Reem E. Hamoda|Laura McPherson|Kristie J. Lipford|Kimberly Jacob Arriola|Laura Plantinga|Jennifer Gander|Erika Hartmann|Laura Mulloy|Carlos Zayas|Kyung Na Lee|Stephen O. Pastan|Rachel E. Patzer
Association of sociocultural factors with initiation of the kidney transplant evaluation process
Emory University|Emory University|Emory University|Emory University|Emory University|Kaiser Permanente|Augusta University Health|Augusta University Health|Emory University|Emory University|Emory University
although research shows minorities exhibit higher levels medical mistrust perceived racism discrimination healthcare settings degree underlying sociocultural factors preclude endstage renal disease esrd patients initiating kidney transplant evaluation unknown telephone surveyed 528 adult esrd patients black white race referred evaluation georgia transplant center n 3 20142016 used multivariable logistic regression examine associations sociocultural factors evaluation initiation adjusting demographic clinical socioeconomic characteristics despite blacks n 407 reporting higher levels medical mistrust 400 vs 264 p 01 perceived racism 555 vs 182 p 01 experienced discrimination 290 vs 157 p 01 whites n 121 blacks slightly less likely whites initiate evaluation 496 vs 579 p 11 however adjustment medical mistrust odds ratio 059 95 confidence interval ci 039 091 experienced discrimination 062 95 ci 041 095 perceived racism 061 95 ci 040 092 associated lower evaluation initiation results suggest sociocultural disparities exist early kidney transplant access occur despite absence significant racial disparity evaluation initiation interventions reduce disparities transplantation access target underlying sociocultural factors race