African Immigrants Living in Spain: Awareness Toward Organ Donation and the Need for Specific Awareness Campaigns

Ríos, Antonio; Carrillo, J.; López-Navas, A.; Ayala-García, Marco Antonio; Alconchel, Felipe; Iniesta‐Sepúlveda, Marina; Ramı́rez, Pablo

doi:10.6002/ect.2021.0480

Cited by 8 publications

(2 citation statements)

References 43 publications

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“…Discrepancy between transplantation and refusal rates to organ donation [ 18 , 19 ] are not indicative of a lack of reciprocity or unequal contribution to organ donation among immigrant populations. Rather, as for the other phases of the ODT process, they are likely a reflection of multiple, intersecting factors [ 17 , 18 , 33 , 57 – 60 ]. Among immigrant populations, the lack of knowledge regarding ODT, varied cultural and religious beliefs, low health literacy, lack of trust towards the healthcare system and HCPs in the host country, a systemic inability to communicate about ODT in a culturally sensitive fashion, and the background framework of ODT in the country of origin with fear of organ trafficking, unfairness, lack of transparency, or general mistrust towards the healthcare system may contribute to negative attitudes towards organ donation in some immigrant groups [ 17 , 18 , 33 , 57 – 60 ].…”

Section: Discussionmentioning

confidence: 99%

“…Studies have also noted that these populations are increasingly represented among patients requiring transplantation. At the same time, these groups have higher rates of refusal for deceased organ donation when compared to native-born and other foreign-born counterparts, with the potential for detrimental effects on waiting times and outcomes of transplantation [ 17 – 19 ].…”

Section: Introductionmentioning

confidence: 99%

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Inequities in Organ Donation and Transplantation Among Immigrant Populations in Italy: A Narrative Review of Evidence, Gaps in Research and Potential Areas for Intervention

Grossi¹,

Puoti²,

Masiero³

et al. 2023

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Immigrants from outside Europe have increased over the past two decades, especially in Southern European countries including Italy. This influx coincided with an increased number of immigrants with end-stage organ diseases. In this narrative review, we reviewed evidence of the gaps between native-born and immigrant populations in the Organ Donation and Transplantation (ODT) process in Italy. Consistent with prior studies, despite the availability of a publicly funded health system with universal healthcare coverage, non-European-born individuals living in Italy are less likely to receive living donor kidney transplantation and more likely to have inferior long-term kidney graft function compared with EU-born and Eastern European-born individuals. While these patients are increasingly represented among transplant recipients (especially kidney and liver transplants), refusal rates for organ donation are higher in some ethnic groups compared with native-born and other foreign-born referents, with the potential downstream effects of prolonged waiting times and inferior transplant outcomes. In the process, we identified gaps in relevant research and biases in existing studies. Given the Italian National Transplant Center’s (CNT) commitment to fighting inequities in ODT, we illustrated actions taken by CNT to tackle inequities in ODT among immigrant communities in Italy.

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