Women donate, men receive: gender disparity among renal donors

“…Previous studies have shown no gender-based differences in rates of donation among relatives, but among spouses that were suitable to donate, only 6.5% of men went onto donation in comparison to 36% of the wives proceeding to surgery [15,27]. Mothers are also more likely to donate to a child thereby adding to differences between male and female rates of donation [27,28]. Interestingly, gender disparities are more pronounced in minority ethnic groups, as African American and south Asian females are more likely to donate, to a spouse or child when compared to white counterparts [29].…”

Section: Gender Disparities In Living Donationmentioning

confidence: 99%

“…Additionally, gender disparities in kidney transplantation are evident in living donation as well as deceased donor renal transplantation. In the past twenty years in the US, women are consistently predominant in kidney donation averaging 61% of all living donors [14]; with 64% of the living donor recipients being males [15][16][17]. Finally, though current societal challenges tie race/ethnicity to socioeconomic status, there continues to be challenges relating to access to living donation for the poor and underinsured [18,19].…”

Section: Introductionmentioning

confidence: 99%

Disparities in living donation

Lopez‐Soler

Garcia-Roca²,

Lee³

2021

Current Opinion in Organ Transplantation

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Purpose of review Living organ donation provides improved access to transplantation, thereby shortening transplant wait times and allowing for more deceased organ transplants. However, disparity in access to living donation has resulted in decreased rates of living donor transplants for some populations of patients. Recent findings Though there have been marked improvements in deceased donor equity, there are still challenges as it relates to gender, racial/ethnic, and socio-economic disparity. Improvements in living donation rates in Hispanic and Asian populations are tempered by challenges in African American rates of organ donation. Socio-economic disparity may drive gender disparities in organ donation resulting in disproportionate female living donors. Tailored approaches relating to language-specific interventions as well as directed educational efforts have helped mitigate disparity. Additionally, the use of apolipoprotein1 testing and modifications of glomerular filtration rate calculators may improve rates of African American donation. This review will evaluate recent data in living donor disparity as well as highlight successes in mitigating disparity. Summary Though there are still challenges in living donor disparity, many efforts at tailoring education and access as well as modifying living donor evaluation and identifying systemic policy changes may result in improvements in living donation rates.

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“…For instance, women are more likely to become living kidney donors and less likely to receive donations than men. [7][8][9][10] Although many explanations for this disparity have been offered, 10,11 an understudied factor may be gender differences in altruistic behaviors and gendered caregiving social norms, which could make women more likely to offer to donate, and less likely to accept others' offers, than men. 7,11 Similarly, Black candidates are less likely to receive a living donation than White candidates.…”

Section: Introductionmentioning

confidence: 99%

“…[7][8][9][10] Although many explanations for this disparity have been offered, 10,11 an understudied factor may be gender differences in altruistic behaviors and gendered caregiving social norms, which could make women more likely to offer to donate, and less likely to accept others' offers, than men. 7,11 Similarly, Black candidates are less likely to receive a living donation than White candidates. 5 Previous research has cited lower levels of LDDs as a contributing factor to racial disparities in LDKT, 6,[12][13][14][15] but no previous research has differentiated these discussions by who initiates them or their consequences for racial disparities.…”

Section: Introductionmentioning

confidence: 99%

The Determinants and Consequences of Living Donor Discussion Direction

Roberts,

Daw

2023

Prog Transpl

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Introduction: Living donor discussions in which kidney transplant candidates discuss living kidney donation with their social network are an important step in the living donor kidney transplant process. No prior research has investigated whether who initiates discussion or influences evaluation agreement rates or how these processes may contribute to disparities. Research Questions: This study aimed to determine how common candidate- and potential-donor-initiated discussions were, at what rate each discussion type resulted in agreement to be evaluated for living donation, and what sociodemographic characteristics predicted living donor discussion and agreements. Design: A 2015 cross-sectional survey at a single, large Southeastern US transplant center measured kidney transplant candidates’ social networks, including whether they had a donor discussion, who initiated it, and whether the discussion resulted in the donor evaluation agreement. Candidate-network member pairs’ probability of having a candidate-initiated discussion, potential-living donor-initiated discussion, or no discussions were compared in multinomial logistic regression, and the probability of the discussion resulted in evaluation agreement was evaluated in multinomial logistic regression. Results: Sixty-six kidney transplant candidates reported on 1421 social network members. Most (80%) candidate/network-member pairs did not have a living donor discussion, with candidate-initiated discussions (11%) slightly more common than potential-donor-initiated discussions (10%). Evaluation agreement was much more common for potential-donor-initiated (72%) than for candidate-initiated discussions (39%). Potential-donor-initiated discussions were more common for White candidates (16%) than for Black candidates (7%). Conclusion: Potential-donor-initiated discussions resulted in evaluation agreement much more frequently than candidate-initiated discussions. This dynamic may contribute to racial living donation disparities.

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Women donate, men receive: gender disparity among renal donors

Cited by 13 publications

References 0 publications

India: Gender Disparities in Organ Donation and Transplantation

India: Gender Disparities in Organ Donation and Transplantation

Disparities in living donation

The Determinants and Consequences of Living Donor Discussion Direction

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