The 130th Annual Meeting of APHA

4178.0: Tuesday, November 12, 2002 - 2:30 PM

Abstract #43282

Improving Organ Donation among African Americans:An Exploratory Study

Adedeji Sikiru Adefuye, MBBS, MPH1, Shaffdeen Amuwo, PhD,, MPH1, and Martin Mozes, MD2. (1) OCGA, University of Illinois at Chicago, School of Public Health, 1603 W. Taylor, Suite 152, Chicago, IL 60612, 312-996-6081, rill@uic.edu, (2) Regional Organ Bank of Illinois, 800 S Wells, Suite 190, Chicago, IL 60607

Improving Organ Donation among African Americans: An Exploratory Study Adedeji Adefuye MBBS, MPH, Martin Mozes MD, Shaffdeen Amuwo MPH, PhD

This study examined the impact of two different interventions (ethnically targeted brochures and one-on-one discussions on organ donation) on the rate of the "declaration of intent to donate" and "family discussion" among African Americans. All patrons to a drivers license facility in an African American neighborhood in Chicago received the brochures while a total of 10,014 patrons received a one-on-one education.

Monthly donor registration rates at the facility and the names of registrants were provided by the Secretary of States office. A randomly selected 178, 564 and 300 African Americans for the 3-month pre-intervention, intervention and 3-month post-intervention periods respectively were surveyed on phone using a structured instrument. Odds ratio analysis was used to determine likelihood of registering between the two groups.

The registration rate increased by an average of 5 percentage points over the 6 month intervention period. The odds of any registrant receiving both brochures and one-on-one discussion compared to receiving brochures alone was approximately 3:1. The rate of family discussion also increased by 10 percentage points. Younger registrants were more likely to have had this discussion, as were married respondents compared with single, widowed or divorced respondents. Reasons for non-discuscussion suggest a lack of appreciation of the role of family members when permission to recover organs is sought.

Constructive engagement is needed to increase organ donation and family discussion rates which will translate into increased rates of permission given by family for organ recovery when a registrant in the donor registry becomes eligible for organ donation.

Learning Objectives:

Keywords: Community Education, Community Research

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

Organ Donation and Transplantation: Is this a Public Health Issue?

The 130th Annual Meeting of APHA