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The Influence of Spirituality and Other Motivations on Potential Kidney Living Donors’ Decisions to Donate by Race/Ethnicity

A. Waterman1, G. H. Kim1, Y. Cui2, O. N. Ranasinghe1, J. L. Beaumont2, D. Adey3, U. Reddy4, B. Campbell5, F. L. Weng6

1Division of Nephrology, David Geffen School of Medicine, Los Angeles, CA, 2Terasaki Research Institute, Los Angeles, CA, 3UCSF Health, San Francisco, CA, 4UC Irvine, Irvine, CA, 5Cedars Sinai Medical Center, Los Angeles, CA, 6St. Barnabas Medical Center, Livingston, NJ

Meeting: 2020 American Transplant Congress

Abstract number: A-077

Keywords: Kidney transplantation, Living donor, Psychosocial, Public policy

Session Information

Session Name: Poster Session A: Kidney Living Donor: Selection

Session Type: Poster Session

Date: Saturday, May 30, 2020

Session Time: 3:15pm-4:00pm

 Presentation Time: 3:30pm-4:00pm

Location: Virtual

*Purpose: Few studies have explored potential kidney living donors’ motivations to donate, particularly their spirituality, and assessed whether these motivations vary by race/ethnicity.

*Methods: 2576 potential donors [48% White, 16% Black, 21% Hispanic, 9% Asian] from five transplant centers, with no clear medical contraindications to donation, were surveyed.

*Results: Potential donors were 60% female; Mean age: 44 years (SD, 13), 23% with a high school education or less. 16% had previously donated blood or platelets and 7% had completed military service. Potential living donors reported that helping their recipient live longer (92%), making their life better (89%), and benefiting the recipient’s entire family (82%) were extremely important, with no differences by race/ethnicity found (Table 1). Forty-five percent reported that religion/ spirituality was very important in their lives, with 52% of the total sample reporting that their spirituality/ personal beliefs were very important to their donation decision; Blacks more commonly reported this than Whites (60% vs 38%). In addition, friends and acquaintances of the recipient were more likely to report that their spirituality/personal beliefs motivated them to be tested than did those pursuing donations for immediate family members (56% vs. 49%). Non-white potential donors were more likely to report that donation would make them feel proud of themselves [Black (43%), Hispanic (39%), Asian (39%) vs. White (20%)].

*Conclusions: While most potential donors want to improve the quality and longevity of their intended recipient’s life, variation in motivation is present by race/ethnicity and depending on the person in need of a transplant. Tailoring messages about donation may increase the number of donors of different races/ethnicities.

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To cite this abstract in AMA style:

Waterman A, Kim GH, Cui Y, Ranasinghe ON, Beaumont JL, Adey D, Reddy U, Campbell B, Weng FL. The Influence of Spirituality and Other Motivations on Potential Kidney Living Donors’ Decisions to Donate by Race/Ethnicity [abstract]. Am J Transplant. 2020; 20 (suppl 3). https://atcmeetingabstracts.com/abstract/the-influence-of-spirituality-and-other-motivations-on-potential-kidney-living-donors-decisions-to-donate-by-race-ethnicity/. Accessed May 11, 2025.

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