Member's paper - Kidney Health Education and Research Group

Abstract

Knowledge About Living-Donor Kidney Transplant (LDKT) Among South Asian Patients With Kidney Failure: Association With Immigrant Status

Ahuja, R., Patel, T., Lodge, D.,Kerr, L., Thind, G., El-suriri, M., Mucsi, I.

2024

Full Abstract
Background: South Asians (SA) with kidney failure (KF) are less likely to receive LDKT compared to white patients. Earlier, we reported that SA, compared to white patients, has lower kidney transplant (KT) related knowledge. Many of the previously studied SA participants were immigrants. Objectives: To investigate if being an immigrant and age at immigration is associated with LDKT knowledge among SA patients with KF. Methods: Secondary analysis of a cross-sectional, multi-center convenience sample of SA adults with KF who completed sociodemographic and Knowledge Assessment of Renal Transplantation questionnaires. The independent association of LDKT knowledge with immigration status and age at immigration was analyzed using multivariable linear regression. Results: The mean (SD) age of the 94 participants was 55(15) years; 63% were male, and 83% were immigrants. The mean(SD) LDKT knowledge score of immigrants vs non-immigrants was significantly lower, 2.2 (1.5) vs 2.9(1.8) (p=0.043). The score was numerically lower for participants who were >25 years of age when immigrating vs born in Canada or <25 years of age at immigration: 2.0(1.4) vs 2.7(1.6) (p=0.286). Importantly, younger participant age was strongly correlated with more LDKT knowledge (r=-0.317, p=0.002). In linear regression analysis, lower LDKT knowledge was significantly associated with age >25 years at immigration (B: -0.95 ([95% CI]: -1.83, -0.08, p=0.033). This association was not modified by adjustment for sex, religion or education. However, the association has become non-significant after adjusting for participant age. Conclusions: SA immigrants, compared to non-immigrants with KF, have lower LDKT-related Knowledge; however, participant age was an important confounder in our analysis.

Member’s paper

Abstracts