Skip to main content
American Journal of Public Health logoLink to American Journal of Public Health
. 1999 Feb;89(2):244–247. doi: 10.2105/ajph.89.2.244

The influence of race on approaching families for organ donation and their decision to donate.

E Guadagnoli 1, P McNamara 1, M J Evanisko 1, C Beasley 1, C O Callender 1, A Poretsky 1
PMCID: PMC1508526  PMID: 9949758

Abstract

OBJECTIVES: This study examined whether patients' race was associated with their families' being approached for organ donation and agreeing to donation. METHODS: Logistic regression models were applied to data collected from records at 112 hospitals. RESULTS: The odds that a family of a White patient was approached for donation were nearly twice those for a family of an African American. The odds of donation also differed by race, but the magnitude varied by patient and hospital characteristics. CONCLUSIONS: Much attention directed toward racial disparity in donation has focused on attitudes of the public. The behavior of hospital staff also may be related to differences in rates.

Full text

PDF
244

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bart K. J., Macon E. J., Humphries A. L., Jr, Baldwin R. J., Fitch T., Pope R. S., Rich M. J., Langford D., Teutsch S. M., Blount J. H. Increasing the supply of cadaveric kidneys for transplantation. Transplantation. 1981 May;31(5):383–387. doi: 10.1097/00007890-198105010-00016. [DOI] [PubMed] [Google Scholar]
  2. Beasley C. L., Capossela C. L., Brigham L. E., Gunderson S., Weber P., Gortmaker S. L. The impact of a comprehensive, hospital-focused intervention to increase organ donation. J Transpl Coord. 1997 Mar;7(1):6–13. doi: 10.7182/prtr.1.7.1.96461077u64l1m5x. [DOI] [PubMed] [Google Scholar]
  3. Callendar C. O., Hall L. E., Yeager C. L., Barber J. B., Jr, Dunston G. M., Pinn-Wiggins V. W. Organ donation and blacks. A critical frontier. N Engl J Med. 1991 Aug 8;325(6):442–444. doi: 10.1056/NEJM199108083250631. [DOI] [PubMed] [Google Scholar]
  4. Chabalewski F., Norris M. K. The gift of life: talking to families about organ and tissue donation. Am J Nurs. 1994 Jun;94(6):28–33. [PubMed] [Google Scholar]
  5. DeJong W., Drachman J., Gortmaker S. L. Options for increasing organ donation: the potential role of financial incentives, standardized hospital procedures, and public education to promote family discussion. Milbank Q. 1995;73(3):463–479. [PubMed] [Google Scholar]
  6. DeJong W., Franz H. G., Wolfe S. M., Nathan H., Payne D., Reitsma W., Beasley C. Requesting organ donation: an interview study of donor and nondonor families. Am J Crit Care. 1998 Jan;7(1):13–23. [PubMed] [Google Scholar]
  7. Eggers P. W. Racial differences in access to kidney transplantation. Health Care Financ Rev. 1995 Winter;17(2):89–103. [PMC free article] [PubMed] [Google Scholar]
  8. Evanisko M. J., Beasley C. L., Brigham L. E., Capossela C., Cosgrove G. R., Light J., Mellor S., Poretsky A., McNamara P. Readiness of critical care physicians and nurses to handle requests for organ donation. Am J Crit Care. 1998 Jan;7(1):4–12. [PubMed] [Google Scholar]
  9. Franz H. G., DeJong W., Wolfe S. M., Nathan H., Payne D., Reitsma W., Beasley C. Explaining brain death: a critical feature of the donation process. J Transpl Coord. 1997 Mar;7(1):14–21. doi: 10.7182/prtr.1.7.1.287241p35jq7885n. [DOI] [PubMed] [Google Scholar]
  10. Garrison R. N., Bentley F. R., Raque G. H., Polk H. C., Jr, Sladek L. C., Evanisko M. J., Lucas B. A. There is an answer to the shortage of organ donors. Surg Gynecol Obstet. 1991 Nov;173(5):391–396. [PubMed] [Google Scholar]
  11. Gortmaker S. L., Beasley C. L., Brigham L. E., Franz H. G., Garrison R. N., Lucas B. A., Patterson R. H., Sobol A. M., Grenvik N. A., Evanisko M. J. Organ donor potential and performance: size and nature of the organ donor shortfall. Crit Care Med. 1996 Mar;24(3):432–439. doi: 10.1097/00003246-199603000-00012. [DOI] [PubMed] [Google Scholar]
  12. Haney C. A. Issues and considerations in requesting an anatomical gift. Soc Sci Med. 1973 Aug;7(8):635–642. doi: 10.1016/0037-7856(73)90031-0. [DOI] [PubMed] [Google Scholar]
  13. Kasiske B. L., Neylan J. F., 3rd, Riggio R. R., Danovitch G. M., Kahana L., Alexander S. R., White M. G. The effect of race on access and outcome in transplantation. N Engl J Med. 1991 Jan 31;324(5):302–307. doi: 10.1056/NEJM199101313240505. [DOI] [PubMed] [Google Scholar]
  14. Kjellstrand C. M. Age, sex, and race inequality in renal transplantation. Arch Intern Med. 1988 Jun;148(6):1305–1309. [PubMed] [Google Scholar]
  15. Nathan H. M., Jarrell B. E., Broznik B., Kochik R., Hamilton B., Stuart S., Ackroyd T., Nell M. Estimation and characterization of the potential renal organ donor pool in Pennsylvania. Report of the Pennsylvania Statewide Donor Study. Transplantation. 1991 Jan;51(1):142–149. doi: 10.1097/00007890-199101000-00022. [DOI] [PubMed] [Google Scholar]
  16. Radecki C. M., Jaccard J. Psychological aspects of organ donation: a critical review and synthesis of individual and next-of-kin donation decisions. Health Psychol. 1997 Mar;16(2):183–195. doi: 10.1037//0278-6133.16.2.183. [DOI] [PubMed] [Google Scholar]
  17. Sanfilippo F. P., Vaughn W. K., Peters T. G., Shield C. F., 3rd, Adams P. L., Lorber M. I., Williams G. M. Factors affecting the waiting time of cadaveric kidney transplant candidates in the United States. JAMA. 1992 Jan 8;267(2):247–252. [PubMed] [Google Scholar]
  18. Stein A., Hope T., Baum J. D. Organ transplantation: approaching the donor's family. BMJ. 1995 May 6;310(6988):1149–1150. doi: 10.1136/bmj.310.6988.1149. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from American Journal of Public Health are provided here courtesy of American Public Health Association

RESOURCES