 30(3), 213–223. https://doi.org/10.1111/sdi.12589
Norris, Keith C., Sandra F. Williams, Connie M. Rhee, Susanne B. Nicholas, Csaba P. Kovesdy, Kamyar Kalantar-Zadeh, and L. Ebony Boulware. “Hemodialysis Disparities in African Americans: The Deeply Integrated Concept of Race in the Social Fabric of Our Society.Semin Dial 30, no. 3 (May 2017): 213–23. https://doi.org/10.1111/sdi.12589.
Norris KC, Williams SF, Rhee CM, Nicholas SB, Kovesdy CP, Kalantar-Zadeh K, et al. Hemodialysis Disparities in African Americans: The Deeply Integrated Concept of Race in the Social Fabric of Our Society. Semin Dial. 2017 May;30(3):213–23.
Norris, Keith C., et al. “Hemodialysis Disparities in African Americans: The Deeply Integrated Concept of Race in the Social Fabric of Our Society.Semin Dial, vol. 30, no. 3, May 2017, pp. 213–23. Pubmed, doi:10.1111/sdi.12589.
Norris KC, Williams SF, Rhee CM, Nicholas SB, Kovesdy CP, Kalantar-Zadeh K, Ebony Boulware L. Hemodialysis Disparities in African Americans: The Deeply Integrated Concept of Race in the Social Fabric of Our Society. Semin Dial. 2017 May;30(3):213–223.
Journal cover image

Published In

Semin Dial

DOI

EISSN

1525-139X

Publication Date

May 2017

Volume

30

Issue

3

Start / End Page

213 / 223

Location

United States

Related Subject Headings

  • Urology & Nephrology
  • United States
  • Racial Groups
  • Morbidity
  • Kidney Failure, Chronic
  • Humans
  • Black or African American
  • 3202 Clinical sciences
  • 1103 Clinical Sciences