TY - JOUR
T1 - Attitudes and Behaviors of African Americans Regarding Early Detection of Kidney Disease
AU - Waterman, Amy D.
AU - Browne, Teri
AU - Waterman, Brian M.
AU - Gladstone, Elisa H.
AU - Hostetter, Thomas
N1 - Funding Information:
Support : This study was funded by the National Institutes of Health, NKDEP. Dr Waterman is funded by the National Institute of Diabetes, Digestive Disorders, and Kidney Disease (1 K01 DK066239-01).
PY - 2008/4
Y1 - 2008/4
N2 - Background: Chronic kidney disease (CKD) is an African American public health crisis. To inform interventions, the National Kidney Disease Education Program surveyed African Americans about their attitudes and behaviors regarding early detection of kidney disease and screening. Study Design: Cross-sectional study. Setting & Participants: 2,017 African Americans from 7 states (Georgia, Maryland, Ohio, Mississippi, Louisiana, Missouri, and Tennessee) selected by using a random-digit dialing telephone survey (response rate, 42.4%). Predictors: Demographic, risk, knowledge, and behavior variables. Outcomes & Measurements: Perception of CKD as a top health concern, perceived risk of getting kidney disease, and accurate knowledge about CKD and its prevention. Results: Only 23.5% of African Americans were screened for kidney disease in the last year. Although almost half (43.7%) of African Americans had a CKD risk factor, only 2.8% reported that CKD was a top health concern. Almost half knew the correct definition of kidney disease (48.6%), but few knew a test to diagnose CKD (23.7%) or that African Americans were at greater risk of developing CKD (18.1%). African Americans who had diabetes (odds ratio [OR], 3.22; 95% confidence interval [CI], 2.17 to 4.76), hypertension (OR, 1.78; 95% CI, 1.28 to 2.44), at least a bachelor's degree (OR, 1.77; 95% CI, 1.17 to 2.66), who had spoken with a medical professional (OR, 1.85; 95% CI, 1.19 to 2.85) or their family (OR, 1.61; 95% CI, 1.11 to 2.38) about kidney disease, who knew that a family history of kidney disease is a risk factor (OR, 2.32; 95% CI, 1.08 to 5.0), and who had been tested for CKD in the last year (OR, 1.45; 95% CI, 1.03 to 2.0) were more likely to correctly perceive themselves at increased risk. Limitations: Respondents were primarily African American women from urban areas. Conclusions: Most African Americans have poor knowledge about CKD, do not perceive it as an important health problem, and are not getting screened. To increase early detection of kidney disease through screenings, educational efforts linking kidney disease prevention to other diseases that are health priorities for African Americans are necessary.
AB - Background: Chronic kidney disease (CKD) is an African American public health crisis. To inform interventions, the National Kidney Disease Education Program surveyed African Americans about their attitudes and behaviors regarding early detection of kidney disease and screening. Study Design: Cross-sectional study. Setting & Participants: 2,017 African Americans from 7 states (Georgia, Maryland, Ohio, Mississippi, Louisiana, Missouri, and Tennessee) selected by using a random-digit dialing telephone survey (response rate, 42.4%). Predictors: Demographic, risk, knowledge, and behavior variables. Outcomes & Measurements: Perception of CKD as a top health concern, perceived risk of getting kidney disease, and accurate knowledge about CKD and its prevention. Results: Only 23.5% of African Americans were screened for kidney disease in the last year. Although almost half (43.7%) of African Americans had a CKD risk factor, only 2.8% reported that CKD was a top health concern. Almost half knew the correct definition of kidney disease (48.6%), but few knew a test to diagnose CKD (23.7%) or that African Americans were at greater risk of developing CKD (18.1%). African Americans who had diabetes (odds ratio [OR], 3.22; 95% confidence interval [CI], 2.17 to 4.76), hypertension (OR, 1.78; 95% CI, 1.28 to 2.44), at least a bachelor's degree (OR, 1.77; 95% CI, 1.17 to 2.66), who had spoken with a medical professional (OR, 1.85; 95% CI, 1.19 to 2.85) or their family (OR, 1.61; 95% CI, 1.11 to 2.38) about kidney disease, who knew that a family history of kidney disease is a risk factor (OR, 2.32; 95% CI, 1.08 to 5.0), and who had been tested for CKD in the last year (OR, 1.45; 95% CI, 1.03 to 2.0) were more likely to correctly perceive themselves at increased risk. Limitations: Respondents were primarily African American women from urban areas. Conclusions: Most African Americans have poor knowledge about CKD, do not perceive it as an important health problem, and are not getting screened. To increase early detection of kidney disease through screenings, educational efforts linking kidney disease prevention to other diseases that are health priorities for African Americans are necessary.
KW - African American
KW - attitudes
KW - diabetes
KW - early detection
KW - end-stage renal disease
KW - family history
KW - hypertension
KW - kidney disease
KW - knowledge
KW - prevention
KW - risk factors
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U2 - 10.1053/j.ajkd.2007.12.020
DO - 10.1053/j.ajkd.2007.12.020
M3 - Article
C2 - 18371531
AN - SCOPUS:40849113540
SN - 0272-6386
VL - 51
SP - 554
EP - 562
JO - American Journal of Kidney Diseases
JF - American Journal of Kidney Diseases
IS - 4
ER -