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

Publication ,  Journal Article
Purnell, TS; Hall, YN; Boulware, LE
Published in: Adv Chronic Kidney Dis
July 2012

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.

Duke Scholars

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Published In

Adv Chronic Kidney Dis

DOI

EISSN

1548-5609

Publication Date

July 2012

Volume

19

Issue

4

Start / End Page

244 / 251

Location

United States

Related Subject Headings

  • Urology & Nephrology
  • United States
  • Minority Groups
  • Living Donors
  • Kidney Transplantation
  • Humans
  • Hispanic or Latino
  • Healthcare Disparities
  • Health Services Accessibility
  • Health Knowledge, Attitudes, Practice
 

Citation

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Purnell, T. S., Hall, Y. N., & Boulware, L. E. (2012). Understanding and overcoming barriers to living kidney donation among racial and ethnic minorities in the United States. Adv Chronic Kidney Dis, 19(4), 244–251. https://doi.org/10.1053/j.ackd.2012.01.008
Purnell, Tanjala S., Yoshio N. Hall, and L Ebony Boulware. “Understanding and overcoming barriers to living kidney donation among racial and ethnic minorities in the United States.Adv Chronic Kidney Dis 19, no. 4 (July 2012): 244–51. https://doi.org/10.1053/j.ackd.2012.01.008.
Purnell TS, Hall YN, Boulware LE. Understanding and overcoming barriers to living kidney donation among racial and ethnic minorities in the United States. Adv Chronic Kidney Dis. 2012 Jul;19(4):244–51.
Purnell, Tanjala S., et al. “Understanding and overcoming barriers to living kidney donation among racial and ethnic minorities in the United States.Adv Chronic Kidney Dis, vol. 19, no. 4, July 2012, pp. 244–51. Pubmed, doi:10.1053/j.ackd.2012.01.008.
Purnell TS, Hall YN, Boulware LE. Understanding and overcoming barriers to living kidney donation among racial and ethnic minorities in the United States. Adv Chronic Kidney Dis. 2012 Jul;19(4):244–251.
Journal cover image

Published In

Adv Chronic Kidney Dis

DOI

EISSN

1548-5609

Publication Date

July 2012

Volume

19

Issue

4

Start / End Page

244 / 251

Location

United States

Related Subject Headings

  • Urology & Nephrology
  • United States
  • Minority Groups
  • Living Donors
  • Kidney Transplantation
  • Humans
  • Hispanic or Latino
  • Healthcare Disparities
  • Health Services Accessibility
  • Health Knowledge, Attitudes, Practice