Knowledge About Renal Transplantation Among African, Caribbean, and Black Canadian Patients With Advanced Kidney Failure

Marzan Hamid, Jasleen Gill, Princess Okoh, Nawang Yanga, Vardaan Gupta, Jing Chen Zhang, Navneet Singh, John Matelski, Priscilla Boakye, Carl E. James, Amy Waterman, Istvan Mucsi

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Introduction: Variable transplant-related knowledge may contribute to inequitable access to living donor kidney transplant (LDKT). We compared transplant-related knowledge between African, Caribbean, and Black (ACB) versus White Canadian patients with kidney failure using the Knowledge Assessment of Renal Transplantation (KART) questionnaire. Methods: This was a cross-sectional cohort study. Data were collected from a cross-sectional convenience sample of adults with kidney failure in Toronto. Participants also answered an exploratory question about their distrust in the kidney allocation system. Clinical characteristics were abstracted from medical records. The potential contribution of distrust to differences in transplant knowledge was assessed in mediation analysis. Results: Among 577 participants (mean [SD] age 57 [14] years, 63% male), 25% were ACB, and 43% were White Canadians. 45% of ACB versus 26% of White participants scored in the lowest tertile of the KART score. The relative risk ratio to be in the lowest tertile for ACB compared to White participants was 2.22 (95% confidence interval [CI]: 1.11, 4.43) after multivariable adjustment. About half of the difference in the knowledge score between ACB versus White patients was mediated by distrust in the kidney allocation system. Conclusion: Participants with kidney failure from ACB communities have less transplant-related knowledge compared to White participants. Distrust is potentially contributing to this difference.

Original languageEnglish (US)
Pages (from-to)2569-2579
Number of pages11
JournalKidney International Reports
Volume8
Issue number12
DOIs
StatePublished - Dec 2023

Keywords

  • African
  • Caribbean and Black
  • health equity
  • kidney transplant knowledge

ASJC Scopus subject areas

  • Nephrology

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