Understanding and Overcoming Barriers to Living Kidney Donation Among Racial and Ethnic Minorities in the United States
Understanding and Overcoming Barriers to Living Kidney Donation Among Racial and Ethnic Minorities in the United States
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DOI：
10.1053/j.ackd.2012.01.008
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发表时间：
2012-07-01
影响因子：
2.9
通讯作者：
Boulware, L. Ebony
中科院分区：
文献类型：
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作者：
Purnell, Tanjala S.;Hall, Yoshio N.;Boulware, L. Ebony
在美国，少数民族患ESRD的比例不成比例地高，但与大多数人相比，他们接受活体供肾移植（LDKT）的可能性要小得多。少数群体在获得LDKT的道路上可能在沿着的几个步骤遇到障碍，包括考虑、追求、完成LDKT，以及LDKT后的经历。这些障碍存在于与潜在接受者和捐助者、卫生保健提供者、卫生系统结构和社区有关的不同层面。在这次审查中，我们提出了一个概念框架，描述了各种障碍，少数民族面临的沿着的道路上接受LDKT。我们还强调了最近和目前有希望解决这些障碍的举措，以及举措中的差距，这可能会指导未来的干预措施，以减少LDKT的种族-民族差异。(C)2012年，美国国家肾脏基金会（National Kidney Foundation，Inc.）All rights reserved.
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. (C) 2012 by the National Kidney Foundation, Inc. All rights reserved.