TITLE

Ethnicity and attitudes to deceased kidney donation: a survey in Barbados and comparison with Black Caribbean people in the United Kingdom

AUTHOR(S)
Morgan, Myfanwy; Adams, O Peter; Seed, Paul T.; Jones, Roger
PUB. DATE
January 2010
SOURCE
BMC Public Health;2010, Vol. 10 Issue 1, p266
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Black minority ethnic groups in the UK have relatively low rates of deceased donation and report a higher prevalence of beliefs that are regarded as barriers to donation. However there is little data from migrants' countries of origin. This paper examines community attitudes to deceased kidney donation in Barbados and compares the findings with a survey conducted in a disadvantaged multi-ethnic area of south London. Methods: Questionnaires were administered at four public health centres in Barbados and at three private general practices. Adjusted odds ratios were calculated to compare attitudinal responses with a prior survey of 328 Caribbean and 808 White respondents in south London. Results: Questionnaires were completed by 327 respondents in Barbados (93% response); 42% men and 58% women, with a mean age of 40.4 years (SD 12.6). The main religious groups were Anglican (29%) and Pentecostal (24%). Educational levels ranged from 18% not completing 5th form to 12% with university education. Attitudes to the notion of organ donation were favourable, with 73% willing to donate their kidneys after their death and only 5% definitely against this. Most preferred an opt-in system of donation. Responses to nine attitudinal questions identified 18% as having no concerns and 9% as having 4 or more concerns. The highest level of concern (43%) was for lack of confidence that medical teams would try as hard to save the life of a person who has agreed to donate organs. There was no significant association between age, gender, education or religion and attitudinal barriers, but greater knowledge of donation had some positive effect on attitudes. Comparison of attitudes to donation in south London and Barbados (adjusting for gender, age, level of education, employment status) indicated that a significantly higher proportion of the south London Caribbean respondents identified attitudinal barriers to donation. Conclusions: Community attitudes in Barbados are favourable to deceased donation based on a system of informed consent. Comparison with south London data supports the hypothesis that the relatively high prevalence of negative attitudes to deceased donation among disadvantaged ethnic minorities in high income countries may reflect feelings of marginalisation and lack of belonging.
ACCESSION #
52038684

 

Related Articles

  • Renal function studies after nephrectomy in renal donors. Davison, J.M.; Uldall, P.R.; Walls, J. // British Medical Journal;5/1/1976, Vol. 1 Issue 6017, p1050 

    Examines the renal functions of renal donors after nephrectomy. Comparison of creatinine clearance between male donors and female donors; Impact of dextrose and inulin infusion on the values for inulin clearance of male and female donors; Need of a rigid investigation for the nephrectomy of...

  • Non-heart beating donors as a source of kidneys. Wing, A.J.; Chang, R.W.S. // BMJ: British Medical Journal (International Edition);2/26/94, Vol. 308 Issue 6928, p549 

    Focuses on the provision of kidneys by non-heart beating donors in Great Britain. Rate of cadaveric renal grafts given to patients; Conditions of organ donors; Changes in the legislation of organ donation.

  • Nonheart-beating kidney donation: Current practice and future developments. Brook, Nicholas R.; Waller, Julian R.; Nicholson, Michael L. // Kidney International;Apr2003, Vol. 63 Issue 4, p1516 

    Nonheart-beating kidney donation: Current practice and future developments. Background. Nonheart-beating kidney donation (NHBD) is gaining acceptance as a method of donor pool expansion. However, a number of practitioners have concerns over rates of delayed graft function, acute rejection, and...

  • Attitudes to kidney donation among primary care patients in rural Crete, Greece. Symvoulakis, Emmanouil K.; Komninos, Ioannis D.; Antonakis, Nikos; Morgan, Myfanwy; Alegakis, Athanasios; Tsafantakis, Emmanouil; Chatziarsenis, Marios; Philalithis, Anastas; Jones, Roger // BMC Public Health;2009, Vol. 9 Issue 1, p1 

    Background: In Greece, there is limited research on issues related to organ donation, and the low rate of registration as donors requires explanation. This study reports the findings of a survey of knowledge and attitudes to kidney donation among primary care patients in rural Crete, Greece....

  • Problems in protohistoric ethnogenesis in Alaska: The Naknek drainage and the Pacific Eskimo area. Harritt, Roger K. // Arctic Anthropology;1997, Vol. 34 Issue 2, p45 

    Reviews the ethnicity of inhabitants of the upper Naknek drainage and their relationships with contemporaneous people of Bering Sea and northwest Gulf of Alaska Eskimos. Proposal of the provisional protohistoric Ikak phase for the upper drainage; Similarity of cultural and territorial units for...

  • Tolerance and racial identity among foreign sojourners: Testing the contact hypothesis. Merkman, Joel V.; Smith, Timothy B. // Psychological Reports;Aug99, Vol. 85 Issue 1, p85 

    Tests the validity of the contact hypothesis of interracial relations by assessing tolerance and racial identity of foreign sojourners or travelers prior to departure and upon their return two months later. Insignificant difference between pretest and posttest attitudes.

  • Attitudes towards those bereaved by a suicide: a population-based, cross-sectional study in rural Japan. Minamizono, Sachiko; Motohashi, Yutaka; Yamaji, Masako; Kaneko, Yoshihiro // BMC Public Health;2008, Vol. 8 Issue 1, p334 

    Background: Family or friends bereaved by suicide are at risk of experiencing complications because of attitudes regarding suicide. It is important that individuals close to those grieving after a death by suicide demonstrate adequate knowledge and compassionate attitudes. To this end, we...

  • Paired kidney donations to expand the living donor pool: the Western Australian experience. Ferrari, Paolo; Woodroffe, Claudia; Christiansen, Frank T. // Medical Journal of Australia;6/15/2009, Vol. 190 Issue 12, p700 

    In this article the authors reflect on the Western Australian experience of paired kidney donations which expands the living donor pool. They suggest that altruistic donor kidneys should preferentially be allocated to the paired kidney exchange (PKE) program. They outline the lessons from the...

  • Renal transplantation using non-heart-beating donors: a potential solution to the organ donor shortage in Canada. Lacroix, Julie D.; Mahoney, John E.; Knoll, Greg A. // Canadian Journal of Surgery;Feb2004, Vol. 47 Issue 1, p10 

    Introduction: There is a chronic shortage of cadaveric organ donors for renal transplantation, which might be solved by the use of non-heart-beating donors (patients who suffer cardiac arrest and whose kidneys are harvested subsequently when irreversible heart and respiratory function occur)....

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics