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Medical Care Research and Review
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Reviews

Factors Influencing Organ Donation Decisions by African Americans

A Review of the Literature

Richard S. Kurz

Saint Louis University School of Public Health, kurzrs{at}slu.edu

Darcell P. Scharff

Saint Louis University School of Public Health, scharffd{at}slu.edu

Tanchica Terry

Saint Louis University School of Public Health, terrytl{at}slu.edu

Shanica Alexander

Saint Louis University School of Public Health, alexansn{at}slu.edu

Amy Waterman

Washington University School of Medicine, awaterma{at}im.wustl.edu

The purpose of this article is to review the literature from 1980 to 2005 regarding organ donation decision making by African Americans for themselves and their loved ones and recommend improvements in subsequent studies. Using the behavioral model of health services utilization as an organizing framework, the review procedure consists of a (1) search of health and medical literature using several key words and eight indexes, (2) selection of articles based on specific criteria, and (3) review of each article with regard to the population and sample used, study design, dependent variables addressed, and its findings. The review indicates that predisposing, enabling, and need factors each influence African Americans' organ donation decision making. Retrospective chart reviews provide a good design for future multivariate analyses of the many factors influencing African American decision making. Interventions to influence decision making should emphasize both community education and the process of organ procurement.

Key Words: organ donation • African American donations • donation decisions • donation disparities • donation barriers • African American transplantation

Medical Care Research and Review, Vol. 64, No. 5, 475-517 (2007)
DOI: 10.1177/1077558707304644
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