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Published in: Journal of Religion and Health 6/2014

01-12-2014 | Original Paper

Understanding African American’s Religious Beliefs and Organ Donation Intentions

Authors: Dana H. Z. Robinson, Susan M. Gerbensky Klammer, Jennie P. Perryman, Nancy J. Thompson, Kimberly R. Jacob Arriola

Published in: Journal of Religion and Health | Issue 6/2014

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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.
Literature
go back to reference 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.PubMedPubMedCentral 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.PubMedPubMedCentral
go back to reference 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.PubMedCrossRef 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.PubMedCrossRef
go back to reference Batson, C. D., Schroenrade, P. A., & Ventis, W. L. (1993). Religion and the individual. New York: Oxford University Press. Batson, C. D., Schroenrade, P. A., & Ventis, W. L. (1993). Religion and the individual. New York: Oxford University Press.
go back to reference Benghu, B., & Uys, H. (2004). Organ donation and transplantation within the Zulu culture. Curationis South African Journal of Nursin, 24–33. Benghu, B., & Uys, H. (2004). Organ donation and transplantation within the Zulu culture. Curationis South African Journal of Nursin, 24–33.
go back to reference Bjarnason, D. (2010). Nurse religiosity and end of life care. Journal of Research in Nursing, 17(1), 78–91.CrossRef Bjarnason, D. (2010). Nurse religiosity and end of life care. Journal of Research in Nursing, 17(1), 78–91.CrossRef
go back to reference 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.CrossRef 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.CrossRef
go back to reference Boon, T. (2004). Religiosity, sexual behaviors and sexual attitudes during emerging adulthood. Journal of Sex Research, 41(2), 150–159.CrossRef Boon, T. (2004). Religiosity, sexual behaviors and sexual attitudes during emerging adulthood. Journal of Sex Research, 41(2), 150–159.CrossRef
go back to reference 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.PubMedCrossRef 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.PubMedCrossRef
go back to reference 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.CrossRef 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.CrossRef
go back to reference 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. 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.
go back to reference Callendar, C., & Miles, P. (2001). Obstacles to organ donation in ethnic minorities. Pediatric Transplantation, 5(6), 383–385.CrossRef Callendar, C., & Miles, P. (2001). Obstacles to organ donation in ethnic minorities. Pediatric Transplantation, 5(6), 383–385.CrossRef
go back to reference 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.CrossRef 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.CrossRef
go back to reference Chatters, L., Levin, J., & Taylor, R. (1992). Antecedents and dimensions of religious involvement among older black adults. Journal of gerontology, 47(6), S269–S278.PubMedCrossRef Chatters, L., Levin, J., & Taylor, R. (1992). Antecedents and dimensions of religious involvement among older black adults. Journal of gerontology, 47(6), S269–S278.PubMedCrossRef
go back to reference Churak, J. M. (2005). Racial and ethnic disparities in renal transplantation. Journal of the National Medical Association, 97(2), 153–160.PubMedPubMedCentral Churak, J. M. (2005). Racial and ethnic disparities in renal transplantation. Journal of the National Medical Association, 97(2), 153–160.PubMedPubMedCentral
go back to reference 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 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
go back to reference 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 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
go back to reference Durand, R., Decker, P., & Bruder, P. (2002). Organ donation among African Americans: Opportunities for increasing donor rates. Hospital Topics, 80(3), 34–37.PubMedCrossRef Durand, R., Decker, P., & Bruder, P. (2002). Organ donation among African Americans: Opportunities for increasing donor rates. Hospital Topics, 80(3), 34–37.PubMedCrossRef
go back to reference 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.CrossRef 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.CrossRef
go back to reference Festinger, L. (1957). A theory of cognitive dissonance. Stanford, CA: Stanford University Press. Festinger, L. (1957). A theory of cognitive dissonance. Stanford, CA: Stanford University Press.
go back to reference Foster, C., & Smith, F. (2003). Black religious experience: Conversations on double consciousness and the work of grant Shockley. Nashville, TN: Abingdon Press. Foster, C., & Smith, F. (2003). Black religious experience: Conversations on double consciousness and the work of grant Shockley. Nashville, TN: Abingdon Press.
go back to reference 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.CrossRef 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.CrossRef
go back to reference Gallagher, C. (1998). Religious outreach for organ and tissue donation. Journal of Transplant Coordination, 8(1), 60–62.PubMed Gallagher, C. (1998). Religious outreach for organ and tissue donation. Journal of Transplant Coordination, 8(1), 60–62.PubMed
go back to reference Gillman, J. (1999). Religious perspectives on organ donation. Critical Care Nursing Quarterly, 22(3), 19–29.PubMedCrossRef Gillman, J. (1999). Religious perspectives on organ donation. Critical Care Nursing Quarterly, 22(3), 19–29.PubMedCrossRef
go back to reference 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.PubMedCrossRef 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.PubMedCrossRef
go back to reference 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. 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.
go back to reference 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.CrossRef 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.CrossRef
go back to reference Levin, J., Taylor, R., & Chatters, L. (1995). A multidimensional measure of religious involvement for African Americans. The Sociological Quarterly, 36(1), 157–173.CrossRef Levin, J., Taylor, R., & Chatters, L. (1995). A multidimensional measure of religious involvement for African Americans. The Sociological Quarterly, 36(1), 157–173.CrossRef
go back to reference Lynch, E. (2005). Faith in transplants. Nursing Standard, 19(33), 24–27.PubMed Lynch, E. (2005). Faith in transplants. Nursing Standard, 19(33), 24–27.PubMed
go back to reference 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.PubMedCrossRef 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.PubMedCrossRef
go back to reference 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.PubMedPubMedCentral 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.PubMedPubMedCentral
go back to reference 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.PubMedPubMedCentral 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.PubMedPubMedCentral
go back to reference 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.PubMedPubMedCentral 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.PubMedPubMedCentral
go back to reference 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.PubMedCrossRef 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.PubMedCrossRef
go back to reference Oliver, M., Woywodt, A., Ahmed, A., & Saif, I. (2010). Organ donation, transplantation and religion. Nephrology, Dialysis, Transplantation, 26(2), 437–444.PubMedCrossRef Oliver, M., Woywodt, A., Ahmed, A., & Saif, I. (2010). Organ donation, transplantation and religion. Nephrology, Dialysis, Transplantation, 26(2), 437–444.PubMedCrossRef
go back to reference 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.PubMedCrossRef 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.PubMedCrossRef
go back to reference 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.PubMedCrossRef 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.PubMedCrossRef
go back to reference Rohrbaugh, J., & Jessor, R. (1975). Religiosity in youth: A personal control against deviant behavior. Journal of Personality, 43, 136–155.PubMedCrossRef Rohrbaugh, J., & Jessor, R. (1975). Religiosity in youth: A personal control against deviant behavior. Journal of Personality, 43, 136–155.PubMedCrossRef
go back to reference Rumsey, S., Hurford, D., & Cole, A. (2003). Influence of knowledge and religiousness on attitudes toward organ donation. Transplantation Proceedings, 35(8), 2845–2850.PubMedCrossRef Rumsey, S., Hurford, D., & Cole, A. (2003). Influence of knowledge and religiousness on attitudes toward organ donation. Transplantation Proceedings, 35(8), 2845–2850.PubMedCrossRef
go back to reference 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.CrossRef 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.CrossRef
go back to reference 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.CrossRef 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.CrossRef
go back to reference 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.PubMedCrossRef 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.PubMedCrossRef
go back to reference 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.PubMedCrossRef 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.PubMedCrossRef
go back to reference 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.PubMedCrossRefPubMedCentral 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.PubMedCrossRefPubMedCentral
go back to reference Steiner, D. L. (2002). Breaking up is hard to do: The heartbreak of dichotomizing continuous data. Canadian Journal of Psychiatry, 47, 262–266. Steiner, D. L. (2002). Breaking up is hard to do: The heartbreak of dichotomizing continuous data. Canadian Journal of Psychiatry, 47, 262–266.
go back to reference 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.PubMedCrossRef 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.PubMedCrossRef
go back to reference 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.PubMedCrossRefPubMedCentral 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.PubMedCrossRefPubMedCentral
go back to reference 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 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
go back to reference 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.PubMedPubMedCentral 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.PubMedPubMedCentral
Metadata
Title
Understanding African American’s Religious Beliefs and Organ Donation Intentions
Authors
Dana H. Z. Robinson
Susan M. Gerbensky Klammer
Jennie P. Perryman
Nancy J. Thompson
Kimberly R. Jacob Arriola
Publication date
01-12-2014
Publisher
Springer US
Published in
Journal of Religion and Health / Issue 6/2014
Print ISSN: 0022-4197
Electronic ISSN: 1573-6571
DOI
https://doi.org/10.1007/s10943-014-9841-3

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