| Donor designation: racial and ethnic differences in US nondesignators' preferred methods for disclosing intent to donate organs. | |
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MedLine Citation:
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PMID: 21777299 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Little is known about racial/ethnic differences in preferred methods of disclosing deceased organ donation intentions among persons not previously designating their organ donation preferences publicly or the association of medical mistrust with preferences. We surveyed 307 United States (US) adults who had not yet designated their donation intentions via drivers' licenses or organ donor cards (nondesignators) to identify their preferred disclosure methods (personal discussions with family, physicians, or religious representatives or public registration via mail/telephone/computer, workplace, place of religious worship, or grocery store/bank/post office) and to assess the association of mistrust with preferences. In multivariable models, we assessed racial/ethnic differences in preferences and the influence of medical mistrust on preferences. Nondesignators most preferred discussions with physicians (65%) or family members (63%). After adjustment, African Americans (AAs) were more likely than Whites to prefer discussion with religious representatives. In contrast, AAs and Hispanics were less likely than Whites to prefer registration at a workplace or through mail/telephone/computer. Medical mistrust was common and associated with less willingness to disclose via several methods. Encouraging donation intention disclosure via discussions with physicians, family, and religious representatives and addressing medical mistrust could enhance strategies to improve nondesignators' donation rates. |
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Authors:
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Tanjala S Purnell; Neil R Powe; Misty U Troll; Nae-Yuh Wang; Thomas A Laveist; L Ebony Boulware |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-7-21 |
Journal Detail:
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Title: Transplant international : official journal of the European Society for Organ Transplantation Volume: - ISSN: 1432-2277 ISO Abbreviation: - Publication Date: 2011 Jul |
Date Detail:
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Created Date: 2011-7-22 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8908516 Medline TA: Transpl Int Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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© 2011 The Authors. Transplant International © 2011 European Society for Organ Transplantation. |
Affiliation:
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Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA Welch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins Medical Institutions, Baltimore, USA Department of Medicine, San Francisco General Hospital and University of California, San Francisco, CA, USA Division of General Internal Medicine, Department of Medicine, Johns Hopkins School of Medicine, Baltimore, USA Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA Hopkins Center for Health Disparities Solutions, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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