Many facets of reluctance: African Americans and the decision (not) to donate organs

Research output: Contribution to journalReview articlepeer-review

48 Scopus citations


Although the body of research on African Americans and organ donation continues to grow, the literature still suffers from a lack of reliance on theory to guide research as well as a surfeit of advanced statistical analytical strategies. A more sophisticated approach to understanding the barriers and facilitating factors that African Americans experience in the process of making the decision to become potential organ donors would yield more sound campaign strategies to increase donation. In this study, a sample of 310 African-American adult members of the NAACP was surveyed about their attitudes, knowledge and beliefs about organ donation. Logistic regression demonstrated that the level of knowledge, attitudes, social norms and altruism resulted in correct classification of organ donor card status in 69.3% of cases. When variables such as medical mistrust, bodily integrity and religiosity were added, an even more powerful model resulted, with 73.2% of the cases correctly classified according to organ donor card status. Recommendations for campaigns targeting African Americans' willingness to donate organs are offered.

Original languageEnglish (US)
Pages (from-to)695-703
Number of pages9
JournalJournal of the National Medical Association
Issue number5
StatePublished - May 1 2006
Externally publishedYes


  • African Americans
  • Medical mistrust
  • Organ Donation model
  • Organ donation
  • Religiosity

ASJC Scopus subject areas

  • Medicine(all)


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