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Barriers to living donation among low-resource hispanics

机译:资源匮乏的西班牙裔人的生活捐赠壁垒

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Hispanics are disproportionately affected by renal failure. Although living donation has been heralded as a potential means for alleviating the need for transplantable kidneys, a nuanced understanding of the obstacles faced by Hispanics is necessary. In our study, we conducted focus groups with 28 first-generation Spanish-dominant Hispanic renal patients. Although some of the barriers that emerged were akin to those reported in previous research (e.g., a lack of knowledge about the process), others were unique. Rarely chronicled barriers include the disqualification of family members because of medical issues, potential donors being unable to miss work, disqualification of family members who are undocumented, concern that potential donors cannot support their family if they donate, and declining social support because of illness. The interaction among this constellation of barriers makes living donation particularly difficult among this population. Investigations focused on the unique barriers faced by these low-resource individuals are warranted.
机译:西班牙裔人受肾衰竭的影响不成比例。尽管已经宣布了活体捐献是减轻对可移植肾脏的需求的一种潜在手段,但对西班牙裔人所面临的障碍的细微了解是必要的。在我们的研究中,我们与28位第一代西班牙裔西班牙裔肾脏患者进行了焦点小组讨论。尽管出现的一些障碍类似于先前研究中报告的障碍(例如,缺乏对过程的了解),但其他障碍却是独特的。历来罕见的障碍包括由于医疗问题导致的家庭成员资格丧失,潜在的捐助者无法错过工作,无证件的家庭成员丧失资格,担心潜在的捐助者如果捐赠就无法养家糊口,以及由于疾病而下降的社会支持等。这一系列障碍之间的相互作用使该人群的生活捐赠特别困难。有必要针对这些资源贫乏的人面临的独特障碍进行调查。

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