TY - JOUR
T1 - Perspectives of Nephrologists on Gender Disparities in Access to Kidney Transplantation
AU - Natale, Patrizia
AU - Hecking, Manfred
AU - Kurnikowski, Amelie
AU - Scholes-Robertson, Nicole
AU - Carrero, Juan Jesus
AU - Wong, Germaine
AU - Strippoli, Giovanni
AU - Jaure, Allison
PY - 2023/10
Y1 - 2023/10
N2 - BACKGROUND: Gender disparities in access to kidney transplantation are apparent, with women being up to 20% less likely to receive kidney transplant compared with men across different settings and socioeconomic backgrounds. We aimed to describe nephrologists' perspectives on gender disparities in access to kidney transplantation. METHODS: Fifty-one nephrologists (55% women) from 22 countries participated in semistructured interviews from October 2019 to April 2020. We analyzed the transcripts thematically. RESULTS: We identified three themes: caregiving as a core role (coordinators of care for partners, fulfilling family duties over own health, maternal protectiveness, and inherent willingness and generosity), stereotyping and stigma (authority held by men in decision making, protecting the breadwinner, preserving body image and appearance, and safeguard fertility), social disadvantage and vulnerability (limited information and awareness, coping alone and lack of support, disempowered by language barriers, lack of financial resources, and without access to transport). CONCLUSIONS: Gender disparities in access to kidney transplantation are perceived by nephrologists to be exacerbated by gender norms and values, stigma and prejudice, and educational and financial disadvantages that are largely encountered by women compared with men across different socioeconomic settings.
AB - BACKGROUND: Gender disparities in access to kidney transplantation are apparent, with women being up to 20% less likely to receive kidney transplant compared with men across different settings and socioeconomic backgrounds. We aimed to describe nephrologists' perspectives on gender disparities in access to kidney transplantation. METHODS: Fifty-one nephrologists (55% women) from 22 countries participated in semistructured interviews from October 2019 to April 2020. We analyzed the transcripts thematically. RESULTS: We identified three themes: caregiving as a core role (coordinators of care for partners, fulfilling family duties over own health, maternal protectiveness, and inherent willingness and generosity), stereotyping and stigma (authority held by men in decision making, protecting the breadwinner, preserving body image and appearance, and safeguard fertility), social disadvantage and vulnerability (limited information and awareness, coping alone and lack of support, disempowered by language barriers, lack of financial resources, and without access to transport). CONCLUSIONS: Gender disparities in access to kidney transplantation are perceived by nephrologists to be exacerbated by gender norms and values, stigma and prejudice, and educational and financial disadvantages that are largely encountered by women compared with men across different socioeconomic settings.
KW - Organ transplantation
KW - Kidney transplantation
KW - Gender-based challenges
UR - http://www.scopus.com/inward/record.url?scp=85174752322&partnerID=8YFLogxK
U2 - 10.2215/CJN.0000000000000238
DO - 10.2215/CJN.0000000000000238
M3 - Article
C2 - 37471097
AN - SCOPUS:85174752322
SN - 1555-905X
VL - 18
SP - 1333
EP - 1342
JO - Clinical journal of the American Society of Nephrology : CJASN
JF - Clinical journal of the American Society of Nephrology : CJASN
IS - 10
ER -
