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Understanding African American’s Religious Beliefs and Organ Donation Intentions

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Abstract

African Americans are overrepresented on the organ transplant waiting list and underrepresented among organ and tissue donors. One of the most highly noted reasons for lack of donation is the perception that donation is contrary to religious beliefs. The purpose of this cross-sectional study is to explore the complexities of religion (beliefs, religiosity, and religious involvement) and its association with willingness to donate and the written expression of donation intentions. Findings from a sample of 505 African American participants suggest that religion is a multidimensional construct and results differ depending on how the construct is measured and operationalized.

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References

  • Alvaro, E., Jones, S., Robles, A., & Siegel, J. (2006). Hispanic organ donation: Impact of a Spanish-language organ donation campaign. Journal of the National Medical Association, 98(1), 28–35.

    PubMed  PubMed Central  Google Scholar 

  • Arriola, K., Perryman, J., Doldren, M., Warren, C., & Robinson, D. (2007). Understanding the role of clergy in African American organ and tissue donation decision-making. Ethnicity and Health, 12(5), 465–482.

    Article  PubMed  Google Scholar 

  • Batson, C. D., Schroenrade, P. A., & Ventis, W. L. (1993). Religion and the individual. New York: Oxford University Press.

    Google Scholar 

  • Benghu, B., & Uys, H. (2004). Organ donation and transplantation within the Zulu culture. Curationis South African Journal of Nursin, 24–33.

  • Bjarnason, D. (2010). Nurse religiosity and end of life care. Journal of Research in Nursing, 17(1), 78–91.

    Article  Google Scholar 

  • Blaine, B., & Eshleman, P. T. A. (1998). Religious belief and the self-concept: Evaluating the implications for psychological adjustment. Personality and Social Psychology Bulletin, 24(10), 1040–1052.

    Article  Google Scholar 

  • Boon, T. (2004). Religiosity, sexual behaviors and sexual attitudes during emerging adulthood. Journal of Sex Research, 41(2), 150–159.

    Article  Google Scholar 

  • Boulware, L., Ratner, L., Sosa, J., Cooper, L., LaVeist, T., & Powe, N. (2002). Determinants of willingness to donate living related and cadaveric organs: In identifying opportunities for intervention. Transplantation, 73(10), 1683–1691.

    Article  PubMed  Google Scholar 

  • Breitkopf, C. (2006). Perceived consequences of communicating organ donation wishes: An analysis of beliefs about defending one’s decision. Psychology and Health, 21(4), 481–497.

    Article  Google Scholar 

  • Callendar, C., Bayton, J., & Yeager, C. (1982). Attitudes among blacks toward donating kidneys for transplantation: A pilot project. Journal of the National Medical Association, 74(6), 807–809.

    Google Scholar 

  • Callendar, C., & Miles, P. (2001). Obstacles to organ donation in ethnic minorities. Pediatric Transplantation, 5(6), 383–385.

    Article  Google Scholar 

  • Callendar, C., & Miles, P. (2010). Minority organ donation: The power of an educated community. Journal of the American College of Surgeons, 210(5), 708–717.

    Article  Google Scholar 

  • Chatters, L., Levin, J., & Taylor, R. (1992). Antecedents and dimensions of religious involvement among older black adults. Journal of gerontology, 47(6), S269–S278.

    Article  PubMed  CAS  Google Scholar 

  • Churak, J. M. (2005). Racial and ethnic disparities in renal transplantation. Journal of the National Medical Association, 97(2), 153–160.

    PubMed  PubMed Central  Google Scholar 

  • Davis, C., & Randhawa, G. (2006). The influence of religion on organ donation and transplantation among the Black Caribbean and Black African population: A pilot study in the United Kingdom. Ethnicity and Disease, 16(1), 281–285.

    PubMed  Google Scholar 

  • DeJong, W., Franz, H. G., Wolfe, S. M., Nathan, H., Payne, D., Reitsma, W., et al. (1998). Requesting organ donation: An interview study donor and non donor families. American Journal of Critical Care, 7(1), 13–23.

    PubMed  CAS  Google Scholar 

  • Durand, R., Decker, P., & Bruder, P. (2002). Organ donation among African Americans: Opportunities for increasing donor rates. Hospital Topics, 80(3), 34–37.

    Article  PubMed  Google Scholar 

  • Ellison, C., & Taylor, R. (1996). Turning to prayer: Social and situational antecedents of religious coping among African Americans. Review of Religious Research, 38(2), 111–131.

    Article  Google Scholar 

  • Festinger, L. (1957). A theory of cognitive dissonance. Stanford, CA: Stanford University Press.

    Google Scholar 

  • Foster, C., & Smith, F. (2003). Black religious experience: Conversations on double consciousness and the work of grant Shockley. Nashville, TN: Abingdon Press.

    Google Scholar 

  • Frazier, C., Mintz, L., & Mobley, M. (2005). A multidimensional look at religious involvement and psychological well-being among urban elderly African Americans. Journal of Counseling Psychology, 52(4), 583–590.

    Article  Google Scholar 

  • Gallagher, C. (1998). Religious outreach for organ and tissue donation. Journal of Transplant Coordination, 8(1), 60–62.

    PubMed  CAS  Google Scholar 

  • Gillman, J. (1999). Religious perspectives on organ donation. Critical Care Nursing Quarterly, 22(3), 19–29.

    Article  PubMed  CAS  Google Scholar 

  • Haustein, S., & Sellers, M. (2004). Factors associated with (un) willingness to be an organ donor: Importance of public exposure and knowledge. Clinical Transplantation, 18(2), 193–200.

    Article  PubMed  Google Scholar 

  • Health Resources and Services Administration (2011). the need is real: Data on donation and transplantation. organdonor.gov/awareness_day/minorityaa.html. 6 July 2012.

  • Institute of Medicine, Committee on Organ Procurement and Transplantation Policy. (1999). Organ procurement and transplantation: Assessing current policies and the potential impact of the DHHS final rule. Washington D.C.: National Academy Press.

    Google Scholar 

  • Lam, W., & McCullough, L. (2000). Influence of religious and spiritual values on the willingness of Chinese–Americans to donate organs for transplantation. Clinical Transplantion, 14(5), 449–456.

    Article  CAS  Google Scholar 

  • Levin, J., Taylor, R., & Chatters, L. (1995). A multidimensional measure of religious involvement for African Americans. The Sociological Quarterly, 36(1), 157–173.

    Article  Google Scholar 

  • Lynch, E. (2005). Faith in transplants. Nursing Standard, 19(33), 24–27.

    PubMed  Google Scholar 

  • Malek, S. K., Keys, B. J., Kumar, S., Milford, E., & Tullius, S. G. (2010). Racial and ethnic disparities in kidney transplantation. Transplant International, 24(5), 419–424. doi:10.1111/j.1432-2277.2010.01205.x.

    Article  PubMed  Google Scholar 

  • McNamara, P., Guadagnoli, E., Evanisko, M., Beasley, C., Santiago-Delphin, E., Callender, C., et al. (1999). Correlates of support for organ donation among three ethnic groups. Clinical Transplantation, 13(1), 45–50.

    Article  PubMed  CAS  Google Scholar 

  • Minniefield, W., Yang, J., & Muti, P. (2001). Difference in attitudes toward organ donation among African Americans and Whites in the United States. Journal of the National Medical Association, 93(10), 372–379.

    PubMed  CAS  PubMed Central  Google Scholar 

  • Morgan, S. (2006). Many facets of reluctance: African Americans and the decision (not) to donate organs. Journal of the National Medical Association, 98(5), 695–703.

    PubMed  PubMed Central  Google Scholar 

  • Morgan, S., & Cannon, T. (2003). African Americans’ knowledge about organ donation: Closing the gap with more effective and persuasive strategies. Journal of the National Medical Association, 95(11), 1066–1071.

    PubMed  PubMed Central  Google Scholar 

  • Morse, C., Afifi, W., Morgan, S., Stephenson, M., Reichert, T., Harrison, T., et al. (2009). Religiosity, anxiety, and discussions about organ donation: Understanding a complex system of associations. Health Communication, 24(2), 156–164.

    Article  PubMed  Google Scholar 

  • Oliver, M., Woywodt, A., Ahmed, A., & Saif, I. (2010). Organ donation, transplantation and religion. Nephrology, Dialysis, Transplantation, 26(2), 437–444.

    Article  PubMed  Google Scholar 

  • Prochaska, J., & DiClemente, C. (1983). Stages and processes of self-change of smoking: Toward an integrative model of change. Journal of Consulting and Clinical Psychology, 51(3), 390–395.

    Article  PubMed  CAS  Google Scholar 

  • Radecki, C., & Jaccard, J. (1997). Psychological aspects of organ donation: A critical review and synthesis of individual and next-of-kin donation decisions. Health Psychology, 16(2), 183–195.

    Article  PubMed  CAS  Google Scholar 

  • Rohrbaugh, J., & Jessor, R. (1975). Religiosity in youth: A personal control against deviant behavior. Journal of Personality, 43, 136–155.

    Article  PubMed  CAS  Google Scholar 

  • Rumsey, S., Hurford, D., & Cole, A. (2003). Influence of knowledge and religiousness on attitudes toward organ donation. Transplantation Proceedings, 35(8), 2845–2850.

    Article  PubMed  CAS  Google Scholar 

  • Russell, E., Robinson, D., Thompson, N., Perryman, J., & Arriola, K. (2011). Distrust in the healthcare system and organ donation intentions among African Americans. Journal of Community Health, 37(1), 40–47.

    Article  Google Scholar 

  • Ryckman, R., Thornton, B., Van Den Borne, B., & Gold, J. (2004). Intrinsic-extrinsic religiosity and university students’ willingness to donate organs posthumously. Journal of Applied Social Psychology, 34(1), 196–205.

    Article  Google Scholar 

  • Sander, S. L., & Miller, B. K. (2005). Public knowledge and attitudes regarding organ and tissue donation: An analysis of the northwest Ohio community. Patient Education and Counseling, 58(2), 154–163.

    Article  PubMed  Google Scholar 

  • Sanner, M. (1994). Attitudes toward organ donation and transplantation: A model for understanding reactions to medical procedures after death. Social Science and Medicine, 38(8), 1141–1152.

    Article  PubMed  CAS  Google Scholar 

  • Siminoff, L., Burant, C., & Ibrahim, S. (2006). Racial disparities in preferences and perceptions regarding organ donation. Journal of General Internal Medicine, 21(9), 995–1000.

    Article  PubMed  PubMed Central  Google Scholar 

  • Steiner, D. L. (2002). Breaking up is hard to do: The heartbreak of dichotomizing continuous data. Canadian Journal of Psychiatry, 47, 262–266.

    Google Scholar 

  • Stephenson, M., Morgan, S., Roberts-Perez, S., Harrison, T., Afifi, W., & Long, S. (2008). The role of religiosity, religious norms, subjective norms, and bodily integrity in signing an organ donor card. Health Communication, 23(5), 436–447.

    Article  PubMed  Google Scholar 

  • UNOS. (2012). United network for organ sharing. www.unos.org/data.

  • van Olphen, J., Schulz, A., Israel, B., Chatters, L., Parker, L. K. E., & Williams, D. (2003). Religious involvement, social support, and health among African American women on the East side of Detroit. Journal of General Internal Medicine, 18(7), 549–557.

    Article  PubMed  PubMed Central  Google Scholar 

  • Wakefield, C., Reid, J., & Homewood, J. (2011). Religious and ethnic influences on willingness to donate organs and donor behavior: An Australian perspective. Progress in Transplantation, 21(2), 161–168.

    PubMed  Google Scholar 

  • Young, C. J., & Kew, C. (2005). Health disparities in transplantation: Focus on the complexity and challenge of renal transplantation in African Americans. Medical Clinics of North America, 89, 1003–10031. doi:10.1016/j.mcna.2005.05.002.

    Article  PubMed  Google Scholar 

  • Yuen, C., Burton, W., Chiraseveenuprapund, P., Kluge, E. E., Wong, S., Ozuah, P., et al. (1998). Attitudes and beliefs about organ donation among different racial groups. Journal of the National Medical Association, 90(1), 13–18.

    PubMed  CAS  PubMed Central  Google Scholar 

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Acknowledgments

This research was supported by the National Institute of Diabetes and Digestive and Kidney Diseases (Grant # 5R01DK079713-05). Also, we thank Mohua Basu for her assistance with data collection and analysis.

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Authors and Affiliations

  1. Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Grace Crum Rollins Bldg., 1518 Clifton Rd., Rm. 521, Atlanta, GA, 30322, USA

    Dana H. Z. Robinson, Susan M. Gerbensky Klammer, Nancy J. Thompson & Kimberly R. Jacob Arriola

  2. Department of Policy and Outcomes Management, Emory Transplant Center, Emory Healthcare, Atlanta, GA, USA

    Jennie P. Perryman

Authors
  1. Dana H. Z. Robinson
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  2. Susan M. Gerbensky Klammer
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  3. Jennie P. Perryman
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  4. Nancy J. Thompson
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  5. Kimberly R. Jacob Arriola
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Correspondence to Dana H. Z. Robinson.

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Robinson, D.H.Z., Klammer, S.M.G., Perryman, J.P. et al. Understanding African American’s Religious Beliefs and Organ Donation Intentions. J Relig Health 53, 1857–1872 (2014). https://doi.org/10.1007/s10943-014-9841-3

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  • DOI: https://doi.org/10.1007/s10943-014-9841-3

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