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Partnerships for Native Health Washington State University

LifeCenter Northwest

Local outreach efforts just achieved a big success in raising awareness of organ donation in Native communities. Although most people waiting for organ transplants belong to racial and ethnic minorities, relatively few organ donors are minorities themselves. This mismatch between supply and demand is particularly acute for Native Americans – because the best organ donor for a Native person is often another Native. LifeCenter Northwest, a nonprofit organization dedicated to saving lives through organ and tissue donation, partners with more than 200 hospitals to serve families and communities across Washington, Montana, northern Idaho, and Alaska. Their staff works with families to help them decide whether to choose organ donation. Members of Partnerships for Native Health developed a training for the organization’s family support staff to help them understand Native beliefs and concerns about organ donation and transplantation. This cultural sensitivity training has just been recognized in the organization’s annual report. Thanks to robust outreach efforts by LifeCenter Northwest, the number of Native Americans who donated organs and tissue increased by 32% in 2014! We’re proud of this achievement, and we congratulate Dedra Buchwald, Meghan Jernigan, Abigail Echo-Hawk, Cindy Gamble, and Ka’imi Sinclair for their contribution to addressing Native health disparities.

A Targeted Approach to Increasing American Indian Kidney Donation

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A Targeted Approach to Increasing American Indian Kidney Donation 

End-stage kidney disease is a major public health concern for American Indian populations. It is 3.5 times more common among American Indians than among Whites, and it results overwhelmingly from an excess of type 2 diabetes. In treating end-stage kidney disease, transplantation is associated with better quality of life, lower health care costs, and longer life expectancy than is long-term dialysis. Even so, compared to Whites, American Indians experience significant delays in transplantation and remain on transplant waiting lists for longer periods of time. As rates of kidney disease continue to rise, the importance of raising awareness of organ donation becomes increasingly critical.

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Kidney Donation

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Culturally-adapted Strategies to Enhance Kidney Donation in Native Communities

End-stage kidney disease disproportionately affects American Indians. National statistics document that for American Indians, the prevalence of end-stage kidney disease is 3.5 times higher than for White Americans. Despite similar referral rates for kidney transplants, American Indians are less likely than Whites to be placed on a transplant waiting list or to receive a transplant. In 2007, NIDDK funded six academic centers, including ours at the University of Washington, to test ways to increase organ donation in minority populations. We conducted a mixed-methods study that revealed cultural beliefs and barriers to organ donation among rural American Indians. Findings from that study informed our current strategy to conduct a multi-level intervention with tribal dialysis centers and American Indian patients awaiting organ transplants.

 

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