Gender disparity in living renal transplant donation

Zimmerman, Deborah; Donnelly, Sandra; Miller, Judith; Stewart, Donna E.; Albert, Shelley E.

doi:10.1053/ajkd.2000.9794

Cited by 111 publications

(82 citation statements)

References 29 publications

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“…These results are similar to other reports, such as those from Turkish, Italian, Chinese and also North American populations, where comparable female/male ratios are found (11)(12)(13)(14)(15). These data emphasise the need for more gender equity as far as the altruistic willingness for organ donation is concerned.…”

Section: Discussionsupporting

confidence: 91%

Histocompatibility Testing for Organ Transplantation Purposes in Albania: A Single Center Experience

2014

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Section: Discussionsupporting

confidence: 91%

Histocompatibility Testing for Organ Transplantation Purposes in Albania: A Single Center Experience

2014

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“…However, Zimmerman and associates have previously found men and women were ruled out as potential donors at similar rates on the basis of basic medical conditions or blood group incompatibility. 4 In addition, Lunsford and associates speculated in their retrospective analysis that low rates of living organ donations from African Americans were more likely secondary to disparity in willingness to donate (eg, loss to follow-up) rather than medical unsuitability. 30 We also lacked data with regard to consanguinity, which may have an effect on medical suitability for some BAME donors, such as those from South Asian, because consanguineous marriages are common and leads to increased prevalence of autosomal recessive conditions.…”

Section: Discussionmentioning

confidence: 99%

“…Second, gender disparity in living-donor kidney transplant has been well described, with women more likely to be donors and male patients more likely to be recipients. [4][5][6][7][8][9] It is unclear how these 2 phenomena interact and whether gender disparities are worsened in BAME communities. It is also unclear whether the gender disparities observed in living-donor kidney transplant are influenced by the nature of familial versus nonfamilial relationships.…”

Section: Introductionmentioning

confidence: 99%

Untitled

2016

Exp Clin Transplant

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2% vs 29.8%), whereas the proportion of men receiving kidneys from women (50.9%) and from men (49.1%) were similar (P < .001). Black, Asian, and donors from other minority groups comprised 18.7% of the donor cohort. South Asian partner-to-partner transplants (n = 22) were predominantly men receiving transplants from women (90.9%) versus women receiving transplants from men (9.1%; P = .003). Male patients more commonly donated their kidney to children than to women (10.2% vs 6.4%; P = .046). South Asian donations to children were similar between males and females; however, boys exclusively received kidneys from male donors (8/8) versus from female donors (8/12). Conclusions:Gender disparity exists in living-donor kidney transplant, with disparities more pronounced in some ethnic groups and among particular re lationships. This finding requires targeted counseling and research to understand whether the cause is medical or sociocultural obstacles.

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“…It has also been suggested that more women, as a group, see moral dilemmas not in terms of rights or justice, but in terms of responsibility for relations over time and, again, of care-giving (Gilligan 1982)[3] and that this may matter to their behaviour in LD. It has been suggested that women may be more sensitive to family pressure to donate and less able to resist such pressure and that this may make them more inclined towards LKD than men, as a group (Zimmerman et al 2000).…”

Section: Live Kidney and Liver Donation Ld And Gender Aspectsmentioning

confidence: 99%

“…Whereas this gender-imbalance can partly be explained by hypertension and kidney disease leading to renal insufficiencies being more common among males than females (Hallan et al 2006), it is also argued that medical reasons cannot fully explain the gender-imbalance (Zimmerman et al 2000, Thiel et al 2005. If the resulting gender-imbalance is partly due to gender-roles which make women assume that they should take on this kind of care-work and if such gender-roles constrain women"s (and men"s) choice in this particular regard, then these gender-roles should be an ethical concern.…”

Section: Vulnerability Choice and Lovementioning

confidence: 99%

Just love in live organ donation

Zeiler

2008

Med Health Care and Philos

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Emotionally-related live organ donation is different from almost all other medical treatments in that a family member or, in some countries, a friend contributes with an organ or parts of an organ to the recipient. Furthermore, there is a long-acknowledged but not well-understood gender-imbalance in emotionally-related live kidney donation.This article argues for the benefit of the concept of just love as an analytic tool in the analysis of emotionally-related live organ donation where the potential donor(s) and the recipient are engaged in a love relation. The concept of just love is helpful in the analysis of these live organ donations even if no statistical gender-imbalance prevails. It is particularly helpful, however, in the analysis of the gender-imbalance in live kidney donations if these donations are seen as a specific kind of care-work, if care-work is experienced as a labour one should perform out of love and if women still experience stronger pressures to engage in care-work than do men.The aim of the article is to present arguments for the need of just love as an analytic tool in the analysis of emotionally-related live organ donation where the potential donor(s) and the recipient are engaged in a love relation. The aim is also to elaborate two criteria that need to be met in order for love to qualify as just and to highlight certain clinical implications.Keywords: Live organ donation, ethics, love, the just, choice, gender 2 INTRODUCTION Emotionally-related live organ donation (hereafter referred to as LD) is different from almost all other medical treatments in that a family member or, in for example Sweden, a friend contributes with an organ or parts of an organ to the recipient. Furthermore, in emotionally-related live kidney donation (hereafter referred to as LKD) there is a long-acknowledged but not well-understood gender-imbalance. In cases of LKD, previous studies have shown that female partners donate significantly more often than male partners. Mothers also donate significantly more often than fathers (Schicktanz et al 2006, Thiel et al 2005, Bloembergen et al 1996.This article argues for the benefit of the concept of just love as an analytic tool in the analysis of emotionally-related LD where the potential donor(s) and the recipient are engaged in a love relation (hereafter referred to as loving LD). The concept of just love is helpful in the analysis of loving LD even if no gender-imbalance prevails. It is particularly helpful, however, in the analysis of the gender-imbalance in LKD if live donation can be seen as a specific kind of care-work, if care-work is experienced as a labour one should perform out of love, if women still experience stronger pressures to engage in care-work then do men and if the gender-imbalance cannot be fully explained by medical reasons.The aim of the article is i) to present arguments for the benefit of just love as an analytic tool in loving LD, ii) to elaborate two criteria that need to be met in order for love to qualify as just and iii) to highli...

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Gender disparity in living renal transplant donation

Cited by 111 publications

References 29 publications

Histocompatibility Testing for Organ Transplantation Purposes in Albania: A Single Center Experience

Histocompatibility Testing for Organ Transplantation Purposes in Albania: A Single Center Experience

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Just love in live organ donation

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