Please use this identifier to cite or link to this item: https://doi.org/10.1186/s12882-015-0045-1
Title: Perceptions about hemodialysis and transplantation among African American adults with end-stage renal disease: Inferences from focus groups Epidemiology and Health Outcomes
Authors: Salter, M.L
Kumar, K
Law, A.H
Gupta, N
Marks, K
Balhara, K
McAdams-Demarco, M.A 
Taylor, L.A
Segev, D.L
Keywords: adult
African American
age
aged
Article
clinical article
end stage renal disease
family
fear
female
friend
health belief
health care disparity
hemodialysis
human
kidney disease
kidney graft rejection
kidney transplantation
male
medical information
patient attitude
patient worry
personal experience
qualitative analysis
sex difference
social support
United States
content analysis
doctor patient relation
end stage renal disease
information processing
medicare
patient history of transplantation
qualitative research
thematic analysis
attitude to health
clinical trial
comparative study
Kidney Failure, Chronic
kidney transplantation
Maryland
middle aged
multicenter study
perception
procedures
psychology
quality of life
renal replacement therapy
risk assessment
treatment outcome
Adult
African Americans
Age Factors
Aged
Attitude to Health
Baltimore
Female
Focus Groups
Healthcare Disparities
Humans
Kidney Failure, Chronic
Kidney Transplantation
Male
Maryland
Middle Aged
Perception
Physician-Patient Relations
Qualitative Research
Quality of Life
Renal Dialysis
Risk Assessment
Sex Factors
Treatment Outcome
Issue Date: 2015
Citation: Salter, M.L, Kumar, K, Law, A.H, Gupta, N, Marks, K, Balhara, K, McAdams-Demarco, M.A, Taylor, L.A, Segev, D.L (2015). Perceptions about hemodialysis and transplantation among African American adults with end-stage renal disease: Inferences from focus groups Epidemiology and Health Outcomes. BMC Nephrology 16 (1) : 49. ScholarBank@NUS Repository. https://doi.org/10.1186/s12882-015-0045-1
Rights: Attribution 4.0 International
Abstract: Background: Disparities in access to kidney transplantation (KT) remain inadequately understood and addressed. Detailed descriptions of patient attitudes may provide insight into mechanisms of disparity. The aims of this study were to explore perceptions of dialysis and KT among African American adults undergoing hemodialysis, with particular attention to age- and sex-specific concerns. Methods: Qualitative data on experiences with hemodialysis and views about KT were collected through four age- and sex-stratified (males <65, males ≥65, females <65, and females ≥65 years) focus group discussions with 36 African American adults recruited from seven urban dialysis centers in Baltimore, Maryland. Results: Four themes emerged from thematic content analysis: 1) current health and perceptions of dialysis, 2) support while undergoing dialysis, 3) interactions with medical professionals, and 4) concerns about KT. Females and older males tended to be more positive about dialysis experiences. Younger males expressed a lack of support from friends and family. All participants shared feelings of being treated poorly by medical professionals and lacking information about renal disease and treatment options. Common concerns about pursuing KT were increased medication burden, fear of surgery, fear of organ rejection, and older age (among older participants). Conclusions: These perceptions may contribute to disparities in access to KT, motivating granular studies based on the themes identified. © 2015 Salter et al.; licensee BioMed Central.
Source Title: BMC Nephrology
URI: https://scholarbank.nus.edu.sg/handle/10635/181452
ISSN: 14712369
DOI: 10.1186/s12882-015-0045-1
Rights: Attribution 4.0 International
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