Relationship Between Patients' Perceptions of Disadvantage and Discrimination and Listing for Kidney Transplantation

Ann Carroll Klassen · Allyson G. Hall · Brit I. Saksvig · Barbara A. Curbow · David K. Klassen

114 citations0/0 files storedAmerican Journal of Public Health

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Racial and Ethnic Identity Research Organ Donation and Transplantation Health disparities and outcomes

Abstract

OBJECTIVES: This study explored wait-listing decisions among African American and White men and women eligible for kidney transplants, focusing on lifetime experiences of race and sex discrimination as a possible influence. METHODS: Patient records from 3 Baltimore-area hemodialysis units were reviewed, and semistructured face-to-face interviews were conducted with transplant-eligible patients and with unit staff members. RESULTS: African American patients reported more racial discrimination, and women reported more sex discrimination. Women and older patients were less likely to be placed on the waiting list, as were patients with previous experiences of racial discrimination. Discrimination measures predicted list access more strongly than patient race. CONCLUSIONS: Lifetime experience of and response to discrimination may contribute to race and sex differences in access to care and should be included in research on health care disparities.

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2008Qualitative Data Analysis 1999Racism as a stressor for African Americans: A biopsychosocial model.2003Racial/Ethnic Discrimination and Health: Findings From Community Studies 1999The Prevalence, Distribution, and Mental Health Correlates of Perceived Discrimination in the United States 1996Racial discrimination and blood pressure: the CARDIA Study of young black and white adults.1990Racial and gender discrimination: Risk factors for high blood pressure?1996Effects of Race and Income on Mortality and Use of Services among Medicare Beneficiaries 2000Racial and Ethnic Differences in Access to Medical Care

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