Cultural influences on willingness to donate organs among urban native Americans
T Bongiovanni, JE Rawlings, JA Trompeta… - Clinical …, 2020 - Wiley Online Library
T Bongiovanni, JE Rawlings, JA Trompeta, M Nunez‐Smith
Clinical Transplantation, 2020•Wiley Online LibraryBackground The need for organ donation is substantial among Native Americans, driven by
the disproportionate burden of ESRD. Due to the dearth of knowledge about willingness to
donate (WTD) among urban Native Americans, a group that represents over half of the US
Native population, we aimed to examine factors affecting donation. Methods We conducted
a cross‐sectional survey of a convenience sample, using a questionnaire developed
specifically for this study using community‐based participatory research. The questionnaire …
the disproportionate burden of ESRD. Due to the dearth of knowledge about willingness to
donate (WTD) among urban Native Americans, a group that represents over half of the US
Native population, we aimed to examine factors affecting donation. Methods We conducted
a cross‐sectional survey of a convenience sample, using a questionnaire developed
specifically for this study using community‐based participatory research. The questionnaire …
Background
The need for organ donation is substantial among Native Americans, driven by the disproportionate burden of ESRD. Due to the dearth of knowledge about willingness to donate (WTD) among urban Native Americans, a group that represents over half of the US Native population, we aimed to examine factors affecting donation.
Methods
We conducted a cross‐sectional survey of a convenience sample, using a questionnaire developed specifically for this study using community‐based participatory research. The questionnaire was designed to be culturally relevant to the Native community, based on questions from three previously validated instruments and developed through one‐on‐one interviews. We performed logistic regression to associate survey answers with WTD.
Results
Seventy percent of our 183 respondents stated that they would be willing to have their organs donated after death; however, only 41% were already registered as an organ donor on their driver's license. Logistic regression analysis found specific items in domains of trust of the medical community and spirituality most closely associated with WTD. Sixty‐two percent of Native Americans surveyed reported they would not donate organs because they distrust the medical community.
Discussion
Our findings suggest multiple areas of focus for increasing organ donation within this subset of the diverse Native community. Efforts to promote donation should be aimed at building trust in the medical community.
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