Suchergebnisse

Background: Despite the societal benefits of live kidney donation, Black donors may be more likely than White donors to devel­op hypertension (HTN) and chronic kidney disease after donation. Among live kidney donors diagnosed with post-donation HTN, little is known about potential racial/eth­nic differences in HTN self-care behaviors and perceived susceptibility to developing kidney disease.Methods: We ascertained electronic medi­cal records and phone survey data from live donors enrolled in the multi-center Well­ness and Health Outcomes of LivE Donors (WHOLE-Donor) Hypertension Care Study between May 2013 and April 2020. Using multivariable logistic regression models performed January through June 2021, we examined potential associations of donor race/ethnicity with perceived susceptibility to kidney disease and self-care behaviors (ie, Behavioral Risk Factor Surveillance Sys­tem measure assessing self-reported actions to control high blood pressure).Results: The study included 318 US-based live kidney donors who developed post-donation HTN (57.6% female; 78.9% White; 18.6% Black; and mean age 46.7 years at donation). Black donors were equally as likely as White donors to report being moderately or strongly concerned about developing kidney disease (adjusted odds ratio, aOR: 1.27, 95%CI: .66, 2.14, P=.57). Donors with diabetes were more likely than those without diabetes (aOR: 2.43, 95%CI: 1.03, 5.01, P=.04), while donors aged >50 years were less likely than younger donors (aOR: .39, 95%CI: .18, .85, P=.02) to report being moderately or strongly concerned about kidney disease. Overall, 87% of donors reported taking at least one action to help control blood pressure, with no significant differences by sociodemographic factors.Conclusions: We found no substantial differences in perceived susceptibility to kidney disease among Black and White donors, despite published evidence that Black donors may experience greater risk of developing kidney disease than White donors. Behavioral interventions to enhance knowledge about future disease risk, attitudes, and self-care strategies among liv­ing kidney donors may be beneficial. Ethn Dis. 2022;32(2):101-108; doi:10.18865/ed.32.2.101

Frontmatter -- Contents -- Preface -- Acknowledgements -- A Scottish Assembly -- Introduction -- Part I: Beginnings, 1968-74 -- Introduction -- The Claim of Scotland -- Why Enmity and Conflict? -- The Declaration of Perth -- The Three Dreams of Scottish Nationalism -- The Government of Scotland -- Forms and Consequences of Federalism -- An Assembly -- A Scheme of Legislative Devolution -- The New Appeal of Nationalism -- Part II: The Devolution Years, 1974-83 -- Introduction -- Scottish Government -- A Parliament for Scotland -- The Devolution of the Intellectuals -- Our Changing Democracy -- Nationalism, Community and Democracy -- Speech to Parliament -- The Slide to Independence -- The Trouble with John P. Mackintosh -- Why it must be 'No' when Assembly is put to the Vote -- The Conservative Party and Devolution -- Speech and Interview -- The Defeat of Devolution -- Interview: Portrait of a Devolutionist -- Part III: Reactions to Thatcherism, 1983-92 -- Introduction -- Interview: Devolution -- Scotland - Omega One -- Towards a Constitutional Convention -- The Devolution Maze -- A Claim of Right for Scotland -- Lecture -- Unrepentant Gradualism -- The Government of Scotland -- Church and Nation: a Catholic View -- Women's Issues and the Scottish Assembly -- Independence in Europe -- Thatcherism in a Cold Climate -- The Implications of a Scottish Parliament for Women's Organisations in Scotland -- The Scottish Constitutional Convention -- Part IV: Towards the Parliament, 1992-7 -- Introduction -- The Scottish Question -- Taking Stock of Taking Stock -- To Make the Parliament of Scotland a Model for Democracy -- The Governance of Scotland -- A Scottish Parliament: Friend or Foe to Local Government? -- Scottish Local Government in Europe -- Fundamentals for a New Scotland Act -- Scotland's Next Step -- Sovereignty after the Election -- Three-level Path to Flourish in Europe -- Scotland's Parliament -- What's the Story? -- Losing Sight of Tinkerbell -- Don't Wreck the Heritage we all Share -- Free, on our Own Terms -- Some Poetry, Pipers and Politics for the People -- References -- Index